Evidence map›Paper›PMID 32418528›Full record

ReviewCurrent cardiology reviews2021

Hydralazine-Induced ANCA Associated Vasculitis (AAV) Presenting with Pulmonary-Renal Syndrome (PRS): A Case Report with Literature Review.

Karim Doughem, Ayman Battisha, Omar Sheikh, Lakshmi Konduru, Bader Madoukh, Mohammed Al-Sadawi, Shakil Shaikh

Open access · greenAbstract readCase ReportsReview
In one paragraph

Review in Current cardiology reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Diffuse Alveolar Hemorrhage Linked to Hydralazine.Journal of Brown hospital medicine · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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 5 institutions in 1 country.

Karim DoughemUniversity of Texas Health Science Center at Houston, Houston, TX 77030, United States.
Ayman BattishaUniversity of Massachusetts Medical School-Baystate, Springfield, MA 01655, United States.
Omar SheikhUniversity of Texas Health Science Center at San Antonio, San Antonio, TX 78229, United States.
Lakshmi KonduruUniversity of Texas Health Science Center at Houston, Houston, TX 77030, United States.
Bader MadoukhOverland Park Regional Medical Center-HCA Midwest Health, Overland Park, KS 66211, United States.
Mohammed Al-SadawiDepartment of Medicine, State University of New York, Downstate Medical Center, Brooklyn, NY 11203, United States.
Shakil ShaikhDepartment of Medicine, State University of New York, Downstate Medical Center, Brooklyn, NY 11203, United States.
State University of New York · USThe University of Texas Health Science Center at Houston · USBaystate Medical Center · USRegional Medical Center · USThe University of Texas Health Science Center at San Antonio · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hydralazine, an arterial vasodilator, is a widely used medication for the management of hypertension and heart failure, especially for patients who cannot tolerate the use of ACEIs or ARBs. It is generally well-tolerated and has a safe profile in pregnancy. However, hydralazine can induce immune-mediated side effects, such as hydralazine-induced lupus and less commonly hydralazine- induced ANCA vasculitis. The latter most commonly affects the kidneys with or without other organ involvement. There are several cases reported in the literature of hydralazine-induced ANCA associated vasculitis (AAV) that have pulmonary manifestations, also known as hydralazine- induced pulmonary-renal syndrome (PRS), a condition with a high risk of mortality. We are reporting a case of Hydralazine-induced ANCA associated glomerulonephritis with severe diffuse alveolar hemorrhage (DAH). In addition, we will review the current literature and discuss the importance of prompt diagnosis and early management to decrease mortality and morbidity associated with this serious condition.

Indexed as

Anti-Neutrophil Cytoplasmic Antibody-Associated VasculitisGlomerulonephritisHemorrhageLung DiseasesAgedFemaleHeart FailureHumansHydralazineHypertensionLungVasodilator AgentsHydralazineVasodilator Agentsheart failureHydralazinehypertensionpulmonary hemorrhagepulmonary-renal syndrome.vasculitis

Identifiers

PMID32418528
PMCPMC8226194
OpenAlexW3027666250

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.