Evidence map›Paper›PMID 33733808›Full record

SynthesisJournal of the American Heart Association2021

Tuberculosis and the Heart.

José Patricio López-López, Edith L Posada-Martínez, Clara Saldarriaga, Fernando Wyss, Carlos I Ponte-Negretti, Bryce Alexander, Andrés Felipe Miranda-Arboleda, Manuel Martínez-Sellés, Adrian Baranchuk, Neglected Tropical Diseases, Other Infectious Diseases Affecting the Heart (the NET‐Heart Project)

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 4 pooled it
14.6field-weighted citation impact, top 1% 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

60 citing papers in PubMed, 4 syntheses or guidelines pooled it, 115 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Tuberculosis and the Heart.Journal of the American Heart Association · 2021
    Pooled it
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  7. Review
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  12. Article
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  14. Article
  15. Cardiovascular Complications from Tuberculosis.Reviews in cardiovascular medicine · 2025
    Review
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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

10 authors at 8 institutions in 6 countries.

José Patricio López-LópezDepartment of Medicine Fundación Oftalmológica de Santander (FOSCAL) Bucaramanga Colombia.
Edith L Posada-MartínezNational Institute of Cardiology "Ignacio Chavez" Mexico City Mexico.
Clara SaldarriagaDepartment of Cardiology and Heart Failure Clinic Clínica Cardiovascular Santa MariaUniversidad of Antioquia Medellín Colombia.
Fernando WyssTechnology and Cardiovascular Service of Guatemala - Cardiosolutions Guatemala City Guatemala.
Carlos I Ponte-NegrettiCardiometabolic Medicine Unit Instituto Médico La Floresta Caracas Venezuela.
Bryce AlexanderDivision of Cardiology Kingston Health Science CenterQueen's University Kingston Canada.
Andrés Felipe Miranda-ArboledaDepartment of Cardiology Clínica CardioVID Hospital Pablo Tobón UribeUniversidad de Antioquia Medellín Colombia.
Manuel Martínez-SellésServicio de Cardiología Hospital Universitario Gregorio MarañónCIBERCVUniversidad EuropeaUniversidad Complutense Madrid Spain.
Adrian BaranchukDivision of Cardiology Kingston Health Science CenterQueen's University Kingston Canada.
Neglected Tropical Diseases, Other Infectious Diseases Affecting the Heart (the NET‐Heart Project)
Queen's University · CAClínica Santa María · COHospital General Universitario Gregorio Marañón · ESInstituto Médico La Floresta · VEInstituto Nacional de Cardiología · MXUnidad de Cirugía Cardiovascular de Guatemala · GTUniversidad de Antioquia · COUniversidad De Santander · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acquired tuberculosis continues to be a challenge worldwide. Although tuberculosis has been considered a global public health emergency, it remains poorly controlled in many countries. Despite being primarily a pulmonary disease, tuberculosis could involve the heart. This systematic review is part of the "Neglected Tropical Diseases and Other Infectious Diseases Involving the Heart" (the NET-Heart Project) initiative from the Interamerican Society of Cardiology. This project aims to review the cardiovascular involvement of these heterogeneous diseases, advancing original algorithms to help healthcare providers diagnose and manage cardiovascular complications. In tuberculosis, pericardium involvement is relatively common, especially in AIDS, and tuberculosis is the most common cause of constrictive pericarditis in endemic countries. Myocarditis and aortitis by tuberculosis are rare. Clinical manifestations of cardiovascular involvement by tuberculosis differ from those typically found for bacteria or viruses. Prevailing systemic symptoms and the pericarditis diagnostic index should be taken into account. An echocardiogram is the first step for diagnosing cardiovascular involvement; however, several image modalities can be used, depending on the suspected site of infection. Adenosine deaminase levels, gamma interferon, or polymerase chain reaction testing could be used to confirm tuberculosis infection; each has a high diagnostic performance. Antituberculosis chemotherapy and corticosteroids are treatment mainstays that significantly reduce mortality, constriction, and hospitalizations, especially in patients with HIV. In conclusion, tuberculosis cardiac involvement is frequent and could lead to heart failure, constrictive pericarditis, or death. Early detection of complications should be a cornerstone of overall management.

Indexed as

Disease ManagementGlobal HealthHumansMorbidityMyocarditisTuberculosis, Cardiovascularheartmyocarditispericarditistuberculosisvessels

Identifiers

PMID33733808
PMCPMC8174360
OpenAlexW3137896782

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.