Evidence map›Paper›PMID 40750177›Full record

ArticleJACC. Case reports2025

Anti-VEGF Therapy-Induced Accelerated Atherosclerosis: STEMI in a Young Adult.

Stefano H Byer, Aditya Ravindra, Alex Cuskey, Yehia Saleh, Kimberly Staffey, William Zeitler

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

6 authors.

Stefano H ByerDepartment of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA. Electronic address: stefano-byer@uiowa.edu.
Aditya RavindraDivision of Hematology, Oncology, and Blood and Marrow Transplantation, Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Alex CuskeyDivision of Cardiology, Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Yehia SalehDivision of Cardiology, Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Kimberly StaffeyDivision of Cardiology, Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
William ZeitlerDivision of Hematology, Oncology, and Blood and Marrow Transplantation, Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBevacizumab is an antiangiogenic monoclonal antibody used in several primary and secondary central nervous system malignancies to reduce refractory cerebral edema. However, long-term therapy may lead to accelerated atherosclerosis through endothelial dysfunction and proteinuria-driven hyperlipidemia. CASE SUMMARY: A 27-year-old man with neurofibromatosis type 2 on long-term bevacizumab presented with progressively worsening chest pain and subsequently experienced ventricular fibrillation arrest. Emergent angiography identified an anomalous right coronary artery occlusion causing an inferior ST-segment elevation myocardial infarction and demonstrated left coronary atherosclerotic disease. He underwent successful percutaneous coronary intervention and guideline-based therapy for heart failure with reduced ejection fraction. Bevacizumab-induced endothelial injury and hyperlipidemia were implicated in premature coronary artery disease. DISCUSSION: This case underscores the interplay between inhibition of angiogenesis and early coronary atherosclerosis, highlighting the importance of nitric oxide derangement and proteinuria-induced dyslipidemia. Clinicians must remain vigilant about cardiovascular complications in young patients on long-term bevacizumab. TAKE-HOME MESSAGE: Bevacizumab may accelerate atherosclerosis; early detection and risk factor reduction including lipid control and tight blood pressure management are crucial.

Indexed as

anti-VEGF therapyatherosclerosisbevacizumabcongenital heart defectdyslipidemiasmyocardial infarctionventricular fibrillation

Identifiers

PMID40750177
PMCPMC12441556

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.