{"id":"https://openalex.org/W7213622136","doi":"https://doi.org/10.1093/ehjcr/ytag714","title":"A coronary event without coronary artery disease: the hidden role of inherited thrombophilia\u2014a case report","display_name":"A coronary event without coronary artery disease: the hidden role of inherited thrombophilia\u2014a case report","publication_year":2026,"publication_date":"2026-09-17","ids":{"openalex":"https://openalex.org/W7213622136","doi":"https://doi.org/10.1093/ehjcr/ytag714","pmid":"https://pubmed.ncbi.nlm.nih.gov/42820085","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13625939"},"language":"en","primary_location":{"id":"doi:10.1093/ehjcr/ytag714","doi":"https://doi.org/10.1093/ehjcr/ytag714","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ehjcr/ytag714","pdf_url":null,"source":{"id":"https://openalex.org/S2735316389","display_name":"European Heart Journal - Case Reports","issn_l":"2514-2119","issn":["2514-2119"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Heart Journal - Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1093/ehjcr/ytag714","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5073221133","display_name":"Nika Kuridze","orcid":"https://orcid.org/0000-0002-2586-7909","observed_orcids":["https://orcid.org/0000-0002-2586-7909"]},"institutions":[{"id":"https://openalex.org/I223093266","display_name":"Caucasus University","ror":"https://ror.org/02tc4et63","country_code":"GE","type":"education","lineage":["https://openalex.org/I223093266"]},{"id":"https://openalex.org/I4405267676","display_name":"Akademikos G. Chapidzis Sakhelobis Gadaudebeli Kardiologiis Tsentri","ror":"https://ror.org/03v3hg546","country_code":"GE","type":"healthcare","lineage":["https://openalex.org/I4405267676"]}],"countries":["GE"],"is_corresponding":true,"raw_author_name":"Nika Kuridze","raw_affiliation_strings":["Caucasus Medicine School, Caucasus University , 1 Paata Saakadze st. 0102, Tbilisi ,","Inpatient Unit of Cardiac Surgery Department, G. Chapidze Emergency Cardiology Center , 1 N. Javakhishvili st. 0159, Tbilisi ,"],"raw_orcid":"https://orcid.org/0000-0002-2586-7909","affiliations":[{"raw_affiliation_string":"Caucasus Medicine School, Caucasus University , 1 Paata Saakadze st. 0102, Tbilisi ,","institution_ids":["https://openalex.org/I223093266"]},{"raw_affiliation_string":"Inpatient Unit of Cardiac Surgery Department, G. Chapidze Emergency Cardiology Center , 1 N. Javakhishvili st. 0159, Tbilisi ,","institution_ids":["https://openalex.org/I4405267676"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5152196681","display_name":"Revaz Sturua","orcid":"https://orcid.org/0009-0002-4985-7251","observed_orcids":["https://orcid.org/0009-0002-4985-7251"]},"institutions":[{"id":"https://openalex.org/I4405267676","display_name":"Akademikos G. Chapidzis Sakhelobis Gadaudebeli Kardiologiis Tsentri","ror":"https://ror.org/03v3hg546","country_code":"GE","type":"healthcare","lineage":["https://openalex.org/I4405267676"]}],"countries":["GE"],"is_corresponding":false,"raw_author_name":"Revaz Sturua","raw_affiliation_strings":["Inpatient Unit of Cardiac Surgery Department, G. Chapidze Emergency Cardiology Center , 1 N. Javakhishvili st. 0159, Tbilisi ,"],"raw_orcid":"https://orcid.org/0009-0002-4985-7251","affiliations":[{"raw_affiliation_string":"Inpatient Unit of Cardiac Surgery Department, G. Chapidze Emergency Cardiology Center , 1 N. Javakhishvili st. 0159, Tbilisi ,","institution_ids":["https://openalex.org/I4405267676"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5152257210","display_name":"Levan Tsaguria","orcid":"https://orcid.org/0000-0001-8366-7342","observed_orcids":["https://orcid.org/0000-0001-8366-7342"]},"institutions":[{"id":"https://openalex.org/I4405267676","display_name":"Akademikos G. Chapidzis Sakhelobis Gadaudebeli Kardiologiis Tsentri","ror":"https://ror.org/03v3hg546","country_code":"GE","type":"healthcare","lineage":["https://openalex.org/I4405267676"]}],"countries":["GE"],"is_corresponding":false,"raw_author_name":"Levan Tsaguria","raw_affiliation_strings":["Inpatient Unit of Cardiac Surgery Department, G. Chapidze Emergency Cardiology Center , 1 N. Javakhishvili st. 0159, Tbilisi ,"],"raw_orcid":"https://orcid.org/0000-0001-8366-7342","affiliations":[{"raw_affiliation_string":"Inpatient Unit of Cardiac Surgery Department, G. Chapidze Emergency Cardiology Center , 1 N. Javakhishvili st. 0159, Tbilisi ,","institution_ids":["https://openalex.org/I4405267676"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5073221133"],"corresponding_institution_ids":["https://openalex.org/I223093266","https://openalex.org/I4405267676"],"apc_list":{"value":721,"currency":"EUR","value_usd":815},"apc_paid":{"value":721,"currency":"EUR","value_usd":815},"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":"10","issue":"10","first_page":"ytag714","last_page":"ytag714"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10881","display_name":"Blood Coagulation and Thrombosis Mechanisms","score":0.7764000296592712,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"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/T10881","display_name":"Blood Coagulation and Thrombosis Mechanisms","score":0.7764000296592712,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"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/T10292","display_name":"Acute Myocardial Infarction Research","score":0.2013999968767166,"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/T10746","display_name":"Platelet Disorders and Treatments","score":0.005200000014156103,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"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/inherited-thrombophilia","display_name":"inherited thrombophilia","score":0.9509999752044678},{"id":"https://openalex.org/keywords/st-elevation-myocardial-infarction","display_name":"ST-elevation myocardial infarction","score":0.9909999966621399},{"id":"https://openalex.org/keywords/coronary-thrombosis","display_name":"coronary thrombosis","score":0.8100000023841858},{"id":"https://openalex.org/keywords/cisplatin-based-chemotherapy","display_name":"cisplatin-based chemotherapy","score":0.8870000243186951},{"id":"https://openalex.org/keywords/arterial-thrombosis","display_name":"arterial thrombosis","score":0.843999981880188},{"id":"https://openalex.org/keywords/rivaroxaban","display_name":"rivaroxaban","score":0.8090000152587891},{"id":"https://openalex.org/keywords/antiplatelet-therapy","display_name":"antiplatelet therapy","score":0.8330000042915344},{"id":"https://openalex.org/keywords/drug-eluting-stents","display_name":"drug-eluting stents","score":0.7170000076293945},{"id":"https://openalex.org/keywords/genetic-testing","display_name":"genetic testing","score":0.5270000100135803}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.942799985408783},{"id":"https://openalex.org/C2780842393","wikidata":"https://www.wikidata.org/wiki/Q1570013","display_name":"Thrombophilia","level":3,"score":0.7766000032424927},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.6897000074386597},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.6553999781608582},{"id":"https://openalex.org/C2780868729","wikidata":"https://www.wikidata.org/wiki/Q261327","display_name":"Thrombosis","level":2,"score":0.607200026512146},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.5544000267982483},{"id":"https://openalex.org/C2777015399","wikidata":"https://www.wikidata.org/wiki/Q4775337","display_name":"Antithrombotic","level":2,"score":0.5430999994277954},{"id":"https://openalex.org/C2778661090","wikidata":"https://www.wikidata.org/wiki/Q420262","display_name":"Rivaroxaban","level":4,"score":0.5400000214576721},{"id":"https://openalex.org/C2779399171","wikidata":"https://www.wikidata.org/wiki/Q1483951","display_name":"Malignancy","level":2,"score":0.5346999764442444},{"id":"https://openalex.org/C2777698277","wikidata":"https://www.wikidata.org/wiki/Q266018","display_name":"Acute coronary syndrome","level":3,"score":0.49779999256134033},{"id":"https://openalex.org/C2777910003","wikidata":"https://www.wikidata.org/wiki/Q1707292","display_name":"Asymptomatic","level":2,"score":0.4336000084877014},{"id":"https://openalex.org/C2781362458","wikidata":"https://www.wikidata.org/wiki/Q1588755","display_name":"Thrombus","level":2,"score":0.3643999993801117},{"id":"https://openalex.org/C2780911114","wikidata":"https://www.wikidata.org/wiki/Q14523941","display_name":"Coronary stent","level":4,"score":0.3440999984741211},{"id":"https://openalex.org/C2778213512","wikidata":"https://www.wikidata.org/wiki/Q844935","display_name":"Coronary artery disease","level":2,"score":0.32420000433921814},{"id":"https://openalex.org/C2778088351","wikidata":"https://www.wikidata.org/wiki/Q429285","display_name":"Right coronary artery","level":4,"score":0.3197999894618988},{"id":"https://openalex.org/C2776820930","wikidata":"https://www.wikidata.org/wiki/Q9655","display_name":"Artery","level":2,"score":0.31450000405311584},{"id":"https://openalex.org/C2776694085","wikidata":"https://www.wikidata.org/wiki/Q974135","display_name":"Chemotherapy","level":2,"score":0.31200000643730164},{"id":"https://openalex.org/C2777175894","wikidata":"https://www.wikidata.org/wiki/Q185986","display_name":"Factor V Leiden","level":4,"score":0.30329999327659607},{"id":"https://openalex.org/C2778583881","wikidata":"https://www.wikidata.org/wiki/Q1325542","display_name":"Stent","level":2,"score":0.28299999237060547},{"id":"https://openalex.org/C2776301958","wikidata":"https://www.wikidata.org/wiki/Q407431","display_name":"Warfarin","level":3,"score":0.275299996137619},{"id":"https://openalex.org/C2991716557","wikidata":"https://www.wikidata.org/wiki/Q12252367","display_name":"Coronary atherosclerosis","level":3,"score":0.2727999985218048},{"id":"https://openalex.org/C2778976402","wikidata":"https://www.wikidata.org/wiki/Q707774","display_name":"Coronary thrombosis","level":3,"score":0.27219998836517334},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.26350000500679016},{"id":"https://openalex.org/C2780643987","wikidata":"https://www.wikidata.org/wiki/Q468414","display_name":"Angiography","level":2,"score":0.2619999945163727},{"id":"https://openalex.org/C2780011451","wikidata":"https://www.wikidata.org/wiki/Q2751330","display_name":"Venous thrombosis","level":3,"score":0.25380000472068787},{"id":"https://openalex.org/C2780673598","wikidata":"https://www.wikidata.org/wiki/Q285223","display_name":"Genetic testing","level":2,"score":0.2531999945640564},{"id":"https://openalex.org/C2777798775","wikidata":"https://www.wikidata.org/wiki/Q207550","display_name":"Infarction","level":3,"score":0.2500999867916107}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1093/ehjcr/ytag714","doi":"https://doi.org/10.1093/ehjcr/ytag714","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ehjcr/ytag714","pdf_url":null,"source":{"id":"https://openalex.org/S2735316389","display_name":"European Heart Journal - Case Reports","issn_l":"2514-2119","issn":["2514-2119"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Heart Journal - Case Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13625939","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13625939/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13625939/pdf/ytag714.pdf","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":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Eur Heart J Case Rep","raw_type":"Text"},{"id":"pmid:42820085","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42820085","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":"European heart journal. Case reports","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.1093/ehjcr/ytag714","doi":"https://doi.org/10.1093/ehjcr/ytag714","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ehjcr/ytag714","pdf_url":null,"source":{"id":"https://openalex.org/S2735316389","display_name":"European Heart Journal - Case Reports","issn_l":"2514-2119","issn":["2514-2119"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Heart Journal - Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7213622136.pdf","grobid_xml":"https://content.openalex.org/works/W7213622136.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W1767652781","https://openalex.org/W2114788594","https://openalex.org/W2263844308","https://openalex.org/W2783503000","https://openalex.org/W2913121198","https://openalex.org/W3108992799","https://openalex.org/W3171595149","https://openalex.org/W4220935579","https://openalex.org/W4229439308","https://openalex.org/W4285596437","https://openalex.org/W4293217929","https://openalex.org/W4386153206","https://openalex.org/W4415612329"],"related_works":["https://openalex.org/W4386158588","https://openalex.org/W7161580437","https://openalex.org/W3117282623","https://openalex.org/W1982179595","https://openalex.org/W7203743026","https://openalex.org/W4409308228","https://openalex.org/W7213154079","https://openalex.org/W4382319973","https://openalex.org/W7125781202","https://openalex.org/W4385075056"],"abstract_inverted_index":{"Background:":[0],"ST-segment":[1],"elevation":[2],"myocardial":[3],"infarction":[4],"(STEMI)":[5],"in":[6,152,173,223],"young":[7,153],"patients":[8,155],"without":[9,156],"traditional":[10],"cardiovascular":[11,60],"risk":[12,61,102],"factors":[13],"requires":[14],"evaluation":[15,105],"beyond":[16],"atherosclerotic":[17,88],"disease.":[18,160],"Inherited":[19],"thrombophilia":[20,163,216],"and":[21,75,82,90,123,148,181,201],"cancer-related":[22],"prothrombotic":[23,190],"states":[24],"represent":[25],"important":[26,227],"alternative":[27],"aetiologies.":[28],"Case":[29],"summary:":[30],"A":[31],"42-year-old":[32],"man":[33],"presented":[34],"with":[35,52,73,134,226],"an":[36],"acute":[37],"inferior":[38],"STEMI.":[39],"Coronary":[40],"angiography":[41],"demonstrated":[42],"thrombotic":[43,137],"occlusion":[44],"of":[45,100,145,170,178,206],"the":[46,98,130,143,176,188,204],"proximal":[47],"right":[48],"coronary":[49,158,171,207],"artery,":[50],"treated":[51,72],"drug-eluting":[53],"stent":[54],"implantation.":[55],"The":[56],"patient":[57,131],"had":[58],"no":[59,135],"factors.":[62],"His":[63],"medical":[64],"history":[65],"was":[66,106,118,164],"significant":[67],"for":[68,229],"seminomatous":[69],"testicular":[70],"cancer":[71],"orchiectomy":[74],"cisplatin-based":[76,182],"chemotherapy":[77,183],"10":[78],"months":[79],"prior.":[80],"Laboratory":[81],"imaging":[83],"findings":[84],"did":[85],"not":[86],"support":[87],"disease,":[89],"tumour":[91],"markers":[92],"were":[93],"within":[94],"normal":[95],"limits.":[96],"Given":[97],"absence":[99],"conventional":[101],"factors,":[103],"further":[104,186],"undertaken.":[107],"Genetic":[108],"testing":[109],"revealed":[110],"inherited":[111,162,215],"thrombophilia.":[112],"Following":[113],"multidisciplinary":[114],"consultation,":[115],"antithrombotic":[116],"therapy":[117],"optimized":[119],"by":[120],"adding":[121],"rivaroxaban":[122],"adjusting":[124],"antiplatelet":[125],"therapy.":[126],"At":[127],"1-year":[128],"follow-up,":[129],"remained":[132],"asymptomatic":[133],"recurrent":[136],"events.":[138],"Discussion:":[139],"This":[140],"case":[141],"highlights":[142],"importance":[144],"a":[146,166],"systematic":[147],"personalized":[149],"diagnostic":[150],"approach":[151],"STEMI":[154],"evident":[157],"artery":[159],"Although":[161],"considered":[165],"plausible":[167],"underlying":[168],"cause":[169],"thrombosis":[172,222],"this":[174],"case,":[175],"coexistence":[177],"prior":[179],"malignancy":[180],"may":[184,217],"have":[185],"amplified":[187],"patient's":[189],"state.":[191],"Therefore,":[192],"it":[193],"is":[194],"probable":[195],"that":[196],"multiple":[197],"pathogenic":[198],"mechanisms":[199],"coexisted":[200],"contributed":[202],"to":[203,212,220],"development":[205],"thrombosis.":[208],"While":[209],"typically":[210],"linked":[211],"venous":[213],"thromboembolism,":[214],"also":[218],"contribute":[219],"arterial":[221],"selected":[224],"patients,":[225],"implications":[228],"long-term":[230],"management.":[231]},"counts_by_year":[],"updated_date":"2026-11-13T13:42:25.865203","created_date":"2026-09-20T00:00:00"}
