{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:40:06Z","timestamp":1756377606210,"version":"3.44.0"},"reference-count":4,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,5,20]]},"abstract":"<jats:p>A 55-year-old previously healthy man was referred to our cardiology outpatient department (by the respiratory team) due to shortness of breath that started 2\u20133\u2005months prior. He suddenly became breathless after changing a car wheel with no other associated symptoms. Specifically, he denied ever having had chest pain. His breathlessness got gradually worse preventing him from performing simple everyday activities, such as climbing stairs, and a couple of weeks before presentation, the patient noticed ankle oedema. He was an ex-smoker and drank 3\u20134\u2005units of alcohol daily. There was a family history of hypertension. He worked as a contract manager in the construction industry. After clinical examination, a transthoracic echocardiogram was performed and the patient was admitted for further investigations. Clinical examination and investigation confirmed missed myocardial infarction with a complication of ventricular aneurysm. The patient was referred to cardiothoracic surgeons for surgical correction of the defect.<\/jats:p>","DOI":"10.1136\/bcr-2014-207689","type":"journal-article","created":{"date-parts":[[2015,6,26]],"date-time":"2015-06-26T15:17:06Z","timestamp":1435331826000},"page":"bcr2014207689","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Silent broken heart (Can shortness of breath be the only presentation of myocardial infarction?)"],"prefix":"10.1136","volume":"2015","author":[{"given":"Mohammad","family":"Waleed","sequence":"first","affiliation":[{"name":"Department of Cardiology, Castle Hill Hospital, Hull, East Yorkshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasileios","family":"Sachpekidis","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Castle Hill Hospital, Hull, East Yorkshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thanjavur","family":"Bragadeesh","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Castle Hill Hospital, Hull, East Yorkshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew L","family":"Clark","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Castle Hill Hospital, Hull, East Yorkshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,6,25]]},"reference":[{"key":"2025082803130192000_2015.jun25_2.bcr2014207689.1","first-page":"47","article-title":"Surgical treatment of post-infarction left ventricular pseudoaneurysm: a two-decade experience","volume":"34","author":"Eren","year":"2007","journal-title":"Tex Heart Inst J"},{"key":"2025082803130192000_2015.jun25_2.bcr2014207689.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(99)00855-3"},{"key":"2025082803130192000_2015.jun25_2.bcr2014207689.3","doi-asserted-by":"publisher","DOI":"10.1378\/chest.125.5.1622"},{"key":"2025082803130192000_2015.jun25_2.bcr2014207689.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(00)00878-0"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-207689","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:13:10Z","timestamp":1756375990000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-207689"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,6,25]]},"references-count":4,"alternative-id":["10.1136\/bcr-2014-207689"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-207689","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2015,6,25]]}}}