Evidence map›Paper›PMID 34988332›Full record

ReviewJournal of clinical and translational research2021

A review of the presentation and outcome of left ventricular thrombus in coronavirus disease 2019 infection.

Anil Mathew Philip, Lina James George, Kevin John John, Anu Anna George, Jemimah Nayar, Kamal Kant Sahu, Vijairam Selvaraj, Amos Lal, Ajay Kumar Mishra

Open access · greenAbstract readReview
In one paragraph

Review in Journal of clinical and translational research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 14 citations in OpenAlex.

  1. Heart Failure and a Large Ventricular Thrombus Following COVID-19 Infection.Journal of cardiovascular development and disease · 2026
    Article
  2. Article
  3. MRI of cardiac involvement in COVID-19.The British journal of radiology · 2024
    Review
  4. Article
  5. Article
  6. Cardiovascular magnetic resonance for evaluation of cardiac involvement in COVID-19: recommendations by the Society for Cardiovascular Magnetic Resonance.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2023
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. 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

9 authors at 3 institutions in 2 countries.

Anil Mathew PhilipDepartment of Medicine, St. Thomas Mission Hospital, Kattanam, India.
Lina James GeorgeDepartment of Pulmonary Medicine, DR KM Cherian Institute of Medical Sciences, Kallissery, India.
Kevin John JohnDepartment of Critical Care, Believers Church Medical College Hospital, Thiruvalla, Kerala, India.
Anu Anna GeorgeDepartment of Internal Medicine, Saint Vincent Hospital, Worcester, Massachusetts, 01608, USA.
Jemimah NayarDepartment of Nuclear Medicine, Christian Medical College, Vellore, India.
Kamal Kant SahuDivision of Hematooncology, Huntsman Cancer Institute, University of Utah, United States.
Vijairam SelvarajInternal Medicine, Warren Apert School of Brown University, Miriam Hospital, 164 Summit Ave, Providence, 02906, RI.
Amos LalDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, Mayo Clinic, 200 1 St SW, Rochester, MN 55905, United States.
Ajay Kumar MishraDepartment of Internal Medicine, Division of Cardiology, Saint Vincent Hospital, Worcester, Massachusetts, 01608, USA.
Saint Vincent Hospital · USChristian Medical College & Hospital · INMalankara Orthodox Syrian Church Medical College Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiovascular complications of the coronavirus disease 2019 (COVID-19), which is caused by the severe acute respiratory syndrome coronavirus 2 (SARS- CoV-2), have been documented both in the acute phase and in convalescence. One such complication is the formation of the left ventricular (LV) thrombus. There is a lack of clarity regarding the incidence, risk factors, and management of this complication.

aimThe aim of the study is to identify the clinical presentation, risk factors and outcome of COVID-19 patients with left ventricular thrombus (LVT).

methodsA literature search was conducted to identify all case reports of COVID-19 with LVT in PubMed/Medline, Embase, Web of Science, and Google Scholar.

resultsAmong the 65 patients identified, 60 had LVT, either at admission, or during the acute phase of the illness. Six patients with mild symptoms during the acute phase of viral illness had only the COVID-19 antibody test positivity at the time LV thrombus was detected. Few of the patients (23.1%) had no comorbidities. The mean age of the patients was 52.8 years, and the youngest patient was 4 years old. This suggests that LVT formation can occur in young COVID-19 patients with no co-morbid conditions. Most of the patients (69.2%) had more than one site of thrombosis. A mortality rate of 23.1% was observed in our review, and ST-elevation myocardial infarction (STEMI) was diagnosed in 33.3% of those who died.

conclusionsA high degree of suspicion for LVT must be maintained in patients with known cardiac disease and those with new-onset arterial or venous thromboembolism, and such patients may benefit from a screening echocardiography at admission. RELEVANCE FOR PATIENTS: The patients with preexisting cardiovascular disease must take added precautions to prevent acquiring COVID-19 infection as there is a higher risk of developing LV thrombus. In patients who develop LVT in COVID-19, mortality rate is higher.

Indexed as

acute coronary syndromecoronaviruscoronavirus 2coronavirus disease 2019echocardiogramleft ventricular thrombussevere acute respiratory syndromethromboembolismthrombosis

Identifiers

PMID34988332
PMCPMC8715711
OpenAlexW4206865866

What OpenQuestion holds

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LicenceCC BY
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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.