Evidence map›Paper›PMID 38576464›Full record

ArticleEuropean heart journal. Case reports2024

Case report: acute myocarditis complicated with persistent complete heart block: a clinical dilemma when myocardial inflammation remains.

Maria Rita Lima, Pedro Custódio, António Tralhão, Marisa Trabulo

Open access · goldAbstract readCase Reports
In one paragraph

Article in European heart journal. Case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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.

Maria Rita LimaCardiology Department, Hospital de Santa Cruz, Centro Hospitalar Universitário de Lisboa Ocidental, EPE, Avenida Prof. Dr. Reinaldo dos Santos 2790-134, Lisbon, Portugal.ORCID https://orcid.org/0000-0001-5039-320X
Pedro CustódioCardiology Department, Hospital de Vila Franca de Xira, Vila Franca de Xira, Portugal.
António TralhãoCardiology Department, Hospital de Santa Cruz, Centro Hospitalar Universitário de Lisboa Ocidental, EPE, Avenida Prof. Dr. Reinaldo dos Santos 2790-134, Lisbon, Portugal.
Marisa TrabuloCardiology Department, Hospital de Santa Cruz, Centro Hospitalar Universitário de Lisboa Ocidental, EPE, Avenida Prof. Dr. Reinaldo dos Santos 2790-134, Lisbon, Portugal.
Hospital de Santa Cruz · PTHospital Vila Franca de Xira · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Atrioventricular conduction abnormalities due to acute myocarditis are typically transient and do not require ventricular pacing beyond the acute phase of myocardial inflammation. Notwithstanding, selective injury and necrosis of the heart's conduction system may lead to persistent complete heart block (CHB) requiring device implantation. Case summary: We report the case of a 23-year-old man with acute lymphocytic myocarditis complicated by cardiogenic shock, cardiac arrest due to ventricular fibrillation, and persistent CHB. Endomyocardial biopsy (EMB) showed signs of subacute myocarditis, with no evidence of granulomas or giant cells, nor criteria for eosinophilic myocarditis. Aetiological work-up found serological evidence of previous Epstein-Barr virus (EBV) infection; Discussion: Persistent CHB after acute myocarditis is generally considered unlikely, but in rare circumstances the damage portended by inflammation may be irreversible. Besides the play of chance, possible mechanisms behind the apparent predilection for the conduction system of the myocardium warrant further research.

Indexed as

Cardiogenic shockCase reportComplete heart blockEndomyocardial biopsyMyocardial inflammationMyocarditis

Identifiers

PMID38576464
PMCPMC10993017
OpenAlexW4393069486

What OpenQuestion holds

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LicenceCC BY-NC
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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.