Evidence map›Paper›PMID 35122776›Full record

SynthesisIndian heart journal

Meta-analysis of incidence and outcomes of life-threatening arrhythmias in takotsubo cardiomyopathy.

Sawai Singh Rathore, Kinza Iqbal, Shameel Shafqat, Eleze Tariq, Sohaib Tousif, Zain Ghufran UlHaq, David Fernández-Sánchez, María José Hernández-Woodbine, Sofia Carolina Granados-Mendoza, Natalia Andrea Lacouture-Cárdenas and 6 more

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Indian heart journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
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  5. 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

16 authors at 7 institutions in 3 countries.

Sawai Singh RathoreDepartment of Internal Medicine, Dr. Sampurnanand Medical College, Jodhpur, Rajasthan, India.
Kinza IqbalDepartment of Internal Medicine, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Shameel ShafqatDepartment of Internal Medicine, Aga Khan University, Karachi, Pakistan.
Eleze TariqDepartment of Internal Medicine, Aga Khan University, Karachi, Pakistan.
Sohaib TousifDepartment of Internal Medicine, Ziauddin University, Karachi, Pakistan.
Zain Ghufran UlHaqDepartment of Internal Medicine, Ziauddin University, Karachi, Pakistan.
David Fernández-SánchezDepartment of Internal Medicine, Universidad Del Norte, Barranquilla, Colombia.
María José Hernández-WoodbineDepartment of Internal Medicine, Universidad Del Norte, Barranquilla, Colombia.
Sofia Carolina Granados-MendozaDepartment of Internal Medicine, Universidad Del Norte, Barranquilla, Colombia.
Natalia Andrea Lacouture-CárdenasDepartment of Internal Medicine, Universidad Del Norte, Barranquilla, Colombia.
Camilo Andrés Avendaño-CaprilesDepartment of Internal Medicine, Universidad Del Norte, Barranquilla, Colombia.
Chanchal MaheshwariDepartment of Internal Medicine, Karachi Medical College and Hospital, Karachi, Pakistan.
Aimen IqbalBahria University Medical and Dental College, Karachi, Pakistan.
Gauranga MahalwarDepartment of Internal Medicine, Cleveland Clinic Akron General, Akron, OH, USA.
Mariam ShariffDepartment of Surgery, Mayo Clinic, Rochester, MN, USA.
Ashish KumarDepartment of Internal Medicine, Cleveland Clinic Akron General, Akron, OH, USA; Section of Cardiovascular Research, Heart, Vascular and Thoracic Department, Cleveland Clinic Akron General, Akron, OH, USA. Electronic address: drashishkumar.u@gmail.com.
Universidad del Norte · COAga Khan University · PKCleveland Clinic · USZiauddin University · PKBahria University · PKDow University of Health Sciences · PKMayo Clinic in Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTakotsubo cardiomyopathy (TC) or stress-induced cardiomyopathy is a transient heart condition that clinically resembles an acute coronary syndrome. This study aims to assess the incidence of life-threatening arrhythmias in patients with Takotsubo cardiomyopathy and evaluate the outcomes of patients with life-threatening arrhythmias (LTAs) in Takotsubo cardiomyopathy compared with those without LTA.

methodsWe comprehensively searched the PubMed, Google Scholar, and Embase databases from inception to February 2021. The primary aim of the study was to determine the incidence of LTAs in TC patients. Other outcomes of interest were the odds of in-hospital, long-term mortality, and cardiogenic shock (CS) in TC patients with LTAs versus those without LTAs. For all statistical analyses, ReviewManager and MedCalc were used.

resultsEighteen studies were included in this study involving 55,557 participants (2,185 with LTAs and 53,372 without LTAs). The pooled incidence of LTAs in the patients of TC was found to be 6.29% (CI: 4.70-8.08%; I2 = 94.67%). There was a statistically significant increased risk of in-hospital mortality (OR = 4.74; CI: 2.24-10.04; I2 = 77%, p < 0.0001) and cardiogenic shock (OR = 5.60; CI: 3.51-8.95; I2 = 0%, p < 0.00001) in the LTA group versus the non-LTA group. LTA was not associated with long-term mortality (OR = 2.23; CI: 0.94-5.28; I2 = 53%, p = 0.07).

conclusionThe pooled incidence of life-threatening arrhythmias in the patients of TC was found to be 6.29%. In the group of TC patients with LTAs, the odds of in-hospital mortality and CS, was higher than in the TC patients without LTAs.

Indexed as

Takotsubo CardiomyopathyArrhythmias, CardiacHospital MortalityHumansIncidenceShock, CardiogenicLife-threatening arrhythmiasMortalityTakotsubo cardiomyopathy

Identifiers

PMID35122776
PMCPMC9039676
OpenAlexW4210397400

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.