Evidence map›Paper›PMID 31020118›Full record

ArticleEuropean heart journal. Case reports2018

Cardiac tamponade and adrenal insufficiency due to pembrolizumab: a case report.

Gerard Oristrell, Jordi Bañeras, Javier Ros, Eva Muñoz

Open access · goldAbstract readCase Reports
In one paragraph

Article in European heart journal. Case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 pooled it
2.9field-weighted citation impact, top 8% 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

25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Immune Checkpoint Inhibitors in Clear Cell Renal Cell Carcinoma (ccRCC).International journal of molecular sciences · 2025
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  11. Checkpoint-inhibitor induced Polyserositis with Edema.Cancer immunology, immunotherapy : CII · 2022
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  16. Review
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  18. Article
  19. Article
  20. First line Immunotherapy for Non-Small Cell Lung Cancer.Pharmaceuticals (Basel, Switzerland) · 2020
    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

4 authors at 4 institutions in 1 country.

Gerard OristrellDepartment of Cardiology, Hospital Universitario Vall d'Hebrón, Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Paseo Vall d'Hebrón, Barcelona, Spain.
Jordi BañerasDepartment of Cardiology, Hospital Universitario Vall d'Hebrón, Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Paseo Vall d'Hebrón, Barcelona, Spain.
Javier RosDepartment of Oncology, Hospital Universitario Vall d'Hebrón, Vall d'Hebrón Institute of Oncology, Paseo Vall d'Hebrón, Barcelona, Spain.
Eva MuñozDepartment of Oncology, Hospital Universitario Vall d'Hebrón, Vall d'Hebrón Institute of Oncology, Paseo Vall d'Hebrón, Barcelona, Spain.
Centro de Investigación Biomédica en Red · ESCentro de Investigación en Red en Enfermedades Cardiovasculares · ESVall d'Hebron Hospital Universitari · ESVall d'Hebron Institute of Oncology

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients who receive or have received anti-programmed cell-death-1 (PD-1) monoclonal antibodies can develop immune-related adverse events due to activation of the immune system. CASE PRESENTATION: We report a case of a patient who received pembrolizumab and presented with cardiac tamponade. Despite pericardial drainage, she persisted with refractory arterial hypotension due to secondary adrenal insufficiency. After initiating corticosteroid therapy, the patient recovered successfully. DISCUSSION: The association of pericarditis, hypophysitis and thyroid dysfunction support the diagnosis of a life-threatening immune-related adverse event due to pembrolizumab. In case of immune-related adverse events secondary to anti-PD-1 monoclonal antibodies, corticosteroid therapy should be promptly initiated in order to avoid major complications.

Indexed as

Adrenal insufficiencyCardiac tamponadeCase reportCorticosteroidsPembrolizumabPericarditis

Identifiers

PMID31020118
PMCPMC6177032
OpenAlexW2795484732

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.