Evidence map›Paper›PMID 31049228›Full record

ArticleCase reports in cardiology2019

Recurrent Coronary Thrombus in a Patient with Chronic Immune Thrombocytopenia with Treatment Using Eltrombopag.

Terumori Satoh, Masao Saotome, Kenichiro Suwa, Hayato Ohtani, Yasuyuki Nagata, Takaaki Ono, Yuichiro Maekawa

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in cardiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

7 authors at 1 institution in 1 country.

Terumori SatohDepartment of Cardiology, Internal Medicine 3, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Masao SaotomeDepartment of Cardiology, Internal Medicine 3, Hamamatsu University School of Medicine, Hamamatsu, Japan.ORCID 0000-0001-6197-1669
Kenichiro SuwaDepartment of Cardiology, Internal Medicine 3, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Hayato OhtaniDepartment of Cardiology, Internal Medicine 3, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Yasuyuki NagataDepartment of Hematology, Internal Medicine 3, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Takaaki OnoDepartment of Hematology, Internal Medicine 3, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Yuichiro MaekawaDepartment of Cardiology, Internal Medicine 3, Hamamatsu University School of Medicine, Hamamatsu, Japan.ORCID 0000-0002-6792-8458
Hamamatsu University School of Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEltrombopag, a nonpeptide thrombopoietin receptor agonist (TPO-RA), has been reported to be an effective therapy for chronic immune thrombocytopenia (ITP). However, a higher incidence of arterial and venous thromboembolic events was reported after using eltrombopag. CASE PRESENTATION: A 67-year-old man, treated with eltrombopag due to chronic ITP, was admitted due to acute coronary syndrome (ACS). Although coronary angiography revealed no occlusion, cardiac magnetic resonance imaging suggested a myocardial infarction in the territory of the left circumflex coronary artery. Three months after the ACS event, the obtuse marginal branches exhibited significant stenosis; hence, a percutaneous coronary intervention (PCI) was performed to implant a zotarolimus-eluting stent under the treatment of a dual antiplatelet therapy. However, stent thrombosis occurred 3 hours after PCI and required three other PCIs during the eltrombopag treatment.

conclusionWe present a case of an ITP patient, who experienced repeated coronary and stent thrombosis during the treatment with eltrombopag. We propose that the risk of ACS and consequent coronary stent thrombosis should be considered before the introduction of eltrombopag.

Identifiers

PMID31049228
PMCPMC6458957
OpenAlexW2922660468

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.