{"id":"https://openalex.org/W2921499281","doi":"https://doi.org/10.1136/bcr-2018-227674","title":"Chronic spontaneous coronary artery dissection in association with antiphospholipid syndrome presenting as stable angina","display_name":"Chronic spontaneous coronary artery dissection in association with antiphospholipid syndrome presenting as stable angina","publication_year":2019,"publication_date":"2019-03-01","ids":{"openalex":"https://openalex.org/W2921499281","doi":"https://doi.org/10.1136/bcr-2018-227674","mag":"2921499281","pmid":"https://pubmed.ncbi.nlm.nih.gov/30872339","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6424253"},"language":"en","primary_location":{"id":"doi:10.1136/bcr-2018-227674","doi":"https://doi.org/10.1136/bcr-2018-227674","is_oa":false,"landing_page_url":"https://doi.org/10.1136/bcr-2018-227674","pdf_url":null,"source":{"id":"https://openalex.org/S141953298","display_name":"BMJ Case Reports","issn_l":"1757-790X","issn":["1757-790X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6424253","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5006070798","display_name":"Napohn Chongprasertpon","orcid":"https://orcid.org/0000-0002-9298-4048","observed_orcids":["https://orcid.org/0000-0002-9298-4048"]},"institutions":[{"id":"https://openalex.org/I2802992464","display_name":"University Hospital Limerick","ror":"https://ror.org/04y3ze847","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I2800263200","https://openalex.org/I2802992464","https://openalex.org/I37076085","https://openalex.org/I4210136517"]}],"countries":["IE"],"is_corresponding":true,"raw_author_name":"Napohn Chongprasertpon","raw_affiliation_strings":["Department of Cardiology, University Hospital Limerick, Limerick, Ireland","napohn{at}gmail.com"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, University Hospital Limerick, Limerick, Ireland","institution_ids":["https://openalex.org/I2802992464"]},{"raw_affiliation_string":"napohn{at}gmail.com","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066545872","display_name":"Abdalla Ibrahim","orcid":"https://orcid.org/0000-0002-6842-1720","observed_orcids":["https://orcid.org/0000-0002-6842-1720"]},"institutions":[{"id":"https://openalex.org/I230495080","display_name":"University of Limerick","ror":"https://ror.org/00a0n9e72","country_code":"IE","type":"education","lineage":["https://openalex.org/I230495080"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Abdalla Ibrahim","raw_affiliation_strings":["Graduate Entry Medical School, University of Limerick, Limerick, Ireland"],"raw_orcid":"https://orcid.org/0000-0002-6842-1720","affiliations":[{"raw_affiliation_string":"Graduate Entry Medical School, University of Limerick, Limerick, Ireland","institution_ids":["https://openalex.org/I230495080"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Michael Goggins","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802992464","display_name":"University Hospital Limerick","ror":"https://ror.org/04y3ze847","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I2800263200","https://openalex.org/I2802992464","https://openalex.org/I37076085","https://openalex.org/I4210136517"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Michael Goggins","raw_affiliation_strings":["Department of Cardiology, University Hospital Limerick, Limerick, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, University Hospital Limerick, Limerick, Ireland","institution_ids":["https://openalex.org/I2802992464"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5013655488","display_name":"Thomas John Kiernan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802992464","display_name":"University Hospital Limerick","ror":"https://ror.org/04y3ze847","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I2800263200","https://openalex.org/I2802992464","https://openalex.org/I37076085","https://openalex.org/I4210136517"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Thomas Kiernan","raw_affiliation_strings":["Department of Cardiology, University Hospital Limerick, Limerick, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, University Hospital Limerick, Limerick, Ireland","institution_ids":["https://openalex.org/I2802992464"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5006070798"],"corresponding_institution_ids":["https://openalex.org/I2802992464"],"apc_list":null,"apc_paid":null,"fwci":0.7579,"has_fulltext":false,"cited_by_count":6,"citation_normalized_percentile":{"value":0.7046875,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"12","issue":"3","first_page":"e227674","last_page":"e227674"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10308","display_name":"Systemic Lupus Erythematosus Research","score":0.6898999810218811,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"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/T10308","display_name":"Systemic Lupus Erythematosus Research","score":0.6898999810218811,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"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/T12230","display_name":"Cardiovascular Issues in Pregnancy","score":0.28049999475479126,"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/T10193","display_name":"Coronary Interventions and Diagnostics","score":0.0031999999191612005,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"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/antiphospholipid-syndrome","display_name":"antiphospholipid syndrome","score":0.9980000257492065},{"id":"https://openalex.org/keywords/stable-angina","display_name":"stable angina","score":0.9980000257492065},{"id":"https://openalex.org/keywords/coronary-artery-dissection","display_name":"coronary artery dissection","score":0.6240000128746033},{"id":"https://openalex.org/keywords/coronary-angiography","display_name":"coronary angiography","score":0.6349999904632568},{"id":"https://openalex.org/keywords/antianginal-therapy","display_name":"antianginal therapy","score":0.6639999747276306},{"id":"https://openalex.org/keywords/thrombotic-complications","display_name":"thrombotic complications","score":0.5860000252723694}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9280344247817993},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.7706254720687866},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.7105525732040405},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.6054498553276062},{"id":"https://openalex.org/C2779581417","wikidata":"https://www.wikidata.org/wiki/Q1931577","display_name":"Thrombolysis","level":3,"score":0.5679925680160522},{"id":"https://openalex.org/C2776874634","wikidata":"https://www.wikidata.org/wiki/Q582207","display_name":"Antiphospholipid syndrome","level":3,"score":0.5597445964813232},{"id":"https://openalex.org/C2777910003","wikidata":"https://www.wikidata.org/wiki/Q1707292","display_name":"Asymptomatic","level":2,"score":0.5243863463401794},{"id":"https://openalex.org/C2777785093","wikidata":"https://www.wikidata.org/wiki/Q2032041","display_name":"Unstable angina","level":3,"score":0.5040746927261353},{"id":"https://openalex.org/C2780868729","wikidata":"https://www.wikidata.org/wiki/Q261327","display_name":"Thrombosis","level":2,"score":0.45486965775489807},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.4513102173805237},{"id":"https://openalex.org/C2777698277","wikidata":"https://www.wikidata.org/wiki/Q266018","display_name":"Acute coronary syndrome","level":3,"score":0.44409477710723877},{"id":"https://openalex.org/C2778213512","wikidata":"https://www.wikidata.org/wiki/Q844935","display_name":"Coronary artery disease","level":2,"score":0.438758909702301},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.43500572443008423},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000792","descriptor_name":"Angiography","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D000903","descriptor_name":"Antibiotics, Antineoplastic","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D000925","descriptor_name":"Anticoagulants","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D002121","descriptor_name":"Calcium Channel Blockers","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D003330","descriptor_name":"Coronary Vessel Anomalies","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D003330","descriptor_name":"Coronary Vessel Anomalies","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D003937","descriptor_name":"Diagnosis, Differential","qualifier_ui":null,"qualifier_name":null,"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":"D009173","descriptor_name":"Mycophenolic Acid","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":false},{"descriptor_ui":"D009173","descriptor_name":"Mycophenolic Acid","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D009203","descriptor_name":"Myocardial Infarction","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D014652","descriptor_name":"Vascular Diseases","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D014652","descriptor_name":"Vascular Diseases","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D014652","descriptor_name":"Vascular Diseases","qualifier_ui":"Q000151","qualifier_name":"congenital","is_major_topic":true},{"descriptor_ui":"D016736","descriptor_name":"Antiphospholipid Syndrome","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D016736","descriptor_name":"Antiphospholipid Syndrome","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D060050","descriptor_name":"Angina, Stable","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D060050","descriptor_name":"Angina, Stable","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1136/bcr-2018-227674","doi":"https://doi.org/10.1136/bcr-2018-227674","is_oa":false,"landing_page_url":"https://doi.org/10.1136/bcr-2018-227674","pdf_url":null,"source":{"id":"https://openalex.org/S141953298","display_name":"BMJ Case Reports","issn_l":"1757-790X","issn":["1757-790X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Case Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:6424253","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6424253","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":"BMJ Case Rep","raw_type":"Text"},{"id":"pmid:30872339","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30872339","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":"BMJ case reports","raw_type":"Case Reports"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:6424253","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6424253","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":"BMJ Case Rep","raw_type":"Text"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9907000064849854}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.8600000143051147}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":39,"referenced_works":["https://openalex.org/W1744063033","https://openalex.org/W1964655700","https://openalex.org/W1968105790","https://openalex.org/W2009595057","https://openalex.org/W2010980302","https://openalex.org/W2011138411","https://openalex.org/W2028406972","https://openalex.org/W2029495777","https://openalex.org/W2070418901","https://openalex.org/W2075470280","https://openalex.org/W2093279552","https://openalex.org/W2097799556","https://openalex.org/W2107410915","https://openalex.org/W2108482862","https://openalex.org/W2120434474","https://openalex.org/W2122216874","https://openalex.org/W2126381919","https://openalex.org/W2153584327","https://openalex.org/W2164021075","https://openalex.org/W2165349656","https://openalex.org/W2168431426","https://openalex.org/W2171964178","https://openalex.org/W2180549522","https://openalex.org/W2238538201","https://openalex.org/W2243491904","https://openalex.org/W2319283032","https://openalex.org/W2340044917","https://openalex.org/W2464574353","https://openalex.org/W2509600479","https://openalex.org/W2515233317","https://openalex.org/W2516599123","https://openalex.org/W2597208029","https://openalex.org/W2614429085","https://openalex.org/W2695615828","https://openalex.org/W2747892463","https://openalex.org/W2765709594","https://openalex.org/W2771749924","https://openalex.org/W2793577196","https://openalex.org/W2793979244"],"related_works":["https://openalex.org/W2089802231","https://openalex.org/W2153584327","https://openalex.org/W2043513867","https://openalex.org/W3183661564","https://openalex.org/W7095594556","https://openalex.org/W2803394842","https://openalex.org/W2326875267","https://openalex.org/W4390945709","https://openalex.org/W1968105790","https://openalex.org/W2147910902"],"abstract_inverted_index":{"A":[0],"52-year-old":[1],"man":[2],"presented":[3],"to":[4],"our":[5],"cardiology":[6,103],"service":[7],"for":[8,14],"an":[9],"elective":[10],"diagnostic":[11],"coronary":[12,56,60,66],"angiogram":[13],"risk":[15],"stratification":[16],"in":[17,38,80,101],"the":[18,39,102],"context":[19],"of":[20,41,72],"stable":[21],"angina.":[22],"He":[23,85],"was":[24,54,86],"diagnosed":[25],"with":[26,68,78,89],"antiphospholipid":[27],"syndrome":[28],"2":[29],"years":[30],"prior":[31],"and":[32,47,95],"had":[33],"three":[34],"known":[35],"thrombotic":[36],"episodes":[37],"form":[40],"a":[42,63,69],"stroke,":[43],"retinal":[44],"artery":[45,57,67],"occlusion":[46],"deep":[48],"vein":[49],"thrombosis.":[50],"Our":[51],"initial":[52],"differential":[53],"atherosclerotic":[55],"disease,":[58],"however,":[59],"angiography":[61],"demonstrated":[62],"dominant":[64],"right":[65],"long":[70],"segment":[71],"chronic":[73],"spontaneous":[74],"dissection":[75],"distally":[76],"but":[77],"thrombolysis":[79],"myocardial":[81],"infarction":[82],"III":[83],"flow.":[84],"treated":[87],"medically":[88],"antianginals":[90],"which":[91],"rendered":[92],"him":[93],"asymptomatic":[94],"is":[96],"currently":[97],"on":[98],"regular":[99],"follow-up":[100],"outpatient":[104],"department.":[105]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2019-03-22T00:00:00"}
