Evidence map›Paper›PMID 38468268›Full record

ArticleJournal of medical case reports2024

Recurrent syncope due to ischemia with non-obstructive coronary artery disease: a case report.

Bihan Huang, Xueying Han, Peiyi Xie, Shaoyuan Chen

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of medical case reports, 2024. 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
0.8field-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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

4 authors at 2 institutions in 1 country.

Bihan Huang *Department of Cardiology, Huazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, China.
Xueying Han *Department of Intensive Care, Huazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, China.
Peiyi XieDepartment of Cardiology, Huazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, China.
Shaoyuan ChenDepartment of Cardiology, Huazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, China. moter2002@126.com.
Union Hospital · CNHuazhong University of Science and Technology · CN

Funding

Health Science and Technology Program of Nanshan District NS2022062Natural Science Foundation of Shenzhen JCYJ20220530141815035Scientific Research Projects of Huazhong University of Science and Technology Union Shenzhen Hospital YN2022025
6 · The paper itself

Abstract

backgroundIschemia with non-obstructive coronary artery disease is a prevalent form of ischemic heart disease. The majority of ischemia with non-obstructive coronary artery disease cases are attributed to underlying factors such as coronary microvascular dysfunction (CMD) and/or coronary artery spasm. Ischemia with non-obstructive coronary artery disease can present with various clinical manifestations. Recurrent syncope is an atypical complaint in patients with ischemia with non-obstructive coronary artery disease. CASE PRESENTATION: This case report describes the presentation of a 58-year-old Chinese male patient who experienced repeated episodes of syncope. The syncope was found to be caused by concomitant coronary artery spasm and presumptive coronary microvascular dysfunctionc suggested by "slow flow" on coronary angiography. The patient was prescribed diltiazem sustained-release capsules, nicorandil, and atorvastatin. During the three-month follow-up conducted on our outpatient basis, the patient did not experience a recurrence of syncope.

conclusionThis study highlights the importance of considering ischemia with non-obstructive coronary artery disease as a potential cause of syncope in the differential diagnosis. It emphasizes the need for early diagnosis of ischemia with non-obstructive coronary artery disease to facilitate more effective management strategies.

Indexed as

Coronary Artery DiseaseCoronary VasospasmMyocardial IschemiaCoronary AngiographyCoronary VesselsHumansIschemiaMaleMiddle AgedSyncopeCase reportCoronary artery spasm (CAS)Coronary microvascular dysfunction (CMD)Ischemia and no obstructive coronary artery disease (INOCA)

Identifiers

PMID38468268
PMCPMC10929166
OpenAlexW4392726857

What OpenQuestion holds

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LicenceCC BY
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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.