{"id":"https://openalex.org/W1981124577","doi":"https://doi.org/10.1007/s11739-007-0012-3","title":"An unusual cause of chest pain","display_name":"An unusual cause of chest pain","publication_year":2007,"publication_date":"2007-03-01","ids":{"openalex":"https://openalex.org/W1981124577","doi":"https://doi.org/10.1007/s11739-007-0012-3","mag":"1981124577","pmid":"https://pubmed.ncbi.nlm.nih.gov/17551687","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/2780638"},"language":"en","primary_location":{"id":"doi:10.1007/s11739-007-0012-3","doi":"https://doi.org/10.1007/s11739-007-0012-3","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s11739-007-0012-3","pdf_url":"https://link.springer.com/content/pdf/10.1007/s11739-007-0012-3.pdf","source":{"id":"https://openalex.org/S140847651","display_name":"Internal and Emergency Medicine","issn_l":"1828-0447","issn":["1828-0447","1970-9366"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","medline","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Internal and Emergency Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://link.springer.com/content/pdf/10.1007/s11739-007-0012-3.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5065048596","display_name":"Jennifer V. Pope","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"J. V. Pope","raw_affiliation_strings":["Harvard Medical School, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, WCC-2, Boston, MA 02215, USA","Beth Israel Deaconess Medical Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard Medical School, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, WCC-2, Boston, MA 02215, USA","institution_ids":["https://openalex.org/I1316535847","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Beth Israel Deaconess Medical Center","institution_ids":["https://openalex.org/I1316535847"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062619773","display_name":"Shamai Aron Grossman","orcid":"https://orcid.org/0000-0002-4154-080X","observed_orcids":["https://orcid.org/0000-0002-4154-080X"]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"S. A. Grossman","raw_affiliation_strings":["Harvard Medical School, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, WCC-2, Boston, MA, 02215, USA","Beth Israel Deaconess Medical Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard Medical School, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, WCC-2, Boston, MA, 02215, USA","institution_ids":["https://openalex.org/I1316535847","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Beth Israel Deaconess Medical Center","institution_ids":["https://openalex.org/I1316535847"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022202395","display_name":"Lara K. Kulchycki","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"L. K. Kulchycki","raw_affiliation_strings":["Harvard Medical School, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, WCC-2, Boston, MA, 02215, USA","Beth Israel Deaconess Medical Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard Medical School, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, WCC-2, Boston, MA, 02215, USA","institution_ids":["https://openalex.org/I1316535847","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Beth Israel Deaconess Medical Center","institution_ids":["https://openalex.org/I1316535847"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109315444","display_name":"Christopher Fischer","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"C. Fischer","raw_affiliation_strings":["Harvard Medical School, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, WCC-2, Boston, MA, 02215, USA","Beth Israel Deaconess Medical Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard Medical School, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, WCC-2, Boston, MA, 02215, USA","institution_ids":["https://openalex.org/I1316535847","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Beth Israel Deaconess Medical Center","institution_ids":["https://openalex.org/I1316535847"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5057628748","display_name":"Jonathan A. Edlow","orcid":"https://orcid.org/0000-0001-6855-0912","observed_orcids":["https://orcid.org/0000-0001-6855-0912"]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"J. Edlow","raw_affiliation_strings":["Harvard Medical School, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, WCC-2, Boston, MA, 02215, USA","Beth Israel Deaconess Medical Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard Medical School, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, WCC-2, Boston, MA, 02215, USA","institution_ids":["https://openalex.org/I1316535847","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Beth Israel Deaconess Medical Center","institution_ids":["https://openalex.org/I1316535847"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5022202395"],"corresponding_institution_ids":["https://openalex.org/I1316535847","https://openalex.org/I136199984"],"apc_list":{"value":4790,"currency":"USD","value_usd":4790},"apc_paid":{"value":4790,"currency":"USD","value_usd":4790},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.14680346,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"2","issue":"1","first_page":"53","last_page":"56"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10618","display_name":"Aortic Disease and Treatment Approaches","score":0.6284000277519226,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10618","display_name":"Aortic Disease and Treatment Approaches","score":0.6284000277519226,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13533","display_name":"Medical Case Reports and Studies","score":0.14380000531673431,"subfield":{"id":"https://openalex.org/subfields/2724","display_name":"Internal Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13657","display_name":"Aortic Thrombus and Embolism","score":0.0771000012755394,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/chest-pain","display_name":"chest pain","score":0.8190000057220459},{"id":"https://openalex.org/keywords/epigastric-pain","display_name":"epigastric pain","score":0.972000002861023},{"id":"https://openalex.org/keywords/differential-diagnosis","display_name":"differential diagnosis","score":0.6629999876022339},{"id":"https://openalex.org/keywords/aortic-dissection","display_name":"aortic dissection","score":0.8510000109672546},{"id":"https://openalex.org/keywords/nitroglycerin","display_name":"nitroglycerin","score":0.6399999856948853},{"id":"https://openalex.org/keywords/radicular-pain","display_name":"radicular pain","score":0.7129999995231628},{"id":"https://openalex.org/keywords/cardiac-enzymes","display_name":"cardiac enzymes","score":0.4350000023841858},{"id":"https://openalex.org/keywords/electrocardiography","display_name":"electrocardiogram","score":0.7770000100135803},{"id":"https://openalex.org/keywords/chest-ct","display_name":"chest CT","score":0.3659999966621399},{"id":"https://openalex.org/keywords/emergency-department-evaluation","display_name":"emergency department evaluation","score":0.421999990940094}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9688571691513062},{"id":"https://openalex.org/C2778704086","wikidata":"https://www.wikidata.org/wiki/Q693058","display_name":"Chest pain","level":2,"score":0.6314833164215088},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.45277220010757446},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.4358241558074951},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.2767457365989685},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D002637","descriptor_name":"Chest Pain","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020759","descriptor_name":"Anterior Spinal Artery Syndrome","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D020759","descriptor_name":"Anterior Spinal Artery Syndrome","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1007/s11739-007-0012-3","doi":"https://doi.org/10.1007/s11739-007-0012-3","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s11739-007-0012-3","pdf_url":"https://link.springer.com/content/pdf/10.1007/s11739-007-0012-3.pdf","source":{"id":"https://openalex.org/S140847651","display_name":"Internal and Emergency Medicine","issn_l":"1828-0447","issn":["1828-0447","1970-9366"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","medline","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Internal and Emergency Medicine","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:2780638","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2780638","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Intern Emerg Med","raw_type":"Text"},{"id":"pmid:17551687","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/17551687","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Internal and emergency medicine","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.1007/s11739-007-0012-3","doi":"https://doi.org/10.1007/s11739-007-0012-3","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s11739-007-0012-3","pdf_url":"https://link.springer.com/content/pdf/10.1007/s11739-007-0012-3.pdf","source":{"id":"https://openalex.org/S140847651","display_name":"Internal and Emergency Medicine","issn_l":"1828-0447","issn":["1828-0447","1970-9366"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","medline","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Internal and Emergency Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W1981124577.pdf","grobid_xml":"https://content.openalex.org/works/W1981124577.grobid-xml"},"referenced_works_count":11,"referenced_works":["https://openalex.org/W2009517554","https://openalex.org/W2015782333","https://openalex.org/W2019416723","https://openalex.org/W2019863877","https://openalex.org/W2022038351","https://openalex.org/W2051325808","https://openalex.org/W2051786758","https://openalex.org/W2060481713","https://openalex.org/W2068724117","https://openalex.org/W2120287732","https://openalex.org/W2157706619"],"related_works":["https://openalex.org/W2556216599","https://openalex.org/W4245132605","https://openalex.org/W4239848203","https://openalex.org/W27871866","https://openalex.org/W170421888","https://openalex.org/W2400585861","https://openalex.org/W2470511194","https://openalex.org/W1527097660","https://openalex.org/W2045802902","https://openalex.org/W4412513899"],"abstract_inverted_index":{"E":[0],"Mwas":[1],"regular,":[2],"with":[3,30,90,194,252],"no":[4,31,45],"murmurs":[5],"or":[6,47],"adventitial":[7],"sounds.His":[8],"abdomen":[9],"was":[10,80,147,156,197,222,230],"soft,":[11],"nontender":[12],"and":[13,20,27,36,98,116,135,138,152,162,172,215,228,262],"nondistended.A":[14],"rectal":[15],"exam":[16,79,140],"showed":[17,242],"normal":[18,34,243],"tone":[19],"brown,":[21],"guaiac-negative":[22],"stool.His":[23],"extremities":[24],"were":[25,141,175,218],"warm":[26],"well":[28],"perfused,":[29],"oedema.He":[32],"had":[33,44],"strength":[35],"sensation":[37],"to":[38,85,95,148,180],"light":[39],"touch":[40],"in":[41,70,204,236],"his":[42,112],"extremities.He":[43],"diaphoresis":[46],"rash.Dr.":[48],"Shamai":[49],"Grossman:":[50],"Epigastric":[51],"pain,":[52],"although":[53],"usually":[54],"a":[55,61,159,188,208,247],"symptom":[56],"of":[57,111,120,126,133,207,225,249],"gastrointestinal":[58,153],"disease,":[59],"has":[60],"wide":[62],"differential":[63,69],"diagnosis":[64],"encompassing":[65],"multiple":[66],"organ":[67],"systems.The":[68],"this":[71],"case":[72],"must":[73],"remain":[74],"broad,":[75],"as":[76],"the":[77,118,181,205,231,237],"physical":[78,210],"unrevealing.It":[81],"is":[82,92,114,201],"also":[83],"important":[84],"remember":[86],"that":[87],"pain":[88,178],"relief":[89],"nitroglycerin":[91],"not":[93,100],"specific":[94],"cardiac":[96,160,173],"disorders":[97],"does":[99],"narrow":[101],"our":[102,144],"diagnostic":[103],"possibilities":[104],"[1].":[105],"Dr.":[106],"Lara":[107],"Kulchycki:The":[108],"band-like":[109],"nature":[110],"discomfort":[113],"noteworthy":[115],"raises":[117,183],"possibility":[119],"radicular":[121],"pain.Were":[122],"there":[123],"any":[124],"indications":[125],"neurological":[127,131],"disease?Dr.":[128],"Pope:":[129,239],"The":[130,240],"review":[132],"systems":[134],"gross":[136],"motor":[137],"sensory":[139],"normal,":[142],"so":[143],"initial":[145],"plan":[146],"evaluate":[149],"for":[150,185],"cardiovascular":[151],"pathology.The":[154],"patient":[155],"placed":[157],"on":[158],"monitor":[161],"given":[163],"supplemental":[164],"oxygen":[165],"by":[166],"nasal":[167],"cannula.An":[168],"electrocardiogram,":[169],"chest":[170,189],"radiograph":[171],"enzymes":[174,217],"ordered.Because":[176],"epigastric":[177],"radiating":[179],"back":[182],"concerns":[184],"aortic":[186],"dissection,":[187],"computed":[190],"tomography":[191],"(CT)":[192],"scan":[193],"intravenous":[195],"contrast":[196],"performed.Although":[198],"abdominal":[199],"pathology":[200],"less":[202],"likely":[203],"setting":[206],"benign":[209],"exam,":[211],"liver":[212,263],"function":[213,264],"tests":[214],"pancreatic":[216],"requested.Dr.":[219],"Fischer:":[220],"What":[221],"your":[223],"interpretation":[224],"these":[226],"studies":[227],"what":[229],"patient's":[232],"subsequent":[233],"clinical":[234],"course":[235],"ED?Dr.":[238],"electrocardiogram":[241],"sinus":[244],"rhythm":[245],"at":[246],"rate":[248],"86":[250],"beats/min":[251],"left":[253],"axis":[254],"deviation":[255],"(Fig.":[256],"1).Complete":[257],"blood":[258],"count,":[259],"chemistry":[260],"panel":[261]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}