Evidence map›Paper›PMID 42181406›Full record

ArticleCureus2026

Atypical Posterior Myocardial Infarction With Minimal Symptoms: Diagnostic Impact of Point-of-Care Ultrasound.

Waleed Khalid Khalafallah Khalid, Saad Tariq Aziz, Hind Abdelazim Mirghani Ibrahim, Hamid Zafar

Abstract readCase Reports
In one paragraph

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

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Waleed Khalid Khalafallah KhalidEmergency Medicine, Queen Elizabeth Hospital, London, GBR.
Saad Tariq AzizEmergency Medicine, Queen Elizabeth Hospital, London, GBR.
Hind Abdelazim Mirghani IbrahimEmergency Medicine, Royal College of Emergency Medicine, London, GBR.
Hamid ZafarEmergency Medicine, Queen Elizabeth Hospital, London, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Posterior myocardial infarction (PMI) is frequently under-recognised due to its non-classical electrocardiographic (ECG) presentation and variable symptom profile. We report a case of a 39-year-old male patient presenting with minimal chest pain and subtle ECG changes, in whom bedside point-of-care ultrasound (POCUS) played a pivotal role in diagnosis. Despite an initial low-risk clinical impression and non-diagnostic ECG findings, POCUS revealed regional wall motion abnormalities, prompting urgent cardiology reassessment. Subsequent transthoracic echocardiography confirmed inferior wall hypokinesia, and coronary angiography identified a proximal right coronary artery lesion due to plaque erosion, requiring percutaneous coronary intervention. This case underscores the importance of maintaining a high index of suspicion in atypical presentations and highlights the value of POCUS in early diagnosis, risk stratification, and timely clinical decision-making.

Indexed as

acute coronary syndromeatypical myocardial infarctionemergency ultrasoundmissed myocardial infarctionpoint of care ultrasoundposterior myocardial infarctionregional wall motion abnormalitysubtle ecg changes

Identifiers

PMID42181406
PMCPMC13193562

What OpenQuestion holds

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Registered trials

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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.