Evidence map›Paper›PMID 42341283›Full record

ArticleJMIR research protocols2026

Frequency, Clinical Characteristics, Anatomical Distribution, and Outcomes of Embolic Complications of Cardiac Myxoma in Contemporary Cohorts: Protocol for a Systematic Review and Meta-Analysis.

Arun Dahil, Callum Hill, Cameron Pinn, David Hardisty, Piotr Wasilewski, Matthew Turner, Michaela Scheuermann-Freestone

Abstract read
In one paragraph

Article in JMIR research protocols, 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

7 authors.

Arun Dahil *Faculty of Medicine, University of Southampton, University Rd, Southampton, Southampton, England, SO17 1, United Kingdom, 44 7415015896.ORCID 0009-0005-2426-2907
Callum Hill *Faculty of Medicine, University of Southampton, University Rd, Southampton, Southampton, England, SO17 1, United Kingdom, 44 7415015896.ORCID 0000-0002-4352-1952
Cameron PinnFaculty of Medicine, University of Southampton, University Rd, Southampton, Southampton, England, SO17 1, United Kingdom, 44 7415015896.ORCID 0009-0003-7227-3892
David HardistyFaculty of Medicine, University of Southampton, University Rd, Southampton, Southampton, England, SO17 1, United Kingdom, 44 7415015896.ORCID 0009-0004-4027-1558
Piotr WasilewskiFaculty of Medicine, University of Southampton, University Rd, Southampton, Southampton, England, SO17 1, United Kingdom, 44 7415015896.ORCID 0009-0001-5306-9154
Matthew TurnerFaculty of Medicine, University of Southampton, University Rd, Southampton, Southampton, England, SO17 1, United Kingdom, 44 7415015896.ORCID 0009-0006-0710-1906
Michaela Scheuermann-FreestoneDepartment of Cardiology, Basingstoke and North Hampshire Hospital, Basingstoke, England, United Kingdom.ORCID 0009-0004-1412-8395

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cardiac myxomas (CMs) are the commonest benign primary cardiac tumors, most frequently originating from the left atrium and occasionally from the right atrium. Despite being histologically benign, CMs can cause myriad serious embolic complications, including stroke, acute coronary syndrome, limb ischemia, and visceral infarction. While previous studies have explored risk factors for embolization, there is a lack of papers comprehensively summarizing the frequency, anatomical distribution, clinical patterns, and management of CM-related embolization. Objective: This review aims to provide a comprehensive synthesis of embolic complications associated with CMs, highlighting patterns, management strategies, and gaps in the current literature. Methods: A systematic review will be conducted in accordance with the PRISMA-P (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols) guidelines. MEDLINE, Embase, Scopus, CINAHL, the Cochrane Library, and PubMed will be searched for studies reporting embolic complications in patients with histologically or radiologically confirmed CMs. Eligible study designs include large case series, cohort studies, and registries. Six reviewers will independently perform title and abstract and full-text screening in pairs across 3 screening groups, with disagreements resolved through discussion and senior reviewer adjudication where necessary. Data will be extracted by 3 reviewers, with the extracted data independently verified for accuracy. Discrepancies will be resolved through discussion or third-party adjudication. Risk of bias will be assessed using the Joanna Briggs Institute tools. Results: The review will summarize reported frequencies and anatomical distribution of embolic events, clinical presentations, associations with tumor characteristics, and management strategies. Title and abstract screening were completed in early April 2026, and full-text screening commenced in late April 2026. Data extraction and synthesis were completed in May 2026. We anticipate publication of the findings in September 2026. Conclusions: This review aims to provide a comprehensive synthesis of embolic complications associated with CMs, highlighting patterns, management strategies, and gaps in the current literature. The findings aim to improve clinical recognition, inform clinical management, and guide future research.

Indexed as

EmbolismHeart NeoplasmsMyxomaHumansMeta-Analysis as TopicRisk FactorsSystematic Reviews as Topiccardiac myxomacerebral infarctionembolismstrokesystematic review

Identifiers

PMID42341283
PMCPMC13293564

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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.