Evidence map›Paper›PMID 36009781›Full record

ArticleBiology2022

Neutrophile-Lymphocyte Ratio and Outcome in Takotsubo Syndrome.

David Zweiker, Edita Pogran, Laura Gargiulo, Ahmed Abd El-Razek, Ivan Lechner, Ivan Vosko, Stefan Rechberger, Heiko Bugger, Günter Christ, Diana Bonderman and 11 more

Open access · goldAbstract read
In one paragraph

Article in Biology, 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
1.1field-weighted citation impact, top 21% 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, 7 citations in OpenAlex.

  1. Article
  2. Multifaceted roles of neutrophils in cardiac disease.Journal of leukocyte biology · 2025
    Review
  3. Article
  4. Review
  5. The role of inflammation in takotsubo syndrome: A new therapeutic target?Journal of cellular and molecular medicine · 2024
    Review
  6. 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

21 authors at 7 institutions in 1 country.

David Zweiker3rd Medical Department, Cardiology and Intensive Care Medicine, Clinic Ottakring (Wilhelminenhospital), 1160 Vienna, Austria.ORCID 0000-0002-7479-7767
Edita Pogran3rd Medical Department, Cardiology and Intensive Care Medicine, Clinic Ottakring (Wilhelminenhospital), 1160 Vienna, Austria.ORCID 0000-0002-5409-6816
Laura GargiuloFaculty of Medicine, Sigmund Freud University, 1020 Vienna, Austria.
Ahmed Abd El-RazekFaculty of Medicine, Sigmund Freud University, 1020 Vienna, Austria.
Ivan LechnerClinic of Internal Medicine III-Cardiology and Angiology, Medical University of Innsbruck, 6020 Innsbruck, Austria.ORCID 0000-0003-1379-3233
Ivan VoskoDepartment of Cardiology, Medical University of Graz, 8036 Graz, Austria.ORCID 0000-0002-6198-888X
Stefan RechbergerDepartment of Cardiology and Intensive Medicine, Kepler University Clinic, 4020 Linz, Austria.
Heiko BuggerDepartment of Cardiology, Medical University of Graz, 8036 Graz, Austria.
Günter Christ5th Medical Department for Cardiology, Clinic Favoriten, 1100 Vienna, Austria.
Diana Bonderman5th Medical Department for Cardiology, Clinic Favoriten, 1100 Vienna, Austria.
Evelyn Kunschitz2nd Medical Department, Hanusch Hospital, 1140 Vienna, Austria.
Clara Czedik-EysenbergCore Facility, Medical University of Vienna, 1090 Vienna, Austria.
Antonia RoithingerFaculty of Medicine, Sigmund Freud University, 1020 Vienna, Austria.
Valerie Weihs3rd Medical Department, Cardiology and Intensive Care Medicine, Clinic Ottakring (Wilhelminenhospital), 1160 Vienna, Austria.
Christoph C Kaufmann3rd Medical Department, Cardiology and Intensive Care Medicine, Clinic Ottakring (Wilhelminenhospital), 1160 Vienna, Austria.
Andreas ZirlikDepartment of Cardiology, Medical University of Graz, 8036 Graz, Austria.
Axel BauerClinic of Internal Medicine III-Cardiology and Angiology, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Bernhard MetzlerClinic of Internal Medicine III-Cardiology and Angiology, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Thomas LambertDepartment of Cardiology and Intensive Medicine, Kepler University Clinic, 4020 Linz, Austria.
Clemens SteinwenderDepartment of Cardiology and Intensive Medicine, Kepler University Clinic, 4020 Linz, Austria.
Kurt Huber3rd Medical Department, Cardiology and Intensive Care Medicine, Clinic Ottakring (Wilhelminenhospital), 1160 Vienna, Austria.
Sigmund Freud Privatuniversität Wien · ATMedical University of Graz · ATInnsbruck Medical University · ATKepler Universitätsklinikum · ATWilhelminen Hospital · ATHanusch Hospital · ATMedical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Takotsubo syndrome (TTS) is an important type of acute heart failure with significant risk of acute complications and death. In this analysis we sought to identify predictors for in-hospital clinical outcome in TTS patients and present long-term outcomes. Methods: In this analysis from the Austrian national TTS registry, univariable and multivariable analyses were performed to identify significant predictors for severe in-hospital complications requiring immediate invasive treatment or leading to irreversible damage, such as cardiogenic shock, intubation, stroke, arrhythmias and death. Furthermore, the influence of independent predictors on long-term survival was evaluated. Results: A total of 338 patients (median age 72 years, 86.9% female) from six centers were included. Severe in-hospital complications occurred in 14.5% of patients. In multivariable analysis, high neutrophile-lymphocyte-ratio (NLR; OR 1.04 [95% CI 1.02−1.07], p = 0.009) and low LVEF (OR 0.92 [0.90−0.95] per %, p < 0.001) were significant predictors of severe in-hospital complications. Both the highest NLR tercile and the lowest LVEF tercile were significantly associated with reduced 5-year survival. Conclusions: Low LVEF and high NLR at admission were independently associated with increased in-hospital complications and reduced long-term survival in TTS patients. NLR is a new easy-to-measure tool to predict worse short- and long-term outcome after TTS.

Indexed as

LVEFneutrophile-lymphocyte ratiooutcomepredictorsregistrytakotsubo syndrome

Identifiers

PMID36009781
PMCPMC9404721
OpenAlexW4289334232

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.