Evidence map›Paper›PMID 39487225›Full record

ArticleCommunications medicine2024

Regional mechanical dyssynchrony and shortened systole are present in people with Takotsubo syndrome.

Jan-Christian Reil, Vasco Sequeira, Gert-Hinrich Reil, Paul Steendijk, Christoph Maack, Thomas Fink, Elias Rawish, Ingo Eitel, Thomas Stiermaier

Abstract read
In one paragraph

Article in Communications medicine, 2024. 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. Ventricular-Arterial Coupling in Takotsubo Syndrome: Controversies and Opportunities.Journal of cardiovascular development and disease · 2026
    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

9 authors.

Jan-Christian Reil *Klinik für allgemeine und interventionelle Kardiolgie, Herz-und Diabetes-Zentrum Nordrhein-Westphalen, Georgstrasse 11, 32545, Bad Oeynhausen, Germany. janchristian.reil@gmail.com.ORCID http://orcid.org/0000-0003-1053-5175
Vasco Sequeira *DZHI, Department of Translational Science Universitätsklinikum, Würzburg, Germany.ORCID http://orcid.org/0000-0002-9192-7674
Gert-Hinrich ReilUniversitätsklinik für Innere Medizin - Kardiologie, Klinikum Oldenburg, Rahel Strauss Strasse 10, Oldenburg, Germany.
Paul SteendijkDepartment of Cardiology, Leiden University Medical Center, Leiden, the Netherlands.ORCID http://orcid.org/0000-0002-8454-4499
Christoph MaackDZHI, Department of Translational Science Universitätsklinikum, Würzburg, Germany.ORCID http://orcid.org/0000-0003-3694-4559
Thomas FinkClinic for Electrophysiology, Herz- und Diabeteszentrum NRW, Ruhr-Universität Bochum, Bad Oeynhausen, Germany.
Elias RawishMedical Clinic II, University Heart Center Lübeck, Lübeck, Germany.
Ingo Eitel *Medical Clinic II, University Heart Center Lübeck, Lübeck, Germany.
Thomas Stiermaier *Medical Clinic II, University Heart Center Lübeck, Lübeck, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTakotsubo syndrome is characterized by transient regional systolic dysfunction, left ventricular (LV) dilatation, and edema, often occurring without obstructive coronary artery disease. The mechanisms underlying this stress-induced condition, especially the role of mechanical dyssynchrony in affecting systolic function, remain poorly understood.

methodsIn our study, we evaluated global LV function and mechanical dyssynchrony in 24 Takotsubo patients compared to 20 controls by analyzing pressure-volume loops and time-varying elastance. Additionally, we monitored changes in LV segmental volume and internal flow.

resultsHere we show a significant reduction in global myocardial contractility and pronounced mechanical dyssynchrony in Takotsubo syndrome, particularly in the mid and apical LV segments, without disturbances in electrical conduction.

conclusionsOur findings reveal substantial mechanical dyssynchrony in Takotsubo patients, characterized by increased internal flow and a shortened systolic ejection time. This indicates a mechanical basis for the inefficient LV function in Takotsubo syndrome, independent of electrical conduction abnormalities.

Identifiers

PMID39487225
PMCPMC11530451

What Socratic holds

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LicenceCC BY
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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 Socratic graph.