{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:29:51Z","timestamp":1786728591046,"version":"build-2736575974"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Epigastric pain could be associated with typical thoracic syndromes such as myocardial infarction (MI), aortic dissection (AD), or pulmonary embolism (PE) but, in certain cases, it could be more often linked to gastric disorders such as gastroesophageal reflux disease, hiatal hernia, or other gastric disorders. The key point of the differential diagnosis could be the collection of anamnestic data performed by the clinician and the performing of laboratory blood sample tests, radiological examinations and echography in Emergency Department; still a diagnostic challenges, especially in elderly patients where symptoms could be nonspecific or overlap with previous comorbidities. It\u2019s important to maintain a high index of clinical suspicion in the face of vague symptoms in multimorbid patients and to rely on a multidisciplinary approach in an emergency setting: The early use of echocardiography is fundamental for its diagnostic value, therapeutic guidance, and evolutionary monitoring of the condition. The reported case concerns an elderly patient presenting to the Emergency Department for a suspected episode of loss of consciousness following epigastric pain with a completely unexpected and never seen before ultrasound finding.<\/jats:p>","DOI":"10.4103\/jcecho.jcecho_38_25","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T05:00:28Z","timestamp":1759294828000},"page":"292-296","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The Phantom of the Atrium: A Case Report of a Ghosting Thrombus"],"prefix":"10.4103","volume":"35","author":[{"given":"Raffaele","family":"Carluccio","sequence":"first","affiliation":[{"name":"Department of Critical Care, Unit of Cardiology and Intensive Coronary Care, Area Stabiese United Hospitals, \u201cSan Leonardo\u201d Hospital, Naples, Italy"},{"name":"Department of Advanced Biomedical Sciences, CardioPaTh Program, \u201cFederico II\u201d University of Naples, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Cioffi","sequence":"additional","affiliation":[{"name":"Department of Translational Medical Sciences, \u201cFederico Ii\u201d University of Naples, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Crescenzo","family":"Testa","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, University of Parma, Parma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio Luca Maria","family":"Parlati","sequence":"additional","affiliation":[{"name":"Department of Advanced Biomedical Sciences, \u201cFederico Ii\u201d University of Naples, Naples, Italy"},{"name":"Department of Cardiovascular Sciences, British Heart Foundation Centre of Research Excellence, King\u2019s College London, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Grazia","family":"Romeo","sequence":"additional","affiliation":[{"name":"Department of Advanced Biomedical Sciences, Division of Cardiac Surgery, \u201cFederico Ii\u201d University of Naples, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giacomo","family":"Mattiello","sequence":"additional","affiliation":[{"name":"Department of Critical Care, Unit of Cardiology and Intensive Coronary Care, Area Stabiese United Hospitals, \u201cSan Leonardo\u201d Hospital, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Minicucci","sequence":"additional","affiliation":[{"name":"Department of Critical Care, Unit of Cardiology and Intensive Coronary Care, Area Stabiese United Hospitals, \u201cSan Leonardo\u201d Hospital, Naples, 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