{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T14:04:52Z","timestamp":1774879492488,"version":"3.50.1"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"vor","delay-in-days":17,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sudden cardiac arrest (SCA) is rare in young individuals, being typically caused by inherited cardiomyopathies or electrical disorders. However, less common aetiologies should not be overlooked.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>A male in his twenties suffered an aborted SCA. Initial investigations revealed significant triple-vessel coronary artery disease leading to urgent surgical revascularization. Macroscopically, diffuse coronary luminal narrowing due to marked wall thickening was observed. Histopathology of the right internal mammary artery showed a non-necrotizing vasculitis pattern, which, together with abdominal aorta, mesenteric and iliac artery involvement on computed tomography angiography, supported a diagnosis of Takayasu arteritis. High-dose glucocorticoids were started, resulting in rapid normalization of inflammatory biomarkers. The patient was discharged after 54 days, with programmed administration of anti-tumour necrosis factor-alpha monoclonal antibody adalimumab.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Takayasu arteritis is a rare vasculitis classically affecting medium- to large-sized vessels, but may involve the coronary tree and ultimately manifest as SCA. This case underscores the diagnostic challenges of young adults presenting with acute coronary syndromes, highlighting the importance of clinical suspicion, histopathological evaluation, and a collaborative approach for a successful outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytag207","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T12:30:03Z","timestamp":1773837003000},"source":"Crossref","is-referenced-by-count":0,"title":["Cardiac arrest as the first presentation of Takayasu arteritis in a young adult: a case report"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0513-3127","authenticated-orcid":false,"given":"D\u00e9bora da S","family":"Correia","sequence":"first","affiliation":[{"name":"Cardiology Department, Hospital de Santa Cruz, ULSLO , Av. Prof. Dr. Reinaldo dos Santos, Carnaxide, Lisbon 2790-134 ,","place":["Portugal"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marisa","family":"Trabulo","sequence":"additional","affiliation":[{"name":"Cardiology Department, Hospital de Santa Cruz, ULSLO , Av. Prof. Dr. Reinaldo dos Santos, Carnaxide, Lisbon 2790-134 ,","place":["Portugal"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00e2ncia","family":"Ramos","sequence":"additional","affiliation":[{"name":"Pathology Department, Hospital de Santa Cruz, ULSLO , Av. Prof. Dr. Reinaldo dos Santos, Carnaxide, Lisbon 2790-134 ,","place":["Portugal"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiago","family":"Nolasco","sequence":"additional","affiliation":[{"name":"Cardiac Surgery Department, Hospital de Santa Cruz, ULSLO , Av. Prof. Dr. Reinaldo dos Santos, Carnaxide, Lisbon 2790-134 ,","place":["Portugal"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ant\u00f3nio","family":"Tralh\u00e3o","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, ECMO Reference Centre, ULSSJ , Rua Jos\u00e9 Ant\u00f3nio Serrano, Lisbon 1150-199 ,","place":["Portugal"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,3,18]]},"reference":[{"key":"2026033009170679100_ytag207-B1","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1016\/j.autrev.2007.04.001","article-title":"Coronary involvement in takayasu\u2019s arteritis","volume":"6","author":"Rav-Acha","year":"2007","journal-title":"Autoimmun Rev"},{"key":"2026033009170679100_ytag207-B2","doi-asserted-by":"crossref","first-page":"3418","DOI":"10.18203\/2320-6012.ijrms20203706","article-title":"Takayasu arteritis: a comprehensive review of literature","volume":"8","author":"Bishnoi","year":"2020","journal-title":"Int J Res Med Sci"},{"key":"2026033009170679100_ytag207-B3","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1016\/j.jacc.2022.09.051","article-title":"Takayasu arteritis","volume":"81","author":"Joseph","year":"2023","journal-title":"J Am Coll Cardiol"},{"key":"2026033009170679100_ytag207-B4","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/0167-5273(94)90095-7","article-title":"Sudden cardiac arrest in a teenager as first manifestation of takayasu\u2019s disease","volume":"43","author":"Basso","year":"1994","journal-title":"Int J Cardiol"},{"key":"2026033009170679100_ytag207-B5","doi-asserted-by":"crossref","first-page":"102527","DOI":"10.1016\/j.jflm.2023.102527","article-title":"Sudden death due to takayasu arteritis complication associated with situs inversus totalis: a case discovered at autopsy","volume":"96","author":"Ben Jomaa","year":"2023","journal-title":"J Forensic Leg Med"},{"key":"2026033009170679100_ytag207-B6","doi-asserted-by":"crossref","first-page":"107347","DOI":"10.1016\/j.carpath.2021.107347","article-title":"Atypical presentation of takayasu aortitis and myocarditis contributing to sudden death in a young Canadian first nations adult","volume":"54","author":"Ferreira","year":"2021","journal-title":"Cardiovasc Pathol"},{"key":"2026033009170679100_ytag207-B7","doi-asserted-by":"crossref","first-page":"4394","DOI":"10.3390\/jcm12134394","article-title":"Refractory takayasu\u2019s arteritis with severe coronary involvement\u2014case report and literature review","volume":"12","author":"Cobilinschi","year":"2023","journal-title":"J Clin Med"},{"key":"2026033009170679100_ytag207-B8","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1007\/s40744-020-00251-2","article-title":"Revascularization versus medical therapy in takayasu\u2019s arteritis patients with coronary artery involvement","volume":"8","author":"Huang","year":"2021","journal-title":"Rheumatol Ther"},{"key":"2026033009170679100_ytag207-B9","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1161\/01.CIR.57.1.27","article-title":"Natural history and classification of occlusive thromboaortopathy (takayasu\u2019s disease)","volume":"57","author":"Ishikawa","year":"1978","journal-title":"Circulation"},{"key":"2026033009170679100_ytag207-B10","doi-asserted-by":"crossref","first-page":"1224","DOI":"10.1016\/j.semarthrit.2021.09.010","article-title":"Biologic treatments in takayasu\u2019s arteritis: a comparative study of tumor necrosis factor inhibitors and tocilizumab","volume":"51","author":"Alibaz-Oner","year":"2021","journal-title":"Semin Arthritis Rheum"},{"key":"2026033009170679100_ytag207-B11","doi-asserted-by":"crossref","first-page":"1349","DOI":"10.1002\/art.41774","article-title":"2021 American college of rheumatology\/vasculitis foundation guideline for the management of giant cell arteritis and takayasu arteritis","volume":"73","author":"Maz","year":"2021","journal-title":"Arthritis & Rheumatology"}],"container-title":["European Heart Journal - 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