Evidence map›Paper›PMID 42257646›Full record

ArticleJACC. Case reports2026

Hydroxychloroquine Cardiotoxicity Confirmed by Electron Microscopy: The Myocarditis Mimic.

Paige Behr, Kenneth S Paik, Carolyn Park, Michael Madigan, Swethika Sundaravel

Abstract readCase Reports
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. 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

5 authors.

Paige BehrDepartment of Cardiovascular Medicine, Atrium Health Wake Forest Baptist, Winston-Salem, North Carolina, USA.
Kenneth S PaikDepartment of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA. Electronic address: kspaik12@hotmail.com.
Carolyn ParkDepartment of Cardiovascular Medicine, Atrium Health Wake Forest Baptist, Winston-Salem, North Carolina, USA.
Michael MadiganDepartment of Cardiovascular Medicine, Atrium Health Wake Forest Baptist, Winston-Salem, North Carolina, USA.
Swethika SundaravelDepartment of Cardiovascular Medicine, Atrium Health Wake Forest Baptist, Winston-Salem, North Carolina, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHydroxychloroquine (HCQ) is widely used for autoimmune disease, but rare cardiotoxicity can mimic inflammatory cardiomyopathy. CASE SUMMARY: A 79-year-old woman on 10 years of HCQ presented with fatigue, dizziness, and exertional dyspnea and was found to have low cardiac output (1.75 L/min) and cardiac index (1.01 L/min/m DISCUSSION: HCQ cardiotoxicity may resemble myocarditis on imaging. Biopsy with electron microscopy confirms the diagnosis and guides management. TAKE-HOME MESSAGES: Maintain suspicion for HCQ toxicity despite inflammatory imaging patterns. Early tissue diagnosis and drug discontinuation may prevent progression and support recovery.

Indexed as

cardiomypathycardiovascular diseaseimagingMR sequencesnuclear medicinepositron emission tomography

Identifiers

PMID42257646
PMCPMC13464289

What OpenQuestion holds

Textmetadata
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.