{"id":"https://openalex.org/W7225228654","doi":"https://doi.org/10.1093/ehjcr/ytag588","title":"Emotional stress-induced hot phases in a patient with a desmoplakin-associated arrhythmogenic cardiomyopathy: a case report","display_name":"Emotional stress-induced hot phases in a patient with a desmoplakin-associated arrhythmogenic cardiomyopathy: a case report","publication_year":2026,"publication_date":"2026-10-28","ids":{"openalex":"https://openalex.org/W7225228654","doi":"https://doi.org/10.1093/ehjcr/ytag588","pmid":"https://pubmed.ncbi.nlm.nih.gov/42985645","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13733513"},"language":"en","primary_location":{"id":"doi:10.1093/ehjcr/ytag588","doi":"https://doi.org/10.1093/ehjcr/ytag588","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ehjcr/ytag588","pdf_url":"https://academic.oup.com/ehjcr/article-pdf/10/11/ytag588/73032073/ytag588.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","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://academic.oup.com/ehjcr/article-pdf/10/11/ytag588/73032073/ytag588.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5087502708","display_name":"Annalisa Caputo","orcid":"https://orcid.org/0009-0003-3464-1439","observed_orcids":["https://orcid.org/0009-0003-3464-1439"]},"institutions":[{"id":"https://openalex.org/I2800330116","display_name":"Policlinico Umberto I","ror":"https://ror.org/011cabk38","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I2800330116"]},{"id":"https://openalex.org/I861853513","display_name":"Sapienza University of Rome","ror":"https://ror.org/02be6w209","country_code":"IT","type":"education","lineage":["https://openalex.org/I861853513"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"Annalisa Caputo","raw_affiliation_strings":["Department of Medical and Cardiovascular Sciences, Policlinico Universitario Umberto I, Sapienza University of Rome , viale del Policlinico 155, 00161 Rome (RM) ,"],"raw_orcid":"https://orcid.org/0009-0003-3464-1439","affiliations":[{"raw_affiliation_string":"Department of Medical and Cardiovascular Sciences, Policlinico Universitario Umberto I, Sapienza University of Rome , viale del Policlinico 155, 00161 Rome (RM) ,","institution_ids":["https://openalex.org/I2800330116","https://openalex.org/I861853513"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078647538","display_name":"Lucia Ilaria Birtolo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800330116","display_name":"Policlinico Umberto I","ror":"https://ror.org/011cabk38","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I2800330116"]},{"id":"https://openalex.org/I861853513","display_name":"Sapienza University of Rome","ror":"https://ror.org/02be6w209","country_code":"IT","type":"education","lineage":["https://openalex.org/I861853513"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Lucia Ilaria Birtolo","raw_affiliation_strings":["Department of Medical and Cardiovascular Sciences, Policlinico Universitario Umberto I, Sapienza University of Rome , viale del Policlinico 155, 00161 Rome (RM) ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical and Cardiovascular Sciences, Policlinico Universitario Umberto I, Sapienza University of Rome , viale del Policlinico 155, 00161 Rome (RM) ,","institution_ids":["https://openalex.org/I2800330116","https://openalex.org/I861853513"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088003307","display_name":"Elena Sofia Canuti","orcid":"https://orcid.org/0009-0001-4724-7946","observed_orcids":["https://orcid.org/0009-0001-4724-7946"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Elena Sofia Canuti","raw_affiliation_strings":["Cardiology SS. Annunziata Hospital ASL CN1 , Via Ospedali 9, 12038 Savigliano (CN) ,"],"raw_orcid":"https://orcid.org/0009-0001-4724-7946","affiliations":[{"raw_affiliation_string":"Cardiology SS. Annunziata Hospital ASL CN1 , Via Ospedali 9, 12038 Savigliano (CN) ,","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021036657","display_name":"Gianmarco Scoccia","orcid":"https://orcid.org/0000-0002-8761-0711","observed_orcids":["https://orcid.org/0000-0002-8761-0711"]},"institutions":[{"id":"https://openalex.org/I2800330116","display_name":"Policlinico Umberto I","ror":"https://ror.org/011cabk38","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I2800330116"]},{"id":"https://openalex.org/I861853513","display_name":"Sapienza University of Rome","ror":"https://ror.org/02be6w209","country_code":"IT","type":"education","lineage":["https://openalex.org/I861853513"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Gianmarco Scoccia","raw_affiliation_strings":["Department of Medical and Cardiovascular Sciences, Policlinico Universitario Umberto I, Sapienza University of Rome , viale del Policlinico 155, 00161 Rome (RM) ,"],"raw_orcid":"https://orcid.org/0000-0002-8761-0711","affiliations":[{"raw_affiliation_string":"Department of Medical and Cardiovascular Sciences, Policlinico Universitario Umberto I, Sapienza University of Rome , viale del Policlinico 155, 00161 Rome (RM) ,","institution_ids":["https://openalex.org/I2800330116","https://openalex.org/I861853513"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5090409167","display_name":"Carmine Dario Vizza","orcid":"https://orcid.org/0000-0002-3540-4983","observed_orcids":["https://orcid.org/0000-0002-3540-4983"]},"institutions":[{"id":"https://openalex.org/I2800330116","display_name":"Policlinico Umberto I","ror":"https://ror.org/011cabk38","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I2800330116"]},{"id":"https://openalex.org/I861853513","display_name":"Sapienza University of Rome","ror":"https://ror.org/02be6w209","country_code":"IT","type":"education","lineage":["https://openalex.org/I861853513"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Carmine Dario Vizza","raw_affiliation_strings":["Department of Medical and Cardiovascular Sciences, Policlinico Universitario Umberto I, Sapienza University of Rome , viale del Policlinico 155, 00161 Rome (RM) ,"],"raw_orcid":"https://orcid.org/0000-0002-3540-4983","affiliations":[{"raw_affiliation_string":"Department of Medical and Cardiovascular Sciences, Policlinico Universitario Umberto I, Sapienza University of Rome , viale del Policlinico 155, 00161 Rome (RM) ,","institution_ids":["https://openalex.org/I2800330116","https://openalex.org/I861853513"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5087502708"],"corresponding_institution_ids":["https://openalex.org/I2800330116","https://openalex.org/I861853513"],"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":0.86651686,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"10","issue":"11","first_page":"ytag588","last_page":"ytag588"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11922","display_name":"Cardiovascular Effects of Exercise","score":0.70169997215271,"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/T11922","display_name":"Cardiovascular Effects of Exercise","score":0.70169997215271,"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/T10882","display_name":"Cardiomyopathy and Myosin Studies","score":0.18240000307559967,"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/T11112","display_name":"Viral Infections and Immunology Research","score":0.07840000092983246,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"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/arrhythmogenic-cardiomyopathy","display_name":"arrhythmogenic cardiomyopathy","score":0.9919999837875366},{"id":"https://openalex.org/keywords/emotional-stress","display_name":"emotional stress","score":0.8460000157356262},{"id":"https://openalex.org/keywords/myocardial-edema","display_name":"myocardial edema","score":0.7820000052452087},{"id":"https://openalex.org/keywords/late-gadolinium-enhancement","display_name":"late gadolinium enhancement","score":0.9950000047683716},{"id":"https://openalex.org/keywords/implantable-cardioverter-defibrillator","display_name":"implantable cardioverter-defibrillator","score":0.8830000162124634},{"id":"https://openalex.org/keywords/arrhythmic-risk-stratification","display_name":"arrhythmic risk stratification","score":0.902999997138977},{"id":"https://openalex.org/keywords/nonsustained-ventricular-tachycardia","display_name":"non-sustained ventricular tachycardia","score":0.9010000228881836},{"id":"https://openalex.org/keywords/beta-blockers","display_name":"beta-blockers","score":0.6359999775886536},{"id":"https://openalex.org/keywords/selective-serotonin-reuptake-inhibitors","display_name":"selective serotonin reuptake inhibitors","score":0.9010000228881836},{"id":"https://openalex.org/keywords/inflammation","display_name":"inflammation","score":0.3709999918937683}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8853999972343445},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.6973000168800354},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.6886000037193298},{"id":"https://openalex.org/C2778797674","wikidata":"https://www.wikidata.org/wiki/Q847583","display_name":"Cardiomyopathy","level":3,"score":0.6557999849319458},{"id":"https://openalex.org/C2777189754","wikidata":"https://www.wikidata.org/wiki/Q5264821","display_name":"Desmoplakin","level":3,"score":0.6155999898910522},{"id":"https://openalex.org/C2780875844","wikidata":"https://www.wikidata.org/wiki/Q186235","display_name":"Myocarditis","level":2,"score":0.550000011920929},{"id":"https://openalex.org/C2778704086","wikidata":"https://www.wikidata.org/wiki/Q693058","display_name":"Chest pain","level":2,"score":0.5004000067710876},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.3910999894142151},{"id":"https://openalex.org/C2780040984","wikidata":"https://www.wikidata.org/wiki/Q79785","display_name":"Electrocardiography","level":2,"score":0.3896999955177307},{"id":"https://openalex.org/C36036425","wikidata":"https://www.wikidata.org/wiki/Q7846262","display_name":"Troponin","level":3,"score":0.3882000148296356},{"id":"https://openalex.org/C2777892804","wikidata":"https://www.wikidata.org/wiki/Q2555727","display_name":"Arrhythmogenic right ventricular dysplasia","level":4,"score":0.364300012588501},{"id":"https://openalex.org/C2776008845","wikidata":"https://www.wikidata.org/wiki/Q5038325","display_name":"Cardiac magnetic resonance imaging","level":3,"score":0.35580000281333923},{"id":"https://openalex.org/C2778198053","wikidata":"https://www.wikidata.org/wiki/Q181754","display_name":"Heart failure","level":2,"score":0.34880000352859497},{"id":"https://openalex.org/C2775935837","wikidata":"https://www.wikidata.org/wiki/Q202837","display_name":"Sudden cardiac death","level":2,"score":0.33640000224113464},{"id":"https://openalex.org/C2777698277","wikidata":"https://www.wikidata.org/wiki/Q266018","display_name":"Acute coronary syndrome","level":3,"score":0.30480000376701355},{"id":"https://openalex.org/C2776331378","wikidata":"https://www.wikidata.org/wiki/Q56002","display_name":"Ventricular tachycardia","level":2,"score":0.2930999994277954},{"id":"https://openalex.org/C206179267","wikidata":"https://www.wikidata.org/wiki/Q188952","display_name":"Medical history","level":2,"score":0.26829999685287476},{"id":"https://openalex.org/C2776034619","wikidata":"https://www.wikidata.org/wiki/Q3428020","display_name":"Cardiac resynchronization therapy","level":4,"score":0.2662000060081482},{"id":"https://openalex.org/C144469398","wikidata":"https://www.wikidata.org/wiki/Q24785650","display_name":"Troponin T","level":3,"score":0.25870001316070557},{"id":"https://openalex.org/C2987145844","wikidata":"https://www.wikidata.org/wiki/Q5038325","display_name":"Cardiac magnetic resonance","level":3,"score":0.25760000944137573}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1093/ehjcr/ytag588","doi":"https://doi.org/10.1093/ehjcr/ytag588","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ehjcr/ytag588","pdf_url":"https://academic.oup.com/ehjcr/article-pdf/10/11/ytag588/73032073/ytag588.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"},{"id":"pmh:oai:pubmedcentral.nih.gov:13733513","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13733513/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13733513/pdf/ytag588.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:42985645","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42985645","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/ytag588","doi":"https://doi.org/10.1093/ehjcr/ytag588","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ehjcr/ytag588","pdf_url":"https://academic.oup.com/ehjcr/article-pdf/10/11/ytag588/73032073/ytag588.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":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320322510","display_name":"Sapienza Universit\u00e0 di Roma","ror":"https://ror.org/02be6w209"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225228654.pdf","grobid_xml":"https://content.openalex.org/works/W7225228654.grobid-xml"},"referenced_works_count":15,"referenced_works":["https://openalex.org/W1979855100","https://openalex.org/W2021752810","https://openalex.org/W2127904701","https://openalex.org/W2614425406","https://openalex.org/W2805586958","https://openalex.org/W3022047361","https://openalex.org/W3106271757","https://openalex.org/W3191581306","https://openalex.org/W4293217392","https://openalex.org/W4391499865","https://openalex.org/W4401206857","https://openalex.org/W4402556815","https://openalex.org/W4406197114","https://openalex.org/W4410433591","https://openalex.org/W4413338008"],"related_works":["https://openalex.org/W7212789918","https://openalex.org/W7116857029","https://openalex.org/W3112065433","https://openalex.org/W4296526263","https://openalex.org/W4414381693","https://openalex.org/W4410099309","https://openalex.org/W4392014916","https://openalex.org/W3191581306","https://openalex.org/W7161636695","https://openalex.org/W7202270464"],"abstract_inverted_index":{"Background:":[0],"Desmoplakin":[1],"(DSP)":[2],"mutations":[3],"are":[4],"a":[5,55,63,75,116],"common":[6],"cause":[7],"of":[8,57,81,121,132,140,182],"arrhythmogenic":[9,59,193],"cardiomyopathy":[10,60,194],"(ACM),":[11],"frequently":[12],"presenting":[13],"with":[14,34,86,97,157,179],"recurrent":[15,50,168],"myocarditis-like":[16],"'hot":[17,199],"phases'":[18],"that":[19],"contribute":[20],"to":[21,62,124],"myocardial":[22,72],"injury":[23],"and":[24,38,54,74,109,137,160,207,210,219],"increased":[25],"arrhythmic":[26,119,186,208],"risk.":[27],"Case":[28],"Summary:":[29],"A":[30],"40-year-old":[31],"woman":[32],"presented":[33],"acute":[35],"chest":[36],"pain":[37],"marked":[39,195],"troponin":[40],"elevation":[41],"following":[42],"emotional":[43],"stress.":[44],"Her":[45],"history":[46],"was":[47,148,155],"notable":[48],"for":[49,214],"stress-related":[51,169],"myocarditis":[52],"episodes":[53],"diagnosis":[56],"biventricular":[58],"due":[61],"pathogenic":[64,94],"DSP":[65,95,127],"mutation.":[66],"Cardiac":[67],"magnetic":[68],"resonance":[69],"demonstrated":[70],"diffuse":[71],"oedema":[73],"characteristic":[76],"circumferential":[77],"subepicardial":[78],"ring-like":[79],"pattern":[80],"late":[82,141],"gadolinium":[83,142],"enhancement,":[84],"consistent":[85],"an":[87],"active":[88],"hot":[89,134,183],"phase.":[90],"Given":[91],"the":[92,125,130,173,202,212],"high-risk":[93,99],"mutation":[96],"multiple":[98],"features,":[100],"including":[101],"documented":[102],"non-sustained":[103],"ventricular":[104,107,112],"tachycardia,":[105],"frequent":[106,133],"ectopy,":[108],"mild":[110],"left":[111],"disfunction":[113],"(resulting":[114],"in":[115],"calculated":[117],"5-year":[118],"risk":[120,128,217],"12%":[122],"according":[123],"novel":[126],"score)-and":[129],"presence":[131],"phases":[135,184],"recurrences":[136],"high":[138],"burden":[139],"enhancement-a":[143],"primary":[144],"prevention":[145],"implantable":[146],"cardioverter-defibrillator":[147],"implanted":[149],"after":[150],"clinical":[151,177],"stabilization.":[152],"Medical":[153],"therapy":[154,166],"optimized":[156],"\u03b2-blocker":[158],"up-titration":[159],"low-dose":[161],"selective":[162],"serotonin":[163],"reuptake":[164],"inhibitor":[165],"targeting":[167],"triggers.":[170],"At":[171],"follow-up,":[172],"patient":[174],"reported":[175],"sustained":[176],"well-being":[178],"no":[180],"recurrence":[181],"or":[185],"events.":[187],"Conclusion:":[188],"This":[189],"case":[190],"exemplifies":[191],"DSP-related":[192],"by":[196],"recurrent,":[197],"stress-triggered":[198],"phases,'":[200],"highlighting":[201],"pivotal":[203],"interplay":[204],"between":[205],"inflammation":[206],"risk,":[209],"underscoring":[211],"need":[213],"refined,":[215],"disease-specific":[216],"stratification":[218],"targeted":[220],"management":[221],"strategies.":[222]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-11-05T00:00:00"}
