{"id":"https://openalex.org/W4388049999","doi":"https://doi.org/10.21776/ub.hsj.2023.004.04.6","title":"Successful Management of High-Risk Acute Pulmonary Embolism in Patients with Undetected Hepatocellular Carcinoma: A Case Report","display_name":"Successful Management of High-Risk Acute Pulmonary Embolism in Patients with Undetected Hepatocellular Carcinoma: A Case Report","publication_year":2023,"publication_date":"2023-10-01","ids":{"openalex":"https://openalex.org/W4388049999","doi":"https://doi.org/10.21776/ub.hsj.2023.004.04.6"},"language":"en","primary_location":{"id":"doi:10.21776/ub.hsj.2023.004.04.6","doi":"https://doi.org/10.21776/ub.hsj.2023.004.04.6","is_oa":true,"landing_page_url":"http://dx.doi.org/10.21776/ub.hsj.2023.004.04.6","pdf_url":"https://heartscience.ub.ac.id/index.php/heartscience/article/download/13841/377","source":{"id":"https://openalex.org/S4210236341","display_name":"Heart Science Journal","issn_l":"2721-9976","issn":["2721-9976","2721-9984"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310314997","host_organization_name":"Brawijaya University","host_organization_lineage":["https://openalex.org/P4310314997"],"host_organization_lineage_names":["Brawijaya University"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Heart Science Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://heartscience.ub.ac.id/index.php/heartscience/article/download/13841/377","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5081487874","display_name":"Lutfi Hafiz Zunardi","orcid":"https://orcid.org/0009-0004-0509-1025","observed_orcids":["https://orcid.org/0009-0004-0509-1025"]},"institutions":[{"id":"https://openalex.org/I177055848","display_name":"University of Brawijaya","ror":"https://ror.org/01wk3d929","country_code":"ID","type":"education","lineage":["https://openalex.org/I177055848"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Lutfi Hafiz Zunardi","raw_affiliation_strings":["Brawijaya University, dr. Saiful Anwar General Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Brawijaya University, dr. Saiful Anwar General Hospital","institution_ids":["https://openalex.org/I177055848"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047284016","display_name":"Heny Martini","orcid":"https://orcid.org/0009-0005-8179-4803","observed_orcids":["https://orcid.org/0009-0005-8179-4803"]},"institutions":[{"id":"https://openalex.org/I177055848","display_name":"University of Brawijaya","ror":"https://ror.org/01wk3d929","country_code":"ID","type":"education","lineage":["https://openalex.org/I177055848"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Heny Martini","raw_affiliation_strings":["Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia","institution_ids":["https://openalex.org/I177055848"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050085693","display_name":"Novi Kurnianingsih","orcid":"https://orcid.org/0009-0003-9369-9331","observed_orcids":["https://orcid.org/0009-0003-9369-9331","https://orcid.org/0000-0002-5346-9086"]},"institutions":[{"id":"https://openalex.org/I177055848","display_name":"University of Brawijaya","ror":"https://ror.org/01wk3d929","country_code":"ID","type":"education","lineage":["https://openalex.org/I177055848"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Novi Kurnianingsih","raw_affiliation_strings":["Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia","institution_ids":["https://openalex.org/I177055848"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5083598768","display_name":"Anna Fuji Rahimah","orcid":"https://orcid.org/0000-0002-4349-3744","observed_orcids":["https://orcid.org/0000-0002-4349-3744"]},"institutions":[{"id":"https://openalex.org/I177055848","display_name":"University of Brawijaya","ror":"https://ror.org/01wk3d929","country_code":"ID","type":"education","lineage":["https://openalex.org/I177055848"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Anna Fuji Rahimah","raw_affiliation_strings":["Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia","institution_ids":["https://openalex.org/I177055848"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I177055848"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"4","issue":"4","first_page":"24","last_page":"30"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10285","display_name":"Venous Thromboembolism Diagnosis and Management","score":0.9990000128746033,"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"}},"topics":[{"id":"https://openalex.org/T10285","display_name":"Venous Thromboembolism Diagnosis and Management","score":0.9990000128746033,"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/T11579","display_name":"Cardiovascular and Diving-Related Complications","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory 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":9.999999747378752e-05,"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/acute-pulmonary-embolism","display_name":"acute pulmonary embolism","score":0.9810000061988831},{"id":"https://openalex.org/keywords/hepatocellular-carcinoma","display_name":"hepatocellular carcinoma","score":0.9739999771118164},{"id":"https://openalex.org/keywords/thrombolysis","display_name":"thrombolysis","score":0.7279999852180481},{"id":"https://openalex.org/keywords/unprovoked-pulmonary-embolism","display_name":"unprovoked pulmonary embolism","score":0.9459999799728394},{"id":"https://openalex.org/keywords/right-ventricular-dysfunction","display_name":"right ventricular dysfunction","score":0.8289999961853027},{"id":"https://openalex.org/keywords/differential-diagnosis-of-acute-coronary-syndrome","display_name":"differential diagnosis of acute coronary syndrome","score":0.7730000019073486},{"id":"https://openalex.org/keywords/hepatitis-b-surface-antigen","display_name":"hepatitis B surface antigen","score":0.6010000109672546},{"id":"https://openalex.org/keywords/emergency-department-management","display_name":"emergency department management","score":0.43299999833106995}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.956771731376648},{"id":"https://openalex.org/C2776265017","wikidata":"https://www.wikidata.org/wiki/Q220570","display_name":"Pulmonary embolism","level":2,"score":0.751724362373352},{"id":"https://openalex.org/C2779581417","wikidata":"https://www.wikidata.org/wiki/Q1931577","display_name":"Thrombolysis","level":3,"score":0.5954396724700928},{"id":"https://openalex.org/C2779399171","wikidata":"https://www.wikidata.org/wiki/Q1483951","display_name":"Malignancy","level":2,"score":0.5608848333358765},{"id":"https://openalex.org/C2781362458","wikidata":"https://www.wikidata.org/wiki/Q1588755","display_name":"Thrombus","level":2,"score":0.5549401640892029},{"id":"https://openalex.org/C2777698277","wikidata":"https://www.wikidata.org/wiki/Q266018","display_name":"Acute coronary syndrome","level":3,"score":0.512012779712677},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.4700561761856079},{"id":"https://openalex.org/C2778019345","wikidata":"https://www.wikidata.org/wiki/Q1148337","display_name":"Hepatocellular carcinoma","level":2,"score":0.46304944157600403},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.44806304574012756},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.44526004791259766},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.11952799558639526}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.21776/ub.hsj.2023.004.04.6","doi":"https://doi.org/10.21776/ub.hsj.2023.004.04.6","is_oa":true,"landing_page_url":"http://dx.doi.org/10.21776/ub.hsj.2023.004.04.6","pdf_url":"https://heartscience.ub.ac.id/index.php/heartscience/article/download/13841/377","source":{"id":"https://openalex.org/S4210236341","display_name":"Heart Science Journal","issn_l":"2721-9976","issn":["2721-9976","2721-9984"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310314997","host_organization_name":"Brawijaya University","host_organization_lineage":["https://openalex.org/P4310314997"],"host_organization_lineage_names":["Brawijaya University"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Heart Science Journal","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.21776/ub.hsj.2023.004.04.6","doi":"https://doi.org/10.21776/ub.hsj.2023.004.04.6","is_oa":true,"landing_page_url":"http://dx.doi.org/10.21776/ub.hsj.2023.004.04.6","pdf_url":"https://heartscience.ub.ac.id/index.php/heartscience/article/download/13841/377","source":{"id":"https://openalex.org/S4210236341","display_name":"Heart Science Journal","issn_l":"2721-9976","issn":["2721-9976","2721-9984"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310314997","host_organization_name":"Brawijaya University","host_organization_lineage":["https://openalex.org/P4310314997"],"host_organization_lineage_names":["Brawijaya University"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Heart Science Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"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":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4388049999.pdf","grobid_xml":"https://content.openalex.org/works/W4388049999.grobid-xml"},"referenced_works_count":24,"referenced_works":["https://openalex.org/W2018628685","https://openalex.org/W2082921935","https://openalex.org/W2210218845","https://openalex.org/W2280378685","https://openalex.org/W2441424230","https://openalex.org/W2552746793","https://openalex.org/W2725067550","https://openalex.org/W2767163612","https://openalex.org/W2897723485","https://openalex.org/W2914149209","https://openalex.org/W2945776346","https://openalex.org/W2971121646","https://openalex.org/W2996547707","https://openalex.org/W3003299879","https://openalex.org/W3034295997","https://openalex.org/W3047348820","https://openalex.org/W3118587715","https://openalex.org/W3155033451","https://openalex.org/W3180022368","https://openalex.org/W3185325785","https://openalex.org/W4210661687","https://openalex.org/W4230968698","https://openalex.org/W4297201619","https://openalex.org/W4300981143"],"related_works":["https://openalex.org/W4387751784","https://openalex.org/W3034295997","https://openalex.org/W3185325785","https://openalex.org/W2406390945","https://openalex.org/W2999838485","https://openalex.org/W4385466832","https://openalex.org/W2765577071","https://openalex.org/W2115851185","https://openalex.org/W2922418372","https://openalex.org/W2326554381"],"abstract_inverted_index":{"Background:":[0],"Acute":[1,118,263,266],"pulmonary":[2,47,141,151,241],"embolism":[3,48],"(PE)":[4],"as":[5,85,176],"the":[6,26,31,39,54,108,128,138,150,190,218],"first":[7],"sign":[8],"of":[9,29,41,45,75,114,201,258],"hepatocellular":[10],"carcinoma":[11],"(HCC)":[12],"is":[13,16,33,49,111],"rare.":[14],"It":[15],"a":[17,66,147,172,255],"deadly":[18],"disease":[19],"with":[20,72,94,137,156,223,245],"high":[21,27],"morbidity":[22],"and":[23,80,97,116,145,159,194,240,260],"mortality.":[24],"Despite":[25],"prevalence":[28],"PE,":[30],"diagnosis":[32],"still":[34],"challenging,":[35],"mainly":[36],"due":[37],"to":[38,65,100,234,254],"unpredictability":[40],"symptoms.":[42],"The":[43],"stratification":[44],"acute":[46,88,212],"important":[50],"because":[51,107,167],"it":[52],"determines":[53],"right":[55,131],"steps":[56],"in":[57,127,149,217],"decision-making.":[58],"Case":[59],"Illustration:":[60],"A":[61],"45-year-old":[62],"man":[63],"went":[64],"private":[67],"hospital's":[68],"emergency":[69,208],"room":[70,209],"(ER)":[71],"sudden":[73,112],"shortness":[74,113],"breath.":[76],"He":[77,82],"was":[78,83,98,120,196],"desaturated":[79],"shocked.":[81],"assessed":[84,154],"having":[86],"an":[87,207],"coronary":[89],"syndrome":[90],"(ACS),":[91],"got":[92],"loaded":[93],"dual":[95],"antiplatelets,":[96],"referred":[99],"our":[101],"hospital.":[102],"We":[103,135,153,185],"rule":[104],"out":[105,236],"ACS":[106],"patient's":[109,191],"complaint":[110],"breath":[115],"desaturation.":[117],"PE":[119,158,166,213,225],"diagnosed":[121],"after":[122],"bedside":[123],"transthoracal":[124],"echocardiography":[125],"(TTE)":[126],"ER":[129],"revealed":[130],"ventricular":[132],"(RV)":[133],"dysfunction.":[134],"continued":[136],"computed":[139],"tomography":[140],"artery":[142],"(CTPA)":[143],"examination":[144],"found":[146,187],"thrombus":[148],"artery.":[152],"patients":[155,222],"high-risk":[157],"performed":[160],"thrombolysis.":[161],"Initially,":[162],"we":[163,168,230],"suspected":[164,224],"unprovoked":[165],"did":[169],"not":[170],"find":[171],"clear":[173],"trigger,":[174],"such":[175],"malignancy,":[177],"prolonged":[178],"bedriddenness,":[179],"recent":[180],"surgery,":[181],"or":[182],"old":[183],"age.":[184],"accidentally":[186],"HCC":[188],"from":[189],"CTPA":[192],"evaluation,":[193],"HBsAg":[195],"reactive.":[197],"Conclusion:":[198],"Every":[199],"case":[200],"dyspnea":[202],"that":[203],"shows":[204],"up":[205],"at":[206],"should":[210],"have":[211],"taken":[214],"into":[215],"consideration":[216],"differential":[219],"diagnosis.":[220],"In":[221],"without":[226],"obvious":[227],"risk":[228],"factors,":[229],"can":[231],"use":[232],"CT":[233],"triple-rule":[235],"ACS,":[237],"aortic":[238],"dissection,":[239],"embolism.":[242],"Patients":[243],"treated":[244],"thrombolytic":[246],"therapy":[247],"show":[248],"rapid":[249],"improvement,":[250],"which":[251],"may":[252],"lead":[253],"lower":[256],"rate":[257],"mortality":[259],"morbidity.":[261],"Keyword:":[262],"Coronary":[264],"Syndrome,":[265],"Pulmonary":[267],"Embolism,":[268],"Hepatocellular":[269],"Carcinoma,":[270],"Thrombolysis,":[271],"Unprovoked.":[272]},"counts_by_year":[],"updated_date":"2026-10-30T12:39:25.321706","created_date":"2023-11-01T00:00:00"}
