{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T19:22:05Z","timestamp":1770060125116,"version":"3.49.0"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T00:00:00Z","timestamp":1760486400000},"content-version":"vor","delay-in-days":625,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T00:00:00Z","timestamp":1706486400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Metallosis with subsequent cardiac involvement is a possible long-term complication of hip arthroplasty. We report the case of a young female referred to our centre for the suspicion of cardiac amyloidosis presenting with low electrocardiogram voltage, left ventricular hypertrophy, pericardial effusion, and global and longitudinal systolic impairment with apical sparing pattern. Her medical history was remarkable for arthroplasty in the context of congenital hip dysplasia. Two years prior to presentation, she underwent revision surgery for prosthesis malfunction, and tissue metallosis was initially documented. At the current presentation, cobalt metallosis was confirmed, as the circulating cobalt and chromium levels were severely elevated. The accurate diagnosis prompted the removal of the cobalt source with extensive tissue debridement and the use of chelating agents. Reversal of the cardiac abnormalities occurred as the circulating cobalt levels returned to normal.<\/jats:p>","DOI":"10.1002\/ehf2.14695","type":"journal-article","created":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T00:40:42Z","timestamp":1706575242000},"page":"1236-1241","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Too Young for an Acquired Cardiomyopathy? Cobalt Metallosis as a Cardiac Amyloidosis Mimicker"],"prefix":"10.1093","volume":"11","author":[{"given":"Mihnea","family":"Casian","sequence":"first","affiliation":[{"name":"Department of Cardiology, University of Medicine and Pharmacy \u2018Carol Davila\u2019 , Bucharest ,","place":["Romania"]},{"name":"Department of Cardiology, Expert Center for Rare Genetic Cardiovascular Diseases, Emergency Institute for Cardiovascular Diseases , Bucharest ,","place":["Romania"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramona","family":"Bica","sequence":"additional","affiliation":[{"name":"CardioRec \u2013 Auxologico , Corbeanca ,","place":["Romania"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virgil","family":"Ionescu","sequence":"additional","affiliation":[{"name":"CardioRec \u2013 Auxologico , Corbeanca 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Clinical, radiological and retrieval analysis","volume":"93","author":"Bolland","year":"2011","journal-title":"J Bone Joint Surg Br"},{"key":"2026012113161691200_ehf214695-bib-0007","doi-asserted-by":"publisher","first-page":"1308","DOI":"10.1302\/0301-620X.93B10.26249","article-title":"Sensitivity and specificity of blood cobalt and chromium metal ions for predicting failure of metal-on-metal hip replacement","volume":"93","author":"Hart","year":"2011","journal-title":"J Bone Joint Surg Br"},{"key":"2026012113161691200_ehf214695-bib-0008","doi-asserted-by":"publisher","first-page":"2633","DOI":"10.1097\/CORR.0000000000001882","article-title":"Adverse local tissue reactions are common in asymptomatic individuals after hip resurfacing arthroplasty: Interim report from a prospective longitudinal study","volume":"479","author":"Koff","year":"2021","journal-title":"Clin Orthop Relat 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