Evidence map›Paper›PMID 29262787›Full record

ArticleBMC cardiovascular disorders2017

Eosinophilic granulomatosis with polyangiitis: myocardial thickening reversed by corticosteroids.

Gustav Mattsson, Peter Magnusson

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC cardiovascular disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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  3. Review
  4. 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

2 authors at 1 institution in 1 country.

Gustav MattssonCentre for Research and Development, Uppsala University/Region Gävleborg, SE-801 87, Gävle, Sweden. gustav.mattsson@regiongavleborg.se.ORCID http://orcid.org/0000-0002-4317-0443
Peter MagnussonCentre for Research and Development, Uppsala University/Region Gävleborg, SE-801 87, Gävle, Sweden.
Uppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 1951 Churg and Strauss first described the clinical condition now known as eosinophilic granulomatosis with polyangiitis (EGPA), characterized by asthma, nasal polyposis, rhinosinusitis, hypereosinophilia with organ infiltration, and necrotizing vasculitis. It is classified as an antineutrophil cytoplasmic antibody (ANCA) associated vasculitis, but ANCA negativity is common and more frequently encountered in EGPA with myocardial involvement. Long-term survival has substantially improved with corticosteroid treatment but myocardial involvement is still the leading cause of death in EGPA. CASE PRESENTATION: A 53-year old man with a history of asthma and nasal polyposis presented with acute chest pain and elevated troponin; a percutaneous coronary intervention was performed. The left ventricle was described as hypertrophic. After 20 days the myocardium had markedly increased in thickness of both the right and left ventricle. Evaluation revealed hypereosinophilia in the blood and nasal mucosal tissue, which confirmed the diagnosis of EGPA. He presented with signs of active vasculitis including weight loss, tiredness, intracerebral hemorrhage, and increasing serum creatinine. After 6 days of corticosteroid treatment, the myocardium returned to its initial thickness.

conclusionRapid and marked thickening of the myocardium is not frequently reported but may occur in EGPA. Myocardial thickening in EGPA can be quickly reversed by corticosteroids, and is most likely caused by edema.

Indexed as

Adrenal Cortex HormonesChurg-Strauss SyndromeEchocardiographyGranulomatosis with PolyangiitisHumansHypertrophy, Left VentricularHypertrophy, Right VentricularMagnetic Resonance ImagingMaleMiddle AgedMyocardiumTreatment OutcomeVentricular Function, LeftVentricular Function, RightVentricular RemodelingAdrenal Cortex HormonesCardiac imagingCardiac magnetic resonanceCardiomyopathyChurg-StraussCorticosteroidsEchocardiographyEosinophilic granulomatosis with polyangiitisHeart failureHypertrophyMyocardial thickening

Identifiers

PMID29262787
PMCPMC5738832
OpenAlexW2776297306

What OpenQuestion holds

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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.