Evidence map›Paper›PMID 33728053›Full record

ReviewGlobal challenges (Hoboken, NJ)2021

Lopsided Blood-Thinning Drug Increases the Risk of Internal Flow Choking Leading to Shock Wave Generation Causing Asymptomatic Cardiovascular Disease.

Valsalayam Raghavapanicker Sanal Kumar, Shiv Kumar Choudhary, Pradeep Kumar Radhakrishnan, Rajaghatta Sundararam Bharath, Nichith Chandrasekaran, Vigneshwaran Sankar, Ajith Sukumaran, Charlie Oommen

RetractedOpen access · goldAbstract readReviewRetracted Publication
In one paragraph

Review in Global challenges (Hoboken, NJ), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.0field-weighted citation impact, top 8% 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, 19 citations in OpenAlex.

  1. Sanal flow choking in cardiovascular systems: A scientific fallacy.Indian journal of thoracic and cardiovascular surgery · 2024
    Article
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Valsalayam Raghavapanicker Sanal KumarVikram Sarabhai Space Centre (SC CA No.6301/2013) Indian Space Research Organisation Thiruvananthapuram Kerala 695022 India.ORCID https://orcid.org/0000-0002-5643-7223
Shiv Kumar ChoudharyDepartment of Cardiothoracic and Vascular Surgery All India Institute of Medical Sciences New Delhi 110029 India.
Pradeep Kumar RadhakrishnanChief Division of Cardiothoracic and Vascular Surgery GITAM University Visakhapatnam Andhra Pradesh 530045 India.
Rajaghatta Sundararam BharathNational Centre for Combustion Research and Development Indian Institute of Science Bangalore Karnataka 560012 India.
Nichith ChandrasekaranNational Centre for Combustion Research and Development Indian Institute of Science Bangalore Karnataka 560012 India.
Vigneshwaran SankarDepartment of Aeronautical Engineering Kumaraguru College of Technology Coimbatore Tamil Nadu 641049 India.
Ajith SukumaranDepartment of Aeronautical Engineering Kumaraguru College of Technology Coimbatore Tamil Nadu 641049 India.
Charlie OommenNational Centre for Combustion Research and Development Indian Institute of Science Bangalore Karnataka 560012 India.
Wildlife Information Liaison Development · INIndian Institute of Science Bangalore · INAll India Institute of Medical Sciences · INGITAM University · INIndian Space Research Organisation · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The discovery of Sanal flow choking in the cardiovascular-system calls for multidisciplinary and global action to develop innovative treatments and to develop new drugs to negate the risk of asymptomatic-cardiovascular-diseases. Herein, it is shown that when blood-pressure-ratio (BPR) reaches the lower-critical-hemorrhage-index (LCHI) internal-flow-choking and shock wave generation can occur in the cardiovascular-system, with sudden expansion/divergence/vasospasm or bifurcation regions, without prejudice to the percutaneous-coronary-intervention (PCI). Analytical findings reveal that the relatively high and the low blood-viscosity are cardiovascular-risk factors. In vitro studies have shown that nitrogen, oxygen, and carbon dioxide gases are dominant in fresh blood samples of humans/guinea pigs at a temperature range of 98.6-104 F. An in silico study demonstrated the Sanal flow choking phenomenon leading to shock-wave generation and pressure-overshoot in the cardiovascular-system. It has been established that disproportionate blood-thinning treatment increases the risk of the internal-flow-choking due to the enhanced boundary-layer-blockage-factor, resulting from an increase in flow-turbulence level in the cardiovascular-system, caused by an increase in Reynolds number as a consequence of low blood-viscosity. The cardiovascular-risk can be diminished by concurrently lessening the viscosity of biofluid/blood and flow-turbulence by raising the thermal-tolerance-level in terms of blood-heat-capacity-ratio (BHCR) and/or by decreasing the systolic-to-diastolic blood-pressure-ratio.

Indexed as

acute‐heart failureasymptomatic hemorrhageBHCRbiofluid chokingBPRCovid‐19sanal flow choking

Identifiers

PMID33728053
PMCPMC7933821
OpenAlexW3127678998

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.