Evidence map›Paper›PMID 37886354›Full record

SynthesisFrontiers in medicine2023

Concurrent coronary artery disease and immune thrombocytopenia: a systematic review.

Alaa Rahhal, Drew Provan, Khaled Shunnar, Mostafa Najim, Ashraf Omer Ahmed, Waail Rozi, Murtadha Al-Khabori, Mahmoud Marashi, Mona AlRasheed, Hani Osman and 1 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. An impetuous "HIT"-sudden blockage of all grafts post CABG.Indian journal of thoracic and cardiovascular surgery · 2025
    Article
  2. Article
  3. 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

11 authors at 7 institutions in 6 countries.

Alaa RahhalPharmacy Department, Hamad Medical Corporation, Doha, Qatar.
Drew ProvanBarts and The London School of Medicine, Queen Mary University of London, London, United Kingdom.
Khaled ShunnarCardiology Department, Hamad Medical Corporation, Doha, Qatar.
Mostafa NajimInternal Medicine Department, Rochester Regional Health-Unity Hospital, New York, NY, United States.
Ashraf Omer AhmedInternal Medicine Department, Hamad Medical Corporation, Doha, Qatar.
Waail RoziInternal Medicine Department, Hamad Medical Corporation, Doha, Qatar.
Murtadha Al-KhaboriHematology Department, Sultan Qaboos University, Muscat, Oman.
Mahmoud MarashiDubai Academic Health Corporation and Mediclinic Hospital, Dubai, United Arab Emirates.
Mona AlRasheedHematology Department, AlAdan Hospital, Hadiya, Kuwait.
Hani OsmanHematology and Oncology Department, Tawam Hospital, Abu-Dhabi, United Arab Emirates.
Mohamed YassinHematology Department, National Centre for Cancer Care and Research, Hamad Medical Corporation, Doha, Qatar.
Hamad Medical Corporation · QAAdan Hospital · KWMediclinic City Hospital · AEQueen Mary University of London · GBSultan Qaboos University · OMTawam Hospital · AEUnity Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Coronary artery disease (CAD) management in the setting of immune thrombocytopenia (ITP) remains very challenging to clinicians as a reasonable balance between bleeding and thrombosis risks needs to be achieved, and the evidence guiding such management is scarce. Methods: We conducted a systematic review following the PRISMA guidelines to summarize the available literature on the management and outcomes of CAD coexisting with ITP. We searched PubMed and Embase for studies published in English exploring CAD and ITP management until 05 October 2022. Two independent reviewers screened and assessed the articles for inclusion. Patients' characteristics, CAD treatment modalities, ITP treatment, and complications were reported. Results: We identified 32 CAD cases, among which 18 cases were revascularized with percutaneous coronary intervention (PCI), 12 cases underwent coronary artery bypass graft surgery (CABG), and two cases were managed conservatively. More than 50% were men, with a mean age of 61 ± 13 years and a mean baseline platelet count of 52 ± 59 × 10 Conclusion: We found that revascularization with either PCI or CABG with the concurrent use of corticosteroids and/or IVIG for ITP was feasible, with an existing non-negligible risk of bleeding and mortality.

Indexed as

acute coronary syndromecoronary artery bypass graft surgerycoronary artery diseaseimmune thrombocytopeniaintravenous immunoglobulinspercutaneous coronary intervention

Identifiers

PMID37886354
PMCPMC10598342
OpenAlexW4387500857

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.