Evidence map›Paper›PMID 42078157›Full record

ArticleSurgical and experimental pathology2026

A case of rapid and extensive cardiac myocyte microcalcification in a patient admitted to intensive care following out-of-hospital cardiac arrest.

Gayath Bimal Jayarathna, Joseph Westaby, Mary N Sheppard

Abstract read
In one paragraph

Article in Surgical and experimental pathology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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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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5 · Who and what money

Authors and funding

3 authors.

Gayath Bimal JayarathnaPostgraduate Institute of Medicine, University of Colombo, Colombo, Sri Lanka.ORCID 0000-0003-4290-0085
Joseph WestabyCRY Cardiovascular Pathology Unit, St George's, Cardiovascular and Genetic Research Institute, University of London, London, SW17 0RE UK.
Mary N SheppardCRY Cardiovascular Pathology Unit, St George's, Cardiovascular and Genetic Research Institute, University of London, London, SW17 0RE UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Early myocardial calcification is an uncommon histopathological finding and is usually associated with chronic myocardial injury. Rapid intramyocyte microcalcification following global ischemia is rarely described. Case presentation: A 42-year-old previously healthy male suffered an out-of-hospital cardiac arrest while cycling. Following prolonged cardiopulmonary resuscitation and return of spontaneous circulation, he was admitted to ITU before being confirmed to have Hypoxic Ischemic Encephalopathy not compatible with life. Despite intensive supportive management for multiorgan failure patient was pronounced dead within 48 h of admission. There was no family history of heart disease or sudden cardiac death. The comprehensive forensic autopsy examination revealed no significant traumatic injuries that could account for death. Specialized cardiac examination showed subendocardial haemorrhagic infarction over the left ventricle. Histological examination demonstrated extensive focal intramyocyte microcalcification affecting sub endocardium of both ventricles in the areas of infarction with absence of fibrosis or inflammation. Conclusion: This case highlights rapid dystrophic intramyocyte microcalcification as a rare histological manifestation of severe global myocardial ischemia following cardiac arrest and resuscitation. Autopsy pathologists should be aware that subendocardial infarction with or without intramyocyte microcalcification and HIE occur secondary to cardiac arrest in those admitted to ITU and it is essential to investigate the cause of the primary cardiac arrest.

Indexed as

Intramyocyte microcalcificationOut-of-hospital cardiac arrestSubendocardial haemorrhagic infarction

Identifiers

PMID42078157
PMCPMC13131196

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