Evidence map›Paper›PMID 35534046›Full record

SynthesisBMJ open gastroenterology2022

Heyde's syndrome: a systematic review of case reports.

Bibek Saha, Eric Wien, Nicholas Fancher, Melissa Kahili-Heede, Nathaniel Enriquez, Alena Velasco-Hughes

Open access · goldAbstract readCase ReportsSystematic Review
In one paragraph

Synthesis in BMJ open gastroenterology, 2022. 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
2.7field-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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Heyde syndrome secondary to hypertrophic obstructive cardiomyopathy: a case report.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2026
    Article
  6. Heyde Syndrome: A Literature Review.Health science reports · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

6 authors at 1 institution in 1 country.

Bibek SahaJohn A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, Hawaii, USA bsaha2@hawaii.edu.ORCID http://orcid.org/0000-0002-1976-126X
Eric WienJohn A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, Hawaii, USA.
Nicholas FancherJohn A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, Hawaii, USA.
Melissa Kahili-HeedeJohn A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, Hawaii, USA.
Nathaniel EnriquezJohn A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, Hawaii, USA.
Alena Velasco-HughesJohn A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, Hawaii, USA.
University of Hawaiʻi at Mānoa · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHeyde's syndrome (HS), a rare condition characterised by a unique relationship between severe aortic stenosis and angiodysplasia, is often diagnosed late increasing the risk for a prolonged hospital course and mortality in the elderly. The leading hypothesis explaining the aetiology of HS is acquired von Willebrand syndrome (AVWS) but not all studies support this claim. While individual cases of HS have been reported, here we present the first systematic review of case reports and focus on the prevalence of AVWS.

designA systematic search was conducted through PubMed/MEDLINE, CINAHL-EBSCO, Web of Science and Google Scholar since inception. The resulting articles were screened by two independent reviewers based on inclusion criteria that the article must be a case report/series or a letter to the editor in English describing HS in an adult patient.

resultsSeventy-four articles encompassing 77 cases met the inclusion criteria. The average age was 74.3±9.3 years old with a slight female predominance. The small intestine, especially the jejunum, was the most common location for bleeding origin. Capsule endoscopy and double balloon enteroscopy were superior at identifying bleeding sources than colonoscopy (p=0.0027 and p=0.0095, respectively) and oesophagogastroduodenoscopy (p=0.0006 and p=0.0036, respectively). The mean duration from symptom onset to diagnosis/treatment of HS was 23.8±39 months. Only 27/77 cases provided evidence for AVWS. Surgical and transcutaneous aortic valve replacement (AVR) were superior at preventing rebleeding than non-AVR modalities (p<0.0001).

conclusionFurther research is warranted for a stronger understanding and increased awareness of HS, which may hasten diagnosis and optimal management.

Indexed as

AngiodysplasiaAortic Valve StenosisCapsule Endoscopyvon Willebrand DiseasesAdultAgedAged, 80 and overAortic ValveFemaleGastrointestinal HemorrhageHumansMaleSyndromeangiodysplasiadiagnostic and therapeutic endoscopygastrointestinal bleedingsmall bowel enteroscopy

Identifiers

PMID35534046
PMCPMC9086603
OpenAlexW4280626767

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.