Evidence map›Paper›PMID 33687933›Full record

ArticleBMJ case reports2021

Gastric perforation mimicking ST-segment elevation myocardial infarction.

Ryan Enast Intan, Fani Suslina Hasibuan, Parama Gandi, Firas F Alkaff

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Small Bowel Perforated Viscus Mimicking Inferior Wall Myocardial Infarction: A Case Report.Journal of community hospital internal medicine perspectives · 2024
    Article
  3. 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

4 authors.

Ryan Enast IntanFaculty of Medicine Universitas Airlangga, Surabaya, Indonesia.
Fani Suslina HasibuanDepartment of Cardiology and Vascular Medicine, Dr. R. Koesma General Hospital, Tuban, Indonesia.
Parama GandiDepartment of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Airlangga - Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
Firas F AlkaffDepartment of Internal Medicine, University Medical Center Groningen, Groningen, The Netherlands f.f.alkaff@umcg.nl firasfarisialkaff@fk.unair.ac.id.ORCID http://orcid.org/0000-0002-5628-1345

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ST-elevation myocardial infarction (STEMI) is one of the medical emergencies in cardiology with high morbidity and mortality rate which requires rapid response. In elderly patients, its presenting symptoms may be atypical which may cause the diagnosis of MI to be delayed or missed. Therefore, ST-segment elevation on ECG has become the main instrument for initial diagnosis. However, there are a variety of conditions mimicking the ECG changes of STEMI. We report a case of 70-year-old patient with acute peritonitis and pneumoperitoneum secondary to gastric perforation with dynamic ECG changes mimicking anteroseptal STEMI. After the surgery, the ECG dynamically reverted to normal. He was then discharged after 4 days without any remaining symptoms. Misinterpretation of ECG findings may lead to unnecessary aggressive intervention, costly management strategies and delay in appropriate treatment.

Indexed as

ST Elevation Myocardial InfarctionAgedElectrocardiographyHumansMaleemergency medicinegastroenterologyischaemic heart disease

Identifiers

PMID33687933
PMCPMC7944980

What OpenQuestion holds

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Registered trials

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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.