Evidence map›Paper›PMID 42390407›Full record

ArticleJACC. Case reports2026

Adjunctive Cilostazol Therapy for Sinus Node Dysfunction After Heart Transplantation.

Kento Tamano, Sakae Takenaka, Toshiyuki Nagai, Toshihisa Anzai

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

4 authors.

Kento TamanoDepartment of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Sakae TakenakaDepartment of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan. Electronic address: stakenaka1102@gmail.com.
Toshiyuki NagaiDepartment of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Toshihisa AnzaiDepartment of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdjunctive therapy with cilostazol, a phosphodiesterase-3 inhibitor, for sinus node dysfunction (SND) after heart transplantation (HTx) remains unestablished. CASE SUMMARY: We report the case of a 33-year-old woman who developed an atrioventricular junctional rhythm after HTx. Her SND had persisted for more than 3 weeks post-HTx despite treatment with positive chronotropic agents, including isoproterenol and tulobuterol. After the initiation of off-label cilostazol, her heart rate gradually increased. She was discharged without requiring permanent pacemaker implantation. DISCUSSION: This is the first reported case describing the addition of cilostazol to a nonselective β-agonist and a β TAKE-HOME MESSAGE: Cilostazol may represent an adjunctive option for managing severe SND in heart transplant recipients.

Indexed as

atrioventricular junctional rhythmcilostazolheart transplantationsinus node dysfunction

Identifiers

PMID42390407
PMCPMC13523457

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.