Evidence map›Paper›PMID 40984922›Full record

ArticleCureus2025

Influenza A-Induced Myocarditis and Persistent Complete Heart Block in Pregnancy.

Zeina Othman, Hannah Catton, Tandip Mann, Betsy Dwyer, Constantinos G Missouris, Amit K J Mandal

Abstract readCase Reports
In one paragraph

Article in Cureus, 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. Acute and Chronic Myocarditis in Men and Women.Current heart failure reports · 2026
    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

6 authors.

Zeina OthmanDepartment of Obstetrics and Gynaecology, Wexham Park Hospital, Frimley Health National Health Service (NHS) Foundation Trust, Slough, GBR.
Hannah CattonDepartment of Anaesthesiology, Wexham Park Hospital, Frimley Health National Health Service (NHS) Foundation Trust, Slough, GBR.
Tandip MannDepartment of Anaesthesiology, Wexham Park Hospital, Frimley Health National Health Service (NHS) Foundation Trust, Slough, GBR.
Betsy DwyerDepartment of Anaesthesiology, Wexham Park Hospital, Frimley Health National Health Service (NHS) Foundation Trust, Slough, GBR.
Constantinos G MissourisDepartment of Medicine, Wexham Park Hospital, Frimley Health National Health Service (NHS) Foundation Trust, Slough, GBR.
Amit K J MandalDepartment of Medicine, Wexham Park Hospital, Frimley Health National Health Service (NHS) Foundation Trust, Slough, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiovascular implications of respiratory viruses are often overlooked. Arrhythmia is a rare manifestation of influenza A and is usually self-terminating after the acute phase. Only a handful of cases of complete heart block (CHB) associated with influenza A have been reported. We present the case of a healthy 33-year-old primigravida who developed CHB at 20 weeks' gestation after contracting influenza A, requiring hospitalisation. Thereafter, the patient remained asymptomatic throughout the prepartum period despite persisting CHB and bradycardic escape rhythm. Delivery was successfully managed with spinal anaesthesia and close haemodynamic monitoring. Postpartum cardiac imaging confirmed myocarditis. CHB with a narrow escape rhythm persisted after delivery. The emergence of symptoms and a blunted heart rate response to exercise necessitated elective permanent pacemaker (PPM) implantation after careful consideration. This case underscores the importance of cardiac evaluation in pregnancy, particularly after seasonal influenza, and highlights the challenges in diagnosing and managing CHB within this context.

Indexed as

complete heart blockinfluenza amyocarditispacemakerpregnancy

Identifiers

PMID40984922
PMCPMC12450480

What OpenQuestion holds

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LicenceCC BY
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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.