Evidence map›Paper›PMID 33334748›Full record

ArticleBMJ case reports2020

Severe functional mitral stenosis due to a left atrial myxoma masquerading as asthma.

Ufara Zuwasti, Ricardo Quarrie, Elizabeth Allen, Christopher Haas

Open access · hybridAbstract readCase ReportsVideo-Audio Media
In one paragraph

Article in BMJ case reports, 2020. 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
0.9field-weighted citation impact, top 22% 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. Cardiac myxomas: A narrative review.World journal of cardiology · 2022
    Review
  4. A giant left atrial myxoma causing mitral valve pseudostenosis - a mimicker.Journal of community hospital internal medicine perspectives · 2021
    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

4 authors at 3 institutions in 1 country.

Ufara ZuwastiDepartment of Internal Medicine, MedStar Health, Baltimore, Maryland, USA ufara.zuwasti@gmail.com.ORCID http://orcid.org/0000-0003-3687-858X
Ricardo QuarrieHeart and Vascular Institute, MedStar Union Memorial Hospital, Baltimore, Maryland, USA.
Elizabeth AllenDepartment of Pathology, MedStar Union Memorial Hospital, Baltimore, Maryland, USA.
Christopher HaasDepartment of Internal Medicine, MedStar Harbor Hospital, Baltimore, Maryland, USA.
MedStar Union Memorial Hospital · USMedStar Franklin Square Medical Center · USMedStar Health · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

While cardiac myxomas are the most common primary cardiac tumours, their overall incidence remains rare. Most cases (90%) are sporadic and occur in the third-sixth decades of life with a female predominance and have a specific predilection for the left atrium (75%). While often asymptomatic, clinical presentations depend on the tumour size, architecture and location. Echocardiography remains the mainstay for diagnostic evaluation. Tumour resection is the only definitive treatment. Histopathology using H&E and immunohistochemical stains, such as calretinin and CD34, confirms the diagnosis. We present a case of a patient with reported history of asthma who presented with recurrent acute on chronic shortness of breath refractory to inhaler therapy, multiple outpatient visits and hospitalisations for 'asthma exacerbations'. After further evaluation, she was diagnosed with a left atrial myxoma attached to the inferior aspect of the intra-atrial septum complicated by severe functional mitral stenosis.

Indexed as

AsthmaCardiopulmonary BypassComputed Tomography AngiographyDiagnosis, DifferentialDyspneaEchocardiographyElectrocardiographyFemaleHeart AtriaHeart NeoplasmsHumansMiddle AgedMitral Valve StenosisMyxomaSternotomyTreatment Outcomeasthmacancer - see oncologycardiothoracic surgeryultrasonographyvalvar diseases

Identifiers

PMID33334748
PMCPMC7747612
OpenAlexW3117784662

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.