Evidence map›Paper›PMID 26523144›Full record

ReviewIranian endodontic journal2015

Craniofacial Pain as the Sole Sign of Prodromal Angina and Acute Coronary Syndrome: A Review and Report of a Rare Case.

Mahta Fazlyab, Ehsan Esnaashari, Mojgan Saleh, Farshad Shakerian, Davood Akhlagh Moayed, Saeed Asgary

Abstract readReview
In one paragraph

Review in Iranian endodontic journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Case Report: A case of toothache of cardiac origin with a long-term clinical course.Frontiers in pain research (Lausanne, Switzerland) · 2025
    Article
  3. Article
  4. Article
  5. Frequency of craniofacial pain in patients with ischemic heart disease.Journal of clinical and experimental dentistry · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mahta FazlyabIranian Center for Endodontic Research, Research Institute of Dental Sciences, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran; ; Department of Endodontics, Dental Branch, Islamic Azad University of Medical Sciences, Tehran, Iran;
Ehsan EsnaashariDepartment of Endodontics, Dental Branch, Islamic Azad University of Medical Sciences, Tehran, Iran;
Mojgan SalehDentist, Tehran, Iran;
Farshad ShakerianInterventional Cardiologist, Shahid Rajaie Cardiovascular, Medical and Research Center, Tehran, Iran;
Davood Akhlagh MoayedInterventional Cardiologist, Head of Cardiac Catheterization Laboratory, Pars Hospital, Tehran, Iran.
Saeed AsgaryIranian Center for Endodontic Research, Research Institute of Dental Sciences, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran;

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Orofacial pain can arise from different regions and etiologies. Some of the most debilitating pain conditions arise from the structures innervated by the trigeminal system (head, face, masticatory musculature, temporomandibular joint and associated structures). The problem with referred pain is the misdiagnosis and unnecessary therapy directed to the pain location instead of its origin. When craniofacial pain is the sole sign of myocardial ischemia, failure to recognize its cardiac source can endanger the patient. In particular, apart from unnecessary dental treatments, patients with acute myocardial infarction who do not experience chest pain run a very high risk of misdiagnosis and death. As endodontists, each of us may face many patients complaining of pain sensation in the teeth with the main source being other craniofacial/visceral organs. This review plots a diagnostically challenging case paving the way for further literature presentation in this regard. The aim of this compendious review was to gain knowledge about the prevalence, clinical characteristics and possible mechanisms of craniofacial pain of cardiac origin, in order to improve the clinician's ability to make a correct diagnosis.

Indexed as

Craniofacial PainMyocardial InfarctionOrofacial PainPre-Infarction AnginaProdromal AnginaReferred Pain

Identifiers

PMID26523144
PMCPMC4609668

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.