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{
    "pk": 919,
    "title": "Case Report: A Near Miss of Pulmonary Embolism in a Division 1 Collegiate Basketball Player",
    "subtitle": null,
    "abstract": "Introduction:\n The clinical presentation of pulmonary embolism (PE) is often associated with classic vital instability such as tachycardia, hypoxia, and tachypnea. This critical diagnosis is often less likely if a patient is negative by Pulmonary Embolism Rule-Out Criteria (PERC) standards with a low pre-test probability of disease. Caution must be used when evaluating elite athletes with the PERC rule due to low resting heart rate and certain risk factors, which are inherent to athletics.\nCase Report:\n We report the case of a 20-year-old male Division 1 collegiate athlete with pleuritic chest pain diagnosed with PE despite being PERC negative. His presenting heart rate (HR) of 79 beats per minute was correctly determined to be tachycardic relative to his resting HR of 47-60 beats per minute. Despite his PERC negative status, PE was found after an elevated D-dimer and subsequent computed tomography angiography.\nConclusion:\n Special consideration should be used when evaluating elite athletes for PE, as their resting physiology may differ from the general population. Additionally, certain risk factors for thromboembolic disease are inherent in competitive athletics and should be considered during an initial risk assessment. The presented patient was successfully treated with oral anticoagulation for three months and was able to return to play.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "pulmonary embolism"
        },
        {
            "word": "athlete"
        },
        {
            "word": "PERC"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/28g2g1qg",
    "frozenauthors": [
        {
            "first_name": "Nicholas",
            "middle_name": "M.",
            "last_name": "Chill",
            "name_suffix": "",
            "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia",
            "department": "None"
        },
        {
            "first_name": "Aaron",
            "middle_name": "J.",
            "last_name": "Monseau",
            "name_suffix": "",
            "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia",
            "department": "None"
        },
        {
            "first_name": "Brenden",
            "middle_name": "J.",
            "last_name": "Balcik",
            "name_suffix": "",
            "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia",
            "department": "None"
        },
        {
            "first_name": "Rosanna",
            "middle_name": "D.",
            "last_name": "Sikora",
            "name_suffix": "",
            "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia",
            "department": "None"
        },
        {
            "first_name": "Kathryn",
            "middle_name": "",
            "last_name": "Oppenlander",
            "name_suffix": "",
            "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia",
            "department": "None"
        }
    ],
    "date_submitted": "2020-09-18T08:16:53+08:00",
    "date_accepted": "2020-09-18T08:16:53+08:00",
    "date_published": "2020-09-18T08:17:35+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/919/galley/667/download/"
        }
    ]
}