Evidence map›Paper›PMID 40111441›Full record

Observational studyClinical research in cardiology : official journal of the German Cardiac Society2025

Prospective comparison of temporal changes in myocardial function in women with Takotsubo versus anterior STEMI.

Sandeep Jha, Angela Poller, Aaron Shekka Espinosa, Linnea Molander, Valentyna Sevastianova, Rickard Zeijlon, Koen Simons, Emanuele Bobbio, Carlo Pirazzi, Andreas Martinsson and 15 more

Registry-linked trialAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Clinical research in cardiology : official journal of the German Cardiac Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04448639 (STAMI- Stunning in Takotsubo Versus Acute Myocardial Infarction), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

NCT04448639 recruitingnot on this map

STAMI- Stunning in Takotsubo Versus Acute Myocardial Infarction

TypeobservationalSponsorVastra Gotaland RegionRan2019 to 2030Enrolled125ConditionsMyocardial StunningArmsEchocardigraphy (ECHO), Bloodtest
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Is takotsubo syndrome probably an acute coronary syndrome after all?Clinical research in cardiology : official journal of the German Cardiac Society · 2025
    Article
  3. Response to 'Prospective comparison of temporal changes in myocardial function in women with Takotsubo versus anterior STEMI'.Clinical research in cardiology : official journal of the German Cardiac Society · 2025
    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

25 authors.

Sandeep JhaDepartment of Molecular and Clinical Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Angela PollerDepartment of Molecular and Clinical Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Aaron Shekka EspinosaDepartment of Molecular and Clinical Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Linnea MolanderDepartment of Molecular and Clinical Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Valentyna SevastianovaDepartment of Molecular and Clinical Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Rickard ZeijlonDepartment of Molecular and Clinical Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Koen SimonsDepartment of Molecular and Clinical Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Emanuele BobbioDepartment of Cardiology, Sahlgrenska University Hospital/S, Bruna Straket 16, 431 45, Gothenburg, Sweden.
Carlo PirazziDepartment of Cardiology, Sahlgrenska University Hospital/S, Bruna Straket 16, 431 45, Gothenburg, Sweden.
Andreas MartinssonDepartment of Cardiology, Sahlgrenska University Hospital/S, Bruna Straket 16, 431 45, Gothenburg, Sweden.
Tomas MellbergDepartment of Cardiology, Sahlgrenska University Hospital/S, Bruna Straket 16, 431 45, Gothenburg, Sweden.
Thorsteinn GudmundssonDepartment of Cardiology, Sahlgrenska University Hospital/S, Bruna Straket 16, 431 45, Gothenburg, Sweden.
Petronella TorildDepartment of Cardiology, Sahlgrenska University Hospital/S, Bruna Straket 16, 431 45, Gothenburg, Sweden.
Joakim SundstromDepartment of Cardiology, Sahlgrenska University Hospital/S, Bruna Straket 16, 431 45, Gothenburg, Sweden.
Erik Axel AnderssonDepartment of Molecular and Clinical Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Sigurdur ThorleifssonDepartment of Molecular and Clinical Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Sabin SalahuddinDepartment of Molecular and Clinical Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Ahmed ElmahdyDepartment of Molecular and Clinical Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Tetiana PylovaDepartment of Molecular and Clinical Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Araz RawshaniDepartment of Molecular and Clinical Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Oskar AngerasDepartment of Molecular and Clinical Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Truls RamunddalDepartment of Molecular and Clinical Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Kristofer SkoglundDepartment of Cardiology, Sahlgrenska University Hospital/S, Bruna Straket 16, 431 45, Gothenburg, Sweden.
Elmir OmerovicDepartment of Molecular and Clinical Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Bjorn RedforsDepartment of Molecular and Clinical Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden. bjorn.redfors@wlab.gu.se.ORCID http://orcid.org/0000-0002-4155-4451

Funding

H2020 European Research Council 948665Hjärt-Lungfonden 20180555Svenska Sällskapet för Medicinsk Forskning 181015
6 · The paper itself

Abstract

backgroundTakotsubo syndrome (TS) and STEMI with timely reperfusion are both characterized by reversible acute myocardial dysfunction, often referred to as myocardial stunning. The natural course of cardiac functional recovery is incompletely understood in TS and STEMI. The aim of this study was to prospectively compare changes in cardiac function over the acute and subacute phases in women with TS versus anterior STEMI.

methodsThe Stunning in Takotsubo versus Acute Myocardial Infarction (STAMI) study prospectively enrolled 61 women with TS and 41 women with STEMI. Echocardiography and blood sampling was performed within 4 h of admission and at 1, 2, 3, 7, 14, and 30 days after admission. The primary outcome was the proportion of reversible left ventricular akinesia (defined as extent of akinesia at baseline versus at 30 days) that resolved by 72 h. Secondary outcomes included LVEF, GLS, and TAPSE. Mixed effects linear regression or mixed effects tobit models with random intercepts were used to model echocardiographic parameters over time.

resultsAt 72 h 40.4% [95% CI 30.1%, 50.1%] of the reversible akinesia had resolved in women with TS, versus 54.7% [95% CI 38.3%, 72.0%] for STEMI (difference 14.3% [95% CI - 4.6%, 34.3%]). Time-course of recovery of LVEF and GLS was also similar in TS and STEMI. TAPSE was reduced in TS but normal in STEMI; and recovered in a similar timeframe as the left ventricular indices. In both TS and STEMI, considerable recovery of cardiac function occurred after 7 days.

conclusionsThe time course of recovery of cardiac function is similar in TS and STEMI.

trial registrationClinicalTrials.gov ID NCT04448639, https://clinicaltrials.gov/study/NCT04448639 .

Indexed as

ST Elevation Myocardial InfarctionStroke VolumeTakotsubo CardiomyopathyVentricular Function, LeftAgedEchocardiographyFemaleFollow-Up StudiesHumansMiddle AgedProspective StudiesRecovery of FunctionTime FactorsEchocardiographyST-elevation myocardial infarctionTakotsubo syndrome

Identifiers

PMID40111441
PMCPMC12708765

What OpenQuestion holds

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Registered trials

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.