Evidence map›Paper›PMID 31326902›Full record

ArticleBMJ case reports2019

Cardiac arrest in a young healthy male patient secondary to kratom ingestion: is this 'legal high' substance more dangerous than initially thought ?

Hafez Mohammad Ammar Abdullah, Iqra Haq, Randall Lamfers

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Clinical Implications of Kratom (Current addiction reports · 2023
    Review
  2. Life (Basel, Switzerland) · 2022
    Review
  3. Health Effects Associated With Kratom (Substance abuse : research and treatment · 2022
    Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. 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

3 authors.

Hafez Mohammad Ammar AbdullahInternal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA.ORCID http://orcid.org/0000-0002-8261-6997
Iqra HaqInternal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA.
Randall LamfersInternal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Kratom is a psychoactive herb that has stimulant properties at low doses and has opioid-like properties at higher doses. It has been used for centuries in southeast Asia as a stimulant but has gained increasing popularity as a substitute for opioids in western countries as it is easily available. As most cases of kratom use involve other drugs too, the Food and Drug Administration (FDA) has stopped short of restricting kratom due to difficulty in assessing the adverse effects of kratom alone. We present the case of a young healthy 35-year-old man who suffered a cardiac arrest due to kratom use with no other coingestants. He was subsequently intubated and found to have systolic dysfunction and small brain infarcts. Fortunately, he made a successful recovery and was discharged after a stay at thebehavioural health centre. Our case highlights the potential adverse effects of kratom and the need to regulate its use.

Indexed as

AdultBrain InfarctionDiagnosis, DifferentialHeart ArrestHumansHypothermia, InducedMaleMitragynaPsychotropic DrugsSubstance Withdrawal SyndromePsychotropic Drugsdrugs misuse (including addiction)drugs: psychiatryglobal healthpublic health

Identifiers

PMID31326902
PMCPMC6663180

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.