Cerebral infarction: Surgical timing dilemma in

I-Hsuan Chou, Ling-Yuan Lee, Shin-Ying Sung, Jui-Tsung Chan, Chih-Hau Hsiao, Cheng-Hsuan Ho

Abstract readCase Reports

In one paragraph

Article in IDCases, 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

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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.

I-Hsuan ChouDepartment of Emergency Medicine, Tri-Service General Hospital, National Defense Medical University, Taipei City 11402, Taiwan.

Ling-Yuan LeeDepartment of Emergency Medicine, Tri-Service General Hospital, National Defense Medical University, Taipei City 11402, Taiwan.

Shin-Ying SungDivision of Cardiovascular Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical University, Taipei 11402, Taiwan.

Jui-Tsung ChanDivision of Cardiovascular Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical University, Taipei 11402, Taiwan.

Chih-Hau HsiaoDepartment of Emergency Medicine, Tri-Service General Hospital, National Defense Medical University, Taipei City 11402, Taiwan.

Cheng-Hsuan HoDepartment of Emergency Medicine, Tri-Service General Hospital, National Defense Medical University, Taipei City 11402, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infective endocarditis (IE) is a relatively uncommon disease with a high mortality rate. Early recognition and prompt antibiotic therapy are crucial for preventing complications such as acute heart failure, uncontrolled infection, and embolic events. Embolic-related stroke events significantly increase both morbidity and mortality. Stroke may be the first clinical manifestation of IE. We report the case of a 57-year-old male who initially presented with stroke symptoms and left-sided weakness. His condition deteriorated rapidly and progressed to septic shock within 6 h. Broad-spectrum antibiotics were started at 13 h when "possible endocarditis" was diagnosed. Approximately 43 h after arrival, the patient developed atrioventricular block, ventricular fibrillation, and cardiac arrest, requiring 45 min of resuscitation. The surgical plan was changed from delayed surgery (originally scheduled for 4 weeks later) to emergency surgery that same day. Unfortunately, the patient developed intracranial hemorrhage on day 4 and died on day 13. The final diagnosis was "definite endocarditis" caused by

Indexed as

Cerebral infarctionInfective endocarditisNeurological complicationStrokeSurgery

Identifiers

PMID41293031

DOI10.1016/j.idcr.2025.e02402

PMCPMC12641561

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LicenceCC BY-NC

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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.