Evidence map›Paper›PMID 42176897›Full record

ReviewClinical medicine (London, England)2026

Persistent (patent) foramen ovale assessment and closure for the general physician.

Peter Wilmshurst

Abstract readReview
In one paragraph

Review in Clinical medicine (London, England), 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. Cardiovascular disease: everybody's business.Clinical medicine (London, England) · 2026
    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

1 author.

Peter WilmshurstUnited Kingdom Diving Medical Committee, UK. Electronic address: peter.wilmshurst@doctors.org.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

One-quarter of adults have a persistent (patent) foramen ovale (PFO). Right-to-left shunting through a PFO can facilitate paradoxical thromboembolism, cryptogenic stroke, paradoxical gas embolism, decompression sickness, arterial hypoxaemia and migraine with aura. Atrial septal defects and pulmonary shunts are also associated with these diseases, and investigation must differentiate them from a PFO. The detection and assessment of PFOs and other right-to-left shunts uses ultrasound techniques augmented with intravenous injection of bubble contrast. When diseases are attributed to a PFO, the PFO is usually large, typically about 10 mm diameter and associated with a large right-to-left shunt. Transcatheter closure of a PFO is relatively simple, but it is not always effective. Therefore, patients require careful pre-procedure counselling about risks, benefits, success rates and alternative treatments.

Indexed as

Foramen Ovale, PatentHumansStrokeArterial hypoxaemiaDecompression sicknessEchocardiographyMigraine with auraParadoxical embolismPersistent (patent) foramen ovaleStrokeTranscatheter occlusionTranscranial Doppler

Identifiers

PMID42176897
PMCPMC13273876

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.