{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T19:41:28Z","timestamp":1770493288227,"version":"3.49.0"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"7-8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7,22]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>Managing patients with chest pain in deployed and austere environments can be extremely challenging for military health care providers. Limited resources, including access to equipment, emergent cardiac catheterization, and cardiac surgery, can lead to deleterious consequences, including myonecrosis and possible death. Wellens syndrome is a form of acute coronary syndrome that involves stenosis of the left anterior descending coronary artery, leading to possible acute myocardial infarction. Most cases in the literature involve the diagnosis and treatment of Wellens syndrome in the civilian, nondeployed hospital setting. We present a case of a civilian contractor who had experienced an episode of chest pain that had resolved with rest and now had new findings on electrocardiogram concerning Wellens syndrome.<\/jats:p>","DOI":"10.1093\/milmed\/usab408","type":"journal-article","created":{"date-parts":[[2021,10,6]],"date-time":"2021-10-06T08:47:49Z","timestamp":1633510069000},"page":"e2697-e2701","source":"Crossref","is-referenced-by-count":1,"title":["Chest Pain in the Deployed Setting: A Case of Wellens Syndrome"],"prefix":"10.1093","volume":"188","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9922-9635","authenticated-orcid":false,"given":"Eric M","family":"Mozeleski","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Wright-Patterson Air Force Base Medical Center , Wright-Patterson AFB, OH 45433, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Travis A","family":"Callahan","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Wright-Patterson Air Force Base Medical Center , Wright-Patterson AFB, OH 45433, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony G","family":"Vande Hei","sequence":"additional","affiliation":[{"name":"Department of Cardiology, San Antonio Military Medical Center , Fort Sam Houston, TX 78234, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,10,6]]},"reference":[{"issue":"4","key":"2023072301083785600_R1","doi-asserted-by":"crossref","first-page":"730","DOI":"10.1016\/0002-8703(82)90480-X","article-title":"Characteristic electrocardiographic pattern indicating a critical stenosis high in left anterior descending coronary artery in patients admitted because of impending myocardial infarction","volume":"103","author":"de Zwaan","year":"1982","journal-title":"Am Heart J"},{"key":"2023072301083785600_R2","volume-title":"Department of Defense Contractor and Troops Levels in Afghanistan and Iraq: 2007\u20132020","author":"Peters","year":"2021"},{"key":"2023072301083785600_R3","volume-title":"StatPearls","author":"Miner","year":"2021"},{"key":"2023072301083785600_R4","article-title":"Wellens\u2019 syndrome","volume-title":"Life in the Fastlane","author":"Cadogan"},{"issue":"3","key":"2023072301083785600_R5","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1016\/0002-8703(89)90742-4","article-title":"Angiographic and clinical characteristics of patients with unstable angina showing an ECG pattern indicating critical narrowing of the proximal LAD coronary artery","volume":"117","author":"Zwann","year":"1989","journal-title":"Am Heart J"},{"key":"2023072301083785600_R6","article-title":"What is the role of stress testing in the workup of Wellens Syndrome?","author":"Mattingly","year":"2018"}],"container-title":["Military Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/188\/7-8\/e2697\/50937318\/usab408.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/188\/7-8\/e2697\/50937318\/usab408.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,23]],"date-time":"2023-07-23T01:09:54Z","timestamp":1690074594000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/milmed\/article\/188\/7-8\/e2697\/6382062"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,6]]},"references-count":6,"journal-issue":{"issue":"7-8","published-online":{"date-parts":[[2021,10,6]]},"published-print":{"date-parts":[[2023,7,22]]}},"URL":"https:\/\/doi.org\/10.1093\/milmed\/usab408","relation":{},"ISSN":["0026-4075","1930-613X"],"issn-type":[{"value":"0026-4075","type":"print"},{"value":"1930-613X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,7,1]]},"published":{"date-parts":[[2021,10,6]]}}}