Evidence map›Paper›PMID 40475711›Full record

ReviewReviews in cardiovascular medicine2025

"Restless Nights, Stressed Hearts": The Link Between Sleep Disorders and Takotsubo Syndrome-A Comprehensive Review.

Ioannis Alevroudis, Magda Petridou, Agni Sakkou, Serafeim-Chrysovalantis Kotoulas, Sotirios Matzolas, Panagiotis Roumelis, Maria Stougianni, Eleni Massa, Eleni Mouloudi

Abstract readReview
In one paragraph

Review in Reviews in cardiovascular medicine, 2025. 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
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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

9 authors.

Ioannis AlevroudisAdult ICU, General Hospital of Thessaloniki "Ippokrateio", 54642 Thessaloniki, Greece.ORCID https://orcid.org/0009-0001-4889-677X
Magda PetridouThird Department of Cardiology, General Hospital of Thessaloniki "Ippokrateio", Aristotle University of Thessaloniki, 54642 Thessaloniki, Greece.
Agni SakkouAdult ICU, General Hospital of Thessaloniki "Ippokrateio", 54642 Thessaloniki, Greece.
Serafeim-Chrysovalantis KotoulasAdult ICU, General Hospital of Thessaloniki "Ippokrateio", 54642 Thessaloniki, Greece.
Sotirios MatzolasAdult ICU, General Hospital of Thessaloniki "Ippokrateio", 54642 Thessaloniki, Greece.
Panagiotis RoumelisAdult ICU, General Hospital of Thessaloniki "Ippokrateio", 54642 Thessaloniki, Greece.
Maria StougianniAdult ICU, General Hospital of Thessaloniki "Ippokrateio", 54642 Thessaloniki, Greece.
Eleni MassaAdult ICU, General Hospital of Thessaloniki "Ippokrateio", 54642 Thessaloniki, Greece.
Eleni MouloudiAdult ICU, General Hospital of Thessaloniki "Ippokrateio", 54642 Thessaloniki, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Takotsubo syndrome (TTS), also known as stress-induced cardiomyopathy or "broken heart syndrome", is characterized by transient left ventricular dysfunction, often triggered by emotional or physical stress. Emerging evidence suggests that sleep-disordered breathing (SDB) and sleep disruption may play a significant role in the pathophysiology and exacerbation of TTS. This review explores the influence of conditions such as obstructive sleep apnea (OSA), insomnia, and other sleep disturbances on the onset and progression of TTS. SDB, particularly OSA, is marked by repetitive episodes of upper airway obstruction during sleep, leading to intermittent hypoxia and increased sympathetic nervous system activity. These physiological changes can trigger or exacerbate TTS by promoting myocardial stress and impairing autonomic regulation. Insomnia and other forms of sleep disruption also contribute to heightened sympathetic activity and elevated stress hormone levels, which may precipitate TTS in susceptible individuals. Thus, this review synthesizes current research on the mechanisms linking sleep disturbances to TTS, highlighting the impact of nocturnal hypoxia, sleep fragmentation, and autonomic dysregulation. Moreover, this review discusses the clinical implications of these findings, emphasizing the need to screen and manage sleep disorders in patients with or at risk of TTS. Addressing sleep disturbances through therapeutic interventions may reduce the incidence and recurrence of TTS, offering a novel approach to managing this condition. In conclusion, this review underscores the importance of recognizing and treating SDB and sleep disruption as potential contributors to Takotsubo syndrome. Future research should focus on elucidating the precise mechanisms involved and determining effective strategies for integrating sleep management into the care of patients with TTS.

Indexed as

elevated catecholamine levelsheart rate variabilityhypothalamic-pituitary-adrenal (HPA) axisinsomniaobstructive sleep apnearestless leg syndromesleep deprivationTakotsubo syndrome

Identifiers

PMID40475711
PMCPMC12135652

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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.