Evidence map›Paper›PMID 40678681›Full record

ArticleJournal of arrhythmia2025

Prognostic relevance of arrhythmic and QTc burden in takotsubo cardiomyopathy: A systematic review and meta-analysis.

Ankit Hanmandlu, Jyothik Varun Inampudi, Mohammad Hamza, Prakash Upreti, Abdul Rasheed Bahar, Jawad Basit, Sivaram Neppala, Himaja Dutt Chigurupati, Rohit Goru, M Chadi Alraies

Abstract read
In one paragraph

Article in Journal of arrhythmia, 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

10 authors.

Ankit HanmandluWayne State University/Detroit Medical Center Department of Internal Medicine Detroit Michigan USA.
Jyothik Varun InampudiWayne State University/Detroit Medical Center Department of Internal Medicine Detroit Michigan USA.
Mohammad HamzaGuthrie Medical Group Cortland New York USA.
Prakash UpretiSands-Constellation Heart Institute Rochester Regional Health Rochester New York USA.
Abdul Rasheed BaharWayne State University/Detroit Medical Center Department of Internal Medicine Detroit Michigan USA.
Jawad BasitDepartment of Medicine Rawalpindi Medical University Rawalpindi Pakistan.
Sivaram NeppalaUT Health Science Center at San Antonio San Antonio Texas USA.
Himaja Dutt ChigurupatiNew York Medical College at Saint Michael's Medical Center Newark New Jersey USA.
Rohit GoruWayne State University School of Medicine Detroit Michigan USA.
M Chadi AlraiesWayne State University/Detroit Medical Center Cardiovascular Institute Detroit Michigan USA.ORCID https://orcid.org/0000-0002-7874-4566

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Takotsubo cardiomyopathy is characterized by stress-induced systolic dysfunction of the left ventricle that is largely reversible and not related to coronary ischemia. Patients with Takotsubo cardiomyopathy can often develop concurrent arrhythmias and prolonged QTc interval, which have been shown to contribute to significant morbidity and mortality in prior retrospective studies. Hence, we conducted a comprehensive systematic review and meta-analysis to characterize the risk of atrial arrhythmias, life-threatening arrhythmias, and QTc prolongation on clinical outcomes in patients with Takotsubo cardiomyopathy. Methods: We searched PubMed and EMBASE databases from inception to April 2024. A total of 13 studies were eligible for data collection across the three subgroups. Results: Atrial and life-threatening arrhythmias in Takotsubo cardiomyopathy have an increased risk of in-hospital mortality and cardiogenic shock, a finding that was not observed in patients with prolonged QTc. Upon univariate analysis of the QTc subgroup, younger age and the presence of ST-Elevation were identified as additional negative prognostic indicators of adverse outcomes in Takotsubo cardiomyopathy. Conclusion: Our study demonstrates the increased risk of different arrhythmic profiles in Takotsubo cardiomyopathy. Further investigation is needed to identify pathophysiological mechanisms and tailored anti-arrhythmics to improve outcomes in this unique subset of Takotsubo patients.

Indexed as

atrial arrhythmiaslife‐threatening arrhythmiasQTctakotsubo cardiomyopathy

Identifiers

PMID40678681
PMCPMC12267671

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.