Evidence map›Paper›PMID 38962646›Full record

ArticleCureus2024

Unusual Presentation of De Winter's Sign Due to Bezold-Jarisch Reflex in a Patient With Severe Aortic Valve Stenosis.

Victor H Molina-Lopez, Diego Ortiz-Mendiguren, Porfirio E Diaz-Rodriguez, Stephanie Ortiz-Troche, Francisco Cordova-Perez, Ismael Ortiz-Cartagena

Abstract readCase Reports
In one paragraph

Article in Cureus, 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
–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

6 authors.

Victor H Molina-LopezCardiovascular Medicine, Veterans Affairs Caribbean Healthcare System, San Juan, PRI.
Diego Ortiz-MendigurenInternal Medicine, Veterans Affairs Caribbean Healthcare System, San Juan, PRI.
Porfirio E Diaz-RodriguezCardiovascular Medicine, Veterans Affairs Caribbean Healthcare System, San Juan, PRI.
Stephanie Ortiz-TrocheCardiovascular Medicine, Veterans Affairs Caribbean Healthcare System, San Juan, PRI.
Francisco Cordova-PerezCardiovascular Medicine, Veterans Affairs Caribbean Healthcare System, San Juan, PRI.
Ismael Ortiz-CartagenaInterventional Cardiology, Veterans Affairs Caribbean Healthcare System, San Juan, PRI.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The de Winter electrocardiogram (ECG) pattern, marked by upsloping ST depression in leads V2-V6, ST elevation in lead aVR, and tall symmetric T waves, typically indicates left anterior descending artery (LAD) occlusion. Traditionally linked to LAD occlusion, it is rare in severe aortic stenosis and the Bezold-Jarisch reflex (BJR). We report an 83-year-old man with severe aortic stenosis who developed hypotension due to bleeding and exhibited the de Winter ECG pattern. This case highlights how severe aortic stenosis and BJR can lead to significant hemodynamic instability and ischemic ECG changes, resolving after hemodynamic stabilization.

Indexed as

aortic valve stenosisbezold-jarisch reflexde winter ecg patternde winter's signsubendocardial ischemia

Identifiers

PMID38962646
PMCPMC11220733

What OpenQuestion holds

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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.