Evidence map›Paper›PMID 32335068›Full record

ArticleChest2020

Unexpected BP Sensitivity to Angiotensin II in a Patient With Coronavirus Disease 2019, ARDS, and Septic Shock.

Hanyin Wang, Subhraleena Das, Patrick M Wieruszewski, Jamil Taji, Brian Bartlett, Nabila Azad, Arnab Chowdhury, Gururaj J Kolar, Nitesh Jain, Mir R Subla and 1 more

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Chest, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 35% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. In Response.Anesthesia and analgesia · 2020
    Article
  4. 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

11 authors at 2 institutions in 1 country.

Hanyin WangDepartment of Hospital Internal Medicine, Mayo Clinic Health System, Mankato, MN.
Subhraleena DasDepartment of Intensive Care, Mayo Clinic Health System, Mankato, MN.
Patrick M WieruszewskiDepartment of Pharmacy, Mayo Clinic, Rochester, MN; Multidisciplinary Epidemiology and Translational Research in Intensive Care (METRIC) Group, Rochester, MN.
Jamil TajiDepartment of Intensive Care, Mayo Clinic Health System, Mankato, MN; Division of Pulmonology, Mayo Clinic Health System, Mankato, MN.
Brian BartlettDepartment of Emergency Medicine, Mayo Clinic Health System, Mankato, MN.
Nabila AzadDepartment of Hospital Internal Medicine, Mayo Clinic Health System, Mankato, MN.
Arnab ChowdhuryDepartment of Hospital Internal Medicine, Mayo Clinic Health System, Mankato, MN.
Gururaj J KolarDepartment of Hospital Internal Medicine, Mayo Clinic Health System, Mankato, MN.
Nitesh JainDepartment of Intensive Care, Mayo Clinic Health System, Mankato, MN.
Mir R SublaDepartment of Intensive Care, Mayo Clinic Health System, Mankato, MN; Division of Cardiovascular Medicine, Mayo Clinic Health System, Mankato, MN.
Syed Anjum KhanDepartment of Intensive Care, Mayo Clinic Health System, Mankato, MN. Electronic address: khan.syed@mayo.edu.
Mayo Clinic Health System · USMayo Clinic in Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report the case of an 88-year-old man with coronavirus disease 2019 (COVID-19) who presented with ARDS and septic shock. The patient had exquisite BP sensitivity to low-dose angiotensin II (Ang-2), allowing for rapid liberation from high-dose vasopressors. We hypothesize that sensitivity to Ang-2 might be related to biological effect of severe acute respiratory syndrome coronavirus 2 infection. The case is suggestive of a potential role for synthetic Ang-2 for patients with COVID-19 and septic shock. Further studies are needed to confirm our observed clinical efficacy.

Indexed as

Aged, 80 and overAngiotensin-Converting Enzyme InhibitorsAngiotensin IIBetacoronavirusCoronavirus InfectionsCOVID-19HumansMalePandemicsPneumonia, ViralRespiratory Distress SyndromeSARS-CoV-2Shock, SepticAngiotensin-Converting Enzyme InhibitorsAngiotensin IIangiotensin IICOVID-19SARS-CoV-2septic shock

Identifiers

PMID32335068
PMCPMC7194656
OpenAlexW3018667907

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.