Evidence map›Paper›PMID 38454651›Full record

ArticleESC heart failure2024

Effects of pharmacological interventions on mortality in patients with Takotsubo syndrome: a report from the SWEDEHEART registry.

Petur Petursson, Eduard Oštarijaš, Björn Redfors, Truls Råmunddal, Oskar Angerås, Sebastian Völz, Araz Rawshani, Kristina Hambraeus, Sasha Koul, Joakim Alfredsson and 8 more

Abstract readMulticenter Study
In one paragraph

Article in ESC heart failure, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

18 authors.

Petur PeturssonDepartment of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Eduard OštarijašUniversity of Pécs Medical School, Pécs, Hungary.
Björn RedforsDepartment of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Truls RåmunddalDepartment of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Oskar AngeråsDepartment of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Sebastian VölzDepartment of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Araz RawshaniDepartment of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Kristina HambraeusDepartment of Cardiology, Falun Hospital, Falun, Sweden.
Sasha KoulDepartment of Cardiology, Skåne University Hospital, Lund, Sweden.
Joakim AlfredssonDepartment of Cardiology, Linköping University Hospital, Linköping, Sweden.
Henrik HagströmDepartment of Cardiology, Umeå University Hospital, Umeå, Sweden.
Henareh LoghmanDepartment of Cardiology, Karolinska University Hospital, Stockholm, Sweden.
Robin HofmannDepartment of Cardiology, Södra Hospital, Stockholm, Sweden.
Ole FröbertDepartment of Cardiology, Örebro University Hospital, Örebro, Sweden.
Tomas JernbergDepartment of Cardiology, Danderyd University Hospital, Stockholm, Sweden.
Stefan JamesDepartment of Cardiology, Uppsala University Hospital, Uppsala, Sweden.
David ErlingeDepartment of Cardiology, Skåne University Hospital, Lund, Sweden.
Elmir OmerovicDepartment of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden.ORCID https://orcid.org/0000-0002-3875-8621

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTakotsubo syndrome (TS) is a heart condition mimicking acute myocardial infarction. TS is characterized by a sudden weakening of the heart muscle, usually triggered by physical or emotional stress. In this study, we aimed to investigate the effect of pharmacological interventions on short- and long-term mortality in patients with TS. METHODS AND

resultsWe analysed data from the SWEDEHEART (the Swedish Web System for Enhancement and Development of Evidence-based care in Heart disease Evaluated According to Recommended Therapies) registry, which included patients who underwent coronary angiography between 2009 and 2016. In total, we identified 1724 patients with TS among 228 263 individuals in the registry. The average age was 66 ± 14 years, and 77% were female. Nearly half of the TS patients (49.4%) presented with non-ST-elevation acute coronary syndrome, and a quarter (25.9%) presented with ST-elevation myocardial infarction. Most patients (79.1%) had non-obstructive coronary artery disease on angiography, while 11.7% had a single-vessel disease and 9.2% had a multivessel disease. All patients received at least one pharmacological intervention; most of them used beta-blockers (77.8% orally and 8.3% intravenously) or antiplatelet agents [aspirin (66.7%) and P2Y

conclusionsOur findings suggest that some medications commonly used to treat TS are associated with higher mortality, while others have lower mortality. These results could inform clinical decision-making and improve patient outcomes in TS. Further research is warranted to validate these findings and to identify optimal pharmacological interventions for patients with TS.

Indexed as

Coronary AngiographyRegistriesTakotsubo CardiomyopathyAdrenergic beta-AntagonistsAgedFemaleFollow-Up StudiesHumansMaleRetrospective StudiesSurvival RateSwedenAdrenergic beta-AntagonistsMortalityPharmacological interventionsPrognosisStress cardiomyopathyTakotsubo cardiomyopathyTakotsubo syndrome

Identifiers

PMID38454651
PMCPMC11098647

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Registered trials

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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.