PubMed:23876691 JSONTXT

{"project":"PubmedHPO","denotations":[{"id":"T1","span":{"begin":115,"end":129},"obj":"HP_0002027"},{"id":"T2","span":{"begin":125,"end":129},"obj":"HP_0012531"},{"id":"T3","span":{"begin":131,"end":150},"obj":"HP_0002878"},{"id":"T4","span":{"begin":201,"end":219},"obj":"HP_0002204"},{"id":"T5","span":{"begin":282,"end":303},"obj":"HP_0001658"},{"id":"T6","span":{"begin":551,"end":569},"obj":"HP_0002204"},{"id":"T7","span":{"begin":661,"end":685},"obj":"HP_0005145"},{"id":"T8","span":{"begin":670,"end":685},"obj":"HP_0100545"}],"text":"[A deceptive gut feeling].\nTrügerisches Bauchgefühl.\nWe report the case of a 58 year old man with unspecific lower abdominal pain, respiratory failure and shock. An acute aortic syndrome and a massive pulmonary embolism were excluded, and a coronary angiography for suspected acute myocardial infarction was performed, with detection of a high-grade stenosis of the left main coronary artery. A percutaneous coronary intervention was needed. We discuss the difficulty to distinguish an acute aortic syndrome, an acute coronary syndrome, and a massive pulmonary embolism in the emergency situation. In addition we discuss the difficulty of detecting a left main coronary artery stenosis in the ECG."}

{"project":"PubCasesHPO","denotations":[{"id":"AB1","span":{"begin":115,"end":129},"obj":"HP:0002027"},{"id":"AB2","span":{"begin":131,"end":150},"obj":"HP:0002878"},{"id":"AB3","span":{"begin":201,"end":219},"obj":"HP:0002204"},{"id":"AB4","span":{"begin":282,"end":303},"obj":"HP:0001658"},{"id":"AB5","span":{"begin":551,"end":569},"obj":"HP:0002204"},{"id":"AB6","span":{"begin":661,"end":685},"obj":"HP:0005145"}],"text":"[A deceptive gut feeling].\nTrügerisches Bauchgefühl.\nWe report the case of a 58 year old man with unspecific lower abdominal pain, respiratory failure and shock. An acute aortic syndrome and a massive pulmonary embolism were excluded, and a coronary angiography for suspected acute myocardial infarction was performed, with detection of a high-grade stenosis of the left main coronary artery. A percutaneous coronary intervention was needed. We discuss the difficulty to distinguish an acute aortic syndrome, an acute coronary syndrome, and a massive pulmonary embolism in the emergency situation. In addition we discuss the difficulty of detecting a left main coronary artery stenosis in the ECG."}