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Happy heart syndrome: role of positive emotional stress in takotsubo syndrome

Overview of attention for article published in European Heart Journal, March 2016
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • One of the highest-scoring outputs from this source (#1 of 5,594)
  • High Attention Score compared to outputs of the same age (99th percentile)
  • High Attention Score compared to outputs of the same age and source (99th percentile)

Mentioned by

news
210 news outlets
blogs
8 blogs
twitter
111 tweeters
facebook
11 Facebook pages
wikipedia
1 Wikipedia page
googleplus
57 Google+ users
video
2 video uploaders

Citations

dimensions_citation
43 Dimensions

Readers on

mendeley
52 Mendeley
Title
Happy heart syndrome: role of positive emotional stress in takotsubo syndrome
Published in
European Heart Journal, March 2016
DOI 10.1093/eurheartj/ehv757
Pubmed ID
Authors

Jelena R. Ghadri, Annahita Sarcon, Johanna Diekmann, Dana Roxana Bataiosu, Victoria L. Cammann, Stjepan Jurisic, Lars Christian Napp, Milosz Jaguszewski, Frank Scherff, Peter Brugger, Lutz Jäncke, Burkhardt Seifert, Jeroen J. Bax, Frank Ruschitzka, Thomas F. Lüscher, Christian Templin, Ghadri, Jelena R, Sarcon, Annahita, Diekmann, Johanna, Bataiosu, Dana Roxana, Cammann, Victoria L, Jurisic, Stjepan, Napp, Lars Christian, Jaguszewski, Milosz, Scherff, Frank, Brugger, Peter, Jäncke, Lutz, Seifert, Burkhardt, Bax, Jeroen J, Ruschitzka, Frank, Lüscher, Thomas F, Templin, Christian, , , Ghadri, Jelena R., Cammann, Victoria L., Bax, Jeroen J., Lüscher, Thomas F., Schwyzer, Moritz, Franke, Jennifer, Katus, Hugo A., Burgdorf, Christof, Schunkert, Heribert, Thiele, Holger, Bauersachs, Johann, Tschöpe, Carsten, Rajan, Lawrence, Michels, Guido, Pfister, Roman, Ukena, Christian, Böhm, Michael, Erbel, Raimund, Cuneo, Alessandro, Kuck, Karl-Heinz, Jacobshagen, Claudius, Hasenfuß, Gerd, Karakas, Mahir, Koenig, Wolfgang, Rottbauer, Wolfgang, Said, Samir M., Braun-Dullaeus, Ruediger C., Cuculi, Florim, Banning, Adrian, Fischer, Thomas A., Vasankari, Tuija, Airaksinen, K.E. Juhani, Fijalkowski, Marcin, Rynkiewicz, Andrzej, Opolski, Grzegorz, Dworakowski, Rafal, MacCarthy, Philip, Kaiser, Christoph, Osswald, Stefan, Galiuto, Leonarda, Crea, Filippo, Dichtl, Wolfgang, Franz, Wolfgang M., Empen, Klaus, Felix, Stephan B., Delmas, Clément, Lairez, Olivier, Erne, Paul, Prasad, Abhiram

Abstract

Takotsubo syndrome (TTS) is typically provoked by negative stressors such as grief, anger, or fear leading to the popular term 'broken heart syndrome'. However, the role of positive emotions triggering TTS remains unclear. The aim of the present study was to analyse the prevalence and characteristics of patients with TTS following pleasant events, which are distinct from the stressful or undesirable episodes commonly triggering TTS. Takotsubo syndrome patients with preceding pleasant events were compared to those with negative emotional triggers from the International Takotsubo Registry. Of 1750 TTS patients, we identified a total of 485 with a definite emotional trigger. Of these, 4.1% (n = 20) presented with pleasant preceding events and 95.9% (n = 465) with unequivocal negative emotional events associated with TTS. Interestingly, clinical presentation of patients with 'happy heart syndrome' was similar to those with the 'broken heart syndrome' including symptoms such as chest pain [89.5% (17/19) vs. 90.2% (412/457), P = 1.0]. Similarly, electrocardiographic parameters, laboratory findings, and 1-year outcome did not differ. However, in a post hoc analysis, a disproportionate higher prevalence of midventricular involvement was noted in 'happy hearts' compared with 'broken hearts' (35.0 vs. 16.3%, P = 0.030). Our data illustrate that TTS can be triggered by not only negative but also positive life events. While patient characteristics were similar between groups, the midventricular TTS type was more prevalent among the 'happy hearts' than among the 'broken hearts'. Presumably, despite their distinct nature, happy and sad life events may share similar final common emotional pathways, which can ultimately trigger TTS.

Twitter Demographics

The data shown below were collected from the profiles of 111 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 52 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 52 100%

Demographic breakdown

Readers by professional status Count As %
Student > Doctoral Student 8 15%
Student > Bachelor 7 13%
Researcher 7 13%
Student > Postgraduate 6 12%
Student > Ph. D. Student 5 10%
Other 19 37%
Readers by discipline Count As %
Medicine and Dentistry 35 67%
Unspecified 7 13%
Agricultural and Biological Sciences 3 6%
Nursing and Health Professions 2 4%
Neuroscience 2 4%
Other 3 6%

Attention Score in Context

This research output has an Altmetric Attention Score of 1824. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 August 2018.
All research outputs
#673
of 11,814,997 outputs
Outputs from European Heart Journal
#1
of 5,594 outputs
Outputs of similar age
#41
of 290,965 outputs
Outputs of similar age from European Heart Journal
#1
of 139 outputs
Altmetric has tracked 11,814,997 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 5,594 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.8. This one has done particularly well, scoring higher than 99% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 290,965 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 139 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 99% of its contemporaries.