ArticleJACC. Case reports2025
Cardiac Tamponade Caused by a Needle in the Liver Presenting as a STEMI Mimic.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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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.
Who cites it
2 citing papers in PubMed.
- Reversible, Noninflammatory ST-Segment Elevation in Cardiac Tamponade.JACC. Case reports · 2026Article
- An Unusual Case of Cardiac Tamponade From a Foreign Body.JACC. Case reports · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe report a case of hemorrhagic pericardial effusion with tamponade, secondary to myocardial injury by a hypodermic needle lost during narcotics injection some months prior. CASE SUMMARY: First presentation was with chest pain and global ST segment elevation following earlier cocaine usage. Urgent coronary angiography was performed to rule out acute coronary artery occlusion. A needle-like foreign body was seen abutting the right ventricle free wall, and the invasive pressure waveform suggested ventricular interdependence. Transthoracic echocardiogram revealed large-volume pericardial effusion which was drained immediately. The needle was ultimately removed during laparotomy and partial hepatectomy. DISCUSSION: This case is unique and demonstrates how all available clinical information was collated to diagnose and treat life-threatening extra-coronary pathology with a rare etiology, in a patient whose history was unreliable. TAKE-HOME MESSAGE: The case highlights the importance of maintaining a broad differential diagnosis during emergency angiography in the presence of ST-segment elevation if no coronary occlusion is found.
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