Heart failure & cardiomyopathies

Beta-Blockers and Long-Term Mortality in Takotsubo Syndrome: Results of the Multicenter GEIST Registry

JACC Heart FailPublished Observational cohort study

Main finding · MortalityResult — go to the resultHazard ratio 0.71 95% CI 0.55–0.90

Authors' conclusion

Beta-blocker therapy in patients with TTS is associated with lower follow-up mortality, but not with lower TTS recurrence.

Study context

Population
Patients discharged with confirmed Takotsubo syndrome (TTS), GEIST registrymatched: 2 groups of 697
Participants
2,853 patients
Exposure
Beta-blockers at discharge vs no beta-blockers
  • Beta-blockersn = 2,125
Outcome
Long-term mortality
Follow-up
Mean 2.6 years
Methodological detailsinternational multicentre registry, propensity-score matched
  • International multicentre registry
  • Propensity-score matched

Main finding

Mortality

Hazard ratio

0.71

95% CI 0.55–0.90

By group

Beta-blockers

6.0 per 100 patients/year

No beta-blockers

8.1 per 100 patients/year

Beta-blockersvs No beta-blockers
HR 0.71 (95% CI 0.55–0.90)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
TTS recurrence · mean follow-up 2.6 years0.74 (0.61–1.89)
  • TTS recurrence: Overall: 97 (3.4%) had TTS recurrence

LVEF recovery

No association between beta-blockers at discharge and LVEF recovery

Original publication

Beta-Blockers and Long-Term Mortality in Takotsubo Syndrome: Results of the Multicenter GEIST Registry. JACC Heart Fail. Published 5 February 2025. doi:10.1016/j.jchf.2024.11.015

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.