{"id":"https://openalex.org/W7224291346","doi":"https://doi.org/10.1002/ccr3.73799","title":"A Rare Case Report of Type II Kounis Syndrome With Literature Review: Acute Anterior ST Elevation Myocardial Infarction Following Bee Sting","display_name":"A Rare Case Report of Type II Kounis Syndrome With Literature Review: Acute Anterior ST Elevation Myocardial Infarction Following Bee Sting","publication_year":2026,"publication_date":"2026-10-29","ids":{"openalex":"https://openalex.org/W7224291346","doi":"https://doi.org/10.1002/ccr3.73799","pmid":"https://pubmed.ncbi.nlm.nih.gov/42960015","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13717947"},"language":"en","primary_location":{"id":"doi:10.1002/ccr3.73799","doi":"https://doi.org/10.1002/ccr3.73799","is_oa":true,"landing_page_url":"https://doi.org/10.1002/ccr3.73799","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ccr3.73799","source":{"id":"https://openalex.org/S2737168579","display_name":"Clinical Case Reports","issn_l":"2050-0904","issn":["2050-0904"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ccr3.73799","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5116063187","display_name":"Sara Tarkiani","orcid":"https://orcid.org/0009-0006-2541-2847","observed_orcids":["https://orcid.org/0009-0006-2541-2847"]},"institutions":[{"id":"https://openalex.org/I116768543","display_name":"Zanjan University of Medical Sciences","ror":"https://ror.org/01xf7jb19","country_code":"IR","type":"education","lineage":["https://openalex.org/I116768543"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Sara Tarkiani","raw_affiliation_strings":["Department of Cardiology, School of Medicine Zanjan University of Medical Science  Zanjan Iran"],"raw_orcid":"https://orcid.org/0009-0006-2541-2847","affiliations":[{"raw_affiliation_string":"Department of Cardiology, School of Medicine Zanjan University of Medical Science  Zanjan Iran","institution_ids":["https://openalex.org/I116768543"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5146075008","display_name":"Mobina Ghajar","orcid":"https://orcid.org/0009-0007-4101-3317","observed_orcids":["https://orcid.org/0009-0007-4101-3317"]},"institutions":[{"id":"https://openalex.org/I116768543","display_name":"Zanjan University of Medical Sciences","ror":"https://ror.org/01xf7jb19","country_code":"IR","type":"education","lineage":["https://openalex.org/I116768543"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Mobina Ghajar","raw_affiliation_strings":["Department of Cardiology, School of Medicine Zanjan University of Medical Science  Zanjan Iran"],"raw_orcid":"https://orcid.org/0009-0007-4101-3317","affiliations":[{"raw_affiliation_string":"Department of Cardiology, School of Medicine Zanjan University of Medical Science  Zanjan Iran","institution_ids":["https://openalex.org/I116768543"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160148242","display_name":"Mohammad Hossein Sharifi Fard","orcid":"https://orcid.org/0009-0006-8435-3509","observed_orcids":["https://orcid.org/0009-0006-8435-3509"]},"institutions":[{"id":"https://openalex.org/I116768543","display_name":"Zanjan University of Medical Sciences","ror":"https://ror.org/01xf7jb19","country_code":"IR","type":"education","lineage":["https://openalex.org/I116768543"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Mohammad Hossein Sharifi Fard","raw_affiliation_strings":["Department of Cardiology, School of Medicine Zanjan University of Medical Science  Zanjan Iran"],"raw_orcid":"https://orcid.org/0009-0006-8435-3509","affiliations":[{"raw_affiliation_string":"Department of Cardiology, School of Medicine Zanjan University of Medical Science  Zanjan Iran","institution_ids":["https://openalex.org/I116768543"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5117785357","display_name":"Mohammad Ghasemi Palangi","orcid":"https://orcid.org/0009-0006-8670-7294","observed_orcids":["https://orcid.org/0009-0006-8670-7294"]},"institutions":[{"id":"https://openalex.org/I116768543","display_name":"Zanjan University of Medical Sciences","ror":"https://ror.org/01xf7jb19","country_code":"IR","type":"education","lineage":["https://openalex.org/I116768543"]}],"countries":["IR"],"is_corresponding":true,"raw_author_name":"Mohammad Ghasemi Palangi","raw_affiliation_strings":["Department of Cardiology, School of Medicine Zanjan University of Medical Science  Zanjan Iran"],"raw_orcid":"https://orcid.org/0009-0006-8670-7294","affiliations":[{"raw_affiliation_string":"Department of Cardiology, School of Medicine Zanjan University of Medical Science  Zanjan Iran","institution_ids":["https://openalex.org/I116768543"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016439767","display_name":"Armin Bordbar","orcid":"https://orcid.org/0000-0001-5733-2602","observed_orcids":["https://orcid.org/0000-0001-5733-2602"]},"institutions":[{"id":"https://openalex.org/I116768543","display_name":"Zanjan University of Medical Sciences","ror":"https://ror.org/01xf7jb19","country_code":"IR","type":"education","lineage":["https://openalex.org/I116768543"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Armin Bordbar","raw_affiliation_strings":["Department of Cardiology, School of Medicine Zanjan University of Medical Science  Zanjan Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, School of Medicine Zanjan University of Medical Science  Zanjan Iran","institution_ids":["https://openalex.org/I116768543"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040392782","display_name":"Hassan Ahangar","orcid":"https://orcid.org/0000-0001-8183-1188","observed_orcids":["https://orcid.org/0000-0001-8183-1188"]},"institutions":[{"id":"https://openalex.org/I116768543","display_name":"Zanjan University of Medical Sciences","ror":"https://ror.org/01xf7jb19","country_code":"IR","type":"education","lineage":["https://openalex.org/I116768543"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Hassan Ahangar","raw_affiliation_strings":["Department of Cardiology, School of Medicine Zanjan University of Medical Science  Zanjan Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, School of Medicine Zanjan University of Medical Science  Zanjan Iran","institution_ids":["https://openalex.org/I116768543"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5083070978","display_name":"Amin Ramezani","orcid":"https://orcid.org/0009-0002-7952-3009","observed_orcids":["https://orcid.org/0009-0002-7952-3009"]},"institutions":[{"id":"https://openalex.org/I181547552","display_name":"Baylor College of Medicine","ror":"https://ror.org/02pttbw34","country_code":"US","type":"education","lineage":["https://openalex.org/I181547552","https://openalex.org/I2801539370"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Amin Ramezani","raw_affiliation_strings":["Department of Medicine (HSRD), Baylor College of Medicine  Houston Texas USA"],"raw_orcid":"https://orcid.org/0009-0002-7952-3009","affiliations":[{"raw_affiliation_string":"Department of Medicine (HSRD), Baylor College of Medicine  Houston Texas USA","institution_ids":["https://openalex.org/I181547552"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5117785357"],"corresponding_institution_ids":["https://openalex.org/I116768543"],"apc_list":{"value":1820,"currency":"USD","value_usd":1820},"apc_paid":{"value":1820,"currency":"USD","value_usd":1820},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.86353324,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"14","issue":"11","first_page":"e73799","last_page":"e73799"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.9545999765396118,"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/T10292","display_name":"Acute Myocardial Infarction Research","score":0.9545999765396118,"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/T10634","display_name":"Food Allergy and Anaphylaxis Research","score":0.013799999840557575,"subfield":{"id":"https://openalex.org/subfields/2723","display_name":"Immunology and Allergy"},"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/T12082","display_name":"Takotsubo Cardiomyopathy and Associated Phenomena","score":0.006599999964237213,"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/kounis-syndrome","display_name":"Kounis syndrome","score":0.9779999852180481},{"id":"https://openalex.org/keywords/acute-st-elevation-myocardial-infarction","display_name":"acute ST-elevation myocardial infarction","score":0.7459999918937683},{"id":"https://openalex.org/keywords/bee-stings","display_name":"bee stings","score":0.8429999947547913},{"id":"https://openalex.org/keywords/hymenoptera-stings","display_name":"hymenoptera stings","score":0.9190000295639038},{"id":"https://openalex.org/keywords/hypersensitivity","display_name":"hypersensitivity","score":0.7879999876022339},{"id":"https://openalex.org/keywords/acute-coronary-syndrome","display_name":"acute coronary syndrome","score":0.800000011920929},{"id":"https://openalex.org/keywords/left-anterior-descending-coronary-artery-occlusion","display_name":"left anterior descending artery occlusion","score":0.9430000185966492},{"id":"https://openalex.org/keywords/primary-percutaneous-coronary-intervention","display_name":"primary percutaneous coronary intervention","score":0.8820000290870667},{"id":"https://openalex.org/keywords/myocardial-injury","display_name":"myocardial injury","score":0.906000018119812},{"id":"https://openalex.org/keywords/valsartan","display_name":"valsartan","score":0.925000011920929},{"id":"https://openalex.org/keywords/spironolactone","display_name":"spironolactone","score":0.9440000057220459},{"id":"https://openalex.org/keywords/ticagrelor","display_name":"ticagrelor","score":0.703000009059906},{"id":"https://openalex.org/keywords/atorvastatin","display_name":"atorvastatin","score":0.75}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9735999703407288},{"id":"https://openalex.org/C2781372229","wikidata":"https://www.wikidata.org/wiki/Q6434647","display_name":"Kounis syndrome","level":4,"score":0.9120000004768372},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.7300000190734863},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.7046999931335449},{"id":"https://openalex.org/C2777698277","wikidata":"https://www.wikidata.org/wiki/Q266018","display_name":"Acute coronary syndrome","level":3,"score":0.6963000297546387},{"id":"https://openalex.org/C2776291336","wikidata":"https://www.wikidata.org/wiki/Q7394928","display_name":"ST elevation","level":3,"score":0.5961999893188477},{"id":"https://openalex.org/C2780400711","wikidata":"https://www.wikidata.org/wiki/Q2008344","display_name":"Percutaneous coronary intervention","level":3,"score":0.5932000279426575},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.5555999875068665},{"id":"https://openalex.org/C2778704086","wikidata":"https://www.wikidata.org/wiki/Q693058","display_name":"Chest pain","level":2,"score":0.508899986743927},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.4934000074863434},{"id":"https://openalex.org/C2779300339","wikidata":"https://www.wikidata.org/wiki/Q7617409","display_name":"Sting","level":2,"score":0.48399999737739563},{"id":"https://openalex.org/C78085059","wikidata":"https://www.wikidata.org/wiki/Q641303","display_name":"Ejection fraction","level":3,"score":0.4668999910354614},{"id":"https://openalex.org/C2780040984","wikidata":"https://www.wikidata.org/wiki/Q79785","display_name":"Electrocardiography","level":2,"score":0.45339998602867126},{"id":"https://openalex.org/C2778550298","wikidata":"https://www.wikidata.org/wiki/Q202837","display_name":"Sudden cardiac arrest","level":2,"score":0.3711000084877014},{"id":"https://openalex.org/C78981884","wikidata":"https://www.wikidata.org/wiki/Q5357960","display_name":"Electrocardiography in myocardial infarction","level":3,"score":0.3427000045776367},{"id":"https://openalex.org/C2778088351","wikidata":"https://www.wikidata.org/wiki/Q429285","display_name":"Right coronary artery","level":4,"score":0.3425000011920929},{"id":"https://openalex.org/C2775935837","wikidata":"https://www.wikidata.org/wiki/Q202837","display_name":"Sudden cardiac death","level":2,"score":0.33329999446868896},{"id":"https://openalex.org/C2771771","wikidata":"https://www.wikidata.org/wiki/Q6576883","display_name":"ST segment","level":3,"score":0.3280999958515167},{"id":"https://openalex.org/C2781274984","wikidata":"https://www.wikidata.org/wiki/Q3559674","display_name":"Interventional cardiology","level":2,"score":0.32499998807907104},{"id":"https://openalex.org/C2776820930","wikidata":"https://www.wikidata.org/wiki/Q9655","display_name":"Artery","level":2,"score":0.3246000111103058},{"id":"https://openalex.org/C3019004856","wikidata":"https://www.wikidata.org/wiki/Q42297149","display_name":"Coronary angiography","level":3,"score":0.31630000472068787},{"id":"https://openalex.org/C2775933838","wikidata":"https://www.wikidata.org/wiki/Q168800","display_name":"Anaphylaxis","level":3,"score":0.3034999966621399},{"id":"https://openalex.org/C14865658","wikidata":"https://www.wikidata.org/wiki/Q17003004","display_name":"Benign early repolarization","level":4,"score":0.30300000309944153},{"id":"https://openalex.org/C2778742706","wikidata":"https://www.wikidata.org/wiki/Q18361829","display_name":"Coronary arteries","level":3,"score":0.2976999878883362},{"id":"https://openalex.org/C3017732143","wikidata":"https://www.wikidata.org/wiki/Q1570144","display_name":"Anterior wall","level":2,"score":0.27619999647140503}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1002/ccr3.73799","doi":"https://doi.org/10.1002/ccr3.73799","is_oa":true,"landing_page_url":"https://doi.org/10.1002/ccr3.73799","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ccr3.73799","source":{"id":"https://openalex.org/S2737168579","display_name":"Clinical Case Reports","issn_l":"2050-0904","issn":["2050-0904"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Case Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13717947","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13717947/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13717947/pdf/CCR3-14-e73799.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-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clin Case Rep","raw_type":"Text"},{"id":"pmid:42960015","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42960015","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":"Clinical case reports","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:4329a71ceb87424481a2103e1b55de77","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/4329a71ceb87424481a2103e1b55de77","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Clinical Case Reports, Vol 14, Iss 11, Pp n/a-n/a (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1002/ccr3.73799","doi":"https://doi.org/10.1002/ccr3.73799","is_oa":true,"landing_page_url":"https://doi.org/10.1002/ccr3.73799","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ccr3.73799","source":{"id":"https://openalex.org/S2737168579","display_name":"Clinical Case Reports","issn_l":"2050-0904","issn":["2050-0904"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3","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":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224291346.pdf","grobid_xml":"https://content.openalex.org/works/W7224291346.grobid-xml"},"referenced_works_count":27,"referenced_works":["https://openalex.org/W1986038589","https://openalex.org/W2034417693","https://openalex.org/W2090792375","https://openalex.org/W2113196108","https://openalex.org/W2141118074","https://openalex.org/W2238917666","https://openalex.org/W2406175543","https://openalex.org/W2741019664","https://openalex.org/W2783609577","https://openalex.org/W2884204633","https://openalex.org/W2896875310","https://openalex.org/W2951137330","https://openalex.org/W3194839171","https://openalex.org/W3211542692","https://openalex.org/W4252764901","https://openalex.org/W4290652543","https://openalex.org/W4293372203","https://openalex.org/W4382753435","https://openalex.org/W4386153206","https://openalex.org/W4403045196","https://openalex.org/W4406799799","https://openalex.org/W4408413461","https://openalex.org/W4413536092","https://openalex.org/W4414383026","https://openalex.org/W4415647213","https://openalex.org/W7154579533","https://openalex.org/W7157302284"],"related_works":["https://openalex.org/W4410281975","https://openalex.org/W4295408910","https://openalex.org/W4405956923","https://openalex.org/W2605314524","https://openalex.org/W4317939377","https://openalex.org/W7161552409","https://openalex.org/W2887415790","https://openalex.org/W7117876920","https://openalex.org/W4414736818","https://openalex.org/W4387878741"],"abstract_inverted_index":{"Kounis":[0],"syndrome":[1,18],"(KS),":[2],"also":[3],"known":[4],"as":[5],"allergic":[6],"angina,":[7],"is":[8],"a":[9,21,29,39,50,89,111,142],"rare":[10],"but":[11],"serious":[12],"condition":[13],"defined":[14],"by":[15],"acute":[16],"coronary":[17,69,81],"occurring":[19],"alongside":[20],"hypersensitivity":[22],"reaction.":[23],"We":[24],"report":[25],"the":[26,46,65,127,136],"case":[27,125],"of":[28,54,95,132],"42-year-old":[30],"male":[31],"smoker":[32],"who":[33],"developed":[34],"Type":[35],"II":[36],"KS":[37,133],"after":[38],"hymenoptera":[40],"sting.":[41],"The":[42,106],"patient":[43,107],"came":[44],"to":[45,145],"emergency":[47],"department":[48],"with":[49,97,110],"sudden":[51],"decreased":[52],"level":[53],"consciousness":[55],"and":[56,68,122,129,134,141],"retrosternal":[57],"chest":[58],"pain.":[59],"Electrocardiography":[60],"showed":[61],"ST-segment":[62],"elevation":[63],"in":[64],"anterior":[66,75],"leads,":[67],"angiography":[70],"revealed":[71],"total":[72],"proximal":[73],"left":[74,90],"descending":[76],"artery":[77],"occlusion.":[78],"Primary":[79],"percutaneous":[80],"intervention":[82],"(PCI)":[83],"was":[84,108],"performed":[85],"successfully.":[86],"Echocardiography":[87],"documented":[88],"ventricular":[91],"ejection":[92],"fraction":[93],"(LVEF)":[94],"35%":[96],"regional":[98],"wall":[99],"motion":[100],"abnormalities,":[101],"indicating":[102],"significant":[103],"myocardial":[104],"injury.":[105],"discharged":[109],"treatment":[112,130],"plan":[113],"that":[114],"included":[115],"valsartan,":[116],"spironolactone,":[117],"bisoprolol,":[118],"ticagrelor,":[119],"acetylsalicylic":[120],"acid,":[121],"atorvastatin.":[123],"This":[124],"highlights":[126],"diagnostic":[128],"challenges":[131],"stresses":[135],"need":[137],"for":[138],"early":[139],"recognition":[140],"team-based":[143],"approach":[144],"achieve":[146],"better":[147],"clinical":[148],"results.":[149]},"counts_by_year":[],"updated_date":"2026-11-02T09:45:03.842371","created_date":"2026-10-30T00:00:00"}
