Evidence map›Paper›PMID 37161579›Full record

ArticleJournal of medical case reports2023

Anomalous aortic origin of right coronary artery from left coronary cusp: a management conundrum: a case report.

Pramukh Arun Kumar, Boskey Patel, Mahati Dasari, Pradnya Brijmohan Bhattad, Sushmita Prabhu, Michelle Hadley

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 4 citations in OpenAlex.

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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 2 institutions in 1 country.

Pramukh Arun KumarDepartment of Internal Medicine, Saint Vincent Hospital, 123 Summer Street, Worcester, MA, 01608, USA. pramukharunkumar@gmail.com.ORCID http://orcid.org/0000-0003-3497-1334
Boskey PatelDivision of Cardiovascular Medicine, Lahey Hospital & Medical Center, Burlington, MA, USA.
Mahati DasariDepartment of Internal Medicine, Saint Vincent Hospital, 123 Summer Street, Worcester, MA, 01608, USA.
Pradnya Brijmohan BhattadDivision of Cardiovascular Medicine, Saint Vincent Hospital, Worcester, MA, USA.
Sushmita PrabhuDepartment of Internal Medicine, Saint Vincent Hospital, 123 Summer Street, Worcester, MA, 01608, USA.
Michelle HadleyDivision of Cardiovascular Medicine, Saint Vincent Hospital, Worcester, MA, USA.
Saint Vincent Hospital · USLahey Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronary artery anomalies are characterized by an abnormality in the course or origin of three main coronary arteries. There needs to be more scientific evidence to promptly treat coronary artery anomalies with poorly understood prognostic implications, especially anomalous aortic origin of the right coronary artery from the left coronary cusp. CASE PRESENTATION: A 58-year-old Caucasian female presented multiple times over 6 months with atypical chest discomfort and palpitations. The treadmill exercise test demonstrated exercise-induced non-sustained ventricular tachycardia. A coronary angiogram revealed no obstructive coronary artery disease and an anomalous aortic origin of the right coronary artery from the left coronary cusp with an interarterial course. She was managed conservatively with medications, despite persistent recurrent symptoms.

conclusionIt is essential to identify subtle symptoms and insidious onset of anomalous aortic origin of the right coronary artery symptoms as seen in our patient, which can contribute to significant morbidity. There are discrepancies in existing guidelines between different cardiovascular societies in managing selected subgroups of patients with anomalous aortic origin of the right coronary artery who do not have high-risk features, but continue to remain symptomatic.

Indexed as

AortaCoronary Artery DiseaseCoronary AngiographyExercise TestFemaleHumansMiddle AgedAcute coronary syndromeAdult congenital heart diseaseAnomalous coronary arteryChest painRight coronary artery

Identifiers

PMID37161579
PMCPMC10170789
OpenAlexW4376131761

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.