Evidence map›Paper›PMID 34362020›Full record

ReviewJournal of clinical medicine2021

Dynamic Left Intraventricular Obstruction Phenotype in Takotsubo Syndrome.

Davide Di Vece, Angelo Silverio, Michele Bellino, Gennaro Galasso, Carmine Vecchione, Giovanni La Canna, Rodolfo Citro

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.4field-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

21 citing papers in PubMed, 41 citations in OpenAlex.

  1. Mechanical circulatory support for cardiogenic shock in takotsubo syndrome.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Article
  2. Forward Dynamics: Modern Insights into Mitral Systolic Anterior Motion.Journal of cardiovascular development and disease · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Cardiogenic shock in takotsubo syndrome: etiology and treatment.Cardiovascular intervention and therapeutics · 2024
    Review
  11. Article
  12. Perioperative management of Takotsubo cardiomyopathy: an overview.Journal of anesthesia, analgesia and critical care · 2024
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Takotsubo Syndrome: Translational Implications and Pathomechanisms.International journal of molecular sciences · 2022
    Review
  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

7 authors at 4 institutions in 2 countries.

Davide Di VeceUniversity Heart Center, Department of Cardiology, University Hospital Zurich, 8091 Zurich, Switzerland.
Angelo SilverioDepartment of Medicine and Surgery, University Hospital of Salerno, 84131 Salerno, Italy.
Michele BellinoDepartment of Medicine and Surgery, University Hospital of Salerno, 84131 Salerno, Italy.
Gennaro GalassoDepartment of Medicine and Surgery, University Hospital of Salerno, 84131 Salerno, Italy.
Carmine VecchioneDepartment of Medicine and Surgery, University Hospital of Salerno, 84131 Salerno, Italy.
Giovanni La CannaIRCCS Humanitas Clinical and Research Center, Applied Diagnostic Echocardiography Unit, 20089 Rozzano, Italy.
Rodolfo CitroDepartment of Medicine and Surgery, University Hospital of Salerno, 84131 Salerno, Italy.
University of Salerno · ITHumanitas University · ITOspedali Riuniti San Giovanni di Dio e Ruggi d'Aragona · ITUniversity Hospital of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Takotsubo syndrome (TTS) is characterized by acute, generally transient left ventricular (LV) dysfunction. Although TTS has been long regarded as a benign condition, recent evidence showed that rate of acute complications and in-hospital mortality is comparable to that of patients with acute coronary syndrome. In particular, the prevalence of cardiogenic shock ranges between 6% and 20%. In this setting, detection of mechanisms leading to cardiogenic shock can be challenging. Besides a severely impaired systolic function, onset of LV outflow tract obstruction (LVOTO) together with mitral regurgitation related to systolic anterior motion of mitral valve leaflets can lead to hemodynamic instability. Early identification of LVOTO with echocardiography is crucial and has important implications on selection of the appropriate therapy. Application of short-acting b1-selective betablockers and prudent administration of fluids might help to resolve LVOTO. Conversely, inotrope agents may increase basal hypercontractility and worsen the intraventricular pressure gradient. To date, outcomes and management of patients with TTS complicated by LVOTO as yet has not been comprehensively investigated.

Indexed as

cardiogenic shockechocardiographyheart failureleft ventricular outflow tract obstructionTakotsubo syndrome

Identifiers

PMID34362020
PMCPMC8347696
OpenAlexW3185907180

What OpenQuestion 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 OpenQuestion graph.