Evidence map›Paper›PMID 30985685›Full record

ArticleMedicine2019

Acute myocardial infarction as the first manifestation of Takayasu arteritis: A case report.

Ting Zhang, Bo Peng, Xiang Tu, Shan Zhang, Sen Zhong, Wenzhai Cao

Abstract readCase Reports
In one paragraph

Article in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. An unusual case of takayasu arteritis presenting as acute myocardial infarction and ischaemic stroke.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2022
    Article
  13. Article
  14. Article
  15. Article
  16. Review
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.

Ting ZhangSchool of Clinical Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu.
Bo PengSchool of Clinical Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu.
Xiang TuNational Traditional Chinese Medicine Clinical Research Base for Diabetes Mellitus, Affiliated Hospital of Chengdu University of Traditional Chinese Medicine.
Shan ZhangSchool of Nursing, Chengdu University of Traditional Chinese Medicine.
Sen ZhongHospital Management Committee of Chengdu University of Traditional Chinese Medicine, Chengdu.
Wenzhai CaoDepartment of Cardiology, Zigong First People's Hospital, Zigong, Sichuan, PR China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleTakayasu arteritis (TA) is a chronic inflammatory disease involving the aorta and its major branches. Initial diagnosis is usually difficult due to the highly variable symptoms. Acute myocardial infarction (AMI) is a very rare presentation in patients with TA. Moreover, the choice of early management for these patients is not well established. PATIENT CONCERNS: A 34-year-old woman was taken to the Emergency Department of our hospital, presenting with a sudden onset and persistent retrosternal chest pain radiating to both upper extremities for 2 hours. Blood pressures were different between 2 arms with 151/115 mm Hg on the right arm and 140/100 mm Hg on the left arm. DIAGNOSES: The patient was diagnosed with TA according to the medical history, physical examination, and vascular imaging.

interventionsPrimary percutaneous coronary intervention (PPCI) was performed to restore the coronary flow of left anterior descending. Meanwhile, combination of oral glucocorticoids and immunosuppressive agents was administered to halt disease progression of TA. OUTCOMES: Chest pain was relieved without rest and exertional angina. The patient achieved long-term remission without symptom relapse during our follow-up. LESSONS: Percutaneous coronary intervention was essential and effective in AMI of TA. Timely immunosuppressive therapy could improve the long-term outcome.

Indexed as

AdultCombined Modality TherapyDiagnosis, DifferentialFemaleHumansMyocardial InfarctionTakayasu Arteritis

Identifiers

PMID30985685
PMCPMC6485801

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.