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April 14, 2026The Egyptian Heart JournalOpen Access

The pooled incidence of ischemic stroke was 4% (95% CI 0.01–0.06), and mortality risk was significantly higher in TC patients with ischemic stroke compared to those without (OR 7.57; 95% CI 2.70–21.22).

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Population

35,573 patients with Takotsubo cardiomyopathy from 6 studies (841 with ischemic stroke, 34,732 without).

Design

Meta-analysis

Authors

AIAleyda Zahratunany InsanitaqwaMAMaya Qurota A’yunFNFaizah Nadlirah

Discussion

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Overview

Ischemic stroke occurs in approximately 4% of Takotsubo cardiomyopathy patients and is associated with a significantly increased risk of mortality.

Key Points

  • This study aims to evaluate the incidence of ischemic stroke in patients with Takotsubo cardiomyopathy and identify associated risk factors.
  • Conducted a systematic review and meta-analysis of studies reporting ischemic stroke incidence in Takotsubo cardiomyopathy patients.
  • Performed comprehensive searches in multiple databases including PUBMED and ScienceDirect.
  • Assessed study quality using Joanna Briggs Institute Critical Appraisal Tools.
  • Utilized Review Manager and RStudio for statistical analyses.
  • Included six studies with 35,573 participants; 841 experienced ischemic stroke.
  • Pooled incidence of ischemic stroke was 4%, indicating significant health concern.
  • Patients with ischemic stroke had a 36% all-cause mortality rate, significantly higher than 3.12% in those without stroke.
  • Key risk factors identified include age, sex, diabetes, and atrial fibrillation.

Structured PICO

P
Population
35,573 patients with Takotsubo cardiomyopathy from 6 studies (841 with ischemic stroke, 34,732 without).
C
Comparator
Takotsubo cardiomyopathy patients without ischemic stroke
O
Outcome
Incidence of ischemic strokehard clinical

Ischemic stroke occurs in approximately 4% of Takotsubo cardiomyopathy patients and is associated with a significantly increased risk of mortality.

Cite This Study

Insanitaqwa et al. (2026) studied this question.

synapsesocial.com/papers/69ddda22e195c95cdefd79b2https://doi.org/10.1186/s43044-026-00736-5
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Heart-Brain axis: is microvascular dysfunction the link between stroke and Takotsubo syndrome?2025 · 10 citations
  2. 2Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and cumulative incidence data2015 · 3,163 citations
  3. 3Brain–heart interaction after acute ischemic stroke2020 · 196 citations