Heart failure & cardiomyopathies

Rationale and design of BROKEN-SWEDEHEART: a registry-based, randomized, parallel, open-label multicenter trial to test pharmacological treatments for broken heart (takotsubo) syndrome

Am Heart JPublished Randomised controlled trial

Study context

Population
Patients with takotsubo syndrome (TS)planned enrolment 1,000
Planned comparison
Adenosine and dipyridamole vs standard care (study 1); apixaban vs no antithrombotic drugs (study 2)
Primary endpoint
Study 1 coprimary: (1) wall motion score index at 48–96 h (first 200 patients); (2) composite of death, cardiac arrest, mechanical assist device or HF hospitalization within 30 days or LVEF <50% at 48–96 h. Study 2: composite of death or thromboembolic events within 30 days or intraventricular thrombus on echocardiography at 48–96 h
Follow-up
30 days / 48 to 96 hours
Methodological detailsdesign paper, registry-based, 2 × 2 factorial, open-label, parallel, multicentre
  • Design paper
  • Registry-based
  • 2 × 2 factorial
  • Open-label
  • Parallel
  • Multicentre

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Rationale and design of BROKEN-SWEDEHEART: a registry-based, randomized, parallel, open-label multicenter trial to test pharmacological treatments for broken heart (takotsubo) syndrome. Am Heart J. Published 23 November 2022. doi:10.1016/j.ahj.2022.11.010

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