Evidence map›Paper›PMID 39512973›Full record

ArticleCureus2024

Concomitant Systolic and Diastolic Doppler Alternans: An Ominous Sign of Left Ventricular Dysfunction.

Luai Madanat, Ahmad Jabri, Richard Bloomingdale, Abhay Bilolikar

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

4 authors.

Luai MadanatInternal Medicine, Beaumont Hospital, Royal Oak, USA.
Ahmad JabriCardiology, Beaumont Hospital, Royal Oak, USA.
Richard BloomingdaleCardiology, Beaumont Hospital, Royal Oak, USA.
Abhay BilolikarCardiology, Beaumont Hospital, Royal Oak, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulsus alternans, defined by an arterial pulse alternating between strong and weak beats, often signify severe left ventricular dysfunction. Detectable on physical examination or by echocardiography, this phenomenon highlights substantial cardiac compromise. We discuss a case involving a 59-year-old male with non-ischemic cardiomyopathy who was admitted for acute congestive heart failure. The echocardiogram revealed severe left ventricular dysfunction with systolic and diastolic beat-to-beat variations in blood flow on Doppler, a phenomenon known as Doppler alternans. Notably, these echocardiographic findings preceded any clinical signs, leading to a timely escalation in care. This case emphasizes the critical role of echocardiography in assessing ventricular function and providing prognostic insights that can influence management strategies.

Indexed as

doppler alternansechocardiogramheart failurepulsus alternanssevere left ventricular dysfunction

Identifiers

PMID39512973
PMCPMC11542333

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.