Evidence map›Paper›PMID 33878372›Full record

ArticleInternational journal of cardiology2021

Identification of a novel presumed cardiac sarcoidosis category for patients at high risk of disease.

Andrew N Rosenbaum, Nikhil Kolluri, Mohamed Y Elwazir, Suraj Kapa, Omar F Abou Ezzeddine, John P Bois, Panithaya Chareonthaitawee, Tyler J Schmidt, Leslie T Cooper

Open access · greenAbstract read
In one paragraph

Article in International journal of cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  7. Review
  8. A fearsome evolution of presumed cardiac sarcoidosis: The sarcoid-lymphoma syndrome.International journal of cardiology. Heart & vasculature · 2024
    Article
  9. Review
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  12. Article
  13. Observational
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  18. Clinical features and prognosis of isolated cardiac sarcoidosis diagnosed using new guidelines with dedicated FDG PET/CT.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Andrew N RosenbaumDepartment of Cardiovascular Medicine, Mayo Clinic, 200 First St SW, Rochester, MN 55905, United States. Electronic address: rosenbaum.andrew@mayo.edu.
Nikhil KolluriDepartment of Internal Medicine, Mayo Clinic, 200 First St SW, Rochester, MN 55905, United States.
Mohamed Y ElwazirDepartment of Cardiology, Suez Canal University, Ismailia, Egypt.
Suraj KapaDepartment of Cardiovascular Medicine, Mayo Clinic, 200 First St SW, Rochester, MN 55905, United States.
Omar F Abou EzzeddineDepartment of Cardiovascular Medicine, Mayo Clinic, 200 First St SW, Rochester, MN 55905, United States.
John P BoisDepartment of Cardiovascular Medicine, Mayo Clinic, 200 First St SW, Rochester, MN 55905, United States.
Panithaya ChareonthaitaweeDepartment of Cardiovascular Medicine, Mayo Clinic, 200 First St SW, Rochester, MN 55905, United States.
Tyler J SchmidtDepartment of Internal Medicine, Mayo Clinic, 200 First St SW, Rochester, MN 55905, United States.
Leslie T CooperDepartment of Cardiovascular Medicine, Mayo Clinic, 4500 San Pablo Rd, Jacksonville, FL 32224, United States.
Mayo Clinic · USMayo Clinic in Florida · USSuez Canal University · EG

Funding

Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
NCATS NIH HHS UL1 TR002377
6 · The paper itself

Abstract

backgroundHistologic evidence is required for a definitive diagnosis of cardiac sarcoidosis (CS) by published guidelines; however, the sporadic nature of the disease may produce false negative biopsy results, causing CS to be underdiagnosed. We sought to establish a clinical category of CS absent histologic findings.

methodsPatients evaluated for CS were stratified into 3 groups: probable CS and definite CS based on Heart Rhythm Society (HRS) criteria and presumed CS, ie, patients without any histologic evidence of sarcoidosis, but with unexplained high-grade atrioventricular block or ventricular arrhythmia and findings suggestive of CS on either cardiac magnetic resonance imaging or positron emission tomography. The primary end point was hospitalization-free and overall survival at 10 years.

resultsA total of 383 patients were included in the study: 59, definite CS; 223, probable CS; and 101, presumed CS (62, isolated CS and 39, systemic CS). Compared with patients meeting HRS criteria for CS, patients with presumed CS had lower odds of New York Heart Association class III or IV symptoms (odds ratio [OR], 0.44 [95% CI, 0.23-0.83]; P = .01) but greater odds of previous ventricular tachycardia (OR, 2.4 [95% CI, 1.4-4.0]; P = .001) or history of resuscitated sudden cardiac arrest (OR, 2.9 [95% CI, 1.0-8.6]; P = .05). Hospitalization-free and overall survival were similar among groups (P = .51 and P = .71, respectively).

conclusionsClinical categorization of patients with presumed CS identified a high-risk cohort comparable to patients with histologic evidence of disease, although caution should be exercised in reaching this diagnosis without paying due diligence to the differential diagnosis.

Indexed as

CardiomyopathiesMyocarditisSarcoidosisHumansPositron-Emission TomographyTomography, X-Ray ComputedDiagnosisImagingInflammationMyocarditis

Identifiers

PMID33878372
PMCPMC11884318
OpenAlexW3154498073

What OpenQuestion holds

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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.