Evidence map›Paper›PMID 39231682›Full record

ReviewInternal medicine (Tokyo, Japan)2025

Shark Fin Sign in a Patient with Sepsis-induced Cardiomyopathy Associated with Retained Placenta: A Case Report and Review of the Literature.

Yoshiyuki Ohnaga, Ryohei Ono, Kaoruko Aoki, Hirotoshi Kato, Togo Iwahana, Hiroyuki Takaoka, Akiko Omoto, Kaito Nakama, Takashi Kishimoto, Jun-Ichiro Ikeda and 1 more

Abstract readCase ReportsReview
In one paragraph

Review in Internal medicine (Tokyo, Japan), 2025. 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

11 authors.

Yoshiyuki OhnagaDepartment of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Japan.
Ryohei OnoDepartment of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Japan.
Kaoruko AokiDepartment of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Japan.
Hirotoshi KatoDepartment of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Japan.
Togo IwahanaDepartment of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Japan.
Hiroyuki TakaokaDepartment of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Japan.
Akiko OmotoDepartment of Obstetrics and Gynecology, Graduate School of Medicine, Chiba University, Japan.
Kaito NakamaDepartment of Diagnostic Pathology, Graduate School of Medicine, Chiba University, Japan.
Takashi KishimotoDepartment of Molecular Pathology, Graduate School of Medicine, Chiba University, Japan.
Jun-Ichiro IkedaDepartment of Diagnostic Pathology, Graduate School of Medicine, Chiba University, Japan.
Yoshio KobayashiDepartment of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Retained placenta can lead to septic shock; however, sepsis-induced cardiomyopathy (SICM) due to retained placenta has not been reported previously. This report presents a rare case of SICM following septic shock due to retained placenta after miscarriage in a 40-year-old woman, accompanied by the "shark fin sign" on an electrocardiogram, a pattern typically linked to myocardial ischemia. She experienced ventricular tachycardia and required venoarterial extracorporeal membrane oxygenation; however, she was successfully treated. We also reviewed previous cases of shark fin sign in patients without myocardial infarction. A review showed that half of the cases experienced lethal arrhythmias, even without myocardial infarction.

Indexed as

CardiomyopathiesPlacenta, RetainedSepsisShock, SepticAdultElectrocardiographyExtracorporeal Membrane OxygenationFemaleHumansPregnancymiscarriageretained placentasepsissepsis-induced cardiomyopathyshark fin sign

Identifiers

PMID39231682
PMCPMC12021502

What OpenQuestion holds

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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.