Evidence map›Paper›PMID 33762294›Full record

ReviewBMJ case reports2021

Stolen from the coronaries: Left-to-Left shunts presenting as chest pain syndrome!

Love Shah, Deeksha Kundapur, Shravan Nosib

Open access · greenAbstract readCase ReportsReview
In one paragraph

Review 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 95% 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, 0 citations in OpenAlex.

  1. 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

3 authors at 2 institutions in 1 country.

Love ShahInternal Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Deeksha KundapurFaculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Shravan NosibCardiology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada shravan.nosib@gmail.com.
University of Saskatchewan · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present the case of a 61-year-old woman with chest pain syndrome. Cardiac catheterisation did not reveal atherosclerotic coronary disease. However, a haemodynamically significant fistula connecting the left coronary artery to the left atrial appendage was found to be the culprit through a left-to-left shunting mechanism. In this report, we review the pathophysiology of coronary artery fistulas and the mechanism by which these fistulas may lead to 'coronary steal syndrome'. Indications for interventional and surgical management are outlined. Ultimately, we suggest the consideration of coronary artery fistulas in the differential diagnosis of patients presenting with chest pain.

Indexed as

Coronary Artery DiseaseFistulaChest PainFemaleHeartHumansMiddle Agedcardiothoracic surgeryclinical diagnostic testsinterventional cardiologyradiology (diagnostics)

Identifiers

PMID33762294
PMCPMC7993208
OpenAlexW3139254885

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.