Evidence map›Paper›PMID 41288110›Full record

ArticleAnnals of African medicine2026

From Eye to Echo: Landolfi Sign as a Clue to Diagnosis of Severe Aortic Regurgitation.

Hari Lalith Reddy Kovvuri, Akhileswaran Ayalur Krishnan, Vasudha Krishnan, Nagendra Boopathy Senguttuvan

Abstract readCase Reports
In one paragraph

Article in Annals of African medicine, 2026. 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

4 authors.

Hari Lalith Reddy KovvuriDepartment of Cardiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
Akhileswaran Ayalur Krishnan
Vasudha Krishnan
Nagendra Boopathy Senguttuvan

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractA 62-year-old male with a history of type II Diabetes Mellitus and recently diagnosed hypertension presented with progressive exertional dyspnea over 6 months, escalating from New York Heart Association Class II to Class IV within the past week. Clinical examination revealed a high-volume collapsing pulse and a wide pulse pressure. Notably, Landolfi's sign, alternating pupillary constriction and dilation synchronous with the cardiac cycle, was observed and documented via slit-lamp examination. Transthoracic echocardiography confirmed severe aortic regurgitation (AR) with an eccentric regurgitant jet, a regurgitant fraction of 71%, and a reduced left ventricular ejection fraction of 45%. The patient underwent successful aortic valve replacement with a bioprosthetic valve. This case underscores the significance of recognizing rare ocular signs in the clinical assessment of severe AR.

Indexed as

Aortic ValveAortic Valve InsufficiencyPupil DisordersEchocardiographyHeart Valve ProsthesisHeart Valve Prosthesis ImplantationHumansMaleMiddle AgedAortic regurgitationbioprosthetic valvecollapsing pulsecollapsus du poulséchocardiographieechocardiographyLandolfi’s signpression différentielle largeRégurgitation aortiqueSigne de Landolfivalve bioprothétiquevalvular heart diseasevalvulopathiewide pulse pressure

Identifiers

PMID41288110
PMCPMC13374935

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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.