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Intestinal angina in a patient with hypertrophic obstructive cardiomyopathy: a case report

Overview of attention for article published in Journal of Medical Case Reports, September 2016
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Mentioned by

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3 tweeters

Readers on

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16 Mendeley
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Title
Intestinal angina in a patient with hypertrophic obstructive cardiomyopathy: a case report
Published in
Journal of Medical Case Reports, September 2016
DOI 10.1186/s13256-016-1055-8
Pubmed ID
Authors

Takuto Hamaoka, Wataru Omi, Yoshiteru Sekiguti, Shigeo Takata, Shuichi Kaneko, Oto Inoue, Shinichiro Takashima, Hisayoshi Murai, Soichiro Usui, Takeshi Kato, Hiroshi Furusho, Masayuki Takamura

Abstract

Intestinal angina is characterized by recurrent postprandial abdominal pain and anorexia. Commonly, these symptoms are caused by severe stenosis of at least two vessels among the celiac and mesenteric arteries. However, intestinal perfusion is affected not only by the degree of arterial stenosis but also by systemic perfusion. We experienced a unique case of intestinal angina caused by relatively mild stenosis of the abdominal arteries complicated with hypertrophic obstructive cardiomyopathy. We report an 86-year old Japanese man with hypertrophic obstructive cardiomyopathy and advanced atrioventricular block who was diagnosed with intestinal angina. Computed tomography showed mild stenosis of the celiac artery and severe stenosis of the inferior mesenteric artery, and these lesions were relatively mild compared with other reports. A dual-chamber pacemaker with right ventricular apical pacing was implanted to improve the obstruction of the left ventricular outflow tract. After implantation, the patient's abdominal symptoms diminished markedly, and improvement of the left ventricular outflow tract obstruction was observed. Although intestinal angina is generally defined by severe stenosis of at least two vessels among the celiac and mesenteric arteries, the present case suggests that hemodynamic changes can greatly affect intestinal perfusion and induce intestinal angina in the presence of mild stenosis of the celiac and mesenteric arteries.

Twitter Demographics

The data shown below were collected from the profiles of 3 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 16 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 16 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 8 50%
Professor > Associate Professor 2 13%
Researcher 2 13%
Lecturer 1 6%
Student > Doctoral Student 1 6%
Other 1 6%
Unknown 1 6%
Readers by discipline Count As %
Medicine and Dentistry 7 44%
Nursing and Health Professions 5 31%
Agricultural and Biological Sciences 1 6%
Unknown 3 19%

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 30 November 2016.
All research outputs
#6,772,475
of 11,329,665 outputs
Outputs from Journal of Medical Case Reports
#563
of 1,684 outputs
Outputs of similar age
#133,011
of 259,723 outputs
Outputs of similar age from Journal of Medical Case Reports
#26
of 99 outputs
Altmetric has tracked 11,329,665 research outputs across all sources so far. This one is in the 38th percentile – i.e., 38% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,684 research outputs from this source. They receive a mean Attention Score of 3.4. This one has gotten more attention than average, scoring higher than 63% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 259,723 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 45th percentile – i.e., 45% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 99 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 71% of its contemporaries.