{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T10:25:51Z","timestamp":1790763951133,"version":"4.1.0"},"reference-count":10,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"vor","delay-in-days":365,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"funder":[{"DOI":"10.13039\/100016770","name":"Iwate Medical University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016770","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","journalofcardiologycases.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Cardiology Cases"],"published-print":{"date-parts":[[2022,1]]},"DOI":"10.1016\/j.jccase.2021.06.001","type":"journal-article","created":{"date-parts":[[2021,7,3]],"date-time":"2021-07-03T07:37:05Z","timestamp":1625297825000},"page":"23-25","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Kounis syndrome caused by protamine shock after coronary intervention: A case report"],"prefix":"10.1016","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9277-6567","authenticated-orcid":false,"given":"Tomonori","family":"Itoh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshinori","family":"Kanaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kentaro","family":"Komuro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shoma","family":"Sugawara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Ishikawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masayuki","family":"Onodera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iwao","family":"Goto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsuya","family":"Fusazaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motoyuki","family":"Nakamura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jccase.2021.06.001_bib0001","article-title":"Clinical and procedure characteristics in patients treated with polytetrafluoroethylene-covered stents after coronary perforation: a CIRC-8U multicenter registry and literature review","author":"Itoh","year":"2020","journal-title":"Cardiovasc Interv Ther"},{"key":"10.1016\/j.jccase.2021.06.001_bib0002","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1213\/ane.0b013e3181602e0d","article-title":"Anaphylaxis during cardiac surgery: implications for clinicians","volume":"106","author":"Levy","year":"2008","journal-title":"Anesth Analg"},{"key":"10.1016\/j.jccase.2021.06.001_bib0003","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1007\/BF03007897","article-title":"Cardiac arrest following protamine administration","volume":"31","author":"Chung","year":"1984","journal-title":"Can Anaesth Soc J"},{"key":"10.1016\/j.jccase.2021.06.001_bib0004","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1016\/S0147-9563(99)70031-2","article-title":"Allergy to protamine sulfate","volume":"28","author":"Porsche","year":"1999","journal-title":"Heart Lung"},{"key":"10.1016\/j.jccase.2021.06.001_bib0005","first-page":"e6972","article-title":"Kounis syndrome induced by protamine sulfate","volume":"12","author":"Amro","year":"2020","journal-title":"Cureus"},{"key":"10.1016\/j.jccase.2021.06.001_bib0006","doi-asserted-by":"crossref","first-page":"1545","DOI":"10.1515\/cclm-2016-0010","article-title":"Kounis syndrome: an update on epidemiology, pathogenesis, diagnosis and therapeutic management","volume":"54","author":"Kounis","year":"2016","journal-title":"Clin Chem Lab Med"},{"key":"10.1016\/j.jccase.2021.06.001_bib0007","doi-asserted-by":"crossref","first-page":"e107","DOI":"10.1515\/cclm-2016-0934","article-title":"Proposed classification for a variant of Kounis syndrome","volume":"55","author":"Itoh","year":"2017","journal-title":"Clin Chem Lab Med"},{"key":"10.1016\/j.jccase.2021.06.001_bib0008","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.ijcard.2017.10.008","article-title":"Kounis syndrome: new classification","volume":"256","author":"Itoh","year":"2018","journal-title":"Int J Cardiol"},{"key":"10.1016\/j.jccase.2021.06.001_bib0009","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1177\/0003319706297967","article-title":"Simultaneous multivessel coronary spasm causing acute myocardial infarction: a case report","volume":"58","author":"Saito","year":"2007","journal-title":"Angiology"},{"key":"10.1016\/j.jccase.2021.06.001_bib0010","first-page":"110","article-title":"Editorial: Kounis syndrome (allergic angina and allergic myocardial infarction) for cardiologists","volume":"12","author":"Sueda","year":"2015","journal-title":"J Cardiol Cases"}],"container-title":["Journal of Cardiology Cases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878540921001031?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878540921001031?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T06:12:09Z","timestamp":1761804729000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1878540921001031"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["S1878540921001031"],"URL":"https:\/\/doi.org\/10.1016\/j.jccase.2021.06.001","relation":{},"ISSN":["1878-5409"],"issn-type":[{"value":"1878-5409","type":"print"}],"subject":[],"published":{"date-parts":[[2022,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Kounis syndrome caused by protamine shock after coronary intervention: A case report","name":"articletitle","label":"Article Title"},{"value":"Journal of Cardiology Cases","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jccase.2021.06.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Japanese College of Cardiology. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}]}}