Evidence map›Paper›PMID 41725645›Full record

ArticleCase reports in cardiology2026

When the Healthcare System Breaks a Heart: A Case of Stress Cardiomyopathy Following a Conversation With an Insurance Provider.

Kramer J Wahlberg, Friederike K Keating, Salmaan Mumtaz, Krina Patel, Ahmed A Harhash

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Case reports in cardiology, 2026. 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

5 authors.

Kramer J WahlbergDepartment of Medicine, Division of Cardiology, The Robert Larner MD College of Medicine, University of Vermont, Burlington, Vermont, USA, uvm.edu.ORCID https://orcid.org/0000-0001-6976-2247
Friederike K KeatingDepartment of Medicine, Division of Cardiology, The Robert Larner MD College of Medicine, University of Vermont, Burlington, Vermont, USA, uvm.edu.ORCID https://orcid.org/0009-0001-7132-3873
Salmaan MumtazDepartment of Medicine, Division of Cardiology, The Robert Larner MD College of Medicine, University of Vermont, Burlington, Vermont, USA, uvm.edu.ORCID https://orcid.org/0000-0003-3578-8419
Krina PatelDepartment of Medicine, Division of Cardiology, The Robert Larner MD College of Medicine, University of Vermont, Burlington, Vermont, USA, uvm.edu.
Ahmed A HarhashDepartment of Medicine, Division of Cardiology, The Robert Larner MD College of Medicine, University of Vermont, Burlington, Vermont, USA, uvm.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stress related to healthcare has been associated with adverse outcomes for patients with chronic conditions, including cardiovascular disease. We describe the case of an otherwise healthy patient who developed stress cardiomyopathy triggered by an emotional conversation with their healthcare insurance provider. A conversation regarding coverage that included preventative care for an asymptomatic patient resulted in the development of a cardiovascular emergency, transfer to a tertiary care cardiology service, antithrombotic therapy, and invasive procedures, all of which carried inherent risk and significant cost. The case illustrates the presentation, workup, management, and natural history of typical stress cardiomyopathy while providing the opportunity to highlight the brain-heart axis and consequences of healthcare-related stress.

Indexed as

case reportstressstress cardiomyopathytakotsubo

Identifiers

PMID41725645
PMCPMC12920255

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.