Evidence map›Paper›PMID 36894891›Full record

ArticleInternational journal of emergency medicine2023

Myocardial infarction in patients with severe beta thalassaemia: a case series.

Anuja Premawardhena, Shamila De Silva, Megha Rajapaksha, Vishaka Ratnamalala, Jemimah Nallarajah, Gamini Galappatthy

Open access · goldAbstract read
In one paragraph

Article in International journal of emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Accelerated atherosclerosis in beta-thalassemia.American journal of physiology. Heart and circulatory physiology · 2023
    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 3 institutions in 1 country.

Anuja PremawardhenaDepartment of Medicine: Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka. premawa@kln.ac.lk.
Shamila De SilvaDepartment of Medicine: Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka.
Megha RajapakshaAdolescent & Adult Thalassaemia Unit, North Colombo (Teaching) Hospital, Ragama, Sri Lanka.
Vishaka RatnamalalaDepartment of Haematology, National Hospital of Sri Lanka, Colombo, Sri Lanka.
Jemimah NallarajahInstitute of Cardiology, National Hospital of Sri Lanka, Colombo, Sri Lanka.
Gamini GalappatthyInstitute of Cardiology, National Hospital of Sri Lanka, Colombo, Sri Lanka.
National Hospital of Sri Lanka · LKUniversity of Kelaniya · LKColombo North Teaching Hospital · LK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac disease remains a dominant if not the most important cause of morbidity and mortality in patients with thalassaemia, particularly in those with thalassaemia major. Myocardial infarction and coronary artery disease however are rarely reported. CASE PRESENTATIONS: Three older patients with three distinct thalassaemia syndromes presented with acute coronary syndrome. Two were heavily transfused whilst the other was a minimally transfused patient. Both heavily transfused patients had ST-elevation myocardial infarctions (STEMI) while the minimally transfused patient had unstable angina. Coronary angiogram (CA) was normal in two patients. One patient who developed a STEMI had a 50% plaque. All three were managed as standard ACS, although the aetiology appeared non-atherogenic.

conclusionsThe exact etiology of the presentation, remains a mystery and therefore the rational use of thrombolytic therapy, carrying out angiogram in the primary setting, using and continuing antiplatelet and high dose statins all remains unclear in this sub group of patients.

Identifiers

PMID36894891
PMCPMC9996551
OpenAlexW4323809357

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.