Evidence map›Paper›PMID 36018537›Full record

SynthesisEndocrine2022

The association between Takotsubo cardiomyopathy and thyrotoxicosis: A systematic review.

Abdullahi Ahmed Mohamed, Tayfun Basaran, Marwan Hassan Othman, Niels Holmark Andersen, Steen Joop Bonnema

Open access · greenAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Endocrine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

5 authors at 5 institutions in 1 country.

Abdullahi Ahmed Mohamed *Department of Cardiology, Region Hospital West Jutland, Herning, Denmark. abmoh06410@gmail.com.ORCID 0000-0003-2383-4609
Tayfun Basaran *Department of Cardiology, Herlev-Gentofte Hospital, Copenhagen, Denmark.
Marwan Hassan OthmanDepartment of Neurology, Rigshospitalet, Copenhagen, Denmark.
Niels Holmark AndersenDepartment of Cardiology, Aalborg University Hospital, Aalborg, Denmark.
Steen Joop BonnemaDepartment of Endocrinology, Odense University Hospital, Odense, Denmark.
Aalborg University Hospital · DKGentofte Hospital · DKOdense University Hospital · DKRegional Hospital West Jutland · DKRigshospitalet · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aims to review all published cases on the association between thyrotoxicosis and Takutsubo Syndrome by describing clinical characteristics, diagnostic work-up, treatment, and outcome.

methodsWe searched PubMed and Embase databases from inception to the 17th of February 2022 for case reports or series reporting the above-mentioned association. We extracted data on demographic characteristics, clinical features, diagnostic work-up, treatment, and clinical outcomes. Cases were stratified into groups based on the presumed cause of the thyrotoxicosis (iatrogenic vs non-iatrogenic and Graves' diseases vs non-Graves' disease, respectively).

resultsWe identified 25 cases from 24 articles. The mean age was 61.7 years (+/- SD 14.5). Most patients were women (88%). Graves' disease (52%) was the leading cause of thyrotoxicosis. Previous cancer was significantly more common in patients with iatrogenic thyrotoxicosis (P = 0.03). The most common symptoms were respiratory symptoms (68%), chest pain (56%), and palpitations (40%). The most common ECG characteristics were T-wave abnormalities (48%) and ST-elevations (36%). Elevated troponin levels were found in 92% of the cases. Patients with Graves's disease and Takutsubo Syndrome had higher plasma levels of serum thyroxine (P = 0.03) and were more often treated with beta-blockers (P = 0.01) compared to patients with thyrotoxicosis of other origins. Notably, 40% of cases experienced in-hospital complications. No deaths were reported. All patients had improved cardiac function within a median follow-up of 42 days.

conclusionEvidence-based on current case reports suggests an increased risk of Takutsubo Syndrome and subsequently increased risk of in-hospital complications in patients with thyrotoxicosis.

Indexed as

Graves DiseaseTakotsubo CardiomyopathyThyrotoxicosisFemaleHumansMaleMiddle AgedGraves’ diseaseHeart failureTakotsubo cardiomyopathyTakutsubo syndromeThyrotoxicosis

Identifiers

PMID36018537
OpenAlexW4293206624

What OpenQuestion holds

Textmetadata
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.