Evidence map›Paper›PMID 30387541›Full record

ArticleAnnals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc2019

Upsloping ST depression: Is it acute ischemia?

Mahboob Alam, Kjell Nikus, Miguel Fiol, Antoni Bayes de Luna, Yochai Birnbaum

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2019. 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
1.0field-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, 7 citations in OpenAlex.

  1. Article
  2. The de Winter's pattern revisited: a case series.European heart journal. Case reports · 2020
    Article
  3. The de Winter ECG pattern: Distribution and morphology of ST depression.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2020
    Review
  4. Review
  5. Upsloping ST depression: Is it acute ischemia?Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2019
    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

5 authors at 4 institutions in 4 countries.

Mahboob AlamThe Section of Cardiology, Baylor College of Medicine and Texas Heart Institute, Baylor St Luke Medical Center, Houston, Texas.
Kjell NikusThe Heart Center, Faculty of Medicine and Life Sciences, Tampere University Hospital, University of Tampere, Tampere, Finland.
Miguel FiolThe Illes Balears Health Research Institute, Faculty of Medicine, Son Espases University Hospital, Palma, Spain.
Antoni Bayes de LunaCardiovascular Research Foundation, Cardiovascular ICCC-Program, Research Institute Hospital de la Santa Creu i Sant Pau, IIB-Sant Pau, Barcelona, Spain.ORCID 0000-0003-1676-207X
Yochai BirnbaumThe Section of Cardiology, Baylor College of Medicine and Texas Heart Institute, Baylor St Luke Medical Center, Houston, Texas.ORCID 0000-0001-7653-6328
Baylor College of Medicine · USHealth Research Institute of the Balearic Islands · ESHospital de Sant Pau · ESTampere University · FI

Funding

John S Dunn Chair in Cardiology Research and Education
6 · The paper itself

Abstract

We describe a patient with acute coronary syndrome, presenting with upsloping ST depression in leads I, II, V3-V6 and ST elevation in lead aVR. Coronary angiography revealed spontaneous dissection in a big, dominant left circumflex artery. No other lesions identified. During stenting of the dissection site, the distal left circumflex, supplying a large posterior descending artery was occluded, resulting in ST elevation myocardial infarction with ST elevation in lead III and aVF, but not II. This pattern is considered to represent right coronary artery infarction, rather than left circumflex infarction.

Indexed as

Acute Coronary SyndromeCardiac CatheterizationChest PainCoronary AngiographyElectrocardiographyEmergency Service, HospitalHumansMaleMiddle AgedMultimorbidityPercutaneous Coronary InterventionPrognosisST Elevation Myocardial InfarctionStentsTreatment Outcomeacute coronary syndromeaVRcoronary artery dissectionelectrocardiogramST depression

Identifiers

PMID30387541
PMCPMC6931685
OpenAlexW2898652895

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.