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June 1, 2025Cardiovascular Diagnosis and TherapyOpen Access

Chinese patients with Takotsubo syndrome experienced a significantly higher rate of 100-day major adverse cardiovascular and cerebrovascular events compared to patients with acute myocardial infarction (HR 1.87).

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Why the study?

Takotsubo syndrome differs significantly from acute myocardial infarction in clinical features and mechanisms, but evidence in Asian populations remains limited.

Population

Patients with TTS and AMI in China

Comparison

Takotsubo syndrome vs acute myocardial infarction

Design

Registry-based comparative study

Key result

Chinese patients with Takotsubo syndrome experienced a significantly higher rate of 100-day major adverse cardiovascular and cerebrovascular events compared to patients with acute myocardial infarction (HR 1.87).

Authors

YHYuxi HuangLLLingchun LyuJLJuan Lei

Discussion

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Member takes

Overview

First Chinese TTS registry data suggest caution applying Western comparisons; leaves open generalizability to broader Asian populations.

Study Design

Type

Cohort (n=348)

Multicenter

Yes

Structured PICO

P
Population
348 patients (116 with Takotsubo syndrome and 232 age- and sex-matched with acute myocardial infarction) from 10 tertiary medical centers in China, followed for a median of 1.23 to 2.35 years.
E
Exposure
Takotsubo syndrome (TTS)
C
Comparator
Acute myocardial infarction (AMI)
O
Outcome
Short-term (100-day) and long-term major adverse cardiovascular and cerebrovascular events (MACCEs), a composite of all-cause death, recurrence (TTS or AMI), and stroke/transient ischemic attack (TIA).composite

Main Result

Hazard Ratio: 1.87 (95% CI 1.03–3.37)

Absolute Event Rate: 19.6% vs 10.8%

p-value: p=0.04

Chinese patients with Takotsubo syndrome experience higher rates of in-hospital complications and worse short-term prognosis compared to those with acute myocardial infarction, highlighting the need for acute heart failure management in TTS.

Limitations

  • Retrospective design and potential selection bias
  • Lack of a central imaging analysis laboratory to certify left ventricular function
  • Missing data for some variables
  • Potential for residual or unmeasured confounding
  • Variability in clinical perceptions and diagnostic criteria among participating centers

Cite This Study

Huang et al. (2025) conducted a cohort in Takotsubo syndrome and acute myocardial infarction (n=348). Takotsubo syndrome vs. Acute myocardial infarction was evaluated on 100-day major adverse cardiovascular and cerebrovascular events (MACCEs) (HR 1.87, 95% CI 1.03-3.37, p=0.04). Chinese patients with Takotsubo syndrome experienced a significantly higher rate of 100-day major adverse cardiovascular and cerebrovascular events compared to patients with acute myocardial infarction (HR 1.87).

synapsesocial.com/papers/6a99598d0b64aa5b17f0d747https://doi.org/10.21037/cdt-2025-8
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Clinical characteristics and outcome correlates of Chinese patients with takotsubo syndrome: Results from the first Chinese takotsubo syndrome registry2023 · 21 citations
  2. 2Non-ACS Presentation in Takotsubo Syndrome2026
  3. 3Differences Between Takotsubo and the Working Diagnosis of Myocardial Infarction With Nonobstructive Coronary Arteries2022 · 15 citations
  4. 4Clinical Characteristics and Long-Term Mortality Rate in Female Patients with Takotsubo Syndrome Compared with Female Patients with ST-Elevation Acute Myocardial Infarction: A Retrospective Study from a Single Center2019 · 5 citations
  5. 5Gender-based comparison of takotsubo syndrome versus myocardial infarction2019 · 10 citations