Evidence map›Paper›PMID 29882071›Full record

ArticleEuropean radiology2018

Left ventricular myocardial deformation in Takotsubo syndrome: a cardiovascular magnetic resonance myocardial feature tracking study.

Thomas Stiermaier, Torben Lange, Amedeo Chiribiri, Christian Möller, Tobias Graf, Christina Villnow, Uwe Raaz, Adriana Villa, Johannes T Kowallick, Joachim Lotz and 4 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in European radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

24 citing papers in PubMed, 38 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. CMR-based cardiac phenotyping in different forms of heart failure.The international journal of cardiovascular imaging · 2024
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Takotsubo Syndrome-Is There a Need for CMR?Current heart failure reports · 2021
    Review
  15. Review
  16. Article
  17. Article
  18. Novel Imaging and Genetic Risk Markers in Takotsubo Syndrome.Frontiers in cardiovascular medicine · 2021
    Review
  19. Review
  20. 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

14 authors at 7 institutions in 3 countries.

Thomas StiermaierMedical Clinic II (Cardiology/Angiology/Intensive Care Medicine), University Heart Center Lübeck and German Center for Cardiovascular Research (DZHK), partner site Hamburg/Kiel/Lübeck, Lübeck, Germany.
Torben LangeDepartment of Cardiology and Pneumology, University Medical Center Göttingen, Georg-AugustUniversity German Center for Cardiovascular Research (DZHK), partner site Göttingen, Göttingen, Germany.
Amedeo ChiribiriDivision of Imaging Sciences and Biomedical Engineering, King's College London, London, UK.
Christian MöllerMedical Clinic II (Cardiology/Angiology/Intensive Care Medicine), University Heart Center Lübeck and German Center for Cardiovascular Research (DZHK), partner site Hamburg/Kiel/Lübeck, Lübeck, Germany.
Tobias GrafMedical Clinic II (Cardiology/Angiology/Intensive Care Medicine), University Heart Center Lübeck and German Center for Cardiovascular Research (DZHK), partner site Hamburg/Kiel/Lübeck, Lübeck, Germany.
Christina VillnowMedical Clinic II (Cardiology/Angiology/Intensive Care Medicine), University Heart Center Lübeck and German Center for Cardiovascular Research (DZHK), partner site Hamburg/Kiel/Lübeck, Lübeck, Germany.
Uwe RaazDepartment of Cardiology and Pneumology, University Medical Center Göttingen, Georg-AugustUniversity German Center for Cardiovascular Research (DZHK), partner site Göttingen, Göttingen, Germany.
Adriana VillaDivision of Imaging Sciences and Biomedical Engineering, King's College London, London, UK.
Johannes T KowallickInstitute for Diagnostic and Interventional Radiology, University Medical Center Göttingen, Georg-August University and German Center for Cardiovascular Research (DZHK), partner site Göttingen, Göttingen, Germany.
Joachim LotzInstitute for Diagnostic and Interventional Radiology, University Medical Center Göttingen, Georg-August University and German Center for Cardiovascular Research (DZHK), partner site Göttingen, Göttingen, Germany.
Gerd HasenfußDepartment of Cardiology and Pneumology, University Medical Center Göttingen, Georg-AugustUniversity German Center for Cardiovascular Research (DZHK), partner site Göttingen, Göttingen, Germany.
Holger ThieleDepartment of Internal Medicine/Cardiology, Heart Center Leipzig - University Hospital, Leipzig, Germany.
Andreas SchusterDepartment of Cardiology and Pneumology, University Medical Center Göttingen, Georg-AugustUniversity German Center for Cardiovascular Research (DZHK), partner site Göttingen, Göttingen, Germany.
Ingo EitelMedical Clinic II (Cardiology/Angiology/Intensive Care Medicine), University Heart Center Lübeck and German Center for Cardiovascular Research (DZHK), partner site Hamburg/Kiel/Lübeck, Lübeck, Germany. ingo.eitel@uksh.de.
Universitätsmedizin Göttingen · DEUniversität Hamburg · DEKing's College London · GBUniversity of Göttingen · DEGerman Centre for Cardiovascular Research · DEUniversity Hospital Leipzig · DEUniversity Medical Center Hamburg-Eppendorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study assessed the applicability and prognostic value of cardiovascular magnetic resonance (CMR) left ventricular deformation analysis in Takotsubo syndrome (TTS).

methodsCMR-feature tracking was performed blinded in a core laboratory to determine circumferential (CS), radial (RS) and longitudinal strain (LS) in 141 TTS patients participating in this cohort study. A subgroup of consecutive TTS patients (n = 20) was compared with age- and sex-matched controls with anterior ST-segment elevation myocardial infarction (STEMI) and non-STEMI as well as healthy subjects.

resultsMedian global CS, RS and LS were -19%, 19% and -12%, respectively. Apical ballooning was associated with significantly lower global CS (p < 0.01) and LS (p < 0.01) compared with midventricular and basal ballooning. Global RS was lowest in patients with basal ballooning (p < 0.01). Segmental analysis resulted in a reliable discrimination of different ballooning patterns using CS and LS. Strain values were significantly lower in TTS compared with non-STEMI patients and healthy subjects, whereas STEMI patients showed similar values. While global CS and RS were not associated with long-term mortality, global LS (cutoff -14.75%) was identified as a potential parameter for long-term risk stratification (mortality rate 17.9% versus 2.5%; p = 0.02).

conclusionsThe transient contraction abnormalities in TTS can be quantitatively assessed with CMR-feature tracking. GLS is a potential determinant of outcome in TTS, which, however, requires further validation. KEY POINTS: • Cardiovascular magnetic resonance myocardial feature tracking enables accurate assessment of regional and global left ventricular dysfunction in Takotsubo syndrome (TTS). • Global strain in TTS is similar to patients with anterior STEMI and lower compared with non-STEMI and healthy subjects. • Global longitudinal strain is a potential tool for risk prediction in TTS patients.

Indexed as

AgedFemaleFollow-Up StudiesHeart VentriclesHumansMagnetic Resonance Imaging, CineMaleMiddle AgedMyocardiumPredictive Value of TestsPrognosisReproducibility of ResultsTakotsubo CardiomyopathyVentricular Function, LeftMagnetic resonance imagingPrognosisStrainTakotsubo cardiomyopathyVentricular function, left

Identifiers

PMID29882071
OpenAlexW2806923528

What OpenQuestion holds

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Registered trials

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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.