Evidence map›Paper›PMID 30151663›Full record

ArticleDrug safety - case reports2018

Acute Myocardial Infarction Following Administration of Polyethylene Glycol Electrolyte Solution with Ascorbic Acid (MoviPrep

Naruaki Imoto, Miho Hatanaka, Osamu Nomura, Makoto Hiki, Shin Watanabe, Naoyuki Hashiguchi

Open access · hybridAbstract read
In one paragraph

Article in Drug safety - case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 49% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Serious adverse events associated with bowel preparation for colonoscopy in Japan: Systematic review.Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2025
    Pooled it
  2. 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 at 1 institution in 1 country.

Naruaki ImotoDepartment of Emergency and Disaster Medicine, Graduate School of Medicine, Juntendo University, 2-1-1 Hongo, Bunkyo Ward, Tokyo, 113-8421, Japan. nimoto@juntendo.ac.jp.ORCID http://orcid.org/0000-0001-7280-7338
Miho HatanakaDepartment of Emergency and Disaster Medicine, Graduate School of Medicine, Juntendo University, 2-1-1 Hongo, Bunkyo Ward, Tokyo, 113-8421, Japan.
Osamu NomuraDepartment of Emergency and Disaster Medicine, Graduate School of Medicine, Juntendo University, 2-1-1 Hongo, Bunkyo Ward, Tokyo, 113-8421, Japan.
Makoto HikiDepartment of Emergency and Disaster Medicine, Graduate School of Medicine, Juntendo University, 2-1-1 Hongo, Bunkyo Ward, Tokyo, 113-8421, Japan.
Shin WatanabeDepartment of Emergency and Disaster Medicine, Graduate School of Medicine, Juntendo University, 2-1-1 Hongo, Bunkyo Ward, Tokyo, 113-8421, Japan.
Naoyuki HashiguchiDepartment of Emergency and Disaster Medicine, Graduate School of Medicine, Juntendo University, 2-1-1 Hongo, Bunkyo Ward, Tokyo, 113-8421, Japan.
Juntendo University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A male individual aged 82 years with hypertension who had a smoking history, but no history of cardiovascular events, developed acute myocardial infarction immediately after he took oral polyethylene glycol electrolyte solution with ascorbic acid as a pretreatment for a colonoscopy to examine anemia. He took polyethylene glycol electrolyte solution with ascorbic acid at twice (2 L/h) the rate recommended in the package insert and by the physician. The patient showed impaired consciousness 2 h after taking polyethylene glycol electrolyte solution with ascorbic acid and his family called the emergency medical service. Upon arrival of the emergency medical service, his systolic blood pressure was 60 mmHg and heart rate was 50 bpm. Systolic blood pressure and impaired consciousness were slightly improved, but compensatory shock remained, at arrival at the emergency outpatient service at our hospital. No dyspnea or rash was apparent. The patient had no subjective chest pain; however, ST-segment elevation was detected in the electrocardiogram at II, III, aVF, V3R, and V4R. He was diagnosed with ST-segment elevation myocardial infarction and underwent a coronary catheter intervention for total occlusion of the right coronary artery. His shock state was abolished by this intervention. The patient was pretreated with polyethylene glycol electrolyte solution with ascorbic acid under close watch in the coronary care unit 4 days later, with no relapse of symptoms. Advanced cancer was found in the ileocecum by colonoscopy; consequently, the patient underwent a colectomy and was discharged from our hospital and transferred to another hospital for rehabilitation on hospital day 74. A Naranjo assessment score of 4 was obtained, indicating a possible relationship of acute myocardial infarction with misuse of the suspect drug, polyethylene glycol electrolyte solution with ascorbic acid.

Identifiers

PMID30151663
PMCPMC6111013
OpenAlexW2888941339

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.