Evidence map›Paper›PMID 31046506›Full record

ArticleJournal of the American Heart Association2019

Incidence and Clinical Impact of Recurrent Takotsubo Syndrome: Results From the GEIST Registry.

Ibrahim El-Battrawy, Francesco Santoro, Thomas Stiermaier, Christian Möller, Francesca Guastafierro, Giuseppina Novo, Salvatore Novo, Enrica Mariano, Francesco Romeo, Fabiana Romeo and 7 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed
9.5field-weighted citation impact, top 1% 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

73 citing papers in PubMed, 132 citations in OpenAlex.

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13 more citing papers are in PubMed but not listed here.

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

17 authors at 9 institutions in 2 countries.

Ibrahim El-Battrawy1 First Department of Medicine Faculty of Medicine University Medical Centre Mannheim, University of Heidelberg Mannheim Germany.
Francesco Santoro3 Department of Medical and Surgery Sciences University of Foggia Foggia Italy.
Thomas Stiermaier4 Medical Clinic II (Cardiology/Angiology/Intensive Care Medicine) and German Center for Cardiovascular Research, Partner Site Hamburg/Kiel/Lübeck University Heart Center Lübeck Lübeck Germany.
Christian Möller4 Medical Clinic II (Cardiology/Angiology/Intensive Care Medicine) and German Center for Cardiovascular Research, Partner Site Hamburg/Kiel/Lübeck University Heart Center Lübeck Lübeck Germany.
Francesca Guastafierro3 Department of Medical and Surgery Sciences University of Foggia Foggia Italy.
Giuseppina Novo5 Cardiology Unit Biomedical Department of Internal Medicine and Medical Specialties University of Palermo Palermo Italy.
Salvatore Novo5 Cardiology Unit Biomedical Department of Internal Medicine and Medical Specialties University of Palermo Palermo Italy.
Enrica Mariano6 Division of Cardiology University of Rome Tor Vergata Rome Italy.
Francesco Romeo6 Division of Cardiology University of Rome Tor Vergata Rome Italy.
Fabiana Romeo6 Division of Cardiology University of Rome Tor Vergata Rome Italy.
Holger Thiele7 Department of Internal Medicine/Cardiology Heart Center Leipzig-University Hospital Leipzig Germany.
Federico Guerra8 Cardiology and Arrhythmology Clinic Marche Polytechnic University University Hospital "Umberto I-Lancisi-Salesi" Ancona Italy.
Alessandro Capucci8 Cardiology and Arrhythmology Clinic Marche Polytechnic University University Hospital "Umberto I-Lancisi-Salesi" Ancona Italy.
Irene Giannini8 Cardiology and Arrhythmology Clinic Marche Polytechnic University University Hospital "Umberto I-Lancisi-Salesi" Ancona Italy.
Natale Daniele Brunetti3 Department of Medical and Surgery Sciences University of Foggia Foggia Italy.
Ingo Eitel4 Medical Clinic II (Cardiology/Angiology/Intensive Care Medicine) and German Center for Cardiovascular Research, Partner Site Hamburg/Kiel/Lübeck University Heart Center Lübeck Lübeck Germany.
Ibrahim Akin1 First Department of Medicine Faculty of Medicine University Medical Centre Mannheim, University of Heidelberg Mannheim Germany.
University of Foggia · ITUniversity of Rome Tor Vergata · ITHeidelberg University · DEOspedali Riuniti Umberto I · ITUniversity Medical Center Hamburg-Eppendorf · DEUniversity of Palermo · ITMarche Polytechnic University · ITUniversität Hamburg · DEUniversity Hospital Leipzig · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Current literature only reports variable information from single-center studies on the recurrence rate, the complications, and the outcome of patients with Takotsubo syndrome ( TTS) experiencing recurrent TTS . Therefore, a detailed description of clinical characteristics, predictors, and the prognostic impact of patients with TTS and recurrences in a multicenter registry is needed. Methods and Results We analyzed 749 patients with TTS from 9 European centers being part of the international, multicenter GEIST (German Italian Stress Cardiomyopathy) Registry. Patients were divided into the recurrence group and the nonrecurrence group. The recurrence rate at a median follow-up of 830 days (interquartile range, 118-1701 days) was 4%. Most recurrences were documented in the first 5 years after the index TTS episode. Up to 2 TTS recurrences were documented in 2 of 30 patients (6%). A variable ballooning pattern (n=6, 0.8%) with, in particular, involvement of the right ventricular occurred in 3 cases (0.4%) at the recurrence event. Except for the higher presence of arterial hypertension (86.7% versus 68.3%; P=0.03) in the recurrence group, no other baseline characteristics were different between groups. Observation of TTS complications during follow-up, including stroke, thromboembolic events, in-hospital death, and cardiogenic shock, revealed no significant differences between groups ( P>0.05), except the higher presence of pulmonary edema in the recurrence group versus the nonrecurrence group (13.3% versus 4.9%; P=0.04). Conclusions The incidence of TTS recurrence is estimated to be 4% in this multicenter TTS registry. A variable TTS pattern at recurrence is common in up to 20% of recurrence cases.

Indexed as

AgedAged, 80 and overFemaleGermanyHospital MortalityHumansHypertensionIncidenceItalyMaleMiddle AgedProportional Hazards ModelsRecurrenceRegistriesShock, CardiogenicStrokeheart failurerecurrenceTakotsubo cardiomyopathy

Identifiers

PMID31046506
PMCPMC6512083
OpenAlexW2943172764

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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.