Evidence map›Paper›PMID 41860491›Full record

ArticleJACC. Case reports2026

Is Aortic Regurgitation Associated With Long-Term Ergotamine Use?

Eiji Koyama, Noriaki Moriyama, Motoki Nagatsuka, Harumi Nakamura, Tohru Asai, Shigeru Saito

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. 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. Article
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.

Eiji KoyamaDepartment of Cardiology, Shonan Kamakura General Hospital, Kamakura, Kanagawa, Japan.
Noriaki MoriyamaDepartment of Cardiology, Shonan Kamakura General Hospital, Kamakura, Kanagawa, Japan. Electronic address: e2718nm@gmail.com.
Motoki NagatsukaDepartment of Cardiovascular Surgery, Shonan Kamakura General Hospital, Kamakura, Kanagawa, Japan.
Harumi NakamuraDepartment of Pathology and Diagnostics, Shonan Kamakura General Hospital, Kamakura, Kanagawa, Japan.
Tohru AsaiDepartment of Cardiovascular Surgery, Shonan Kamakura General Hospital, Kamakura, Kanagawa, Japan.
Shigeru SaitoDepartment of Cardiology, Shonan Kamakura General Hospital, Kamakura, Kanagawa, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are various causes of acquired valvular heart disease (VHD), one of which is drug induced. CASE SUMMARY: A 62-year-old woman with long-term excessive use of ergotamine for migraines presented with a 1-month history of dyspnea and was admitted for chronic heart failure due to severe aortic regurgitation. Various medications were initiated in combination with dobutamine, resulting in symptomatic improvement. Under compensated heart failure, elective surgical aortic valve replacement was performed. Pathological examination of the excised valve revealed abnormal leaflet fibrosis, which is not usually observed in naturally degenerated aortic leaflets, suggesting ergotamine-induced valvular changes. DISCUSSION: This case involved severe aortic regurgitation due to aortic valve fibrosis, possibly caused by long-term ergotamine use, highlighting the need to consider drug-induced etiologies in the differential diagnosis of VHD. TAKE-HOME MESSAGE: The habitual use of ergotamine can cause valvular fibrosis as an adverse effect, potentially leading to VHD.

Indexed as

aortic regurgitationcase reportdrug-induced valvular heart diseaseergotamineheart failuremigraine

Identifiers

PMID41860491
PMCPMC13112561

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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.