Evidence map›Paper›PMID 28602445›Full record

Observational studyPsychosomatics

Pre-existing Psychiatric Illness is Associated With Increased Risk of Recurrent Takotsubo Cardiomyopathy.

Arash Nayeri, Eric Rafla-Yuan, Eric Farber-Eger, Marcia Blair, Boback Ziaeian, Martin Cadeiras, John A McPherson, Quinn S Wells

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Psychosomatics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 4% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. The Swiss cheese model in takotsubo syndrome.European heart journal. Case reports · 2022
    Article
  13. Article
  14. Takotsubo Syndrome: Optimizing Care with a Multidisciplinary Approach.Journal of multidisciplinary healthcare · 2021
    Review
  15. Article
  16. Article
  17. Review
  18. The authors respond.Proceedings (Baylor University. Medical Center) · 2020
    Article
  19. Article
  20. Takotsubo cardiomyopathy and acute manic attack.Proceedings (Baylor University. Medical Center) · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Arash NayeriDivision of Cardiovascular Medicine, University of California, Los Angeles, Los Angeles, CA. Electronic address: Anayeri@mednet.ucla.edu.
Eric Rafla-YuanDepartment of Psychiatry, University of California, San Diego, San Diego, CA.
Eric Farber-EgerDivision of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, TN.
Marcia BlairDivision of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, TN.
Boback ZiaeianDivision of Cardiovascular Medicine, University of California, Los Angeles, Los Angeles, CA.
Martin CadeirasDivision of Cardiovascular Medicine, University of California, Los Angeles, Los Angeles, CA.
John A McPhersonDivision of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, TN.
Quinn S WellsDivision of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, TN.
Vanderbilt University Medical Center · USUniversity of California, Los Angeles · USUniversity of California, San Diego · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
CARDIOVASCULAR SCIENTIST TRAINING PROGRAMT32HL007895 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SHIVKUMAR, KALYANAM, WATSON, KAROL E · 1998 to 2023
$9.2M
NCATS NIH HHS UL1 TR000445NHLBI NIH HHS T32 HL007895
6 · The paper itself

Abstract

backgroundThe increased prevalence of psychiatric illness among patients with takotsubo cardiomyopathy (TC) has been previously described.

objectivesWe sought to assess the effect of pre-existing psychiatric illness on clinical outcomes following the diagnosis of TC.

methodsAdults diagnosed with TC at Vanderbilt University Medical Center between 1999 and 2015 were included in the study. Medical records were retrospectively reviewed to identify any pre-existing mood, anxiety, or schizophrenia-spectrum illness before TC presentation. Multivariable logistic regression was used to test for independent association of pre-existing psychiatric illness with 30-day mortality and recurrent TC; Cox proportional hazard analysis was used to evaluate for association with long-term mortality.

resultsAmong 306 patients diagnosed with TC during the study period, 114 (37%) had a pre-existing psychiatric illness. In all, 43 (14%) and 88 (29%) patients died within 30 days of index diagnosis and as of last medical record review, respectively. Of the 269 who survived their index hospitalization, 19 (7%) had a confirmed recurrent episode of TC. In multivariable analyses, pre-existing psychiatric illness was not associated with increased 30-day (P = 0.320) or long-term (P = 0.621) mortality. Pre-existing psychiatric illness was associated with higher risk of recurrent TC (odds ratio = 7.44, 95% CI: 2.30-24.01, P < 0.001).

conclusionsPre-existing psychiatric illness was associated with an increased risk of recurrent TC. No significant association was noted between pre-existing psychiatric illness and survival.

Indexed as

AgedComorbidityFemaleHumansMaleMental DisordersMiddle AgedPrevalenceRecurrenceRetrospective StudiesRisk FactorsTakotsubo CardiomyopathyTennesseePsychiatric illnessRecurrenceStress cardiomyopathySurvivalTakotsubo

Identifiers

PMID28602445
PMCPMC7658955
OpenAlexW2605409516

What OpenQuestion holds

Textmetadata
LicenceTDM
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.