Evidence map›Paper›PMID 34876622›Full record

Observational studyScientific reports2021

Clinical correlates and prognostic impact of neurologic disorders in Takotsubo syndrome.

Victoria L Cammann, Jan F Scheitz, Regina von Rennenberg, Lutz Jäncke, Christian H Nolte, Konrad A Szawan, Helena Stengl, Michael Würdinger, Matthias Endres, Christian Templin and 2 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01947621 (International Multicenter Registry on Takotsubo Cardiomyopathy), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.3field-weighted citation impact, top 6% 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.

NCT01947621 unknown statusnot on this map

International Multicenter Registry on Takotsubo Cardiomyopathy

TypeobservationalSponsorUniversity of ZurichRan2011 to 2020Enrolled4,000ConditionsTakotsubo Cardiomyopathy
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 36 citations in OpenAlex.

  1. New insights into takotsubo syndrome: results from a multicenter cohort.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Takotsubo syndrome: Unraveling the mystery behind its triggers (Review).International journal of molecular medicine · 2025
    Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. A contemporary update on cancer and takotsubo syndrome.Frontiers in cardiovascular medicine · 2023
    Review
  19. Stroke-Heart Syndrome: Recent Advances and Challenges.Journal of the American Heart Association · 2022
    Review
  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

12 authors at 20 institutions in 17 countries.

Victoria L Cammann *Department of Cardiology, University Heart Center, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.
Jan F Scheitz *Center for Stroke Research Berlin and Department of Neurology With Experimental Neurology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Regina von RennenbergCenter for Stroke Research Berlin and Department of Neurology With Experimental Neurology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Lutz JänckeDivision Neuropsychology, Department of Psychology, University of Zurich, Zurich, Switzerland.
Christian H NolteCenter for Stroke Research Berlin and Department of Neurology With Experimental Neurology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Konrad A SzawanDepartment of Cardiology, University Heart Center, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.
Helena StenglCenter for Stroke Research Berlin and Department of Neurology With Experimental Neurology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Michael WürdingerDepartment of Cardiology, University Heart Center, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.
Matthias EndresCenter for Stroke Research Berlin and Department of Neurology With Experimental Neurology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Christian Templin *Department of Cardiology, University Heart Center, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland. Christian.Templin@usz.ch.
Jelena R Ghadri *Department of Cardiology, University Heart Center, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.
InterTAK Consortium
German Centre for Cardiovascular Research · DECharité - Universitätsmedizin Berlin · DECity Clinical Hospital · RULuzerner Kantonsspital · CHCharles University · CZChiba University · JPChristchurch Hospital · NZHeidelberg University · DEHôpital Beau-Séjour · CHHôpital Rangueil · FRIstituti di Ricovero e Cura a Carattere Scientifico · ITJohannes Gutenberg University Mainz · DEKantonsspital St. Gallen · CHKing's College Hospital · GBKisarazu Hospital · JPMayo Clinic in Arizona · USMedical University of Warsaw · PLMedizinische Hochschule Hannover · DEOspedali Riuniti San Giovanni di Dio e Ruggi d'Aragona · ITRoyal Bournemouth Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiac alterations are frequently observed after acute neurological disorders. Takotsubo syndrome (TTS) represents an acute heart failure syndrome and is increasingly recognized as part of the spectrum of cardiac complications observed after neurological disorders. A systematic investigation of TTS patients with neurological disorders has not been conducted yet. The aim of the study was to expand insights regarding neurological disease entities triggering TTS and to investigate the clinical profile and outcomes of TTS patients after primary neurological disorders. The International Takotsubo Registry is an observational multicenter collaborative effort of 45 centers in 14 countries (ClinicalTrials.gov, identifier NCT01947621). All patients in the registry fulfilled International Takotsubo Diagnostic Criteria. For the present study, patients were included if complete information on acute neurological disorders were available. 2402 patients in whom complete information on acute neurological status were available were analyzed. In 161 patients (6.7%) an acute neurological disorder was identified as the preceding triggering factor. The most common neurological disorders were seizures, intracranial hemorrhage, and ischemic stroke. Time from neurological symptoms to TTS diagnosis was ≤ 2 days in 87.3% of cases. TTS patients with neurological disorders were younger, had a lower female predominance, fewer cardiac symptoms, lower left ventricular ejection fraction, and higher levels of cardiac biomarkers. TTS patients with neurological disorders had a 3.2-fold increased odds of in-hospital mortality compared to TTS patients without neurological disorders. In this large-scale study, 1 out of 15 TTS patients had an acute neurological condition as the underlying triggering factor. Our data emphasize that a wide spectrum of neurological diseases ranging from benign to life-threatening encompass TTS. The high rates of adverse events highlight the need for clinical awareness.

Indexed as

AdultAgedAged, 80 and overFemaleHeart Disease Risk FactorsHospital MortalityHumansIntracranial HemorrhagesIschemic StrokeMaleMiddle AgedPrognosisRegistriesSeizuresTakotsubo Cardiomyopathy

Identifiers

PMID34876622
PMCPMC8651780
OpenAlexW4200113880

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.