Evidence map›Paper›PMID 40345735›Full record

ArticleJACC. Case reports2025

Sudden Cardiac Arrest in a Young Male: The Role of Intraplaque Hemorrhage and Coronary Spasm.

Takeshi Nishi, Yuhei Kobayashi, Hideki Kitahara, Manish Parikh, Yoshio Kobayashi

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 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. 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

5 authors.

Takeshi NishiDepartment of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Chiba, Japan; Department of Internal Medicine, Division of Cardiology, NewYork-Presbyterian Brooklyn Methodist Hospital, Weill Cornell Medical College, Brooklyn, New York, USA. Electronic address: ast9046@nyp.org.
Yuhei KobayashiDepartment of Internal Medicine, Division of Cardiology, NewYork-Presbyterian Brooklyn Methodist Hospital, Weill Cornell Medical College, Brooklyn, New York, USA.
Hideki KitaharaDepartment of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Chiba, Japan.
Manish ParikhDepartment of Internal Medicine, Division of Cardiology, NewYork-Presbyterian Brooklyn Methodist Hospital, Weill Cornell Medical College, Brooklyn, New York, USA.
Yoshio KobayashiDepartment of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Chiba, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSudden cardiac death (SCD) is commonly linked to coronary artery disease (CAD), often involving plaque rupture or erosion. Intraplaque hemorrhage (IPH) has emerged as a significant factor in SCD. CASE SUMMARY: A 39-year-old man experienced intermittent chest pain before collapsing with ventricular fibrillation cardiac arrest. Coronary angiography revealed significant stenosis in the left anterior descending artery. Optical coherence tomography identified IPH. Coronary spasm was confirmed by acetylcholine testing. The patient was treated with percutaneous coronary intervention and long-term medical therapy including antiplatelet therapy and calcium channel blocker, with no adverse events over 3 years. DISCUSSION: This case underscores the importance of recognizing IPH and coronary spasm as contributors to SCD. Recent pathologic findings suggest a notable association between IPH and coronary spasm.

Indexed as

coronary spastic anginaintraplaque hemorrhageoptical coherence tomographysudden cardiac death

Identifiers

PMID40345735
PMCPMC12245425

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.