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Long-Term Prognosis of Patients With Takotsubo Syndrome

JR. Ghadri, K. Kato, VL. Cammann, S. Gili, S. Jurisic, D. Di Vece, A. Candreva, KJ. Ding, J. Micek, KA. Szawan, B. Bacchi, R. Bianchi, RA. Levinson, M. Wischnewsky, B. Seifert, SA. Schlossbauer, R. Citro, E. Bossone, T. Münzel, M. Knorr, S....

. 2018 ; 72 (8) : 874-882. [pub] 20180821

Jazyk angličtina Země Spojené státy americké

Typ dokumentu časopisecké články, pozorovací studie

Perzistentní odkaz   https://www.medvik.cz/link/bmc19035065

BACKGROUND: Prognosis of Takotsubo syndrome (TTS) remains controversial due to scarcity of available data. Additionally, the effect of the triggering factors remains elusive. OBJECTIVES: This study compared prognosis between TTS and acute coronary syndrome (ACS) patients and investigated short- and long-term outcomes in TTS based on different triggers. METHODS: Patients with TTS were enrolled from the International Takotsubo Registry. Long-term mortality of patients with TTS was compared to an age- and sex-matched cohort of patients with ACS. In addition, short- and long-term outcomes were compared between different groups according to triggering conditions. RESULTS: Overall, TTS patients had a comparable long-term mortality risk with ACS patients. Of 1,613 TTS patients, an emotional trigger was detected in 485 patients (30%). Of 630 patients (39%) related to physical triggers, 98 patients (6%) had acute neurologic disorders, while in the other 532 patients (33%), physical activities, medical conditions, or procedures were the triggering conditions. The remaining 498 patients (31%) had no identifiable trigger. TTS patients related to physical stress showed higher mortality rates than ACS patients during long-term follow-up, whereas patients related to emotional stress had better outcomes compared with ACS patients. CONCLUSIONS: Overall, TTS patients had long-term outcomes comparable to age- and sex-matched ACS patients. Also, we demonstrated that TTS can either be benign or a life-threating condition depending on the inciting stress factor. We propose a new classification based on triggers, which can serve as a clinical tool to predict short- and long-term outcomes of TTS. (International Takotsubo Registry [InterTAK Registry]; NCT01947621).

1st Department of Cardiology Medical University of Gdansk Gdansk Poland

1st Department of Medicine Faculty of Medicine University Medical Centre Mannheim University of Heidelberg Mannheim Germany

Cardiology 1 Center for Cardiology University Medical Center Mainz Mainz Germany

Center for Molecular Cardiology Schlieren Campus University of Zurich Switzerland

Charles University Prague and University Hospital Kralovske Vinohrady Prague Czech Republic

Clinic for Cardiology and Pneumology Georg August University Goettingen Goettingen Germany

Department of Biostatistics Epidemiology Biostatistics and Prevention Institute University of Zurich Zurich Switzerland

Department of Cardiology and Angiology Hannover Medical School Hannover Germany

Department of Cardiology and Cardiac Imaging Center University Hospital of Rangueil Toulouse France

Department of Cardiology Basil Hetzel Institute Queen Elizabeth Hospital University of Adelaide Adelaide Australia

Department of Cardiology Charité Campus Rudolf Virchow Berlin Germany

Department of Cardiology Heidelberg University Hospital Heidelberg Germany

Department of Cardiology John Radcliffe Hospital Oxford University Hospitals Oxford United Kingdom

Department of Cardiology Kantonsspital Lucerne Lucerne Switzerland

Department of Cardiology Kantonsspital Winterthur Winterthur Switzerland

Department of Cardiology Kings College Hospital Kings Health Partners London United Kingdom

Department of Cardiology Leiden University Medical Centre Leiden the Netherlands

Department of Cardiology Medical University of Warsaw Warsaw Poland

Department of Cardiology University Hospital Basel Basel Switzerland

Department of Cardiovascular Sciences Catholic University of the Sacred Heart Rome Rome Italy

Department of General and Interventional Cardiology University Heart Center Hamburg Hamburg Germany

Department of Internal Medicine 2 Cardiology University of Ulm Medical Center Ulm Germany

Department of Internal Medicine 3 Division of Cardiology Angiology and Intensive Medical Care University Hospital Halle Martin Luther University Halle Halle Germany

Department of Internal Medicine 3 Heart Center University of Cologne Cologne Germany

Department of Mathematics and Computer Science University of Bremen Bremen Germany

Department of Medicine College of Medicine University of Florida Gainesville Florida

Deutsches Herzzentrum München Technische Universität München Munich Germany

Division of Biological Sciences University of California San Diego La Jolla California

Division of Cardiology Department of Medical Sciences AOU Citta della Salute e della Scienza University of Turin Turin Italy

Division of Cardiovascular Diseases Mayo Clinic Rochester Minnesota

DZHK partner site Greifswald Greifswald Germany

DZHK partner site Hamburg Kiel Luebeck Hamburg Germany

DZHK Partner Site Heidelberg Mannheim Mannheim Germany

DZHK partner site Munich Heart Alliance Munich Germany

Heart and Vascular Centre Bad Bevensen Bad Bevensen Germany

Heart Center Leipzig University Hospital Department of Internal Medicine Cardiology Leipzig Germany

Heart Center Turku University Hospital and University of Turku Turku Finland

Heart Department University Hospital San Giovanni di Dio e Ruggi d'Aragona Salerno Italy

Intensive Coronary Care Unit Moscow City Hospital 1 named after N Pirogov Moscow Russia

Internal Medicine Cardiology Angiology and Pneumology Magdeburg University Magdeburg Germany

Klinik für Innere Medizin 3 Universitätsklinikum des Saarlandes Homburg Saar Germany

Krankenhaus Maria Hilf Medizinische Klinik Stadtlohne Germany

Royal Brompton and Harefield Hospitals Trust and Imperial College London United Kingdom

TJ Health Partners Heart and Vascular Glasgow Kentucky

University Heart Center Department of Cardiology University Hospital Zurich Zurich Switzerland

University Hospital for Internal Medicine 3 Medical University Innsbruck Innsbruck Austria

University Medicine Greifswald Department of Internal Medicine B Greifswald Germany

University of Southern California Keck School of Medicine Los Angeles California

Citace poskytuje Crossref.org

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$a Kato, Ken $u University Heart Center, Department of Cardiology, University Hospital Zurich, Zurich, Switzerland.
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$a Wischnewsky, Manfred $u Department of Mathematics and Computer Science, University of Bremen, Bremen, Germany.
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$a Seifert, Burkhardt $u Department of Biostatistics, Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
700    1_
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700    1_
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700    1_
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700    1_
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700    1_
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700    1_
$a Katus, Hugo A $u Department of Cardiology, Heidelberg University Hospital, Heidelberg, Germany.
700    1_
$a Burgdorf, Christof $u Heart and Vascular Centre Bad Bevensen, Bad Bevensen, Germany.
700    1_
$a Schunkert, Heribert $u Deutsches Herzzentrum München, Technische Universität München, Munich, Germany; DZHK (German Centre for Cardiovascular Research), partner site Munich Heart Alliance, Munich, Germany.
700    1_
$a Thiele, Holger $u Heart Center Leipzig, University Hospital, Department of Internal Medicine/Cardiology, Leipzig, Germany.
700    1_
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700    1_
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700    1_
$a Pieske, Burkert M $u Department of Cardiology, Charité, Campus Rudolf Virchow, Berlin, Germany.
700    1_
$a Rajan, Lawrence $u TJ Health Partners Heart and Vascular, Glasgow, Kentucky.
700    1_
$a Michels, Guido $u Department of Internal Medicine III, Heart Center University of Cologne, Cologne, Germany.
700    1_
$a Pfister, Roman $u Department of Internal Medicine III, Heart Center University of Cologne, Cologne, Germany.
700    1_
$a Cuneo, Alessandro $u Krankenhaus "Maria Hilf" Medizinische Klinik, Stadtlohne, Germany.
700    1_
$a Jacobshagen, Claudius $u Clinic for Cardiology and Pneumology, Georg August University Goettingen, Goettingen, Germany.
700    1_
$a Hasenfuß, Gerd $u Clinic for Cardiology and Pneumology, Georg August University Goettingen, Goettingen, Germany.
700    1_
$a Karakas, Mahir $u Department of General and Interventional Cardiology, University Heart Center Hamburg, Hamburg, Germany; DZHK (German Centre for Cardiovascular Research), partner site Hamburg/Kiel/Luebeck, Hamburg, Germany.
700    1_
$a Koenig, Wolfgang $u Deutsches Herzzentrum München, Technische Universität München, Munich, Germany; DZHK (German Centre for Cardiovascular Research), partner site Munich Heart Alliance, Munich, Germany.
700    1_
$a Rottbauer, Wolfgang $u Department of Internal Medicine II-Cardiology, University of Ulm, Medical Center, Ulm, Germany.
700    1_
$a Said, Samir M $u Internal Medicine/Cardiology, Angiology, and Pneumology, Magdeburg University, Magdeburg, Germany.
700    1_
$a Braun-Dullaeus, Ruediger C $u Internal Medicine/Cardiology, Angiology, and Pneumology, Magdeburg University, Magdeburg, Germany.
700    1_
$a Banning, Adrian $u Department of Cardiology, John Radcliffe Hospital, Oxford University Hospitals, Oxford, United Kingdom.
700    1_
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700    1_
$a Kobza, Richard $u Department of Cardiology, Kantonsspital Lucerne, Lucerne, Switzerland.
700    1_
$a Fischer, Thomas A $u Department of Cardiology, Kantonsspital Winterthur, Winterthur, Switzerland.
700    1_
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700    1_
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700    1_
$a MacCarthy, Philip $u Department of Cardiology, Kings College Hospital, Kings Health Partners, London, United Kingdom.
700    1_
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700    1_
$a Osswald, Stefan $u Department of Cardiology, University Hospital Basel, Basel, Switzerland.
700    1_
$a Galiuto, Leonarda $u Department of Cardiovascular Sciences, Catholic University of the Sacred Heart Rome, Rome, Italy.
700    1_
$a Crea, Filippo $u Department of Cardiovascular Sciences, Catholic University of the Sacred Heart Rome, Rome, Italy.
700    1_
$a Dichtl, Wolfgang $u University Hospital for Internal Medicine III (Cardiology and Angiology), Medical University Innsbruck, Innsbruck, Austria.
700    1_
$a Empen, Klaus $u University Medicine Greifswald, Department of Internal Medicine B, Greifswald, Germany; DZHK (German Centre for Cardiovascular Research), partner site Greifswald, Greifswald, Germany.
700    1_
$a Felix, Stephan B $u University Medicine Greifswald, Department of Internal Medicine B, Greifswald, Germany; DZHK (German Centre for Cardiovascular Research), partner site Greifswald, Greifswald, Germany.
700    1_
$a Delmas, Clément $u Department of Cardiology and Cardiac Imaging Center, University Hospital of Rangueil, Toulouse, France.
700    1_
$a Lairez, Olivier $u Department of Cardiology and Cardiac Imaging Center, University Hospital of Rangueil, Toulouse, France.
700    1_
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$a Akin, Ibrahim $u First Department of Medicine, Faculty of Medicine, University Medical Centre Mannheim (UMM) University of Heidelberg, Mannheim, Germany; DZHK (German Center for Cardiovascular Research), Partner Site, Heidelberg-Mannheim, Mannheim, Germany.
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$a Borggrefe, Martin $u First Department of Medicine, Faculty of Medicine, University Medical Centre Mannheim (UMM) University of Heidelberg, Mannheim, Germany; DZHK (German Center for Cardiovascular Research), Partner Site, Heidelberg-Mannheim, Mannheim, Germany.
700    1_
$a Horowitz, John $u Department of Cardiology, Basil Hetzel Institute, Queen Elizabeth Hospital, University of Adelaide, Adelaide, Australia.
700    1_
$a Kozel, Martin $u Charles University in Prague and University Hospital Kralovske Vinohrady, Prague, Czech Republic.
700    1_
$a Tousek, Petr $u Charles University in Prague and University Hospital Kralovske Vinohrady, Prague, Czech Republic.
700    1_
$a Widimský, Petr $u Charles University in Prague and University Hospital Kralovske Vinohrady, Prague, Czech Republic.
700    1_
$a Gilyarova, Ekaterina $u Intensive Coronary Care Unit, Moscow City Hospital #1 named after N. Pirogov, Moscow, Russia.
700    1_
$a Shilova, Alexandra $u Intensive Coronary Care Unit, Moscow City Hospital #1 named after N. Pirogov, Moscow, Russia.
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$a Gilyarov, Mikhail $u Intensive Coronary Care Unit, Moscow City Hospital #1 named after N. Pirogov, Moscow, Russia.
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$a Winchester, David E $u Department of Medicine, College of Medicine, University of Florida, Gainesville, Florida.
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$a Ukena, Christian $u Klinik für Innere Medizin III, Universitätsklinikum des Saarlandes, Homburg/Saar, Germany.
700    1_
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700    1_
$a Prasad, Abhiram $u Division of Cardiovascular Diseases Mayo Clinic, Rochester, Minnesota.
700    1_
$a Böhm, Michael $u Klinik für Innere Medizin III, Universitätsklinikum des Saarlandes, Homburg/Saar, Germany.
700    1_
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700    1_
$a Ruschitzka, Frank $u University Heart Center, Department of Cardiology, University Hospital Zurich, Zurich, Switzerland.
700    1_
$a Templin, Christian $u University Heart Center, Department of Cardiology, University Hospital Zurich, Zurich, Switzerland. Electronic address: christian.templin@usz.ch.
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