Evidence map›Paper›PMID 37850436›Full record

ArticleJournal of the American Heart Association2023

Stroke-Heart Syndrome: Does Sex Matter?

Michela Rosso, Srinath Ramaswamy, Nino Kvantaliani, Yohannes Mulatu, Jessica N Little, Izabela Marczak, Ankita Brahmaroutu, Rajat Deo, Jennifer Lewey, Steven R Messé and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.2field-weighted citation impact, top 10% 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

12 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Sex Differences in Outcomes of Acute Myocardial Injury After Stroke.Journal of the American Heart Association · 2024
    Observational
  11. Article
  12. Cardiac Injury After Acute Ischemic Stroke: Are Women at Increased Risk?Journal of the American Heart Association · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Michela RossoDepartment of Neurology University of Pennsylvania Philadelphia PA.ORCID 0000-0002-3359-9094
Srinath RamaswamyDepartment of Neurology SUNY Downstate Health Sciences University Brooklyn NY.ORCID 0000-0002-3307-5354
Nino KvantalianiDepartment of Neurology University of Pennsylvania Philadelphia PA.
Yohannes MulatuDepartment of Neurology SUNY Downstate Health Sciences University Brooklyn NY.
Jessica N LittleDepartment of Neurology University of Pennsylvania Philadelphia PA.
Izabela MarczakDepartment of Neurology SUNY Downstate Health Sciences University Brooklyn NY.ORCID 0000-0002-6711-9765
Ankita BrahmaroutuDepartment of Neurology University of Pennsylvania Philadelphia PA.
Rajat DeoDivision of Cardiology, Department of Medicine University of Pennsylvania Philadelphia PA.ORCID 0000-0002-8250-2607
Jennifer LeweyDivision of Cardiology, Department of Medicine University of Pennsylvania Philadelphia PA.ORCID 0000-0003-3483-5527
Steven R MesséDepartment of Neurology University of Pennsylvania Philadelphia PA.ORCID 0000-0003-3108-5441
Brett L CucchiaraDepartment of Neurology University of Pennsylvania Philadelphia PA.ORCID 0000-0002-5218-9015
Steven R LevineDepartment of Neurology SUNY Downstate Health Sciences University Brooklyn NY.ORCID 0000-0002-7451-7534
Scott E KasnerDepartment of Neurology University of Pennsylvania Philadelphia PA.ORCID 0000-0003-0418-6917
University of Pennsylvania · USSUNY Downstate Health Sciences University · US

Funding

The Philadelphia Regional Stroke Trials Network Coordinating Center (PRSTNCC)U24NS107224 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI Brett Lee Cucchiara · 2018 to 2026
$3.2M
NINDS NIH HHS U24 NS107224
6 · The paper itself

Abstract

Background Cardiovascular complications after acute ischemic stroke (AIS) can be related to chronic/comorbid cardiac conditions or acute disruption of the brain-heart autonomic axis (stroke-heart syndrome). Women are known to be more vulnerable to certain stress-induced cardiac complications, such as Takotsubo cardiomyopathy. We investigated sex differences in cardiac troponin (cTn) elevation, cardiac events, and outcomes after AIS. Methods and Results We retrospectively analyzed consecutive patients with AIS from 5 stroke centers. Patients with AIS with elevated baseline cTn and at least 2 cTn measurements were included, while patients with acute comorbid conditions that could impact cTn levels were excluded. Poststroke acute myocardial injury was defined as the presence of a dynamic cTn pattern (rise/fall >20% in serial measurements) in the absence of acute atherosclerotic coronary disease (type 1 myocardial infarction) or cardiac death (type 3 myocardial infarction). From a total cohort of 3789 patients with AIS, 300 patients were included in the study: 160 were women (53%). Women were older, had a lower burden of cardiovascular risk factors, and more frequently had cardioembolic stroke and right insula involvement (

Indexed as

Acute Coronary SyndromeCoronary Artery DiseaseHeart DiseasesIschemic StrokeMyocardial InfarctionStrokeBiomarkersFemaleHumansMaleRetrospective StudiesBiomarkerscardiac complicationsischemic strokemortalitystroke‐heart syndrometroponin

Identifiers

PMID37850436
PMCPMC10727394
OpenAlexW4387728497

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.