Evidence map›Paper›PMID 40551298›Full record

ArticleJournal of the American Heart Association2025

Serotonin Norepinephrine Reuptake Inhibitor Is Associated With Lower Mortality Among Patients Presenting With Takotsubo Cardiomyopathy.

Garba Rimamskep Shamaki, Anderson Anuforo, Israel Safiriyu, David Corteville, Monika Sanghavi, Samit Shah, Katherine Clark

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Garba Rimamskep ShamakiDepartment of Medicine Tower Health Reading Hospital West Reading PA USA.ORCID 0000-0002-7838-2753
Anderson AnuforoDepartment of Cardiovascular Diseases Suny Upstate Medical University Syracuse NY USA.ORCID 0000-0003-2523-6290
Israel SafiriyuDepartment of Cardiovascular Diseases Yale School of Medicine New Haven CT USA.ORCID 0000-0003-3190-6430
David CortevilleDepartment of Cardiovascular Diseases Rochester Regional Health/Unity Hospital Rochester PA USA.ORCID 0000-0002-3129-1870
Monika SanghaviDepartment of Cardiovascular Diseases University of Pennsylvania Philadelphia PA USA.ORCID 0000-0002-9659-4258
Samit ShahInterventional Cardiology Department, Cardiovascular Disease Division Yale School of Medicine New Haven CT USA.ORCID 0000-0002-3664-4102
Katherine ClarkAdvanced Heart Failure Department, Cardiovascular Medicine Division Yale School of Medicine New Haven CT USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSerotonin-norepinephrine reuptake inhibitors (SNRIs) inhibit the presynaptic reuptake of serotonin and norepinephrine and are widely used in the treatment of depression and neuropathic pain. We evaluate the impact of SNRIs use on the clinical outcomes of patients presenting with Takotsubo cardiomyopathy (TCM).

methodsWe analyzed data from the TriNetX research network. Patients aged ≥18 years with a principal diagnosis of TCM were identified from January 1, 2003, to December 31, 2023. After excluding patients on SSRIs, stimulants, 5-fluorouracil, capecitabine, gemcitabine, and trastuzumab, patients with myocarditis, pheochromocytoma, acute myocardial infarction, cocaine-related disorders, and opioid-related disorders, were also excluded. The final study population was divided into 2 cohorts: patients on SNRIs and patients not on SNRIs. Propensity score matching was used to adjust for potential confounders. The primary outcome was all-cause mortality, and the secondary outcome was Takotsubo cardiomyopathy-related complications.

resultsA total of 16 853 patients with a diagnosis of TCM were identified, of which 2482 (14.7%) were on SNRIs. The SNRIs cohort were older (mean age 64.1 versus 63.4 years,

conclusionsThe use of SNRIs among patients presenting with TCM is associated with lower mortality and lower TCM-related complications.

Indexed as

Serotonin and Noradrenaline Reuptake InhibitorsTakotsubo CardiomyopathyAgedFemaleHumansMaleMiddle AgedPropensity ScoreRetrospective StudiesRisk AssessmentRisk FactorsSerotonin and Noradrenaline Reuptake Inhibitorsantidepressantscardiomyopathydepressionmortalityserotonin–norepinephrine reuptake inhibitors (SNRIs)Takotsubo cardiomyopathy

Identifiers

PMID40551298
PMCPMC12449939

What OpenQuestion holds

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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.