Evidence map›Paper›PMID 40951100›Full record

ArticleCureus2025

Platypnea-Orthodeoxia Syndrome From Atrial Septal Defects: A Rare Primum Case and Literature Review.

Areeb Ahmad, Pritham S Pinni, Mohamad Labban, Shreya Mishra, Almatmed Abdelsalam

Abstract readCase Reports
In one paragraph

Article in Cureus, 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. Article
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

5 authors.

Areeb AhmadInternal Medicine, University of Central Florida College of Medicine, Orlando, USA.
Pritham S PinniInternal Medicine, University of Central Florida College of Medicine, Orlando, USA.
Mohamad LabbanCollege of Medicine, University of Central Florida, Orlando, USA.
Shreya MishraCardiology, Health First, Cape Canaveral, USA.
Almatmed AbdelsalamInternal Medicine, Health First, Cape Canaveral, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Platypnea-orthodeoxia syndrome (POS) is characterized by hypoxemia that worsens in the upright position and improves when lying down. While various causes exist, most cases involve intracardiac shunting through a patent foramen ovale, whereas atrial septal defects (ASDs) are less common and present in diverse embryological forms. Most documented ASD-associated cases involve the secundum type, whereas the primum subtype remains notably rare in the literature. We report a rare case of POS caused by a primum ASD in a 68-year-old female. Transesophageal echocardiography was essential for locating the primum ASD, which facilitated successful percutaneous closure and complete resolution of her symptoms. Additionally, we reviewed 18 published cases of ASD-associated POS to better characterize the presentation, anatomical contributors, and treatment outcomes of this cause.

Indexed as

atrial septal defect (asd)intracardiac shuntplatypnea-orthodeoxia syndromeprimum asdupright hypoxemia

Identifiers

PMID40951100
PMCPMC12433065

What Socratic holds

Textmetadata
LicenceCC BY
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.