Evidence map›Paper›PMID 27429563›Full record

ArticleClinical Medicine Insights. Cardiology2016

Prevalence, Clinical Characteristics, and Predictors of Patients with Thromboembolic Events in Takotsubo Cardiomyopathy.

Ibrahim El-Battrawy, Michael Behnes, Dennis Hillenbrand, Darius Haghi, Ursula Hoffmann, Theano Papavassiliu, Siegfried Lang, Christian Fastner, Tobias Becher, Stefan Baumann and 4 more

Open access · goldAbstract read
In one paragraph

Article in Clinical Medicine Insights. Cardiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
6.5field-weighted citation impact, top 3% of its field
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

22 citing papers in PubMed, 44 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Impact of ST-segment elevation on the outcome of Takotsubo syndrome.Therapeutics and clinical risk management · 2019
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

14 authors at 3 institutions in 1 country.

Ibrahim El-BattrawyFirst Department of Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.; DZHK (German Center for Cardiovascular Research), Partner Site Heidelberg-Mannheim, Mannheim, Germany.
Michael BehnesDZHK (German Center for Cardiovascular Research), Partner Site Heidelberg-Mannheim, Mannheim, Germany.
Dennis HillenbrandFirst Department of Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Darius HaghiFirst Department of Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Ursula HoffmannFirst Department of Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Theano PapavassiliuFirst Department of Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.; DZHK (German Center for Cardiovascular Research), Partner Site Heidelberg-Mannheim, Mannheim, Germany.
Siegfried LangFirst Department of Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.; DZHK (German Center for Cardiovascular Research), Partner Site Heidelberg-Mannheim, Mannheim, Germany.
Christian FastnerFirst Department of Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Tobias BecherFirst Department of Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Stefan BaumannFirst Department of Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Felix HeggemannFirst Department of Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Jürgen KuschykFirst Department of Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Martin BorggrefeFirst Department of Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.; DZHK (German Center for Cardiovascular Research), Partner Site Heidelberg-Mannheim, Mannheim, Germany.
Ibrahim AkinFirst Department of Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.; DZHK (German Center for Cardiovascular Research), Partner Site Heidelberg-Mannheim, Mannheim, Germany.
University Hospital Heidelberg · DEHeidelberg University · DEUniversity Medical Centre Mannheim · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral acute complications related to takotsubo cardiomyopathy (TTC) have been documented recently. However, the incidence and clinical significance of acute thromboembolic events in TTC is not well established.

methodsA detailed investigation of the clinical characteristics and in-hospital complications of 114 consecutive patients diagnosed with TTC between January 2003 and September 2015 was carried out. This study was initiated to reveal the predictors, clinical significance, and short-term and long-term outcomes of patients with TTC associated with acute thromboembolic events on index presentation.

resultsThe incidence of acute thromboembolic events related to TTC was around 12.2%, and these included ventricular thrombi, cerebrovascular events, retinal and brachial artery pathologies, renal, splenic, and aortic involvement. The most frequent complication on initial presentation was cardiogenic shock (20%) accompanied with pulmonary congestion (20%). Interestingly, patients experiencing thromboembolic events had higher C-reactive protein (CRP) levels as compared to the non-thromboembolic group (P = 0.02). Certain thromboembolic events were characterized by the presence of ST-segment elevation in electrocardiogram (P = 0.02). Chest pain was the primary symptom in these patients (P = 0.09). Furthermore, there was significant right ventricular involvement (as assessed by transthoracic echocardiography) in patients presenting with an acute thromboembolic event (P = 0.08). A Kaplan-Meier analysis indicated a significantly higher mortality rate over a mean follow-up of three years in the thromboembolic group than the non-thromboembolic group (log-rank, P = 0.02).

conclusionsOur results confirmed the relative common occurrence of thromboembolic events in the setting of TTC. Inflammation might play an important role in the development of thromboembolic events, and a right ventricular involvement and ST-segment elevation could be positive predictors for this occurrence. In order to circumvent the risk of a negative outcome, it is recommended that an anticoagulation therapy be initiated in all high-risk patients.

Indexed as

LV thrombusstroketakotsubo cardiomyopathythromboembolic events

Identifiers

PMID27429563
PMCPMC4944829
OpenAlexW2472217165

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.