Evidence map›Paper›PMID 41899321›Full record

ReviewJournal of clinical medicine2026

Mechanical Complications After Acute Myocardial Infarction: A Shock-Stage and Timing-Based Management Framework.

Caius Glad Streian, Ramona Cristina Novaconi, Iulia Raluca Munteanu, Andrei Raul Manzur, Adrian Grigore Merce, Marciana Ionela Boca, Lucian Silviu Falnita, Ciprian Nicusor Dima, Adrian Petru Merce, Silvius Alexandru Pescariu and 3 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of clinical medicine, 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. 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

13 authors.

Caius Glad StreianDepartment VI Cardiology, Cardiovascular Surgery Clinic, "Victor Babes" University of Medicine and Pharmacy Timisoara, E. Murgu Sq. No. 2, 300041 Timisoara, Romania.
Ramona Cristina NovaconiInstitute for Cardiovascular Diseases of Timisoara, Clinic of Cardiovascular Surgery, Gheorghe Adam Street, No. 13A, 300310 Timisoara, Romania.ORCID 0000-0001-7793-0335
Iulia Raluca MunteanuInstitute for Cardiovascular Diseases of Timisoara, Clinic of Cardiovascular Surgery, Gheorghe Adam Street, No. 13A, 300310 Timisoara, Romania.ORCID 0009-0002-9501-5530
Andrei Raul ManzurDoctoral School Medicine-Pharmacy, "Victor Babes" University of Medicine and Pharmacy Timisoara, E. Murgu Sq. No. 2, 300041 Timisoara, Romania.ORCID 0009-0004-6744-8261
Adrian Grigore MerceInstitute for Cardiovascular Diseases of Timisoara, Clinic of Cardiovascular Surgery, Gheorghe Adam Street, No. 13A, 300310 Timisoara, Romania.
Marciana Ionela BocaInstitute for Cardiovascular Diseases of Timisoara, Clinic of Cardiovascular Surgery, Gheorghe Adam Street, No. 13A, 300310 Timisoara, Romania.
Lucian Silviu FalnitaInstitute for Cardiovascular Diseases of Timisoara, Clinic of Cardiovascular Surgery, Gheorghe Adam Street, No. 13A, 300310 Timisoara, Romania.
Ciprian Nicusor DimaDepartment VI Cardiology, Cardiovascular Surgery Clinic, "Victor Babes" University of Medicine and Pharmacy Timisoara, E. Murgu Sq. No. 2, 300041 Timisoara, Romania.
Adrian Petru MerceInstitute for Cardiovascular Diseases of Timisoara, Clinic of Cardiovascular Surgery, Gheorghe Adam Street, No. 13A, 300310 Timisoara, Romania.
Silvius Alexandru PescariuDepartment VI Cardiology, Cardiovascular Surgery Clinic, "Victor Babes" University of Medicine and Pharmacy Timisoara, E. Murgu Sq. No. 2, 300041 Timisoara, Romania.ORCID 0000-0002-1697-311X
Dan IliescuDepartment of Surgery I-Clinic of Surgical Semiotics & Thoracic Surgery, Center for Hepato-Biliary and Pancreatic Surgery, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square, No. 2, 300041 Timisoara, Romania.
Dragos CozmaDepartment VI Cardiology, Cardiovascular Surgery Clinic, "Victor Babes" University of Medicine and Pharmacy Timisoara, E. Murgu Sq. No. 2, 300041 Timisoara, Romania.ORCID 0009-0008-7378-7787
Horea Bogdan FeierDepartment VI Cardiology, Cardiovascular Surgery Clinic, "Victor Babes" University of Medicine and Pharmacy Timisoara, E. Murgu Sq. No. 2, 300041 Timisoara, Romania.ORCID 0000-0002-4870-8249

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mechanical complications after acute myocardial infarction (MI)-ventricular septal rupture (VSR), free-wall rupture (FWR), and papillary muscle rupture (PMR)-have become uncommon in the primary percutaneous coronary intervention (PCI) era, yet remain among the most lethal cardiovascular emergencies, with contemporary mortality largely driven by cardiogenic shock and delays to definitive treatment. Although major society documents agree on urgent imaging, early mechanical circulatory support when shock is present, and multidisciplinary decision-making, important transatlantic differences persist, particularly regarding timing of intervention in ventricular septal rupture. This review synthesises current surgical and transcatheter evidence and proposes a unified, physiology-centred framework integrating shock staging, anatomical feasibility, and response to mechanical support. We also introduce STABLE, a structured bedside checklist designed to support consistent daily triage across all three lesions and to align timing decisions with haemodynamic stabilisation rather than centre-specific habit.

Indexed as

cardiogenic shockfree-wall rupturemechanical circulatory supportmechanical complicationspapillary muscle ruptureventricular septal rupture

Identifiers

PMID41899321
PMCPMC13026845

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.