Evidence map›Paper›PMID 42383952›Full record

ArticleJACC. Case reports2026

Myocardial Calcification as a Rare Cardiac Sequela: When Sepsis Leaves Its Mark.

Ahmed El-Hamad, Pape-Mamadou Sene, Mohammed El Mehdi El Yamani, Benjamin Chow, Punitha Arasaratnam, Ian G Burwash, Warner Mampuya, David Messika-Zeitoun

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

8 authors.

Ahmed El-HamadTemerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Pape-Mamadou SeneDivision of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Mohammed El Mehdi El YamaniDivision of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Benjamin ChowDivision of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada; Department of Radiology, University of Ottawa, Ottawa, Ontario, Canada.
Punitha ArasaratnamDivision of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Ian G BurwashDivision of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Warner MampuyaDepartment of Cardiology, Université de Sherbrooke, Sherbrooke, Quebec, Canada.
David Messika-ZeitounDivision of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada; School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada. Electronic address: DMessika-zeitoun@ottawaheart.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMyocardial calcification is a rare complication of severe sepsis that may lead to persistent structural and functional cardiac impairment. CASE SUMMARY: A 33-year-old woman presented in septic shock with severe acute respiratory distress syndrome due to disseminated Streptococcus pneumoniae. Her course was complicated by marked troponin elevation (6,254 ng/L) with normal coronary angiography. Initial chest computed tomography showed bilateral pulmonary consolidations. Four weeks later, repeat computed tomography revealed new extensive left ventricular and papillary muscle calcifications. Sepsis-related myocardial calcification was favored. She remained clinically stable on guideline-directed medical therapy. At 1.5-year follow-up, cardiac magnetic resonance demonstrated mild left ventricular dysfunction with extensive nonischemic late gadolinium enhancement. DISCUSSION: Sepsis-related myocardial calcification is rare and associated with very high mortality rates. Its pathophysiology is unclear. Proposed mechanisms include myocardial injury, microvascular dysfunction, and metabolic disturbances. TAKE-HOME MESSAGES: Myocardial calcification may develop rapidly after septic shock despite normal initial imaging. Multimodality imaging facilitates early diagnosis and appropriate management.

Indexed as

cardiac remodelingdystrophic calcificationmyocardial fibrosisnonischemic cardiomyopathypapillary muscleseptic cardiomyopathy

Identifiers

PMID42383952
PMCPMC13523463

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.