Evidence map›Paper›PMID 40028253›Full record

ArticleHeart views : the official journal of the Gulf Heart Association

Concealed Truths Always Hide behind the Shadows of the Not So Obvious: Deadly Chest Pain Presentation.

Khalid Sawalha, Angel Lopez-Candales

Abstract readCase Reports
In one paragraph

Article in Heart views : the official journal of the Gulf Heart Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Khalid SawalhaCardiometabolic Fellow, University Health Truman Medical Center, University of Missouri-Kansas City, Kansas City, Missouri, USA.
Angel Lopez-CandalesDivision of Cardiovascular Medicine, University Health Truman Medical Center, University of Missouri-Kansas City, Kansas City, Missouri, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute aortic dissection (AAD) is a critical condition characterized by the tearing of the aortic wall, posing significant diagnostic challenges due to its diverse clinical presentations. We present the case of a 61-year-old male with hypertension and dyslipidemia who presented with acute abdominal and chest pain, initially raising suspicion of myocardial infarction. Despite an unremarkable electrocardiogram and initially normal troponin levels, the patient experienced ventricular fibrillation, prompting further evaluation. The patient's clinical course was complicated by recurrent cardiac arrests. Subsequent imaging revealed AAD, which was not initially recognized, emphasizing the importance of maintaining a broad differential diagnosis and the critical need for prompt recognition and management of AAD. This case underscores the necessity of considering AAD in patients with atypical presentations and the pivotal role of advanced imaging techniques in facilitating timely diagnosis and appropriate intervention.

Indexed as

Aortic dissectioncardiac arrestintra-aortic balloon pumpmyocardial infarction

Identifiers

PMID40028253
PMCPMC11867182

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.