Evidence map›Paper›PMID 40191704›Full record

ArticleJournal of Brown hospital medicine2025

Posterior Occlusive Myocardial Infarction on Chronic Right Bundle Branch Block.

Andrew Sanchez, Omar El-Charif

Abstract readCase Reports
In one paragraph

Article in Journal of Brown hospital medicine, 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

2 authors.

Andrew SanchezDepartment of Medicine Harvard Medical School, Beth Israel Deaconess Medical Center.ORCID https://orcid.org/0000-0001-6910-5554
Omar El-CharifSection of Cardiovascular Medicine, Department of Internal Medicine Yale New Haven Hospital.ORCID https://orcid.org/0000-0003-0425-4385

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

After experiencing syncope, a woman in her 80s with several cardiovascular risk factors presented to the emergency department with shock. The initial troponin was 3,872 ng/L, and the presenting electrocardiogram (ECG) showed a known right bundle branch block (RBBB), but with ST-segment depressions in V1-V2 out of proportion to the patient's baseline RBBB-related secondary repolarization abnormality. After 3 days of hypotension refractory to antibiotics, left heart catheterization was pursued and demonstrated 100% occlusion of the second obtuse marginal artery, confirming the patient had experienced posterior occlusive myocardial infarction (OMI). This case highlights one ECG pattern consistent with posterior OMI in patients with chronic RBBB.

Indexed as

Acute coronary syndromeElectrocardiographyOcclusive myocardial infarctionSTEMI Equivalents

Identifiers

PMID40191704
PMCPMC11966757

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.