Evidence map›Paper›PMID 38645826›Full record

ArticleCardiology research2024

Prevalence of Aortic Root Pathologies in Platypnea-Orthodeoxia Syndrome Secondary to Intra-Cardiac Shunts.

Omer Farooq, Usman Ghani, Harvey Friedman, Muhammad Sikander Akbar, Hammad Saudye, Sundus Alam, Muhammad Junaid Khan, Sumeet Mutti

Abstract read
In one paragraph

Article in Cardiology research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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

4 citing papers in PubMed.

  1. Article
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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

8 authors.

Omer FarooqInternal Medicine, Ascension St Francis Hospital, Evanston, IL 60202, USA.
Usman GhaniNorthwest General Hospital and Research Center, Peshawar, Pakistan.
Harvey FriedmanPulmonary and Critical Care Medicine, Ascension St Francis Hospital, Evanston, IL 60202, USA.
Muhammad Sikander AkbarInterventional Cardiology, Ascension St Francis Hospital, Evanston, IL 60202, USA.
Hammad SaudyeInterventional Cardiology, Ascension St Francis Hospital, Evanston, IL 60202, USA.
Sundus AlamGloucestershire Royal Hospital, Gloucester GL1 3NN, UK.
Muhammad Junaid KhanGloucestershire Royal Hospital, Gloucester GL1 3NN, UK.
Sumeet MuttiInternal Medicine, Ascension St Francis Hospital, Evanston, IL 60202, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Atrial septal defects can allow right to left shunting of venous blood which presents clinically as platypnea-orthodeoxia syndrome. It is believed that concomitant presence of aortic root pathologies increases the likelihood of shunting. Methods: The study included a review of 510 articles listed in PubMed of patients with platypnea-orthodeoxia syndrome. Case reports of patients with extra-cardiac etiologies of platypnea-orthodeoxia were excluded. Results: We reviewed 191 case reports, and 98 cases (51.3%) had evidence of concomitant aortic root pathology. Furthermore, of the remaining 93 case reports, 69 ones excluded any mention of the nature of the aortic root altogether, further suggesting that this is an underreported number. Conclusions: There is a high prevalence of aortic root pathologies in patients with platypnea-orthodeoxia syndrome secondary to intra-cardiac shunts. In patients with unexplained hypoxemia and incidental finding of aortic root pathology, it may be worthwhile to obtain postural oxygen saturation measurements to exclude intra-cardiac shunts as the potential cause.

Indexed as

Aortic aneurysmAortic elongationAortic root pathologyAtrial septal defectOrthodeoxiaPatent foramen ovalePlatypneaPlatypnea-orthodeoxia syndrome

Identifiers

PMID38645826
PMCPMC11027782

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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.