{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T02:04:13Z","timestamp":1789005853363,"version":"build-2803163510"},"reference-count":38,"publisher":"Texas Heart Institute Journal","issue":"1","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:sec>\n          <jats:title>Background:<\/jats:title>\n          <jats:p>Takotsubo syndrome has been reported in patients with COVID-19, although minimal data are available. This investigation assessed the incidence and impact of takotsubo syndrome on patients hospitalized with COVID-19.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Methods:<\/jats:title>\n          <jats:p>A retrospective cohort study was conducted using <jats:italic>International Statistical Classification of Diseases, Tenth Revision,<\/jats:italic> codes to identify patients with a primary diagnosis of COVID-19 with or without takotsubo syndrome in the National Inpatient Sample 2020 database. Outcomes between groups were compared after propensity score matching for patient and hospital demographics and comorbidities.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Results:<\/jats:title>\n          <jats:p>A total of 211,448 patients with a primary diagnosis of COVID-19 were identified. Of these, 171 (0.08%) had a secondary diagnosis of takotsubo syndrome. Before matching, patients with COVID-19 and takotsubo syndrome, compared with patients without takotsubo syndrome, were older (68.95 vs 64.26 years; <jats:italic>P<\/jats:italic> &lt; .001); more likely to be female (64.3% vs 47.2%; <jats:italic>P<\/jats:italic> &lt; .001); and more likely to have anxiety (24.6% vs 12.8%; <jats:italic>P<\/jats:italic> &lt; .001), depression (17.5% vs 11.4%; <jats:italic>P<\/jats:italic> = .02), and chronic obstructive pulmonary disease (24.6% vs 14.7%; <jats:italic>P<\/jats:italic> &lt; .001). The takotsubo syndrome group had worse outcomes than the non\u2013takotsubo syndrome group for death (30.4% vs 11.1%), cardiac arrest (7.6% vs 2.1%), cardiogenic shock (12.9% vs 0.4%), length of hospital stay (10.7 vs 7.5 days), and total charges ($152,685 vs $78,468) (all <jats:italic>P<\/jats:italic> &lt; .001). After matching and compared with the non\u2013takotsubo syndrome group (n = 508), the takotsubo syndrome group (n = 170) had a higher incidence of inpatient mortality (30% vs 14%; <jats:italic>P<\/jats:italic> &lt; .001), cardiac arrest (7.6% vs 2.8%; <jats:italic>P<\/jats:italic> = .009), and cardiogenic shock (12.4% vs 0.4%; <jats:italic>P<\/jats:italic> &lt; .001); a longer hospital stay (10.7 vs 7.6 days; <jats:italic>P<\/jats:italic> &lt; .001); and higher total charges ($152,943 vs $79,523; <jats:italic>P<\/jats:italic> &lt; .001).<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Conclusion:<\/jats:title>\n          <jats:p>Takotsubo syndrome is a rare but severe in-hospital complication in patients with COVID-19.<\/jats:p>\n        <\/jats:sec>","DOI":"10.14503\/thij-23-8309","type":"journal-article","created":{"date-parts":[[2024,5,6]],"date-time":"2024-05-06T09:43:11Z","timestamp":1714988591000},"source":"Crossref","is-referenced-by-count":2,"title":["Incidence and Impact of Takotsubo Syndrome in Hospitalized Patients With COVID-19"],"prefix":"10.14503","volume":"51","author":[{"given":"Pengyang","family":"Li","sequence":"first","affiliation":[{"name":"Division of Cardiology, Pauley Heart Center, Virginia Commonwealth University, Richmond, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ao","family":"Shi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, St George's, University of London, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaojia","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Cardiology, the First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chenlin","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardiology, the First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peng","family":"Cai","sequence":"additional","affiliation":[{"name":"Department of Mathematical Sciences, Worcester Polytechnic Institute, Worcester, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Teng","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine, University of Texas at San Antonio, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lingling","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Medicine, Eastern Carolina University Health Medical Center, Greenville, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Shu","sequence":"additional","affiliation":[{"name":"The Second Clinical Medical College of Nanchang University, Nanchang City, Jiangxi Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su","family":"Pan","sequence":"additional","affiliation":[{"name":"Wafic Said Molecular Cardiology Research Laboratory, The Texas Heart Institute, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard A. 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