Evidence map›Paper›PMID 34671830›Full record

ArticleWiener klinische Wochenschrift2022

Psychocardiological assessment in the acute phase of the takotsubo syndrome : Somatic and depressive disorders, resilience and illness perception.

Valerie Weihs, Edita Pogran, Evelyn Kunschitz, Wolfgang Weihs, Erika Prinz, Christiane Eichenberg, Jutta Fiegl, Oliver Friedrich, Kurt Huber

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Wiener klinische Wochenschrift, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

6 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Valerie WeihsDepartment of Orthopedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria. valerie.weihs@meduniwien.ac.at.ORCID http://orcid.org/0000-0003-1697-1381
Edita Pogran3rd Medical Department, Cardiology and Intensive Care Medicine, Clinic Ottakring, Vienna, Austria.
Evelyn KunschitzII. Medical Department for Cardiology, Takotsubo-Ambulanz, Hanusch Hospital, Vienna, Austria.
Wolfgang WeihsDepartment of Cardiology, Hospital Graz II, Graz, Austria.
Erika PrinzClinic of Internal Medicine II, Department of Cardiology, Paracelsus Medical University, Salzburg, Austria.
Christiane EichenbergInstitute for Psychosomatic, Medical Faculty, Sigmund Freud University, Vienna, Austria.
Jutta FieglFaculty of Psychotherapy Science, Sigmund Freud University, Vienna, Austria.
Oliver FriedrichKarl Landsteiner Institute for Scientific Research in Clinical Cardiology, II. Medical Department for Cardiology, Hanusch Hospital, Vienna, Austria.
Kurt Huber3rd Medical Department, Cardiology and Intensive Care Medicine, Clinic Ottakring, Vienna, Austria.
Sigmund Freud Privatuniversität Wien · ATHanusch Hospital · ATGraz University Hospital · ATMedical University of Vienna · ATParacelsus Medical University · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the psychocardiological profile and the clinical characteristics in the acute phase of takotsubo syndrome (TTS).

methodsProspective multicenter cohort study of TTS patients evaluating the clinical characteristics as well as the prevalence of somatic, depressive, panic, stress and anxiety disorders. Assessment of illness perception and resilience in the acute phase of the syndrome.

resultsAll 27 evaluated TTS patients were female with a mean age of 68 years (±11.4 years). The apical type of TTS was found in 60% of patients, followed by the combined type of TTS in 30% of patients. Main clinical symptom leading to hospital admission was chest pain in nearly 80% of patients. An ST-segment elevation mimicking acute myocardial infarction was found in 44% of patients and T wave inversion in 26% of patients. An endogenous (emotional) stress event was found in 17 patients (63.0%), an exogenous (physical) stress event in 5 patients (18.5%) and a combined stress event in 2 patients (7.4%). In 11.1% of patients (n = 3) no stress event could be found. Moderate to high levels of illness threatening were found in 48% of patients and low to moderate resilience scores were found in 40% of patients. Somatic disorders were found in half of the patients (56%) followed by depressive disorders in 26% of patients.

conclusionModerate to low resilience scores and moderate to high levels of illness threatening can be seen in the acute phase of TTS, reflecting the severity of the experience as an adverse life event. Patients suffering from TTS present in the acute phase with a high prevalence of somatic disorders and relatively high prevalence of depressive disorders.

Indexed as

Depressive DisorderTakotsubo CardiomyopathyAgedCohort StudiesFemaleHumansMalePerceptionProspective StudiesCoping strategiesPsychosomatic disordersStress-induced cardiomyopathyStress profile

Identifiers

PMID34671830
PMCPMC9023402
OpenAlexW3206566684

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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.