Evidence map›Paper›PMID 37398876›Full record

ReviewInterventional cardiology (London, England)2023

Severe Acute Thrombocytopenia After Treatment with Tirofiban: A Case Series Approach.

Gian-Manuel Jiménez-Rodríguez, Patricia Carmona-Levario, José-Alberto Ayón-Martínez, Aleksandra Gasecka, Luis Eduardo Juárez-Orozco, Antonio Reyes-Ortega, Patricia Espinosa-González, Gyna Alejandra Altamirano-Solorzano, Guering Eid-Lidt

Abstract readReview
In one paragraph

Review in Interventional cardiology (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

9 authors.

Gian-Manuel Jiménez-RodríguezInterventional Cardiology Department, National Institute of Cardiology Ignacio Chávez Mexico City, Mexico.
Patricia Carmona-LevarioInterventional Cardiology Department, National Institute of Cardiology Ignacio Chávez Mexico City, Mexico.
José-Alberto Ayón-MartínezInterventional Cardiology Department, National Institute of Cardiology Ignacio Chávez Mexico City, Mexico.
Aleksandra GaseckaDepartment of Cardiology of the Medical University of Warsaw Warsaw, Poland.
Luis Eduardo Juárez-OrozcoCardiology Department, University Medical Center Utrecht Utrecht, the Netherlands.
Antonio Reyes-OrtegaCardiology Department, National Institute of Cardiology Ignacio Chávez Mexico City, Mexico.
Patricia Espinosa-GonzálezCardiology Department, National Institute of Cardiology Ignacio Chávez Mexico City, Mexico.
Gyna Alejandra Altamirano-SolorzanoHaematology Department, National Institute of Cardiology Ignacio Chávez Mexico City, Mexico.
Guering Eid-LidtInterventional Cardiology Department, National Institute of Cardiology Ignacio Chávez Mexico City, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glycoprotein IIb/IIIa inhibitors are an adjuvant therapy for the treatment of patients with acute coronary syndromes. The main adverse reactions are bleeding and thrombocytopenia in 1-2% of cases. A 66-year-old woman arrived at the emergency department with ST-elevation MI. The catheterisation lab was busy, so she received thrombolytic therapy. Coronary angiography revealed a 90% stenosis in the middle segment of the left anterior descending artery and Thrombolysis in MI 2 flow. Subsequent percutaneous coronary intervention showed abundant thrombus and a coronary dissection and it was necessary to insert five drug-eluting stents. Non-fractionated heparin and a tirofiban infusion were used. After the percutaneous coronary intervention, she developed severe thrombocytopenia, haematuria and gingivorrhagia, for which infusion of tirofiban was suspended. In follow-up, no major bleeding or subsequent haemorrhagic complications were identified. It is crucial to distinguish between heparin-induced thrombocytopenia and thrombocytopenia caused by other drugs. A high level of suspicion should be employed in these cases.

Indexed as

acute coronary syndromesThrombocytopeniatirofiban

Identifiers

PMID37398876
PMCPMC10311402

What OpenQuestion holds

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LicenceCC BY-NC
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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.