Evidence map›Paper›PMID 39359755›Full record

ArticleAnnals of medicine and surgery (2012)2024

Corticosteroid-induced bradycardia following high-dose methylprednisolone administration: a case report.

Jwil Zkib, Raneem Sattout, Sabah Faour, Sultaneh Haddad, Ranim Bassut, Wajd Swed, Shahd Hritani, Milad Mansouer, Mike Ghabally

Abstract readCase Reports
In one paragraph

Article in Annals of medicine and surgery (2012), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
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  3. Review
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  5. 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

9 authors.

Jwil ZkibArab International University, Daraa, Syrian Arab Republic.
Raneem SattoutFaculty of Medicine, Aleppo University, Aleppo, Syrian Arab Republic.
Sabah FaourFaculty of Medicine, Aleppo University, Aleppo, Syrian Arab Republic.
Sultaneh HaddadChildren's University Hospital, Damascus, Syrian Arab Republic.ORCID https://orcid.org/0000-0002-2215-7506
Ranim BassutGaziantep University,Gaziantep, Turkey.
Wajd SwedFaculty of Medicine, Damascus University, Damascus, Syrian Arab Republic.
Shahd HritaniFaculty of Medicine, Aleppo University, Aleppo, Syrian Arab Republic.
Milad MansouerFaculty of Medicine, Damascus University, Damascus, Syrian Arab Republic.
Mike GhaballyDivision of Cardiology, Department of Internal Medicine, Faculty of Medicine, University of Aleppo, Aleppo, Syria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Besides their wide use in the clinical field due to their anti-inflammatory and immune-modulating effect, corticosteroids still have a lot of adverse effects. The most common adverse effects are hyperglycemia, hypertension, osteoporosis, psychosis, immunosuppression, weight gain, and hyperlipidemia. Another important side effect is cardiac arrhythmias. Case presentation: We report a case of a 43-year-old woman with multiple sclerosis who developed symptomatic bradycardia after 3 days of treatment with a high dose of methylprednisolone. The patient received a dose of atropine and her bradycardia resolved after 36 h of stopping methylprednisolone. Discussion: While tachyarrhythmias are more common, bradyarrhythmias such as bradycardia and premature atrial or ventricular contraction are rare but crucial to be considered. Conclusion: Corticosteroid-induced bradycardia is usually in sinus rhythm and has an unknown etiology, possibly occurring at high and low doses. The majority of cases in the literature were asymptomatic and resolved spontaneously.

Indexed as

bradycardiacorticosteroidmultiple sclerosisside effects

Identifiers

PMID39359755
PMCPMC11444592

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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.