Evidence map›Paper›PMID 40815244›Full record

ArticleJACC. Case reports2025

Accelerated Atherosclerosis in Early-Stage Breast Cancer Following Chemotherapy.

Kyle Varkoly, Ali Khan, Muhammad Ahmad, Shams Reaz, Marisha Razka, Hameem Changezi

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. 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

6 authors.

Kyle VarkolyDepartment of Cardiovascular Medicine, McLaren Flint, Flint, Michigan, USA; (b)Department of Interventional Cardiology, McLaren Flint, Flint, Michigan, USA. Electronic address: kylevarkoly@gmail.com.
Ali KhanDepartment of Cardiovascular Medicine, McLaren Flint, Flint, Michigan, USA; (b)Department of Interventional Cardiology, McLaren Flint, Flint, Michigan, USA; Department of Interventional Cardiology, McLaren Flint, Flint, Michigan, USA.
Muhammad AhmadDepartment of Cardiovascular Medicine, McLaren Flint, Flint, Michigan, USA; (b)Department of Interventional Cardiology, McLaren Flint, Flint, Michigan, USA.
Shams ReazDepartment of Cardiovascular Medicine, McLaren Flint, Flint, Michigan, USA; (b)Department of Interventional Cardiology, McLaren Flint, Flint, Michigan, USA.
Marisha RazkaDepartment of Cardiovascular Medicine, McLaren Flint, Flint, Michigan, USA; (b)Department of Interventional Cardiology, McLaren Flint, Flint, Michigan, USA.
Hameem ChangeziDepartment of Cardiovascular Medicine, McLaren Flint, Flint, Michigan, USA; (b)Department of Interventional Cardiology, McLaren Flint, Flint, Michigan, USA; Department of Interventional Cardiology, McLaren Flint, Flint, Michigan, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNo present guidelines exist regarding the inclusion of atherogenic cancer or chemotherapy into atherosclerotic cardiovascular disease (ASCVD) screening or imaging screening guidelines. Individual physician preference often determines screening, and this is typically symptom guided. CASE SUMMARY: A 30-year-old woman with early-stage breast cancer received atherogenic chemotherapy, with no prior atherogenic risk factors. She presented with angina and dyspnea on exertion 3 years after her last round of chemotherapy. An ischemic work-up was performed, and the patient was found to have premature critical stenosis in her proximal left anterior descending artery. DISCUSSION: Because more patients are living with cancer and survivors of atherogenic chemotherapy emerge, it is becoming more critical to improve ASCVD screening modalities. TAKE-HOME MESSAGE: Expert consensus for patients with early-stage cancer treated with atherogenic chemotherapy should derive either their unique ASCVD algorithm, be included into pre-existing algorithms, or have their own multimodal imaging pathway.

Indexed as

atherosclerosiscardiotoxicchemotherapycoronary artery diseaseechocardiograminterventional cardiology

Identifiers

PMID40815244
PMCPMC12789770

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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.