Evidence map›Paper›PMID 42165458›Full record

ArticleJACC. Case reports2026

An Unexpected Electrocardiogram in Congenital Heart Disease: A Rare Variant of a Common Cyanotic Syndrome.

Garrett Cotter, Richard Malone, Abdallah Abuawad, Rohit Moudgil

Abstract read
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

4 authors.

Garrett CotterHeart, Vascular, and Thoracic Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Richard MaloneHeart, Vascular, and Thoracic Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Abdallah AbuawadHeart, Vascular, and Thoracic Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Rohit MoudgilHeart, Vascular, and Thoracic Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA. Electronic address: MOUDGIR@CCF.ORG.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

case summaryA 19-year-old female with a history of tetralogy of Fallot (TOF) with prior right ventricle (RV)-pulmonary artery conduit, RV outflow tract aneurysm, intermittent ventricular arrhythmia, Chiari malformation, and scoliosis presented to establish care at our institution. Electrocardiogram (ECG) demonstrated an unexpected pattern consistent with dextrocardia and right axis deviation. Further investigation noted TOF with situs inversus totalis, a rare TOF variant only previously described several times. She underwent longitudinal monitoring with progression of RV dysfunction and ventricular arrhythmias. TAKE-HOME MESSAGE: TOF produces characteristic ECG changes that have utility in monitoring RV remodeling, arrhythmogenesis, and RV volume load. When ECG presents unexpected changes, additional defects or compromised repair should be interrogated.

Indexed as

electrocardiogramtetralogy of Fallotventricular septal defect

Identifiers

PMID42165458
PMCPMC13198138

What OpenQuestion holds

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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.