Evidence map›Paper›PMID 29440244›Full record

ArticleBMJ case reports2018

Acute rheumatic fever presenting as complete heart block: report of an adolescent case and review of literature.

Sridharan Umapathy, Anita Saxena

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2018. 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
0.7field-weighted citation impact, top 26% 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, 11 citations in OpenAlex.

  1. Pooled it
  2. Acute Rheumatic Fever Without Pharyngitis: A Case Report.Journal of general and family medicine · 2026
    Article
  3. Article
  4. Article
  5. Burden of bradycardia and barriers to accessing bradycardia therapy in underserved countries.European heart journal supplements : journal of the European Society of Cardiology · 2023
    Article
  6. Review
  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

2 authors at 1 institution in 1 country.

Sridharan UmapathyCardiology, All India Institute of Medical Sciences, Newdelhi, India.ORCID http://orcid.org/0000-0002-2877-9525
Anita SaxenaCardiology, All India Institute of Medical Sciences, Newdelhi, India.
All India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 14-year-old boy suffering from chronic rheumatic heart disease came to the emergency department with recurrent episodes of presyncope and syncope. He was found to have complete heart block (CHB) and required temporary pacemaker insertion. Further workup revealed that CHB was secondary to acute rheumatic carditis. His atrioventricular (AV) conduction abnormalities recovered in a stepwise fashion over 5 days while he was being treated with corticosteroids, without the need for permanent pacemaker insertion. This case illustrates that acute rheumatic carditis can rarely present with advanced AV conduction block, which may be reversible.

Indexed as

AdolescentAdrenal Cortex HormonesAnti-Bacterial AgentsDiagnosis, DifferentialElectrocardiographyHeart BlockHumansMalePacemaker, ArtificialPenicillin G BenzathineRheumatic FeverRheumatic Heart DiseaseSyncopeTreatment OutcomeAdrenal Cortex HormonesAnti-Bacterial AgentsPenicillin G Benzathinecardiovascular medicinevalvar diseases

Identifiers

PMID29440244
PMCPMC5836695
OpenAlexW2789659636

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.