{"id":"https://openalex.org/W7225080643","doi":"https://doi.org/10.1093/ehjcr/ytag807","title":"Angina in the young: a right coronary artery malignant course\u2014a case report","display_name":"Angina in the young: a right coronary artery malignant course\u2014a case report","publication_year":2026,"publication_date":"2026-11-01","ids":{"openalex":"https://openalex.org/W7225080643","doi":"https://doi.org/10.1093/ehjcr/ytag807"},"language":"en","primary_location":{"id":"doi:10.1093/ehjcr/ytag807","doi":"https://doi.org/10.1093/ehjcr/ytag807","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ehjcr/ytag807","pdf_url":"https://academic.oup.com/ehjcr/advance-article-pdf/doi/10.1093/ehjcr/ytag807/72692346/ytag807.pdf","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","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://academic.oup.com/ehjcr/advance-article-pdf/doi/10.1093/ehjcr/ytag807/72692346/ytag807.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5093472508","display_name":"Ayobami B Omodara","orcid":"https://orcid.org/0000-0002-6064-0259","observed_orcids":["https://orcid.org/0000-0002-6064-0259"]},"institutions":[{"id":"https://openalex.org/I1295121038","display_name":"Leeds General Infirmary","ror":"https://ror.org/04hrjej96","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1295121038","https://openalex.org/I2799390153"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Ayobami B Omodara","raw_affiliation_strings":["Department of Cardiology, Leeds General Infirmary, Leeds Teaching Hospitals NHS Foundation Trust , Great George Street, Leeds LS1 3EX ,"],"raw_orcid":"https://orcid.org/0000-0002-6064-0259","affiliations":[{"raw_affiliation_string":"Department of Cardiology, Leeds General Infirmary, Leeds Teaching Hospitals NHS Foundation Trust , Great George Street, Leeds LS1 3EX ,","institution_ids":["https://openalex.org/I1295121038"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160388145","display_name":"Kamran Dawood","orcid":"https://orcid.org/0009-0007-4940-8516","observed_orcids":["https://orcid.org/0009-0007-4940-8516"]},"institutions":[{"id":"https://openalex.org/I2800288755","display_name":"Southend University Hospital NHS Foundation Trust","ror":"https://ror.org/05fa42p74","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800288755"]},{"id":"https://openalex.org/I4210093966","display_name":"Southend Hospital","ror":"https://ror.org/00p2x3741","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800288755","https://openalex.org/I4210093966"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Kamran Dawood","raw_affiliation_strings":["Department of Cardiology, Southend Hospital, Mid & South Essex University Teaching Hospitals NHS Foundation Trust , Prittlewell Chase, Essex SS0 0RY ,"],"raw_orcid":"https://orcid.org/0009-0007-4940-8516","affiliations":[{"raw_affiliation_string":"Department of Cardiology, Southend Hospital, Mid & South Essex University Teaching Hospitals NHS Foundation Trust , Prittlewell Chase, Essex SS0 0RY ,","institution_ids":["https://openalex.org/I2800288755","https://openalex.org/I4210093966"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160336892","display_name":"Seena Darwin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800288755","display_name":"Southend University Hospital NHS Foundation Trust","ror":"https://ror.org/05fa42p74","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800288755"]},{"id":"https://openalex.org/I4210093966","display_name":"Southend Hospital","ror":"https://ror.org/00p2x3741","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800288755","https://openalex.org/I4210093966"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Seena Darwin","raw_affiliation_strings":["Department of Cardiology, Southend Hospital, Mid & South Essex University Teaching Hospitals NHS Foundation Trust , Prittlewell Chase, Essex SS0 0RY ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, Southend Hospital, Mid & South Essex University Teaching Hospitals NHS Foundation Trust , Prittlewell Chase, Essex SS0 0RY ,","institution_ids":["https://openalex.org/I2800288755","https://openalex.org/I4210093966"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5150016972","display_name":"Azhar Khokar","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800288755","display_name":"Southend University Hospital NHS Foundation Trust","ror":"https://ror.org/05fa42p74","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800288755"]},{"id":"https://openalex.org/I4210093966","display_name":"Southend Hospital","ror":"https://ror.org/00p2x3741","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800288755","https://openalex.org/I4210093966"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Azhar Khokar","raw_affiliation_strings":["Department of Cardiology, Southend Hospital, Mid & South Essex University Teaching Hospitals NHS Foundation Trust , Prittlewell Chase, Essex SS0 0RY ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, Southend Hospital, Mid & South Essex University Teaching Hospitals NHS Foundation Trust , Prittlewell Chase, Essex SS0 0RY ,","institution_ids":["https://openalex.org/I2800288755","https://openalex.org/I4210093966"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5109214351","display_name":"Amer Qureshi","orcid":"https://orcid.org/0009-0007-2763-933X","observed_orcids":["https://orcid.org/0009-0007-2763-933X"]},"institutions":[{"id":"https://openalex.org/I2800288755","display_name":"Southend University Hospital NHS Foundation Trust","ror":"https://ror.org/05fa42p74","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800288755"]},{"id":"https://openalex.org/I4210093966","display_name":"Southend Hospital","ror":"https://ror.org/00p2x3741","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800288755","https://openalex.org/I4210093966"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Amer Qureshi","raw_affiliation_strings":["Department of Cardiology, Southend Hospital, Mid & South Essex University Teaching Hospitals NHS Foundation Trust , Prittlewell Chase, Essex SS0 0RY ,"],"raw_orcid":"https://orcid.org/0009-0007-2763-933X","affiliations":[{"raw_affiliation_string":"Department of Cardiology, Southend Hospital, Mid & South Essex University Teaching Hospitals NHS Foundation Trust , Prittlewell Chase, Essex SS0 0RY ,","institution_ids":["https://openalex.org/I2800288755","https://openalex.org/I4210093966"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5093472508"],"corresponding_institution_ids":["https://openalex.org/I1295121038"],"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":0.86717594,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"10","issue":"11","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12018","display_name":"Coronary Artery Anomalies","score":1.0,"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/T12018","display_name":"Coronary Artery Anomalies","score":1.0,"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/T10372","display_name":"Cardiac Imaging and Diagnostics","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"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/T12342","display_name":"Vascular anomalies and interventions","score":0.0,"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/anomalous-right-coronary-artery","display_name":"anomalous right coronary artery","score":0.8939999938011169},{"id":"https://openalex.org/keywords/coronary-artery-anomalies","display_name":"coronary artery anomalies","score":0.8820000290870667},{"id":"https://openalex.org/keywords/angina","display_name":"angina pectoris","score":0.6779999732971191},{"id":"https://openalex.org/keywords/young-adults","display_name":"young adults","score":0.5730000138282776},{"id":"https://openalex.org/keywords/sudden-cardiac-death","display_name":"sudden cardiac death","score":0.7429999709129333},{"id":"https://openalex.org/keywords/coronary-sinus-origin","display_name":"coronary sinus origin","score":0.640999972820282},{"id":"https://openalex.org/keywords/exercise-stress-echocardiography","display_name":"exercise echocardiography","score":0.8859999775886536},{"id":"https://openalex.org/keywords/coronary-ct-angiography","display_name":"coronary CT angiography","score":0.8320000171661377},{"id":"https://openalex.org/keywords/adult-congenital-heart-disease","display_name":"adult congenital heart disease","score":0.9300000071525574},{"id":"https://openalex.org/keywords/surgical-treatment","display_name":"surgical treatment","score":0.49000000953674316}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9521999955177307},{"id":"https://openalex.org/C2777910003","wikidata":"https://www.wikidata.org/wiki/Q1707292","display_name":"Asymptomatic","level":2,"score":0.7723000049591064},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.7572000026702881},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.7437999844551086},{"id":"https://openalex.org/C2778425758","wikidata":"https://www.wikidata.org/wiki/Q180762","display_name":"Angina","level":3,"score":0.6162999868392944},{"id":"https://openalex.org/C2778213512","wikidata":"https://www.wikidata.org/wiki/Q844935","display_name":"Coronary artery disease","level":2,"score":0.570900022983551},{"id":"https://openalex.org/C2778088351","wikidata":"https://www.wikidata.org/wiki/Q429285","display_name":"Right coronary artery","level":4,"score":0.5275999903678894},{"id":"https://openalex.org/C2983858294","wikidata":"https://www.wikidata.org/wiki/Q1024492","display_name":"Computed tomographic angiography","level":3,"score":0.41600000858306885},{"id":"https://openalex.org/C2776820930","wikidata":"https://www.wikidata.org/wiki/Q9655","display_name":"Artery","level":2,"score":0.3806000053882599},{"id":"https://openalex.org/C2780569511","wikidata":"https://www.wikidata.org/wiki/Q5172184","display_name":"Coronary artery anomaly","level":5,"score":0.36809998750686646},{"id":"https://openalex.org/C2781179581","wikidata":"https://www.wikidata.org/wiki/Q2857712","display_name":"Family history","level":2,"score":0.36480000615119934},{"id":"https://openalex.org/C2775935837","wikidata":"https://www.wikidata.org/wiki/Q202837","display_name":"Sudden cardiac death","level":2,"score":0.3506999909877777},{"id":"https://openalex.org/C2993353509","wikidata":"https://www.wikidata.org/wiki/Q411867","display_name":"Sudden death","level":2,"score":0.3443000018596649},{"id":"https://openalex.org/C2780040984","wikidata":"https://www.wikidata.org/wiki/Q79785","display_name":"Electrocardiography","level":2,"score":0.3206999897956848},{"id":"https://openalex.org/C3020110884","wikidata":"https://www.wikidata.org/wiki/Q695416","display_name":"Outpatient clinic","level":2,"score":0.3165999948978424},{"id":"https://openalex.org/C2780074459","wikidata":"https://www.wikidata.org/wiki/Q389735","display_name":"Heart disease","level":2,"score":0.3158000111579895},{"id":"https://openalex.org/C2778704086","wikidata":"https://www.wikidata.org/wiki/Q693058","display_name":"Chest pain","level":2,"score":0.30979999899864197},{"id":"https://openalex.org/C2778259205","wikidata":"https://www.wikidata.org/wiki/Q629460","display_name":"Coronary sinus","level":2,"score":0.3052000105381012},{"id":"https://openalex.org/C3019004856","wikidata":"https://www.wikidata.org/wiki/Q42297149","display_name":"Coronary angiography","level":3,"score":0.2980000078678131},{"id":"https://openalex.org/C541997718","wikidata":"https://www.wikidata.org/wiki/Q188151","display_name":"Ischemia","level":2,"score":0.2971000075340271},{"id":"https://openalex.org/C2780231137","wikidata":"https://www.wikidata.org/wiki/Q744391","display_name":"Left coronary artery","level":3,"score":0.29490000009536743},{"id":"https://openalex.org/C11783203","wikidata":"https://www.wikidata.org/wiki/Q5478027","display_name":"Framingham Risk Score","level":3,"score":0.29330000281333923},{"id":"https://openalex.org/C527108885","wikidata":"https://www.wikidata.org/wiki/Q835153","display_name":"Physical examination","level":2,"score":0.28790000081062317},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.27320000529289246},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.2727999985218048},{"id":"https://openalex.org/C2778742706","wikidata":"https://www.wikidata.org/wiki/Q18361829","display_name":"Coronary arteries","level":3,"score":0.2578999996185303},{"id":"https://openalex.org/C2776407911","wikidata":"https://www.wikidata.org/wiki/Q7525187","display_name":"Sinus (botany)","level":3,"score":0.2556999921798706},{"id":"https://openalex.org/C2780643987","wikidata":"https://www.wikidata.org/wiki/Q468414","display_name":"Angiography","level":2,"score":0.2547999918460846},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.25429999828338623},{"id":"https://openalex.org/C2776863835","wikidata":"https://www.wikidata.org/wiki/Q1875009","display_name":"Canadian Cardiovascular Society","level":4,"score":0.25360000133514404}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1093/ehjcr/ytag807","doi":"https://doi.org/10.1093/ehjcr/ytag807","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ehjcr/ytag807","pdf_url":"https://academic.oup.com/ehjcr/advance-article-pdf/doi/10.1093/ehjcr/ytag807/72692346/ytag807.pdf","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"}],"best_oa_location":{"id":"doi:10.1093/ehjcr/ytag807","doi":"https://doi.org/10.1093/ehjcr/ytag807","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ehjcr/ytag807","pdf_url":"https://academic.oup.com/ehjcr/advance-article-pdf/doi/10.1093/ehjcr/ytag807/72692346/ytag807.pdf","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":[{"score":0.98580002784729,"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/W7225080643.pdf","grobid_xml":"https://content.openalex.org/works/W7225080643.grobid-xml"},"referenced_works_count":8,"referenced_works":["https://openalex.org/W1535810106","https://openalex.org/W2011164033","https://openalex.org/W2019541079","https://openalex.org/W2077738720","https://openalex.org/W2150016021","https://openalex.org/W2167000122","https://openalex.org/W3010592866","https://openalex.org/W3082168186"],"related_works":["https://openalex.org/W3203258791","https://openalex.org/W2884304102","https://openalex.org/W3136040596","https://openalex.org/W4302362929","https://openalex.org/W4417148916","https://openalex.org/W4294145375","https://openalex.org/W4392711452","https://openalex.org/W4200332774","https://openalex.org/W4387256390","https://openalex.org/W4378715971"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Coronary":[2],"artery":[3,43,96,162],"anomalies":[4],"are":[5],"rare":[6],"congenital":[7,143],"defects":[8],"that":[9],"often":[10],"remain":[11],"undetected":[12],"due":[13,130],"to":[14,37,57,79,131,139],"their":[15],"asymptomatic":[16],"nature.":[17],"However,":[18],"in":[19,115,171,180],"certain":[20],"cases,":[21],"they":[22],"represent":[23,165],"an":[24,92],"important":[25],"cause":[26,168],"of":[27,51,118,133,152,169],"sudden":[28],"cardiac":[29],"death,":[30],"particularly":[31],"among":[32],"younger":[33,172],"individuals":[34],"with":[35,62,86,103,127],"low":[36],"intermediate":[38],"risk":[39,72,123],"factors":[40,124],"for":[41,74,147],"coronary":[42,89,95,101,161],"disease.":[44],"Case":[45],"summary":[46],"We":[47],"report":[48],"the":[49,58,99,116],"case":[50],"a":[52,70,104,140,166],"35-year-old":[53],"woman":[54],"who":[55],"presented":[56],"cardiology":[59],"outpatient":[60],"clinic":[61],"intermittent":[63],"typical":[64],"anginal":[65],"chest":[66],"pain.":[67],"Despite":[68],"having":[69],"low-to-moderate":[71],"profile":[73],"ischaemic":[75,112],"heart":[76,144],"disease,":[77],"limited":[78],"well-controlled":[80],"hypertension":[81],"and":[82,150,184],"hypercholesterolaemia,":[83],"further":[84],"evaluation":[85],"computed":[87],"tomographic":[88],"angiography":[90],"revealed":[91],"anomalous":[93,160],"right":[94],"originating":[97],"from":[98],"left":[100],"sinus":[102],"malignant":[105],"course.":[106],"An":[107],"exercise":[108],"stress":[109],"echocardiogram":[110],"demonstrated":[111],"electrocardiographic":[113],"changes":[114],"absence":[117],"physical":[119],"symptoms.":[120],"Her":[121],"cardiovascular":[122],"were":[125],"managed":[126],"medications;":[128],"however,":[129],"evidence":[132],"inducible":[134],"ischaemia,":[135],"she":[136],"was":[137],"referred":[138],"tertiary":[141],"adult":[142],"disease":[145,163],"centre":[146],"ongoing":[148],"surveillance":[149],"consideration":[151],"appropriately":[153],"timed":[154],"surgical":[155],"intervention.":[156],"Conclusion":[157],"Although":[158],"rare,":[159],"may":[164],"significant":[167],"angina":[170],"patients.":[173],"A":[174],"thorough":[175],"clinical":[176],"history":[177],"remains":[178],"essential":[179],"identifying":[181],"this":[182],"condition":[183],"facilitating":[185],"potentially":[186],"life-saving":[187],"management.":[188]},"counts_by_year":[],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2026-11-03T00:00:00"}