Concomitant Traumatic Coronary Artery Dissection and Tricuspid Valve Injury: A Case Report
Bibliographic record
Abstract
Among the causes of death in all age groups, deaths due to trauma rank third after cardiovascular diseases and cancer. Until age 40, chest trauma constitutes 20-25% of the causes of deaths due to trauma . Blunt cardiac trauma develops frequently following motor-vehicle accidents and its mortality rate is high. Of all types of cardiac injury that can result from blunt chest trauma, coronary artery dissection is the most infrequent one. The consequences of coronary artery dissections are variable, ranging from none or mild myocardial infarction to massive myocardial infarction or death. We report two unusual cardiac complications of blunt chest trauma: a traumatic dissection in both left anterior descending artery (LAD) and right coronary artery (RCA), concomitant with tricuspid insufficiency due to papillary muscle rupture. The management of the patient had to be tailored due to the complexity of the presentation. The final treatment plan resulted in uneventful clinical course and good overall medical results. doi:10.4021/jmc242w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.006 |
| Meta-epidemiology (narrow) | 0.004 | 0.003 |
| Meta-epidemiology (broad) | 0.002 | 0.002 |
| Bibliometrics | 0.005 | 0.003 |
| Science and technology studies | 0.005 | 0.003 |
| Scholarly communication | 0.003 | 0.004 |
| Open science | 0.003 | 0.004 |
| Research integrity | 0.010 | 0.006 |
| Insufficient payload (model declined to judge) | 0.005 | 0.002 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".