Evidence map›Paper›PMID 33727291›Full record

ArticleBMJ case reports2021

Antiphospholipid syndrome leading to paradoxical embolus and stroke via secundum atrial septal defect.

Amy Campbell, Avinash Kumar Kanodia, Christopher Robert Gingles, Harinath Chandrashekar

Open access · greenAbstract 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 96% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 at 3 institutions in 1 country.

Amy CampbellEmergency Department, NHS Tayside, Dundee, UK.
Avinash Kumar KanodiaRadiology, Ninewells Hospital and Medical School, Dundee, UK avinash.kanodia@nhs.scot.
Christopher Robert GinglesCardiology, University of Dundee, Dundee, UK.
Harinath ChandrashekarStroke Medicine, NHS Tayside, Dundee, UK.
NHS Tayside · GBNinewells Hospital · GBUniversity of Dundee · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We have presented a case of a 22-year-old man, presenting with cerebral infarct, subsequently found to have antiphospholipid syndrome (APS), deep venous thrombosis, pulmonary embolism and atrial septal defect (ASD), thereby confirming the presence of infarct due to paradoxical embolism in this patient. The importance of ASD in the patients of APS, resulting in paradoxical embolism is debatable, with recent studies undermining its importance. We have demonstrated that it does indeed happen. This would have implications in the risk assessment and management of ASD in such patients. This case report is intended to serve as a reminder of this association and the need to perform further research in this area.

Indexed as

Antiphospholipid SyndromeEmbolism, ParadoxicalForamen Ovale, PatentHeart Septal Defects, AtrialStrokeAdultCardiac CatheterizationHumansMaleYoung Adultinterventional cardiologystroke

Identifiers

PMID33727291
PMCPMC7970231
OpenAlexW3136777687

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.