Evidence map›Paper›PMID 27247207›Full record

ArticleBMJ case reports2016

Stroke and a valvular lesion in a patient with stage IV non-small cell lung cancer.

Angel A Mitma, Jithin G Varghese, David Witt, Stuart W Zarich

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 30% of its field
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
  6. Mesothelioma with Nonbacterial Thrombotic Endocarditis: A Case Report.JNMA; journal of the Nepal Medical Association · 2021
    Article
  7. Article
  8. 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

4 authors at 3 institutions in 2 countries.

Angel A MitmaDepartment of Internal Medicine, Bridgeport Hospital, Bridgeport, Connecticut, USA Yale University School of Medicine, New Haven, Connecticut, USA.
Jithin G VargheseDepartment of Internal Medicine, Bridgeport Hospital, Bridgeport, Connecticut, USA.
David WittYale University School of Medicine, New Haven, Connecticut, USA Yale Smilow Cancer Hospital, New Haven, Connecticut, USA.
Stuart W ZarichYale University School of Medicine, New Haven, Connecticut, USA Department of Cardiology, Bridgeport Hospital, Bridgeport, Connecticut, USA.
Bridgeport Hospital · USSmilow Cancer Hospital · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The mechanism and severity of stroke varies in the setting of malignancy. We report a case of a 68-year-old man with lung adenocarcinoma, who experienced acute neurological symptoms. Imaging studies showed multiple acute ischaemic infarcts in cerebral and cerebellar hemispheres. Further work up was consistent with non-bacterial thrombotic endocarditis (NBTE). We highlight, through a review of the literature, the importance of transoesophageal echocardiography (TOE) in defining the above diagnosis. The treatment of NBTE consists of systemic anticoagulation and therapy of the underlying malignancy. Enoxaparin is preferred over warfarin to achieve this goal. He received systemic targeted therapy with erlotinib. A TOE performed 8 months later showed complete resolution of the vegetation.

Indexed as

AdenocarcinomaAdenocarcinoma of LungAgedAnticoagulantsCerebellumDiagnosis, DifferentialEchocardiography, TransesophagealEndocarditis, Non-InfectiveEnoxaparinHumansLung NeoplasmsMaleSeverity of Illness IndexStrokeTomography, X-Ray ComputedAnticoagulantsEnoxaparin

Identifiers

PMID27247207
PMCPMC4904385
OpenAlexW2413714739

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.