Evidence map›Paper›PMID 28659364›Full record

ArticleBMJ case reports2017

Acute cor pulmonale due to pulmonary tumour thrombotic microangiopathy from renal cell carcinoma.

Maria Story, Sook Kyung Kwon, Robert Robinson, Spyridon Fortis

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2017. 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
1.1field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
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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 1 institution in 1 country.

Maria StoryDepartment of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.ORCID http://orcid.org/0000-0002-3470-4300
Sook Kyung KwonDepartment of Pathology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Robert RobinsonDepartment of Pathology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Spyridon FortisPulmonary, Critical Care and Occupational Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
University of Iowa Hospitals and Clinics · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report the case of a previously healthy man who presented with subacute dyspnoea after a long drive. He developed hypoxic respiratory failure, thought secondary to a massive pulmonary embolism and was treated with tissue plasminogen activator but died in the hospital despite aggressive medical measures. Autopsy revealed pulmonary tumour thrombotic microangiopathy (PTTM) from papillary renal cell carcinoma. PTTM is a rare clinicopathological syndrome that clinically results in symptoms of dyspnoea and right heart failure. Pathologically, a localised paraneoplastic process evolves from tumour microemboli in the pulmonary arterioles, resulting in fibrocellular proliferation and narrowing of the vessels, causing subacute right heart failure. To our knowledge, this is the first case of PTTM due to papillary renal cell carcinoma.

Indexed as

AdenocarcinomaAutopsyCarcinoma, Renal CellHeart FailureHeart VentriclesHumansHypertension, PulmonaryLungLung NeoplasmsMaleMiddle AgedNeoplastic Cells, CirculatingPulmonary ArteryPulmonary EmbolismPulmonary Heart DiseaseRespiratory InsufficiencyAdult Intensive CareHeart FailurePulmonary HypertensionUrological Cancer

Identifiers

PMID28659364
PMCPMC5534775
OpenAlexW2725932470

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.