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Intraventricular Thrombus Formation and Embolism in Takotsubo Syndrome: Insights From the International Takotsubo Registry

KJ. Ding, VL. Cammann, KA. Szawan, BE. Stähli, M. Wischnewsky, D. Di Vece, R. Citro, M. Jaguszewski, B. Seifert, A. Sarcon, M. Knorr, S. Heiner, S. Gili, F. D'Ascenzo, M. Neuhaus, LC. Napp, J. Franke, M. Noutsias, C. Burgdorf, W. Koenig, B....

. 2020 ; 40 (1) : 279-287. [pub] 20191126

Jazyk angličtina Země Spojené státy americké

Typ dokumentu časopisecké články, multicentrická studie, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc20023264

OBJECTIVE: Takotsubo syndrome (TTS) is characterized by acute left ventricular dysfunction, which can contribute to intraventricular thrombus and embolism. Still, prevalence and clinical impact of thrombus formation and embolic events on outcome of TTS patients remain unclear. This study aimed to investigate clinical features and outcomes of patients with and without intraventricular thrombus or embolism. Additionally, factors associated with thrombus formation or embolism, as well as predictors for mortality, were identified. Approach and Results: TTS patients enrolled in the International Takotsubo Registry at 28 centers in Australia, Europe, and the United States were dichotomized according to the occurrence/absence of intraventricular thrombus or embolism. Patients with intraventricular thrombus or embolism were defined as the ThrombEmb group. Of 1676 TTS patients, 56 (3.3%) patients developed intraventricular thrombus and/or embolism following TTS diagnosis (median time interval, 2.0 days [range, 0-38 days]). Patients in the ThrombEmb group had a different clinical profile including lower left ventricular ejection fraction, higher prevalence of the apical type, elevated levels of troponin and inflammatory markers, and higher prevalence of vascular disease. In a Firth bias-reduced penalized-likelihood logistic regression model apical type, left ventricular ejection fraction ≤30%, previous vascular disease, and a white blood cell count on admission >10×103 cells/μL emerged as independent predictors for thrombus formation or embolism. CONCLUSIONS: Intraventricular thrombus or embolism occur in 3.3% of patients in the acute phase of TTS. A simple risk score including clinical parameters associated with intraventricular thrombus formation or embolism identifies patients at increased risk. CLINICAL TRIAL REGISTRATION: URL: http://www.clinicaltrials.gov. Unique identifier: NCT01947621.

1st Department of Cardiology Medical University of Gdansk Poland

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

A Cardarelli Hospital Naples Italy

Cardiocenter 3rd Faculty of Medicine Charles University Prague and University Hospital Kralovske Vinohrady Czech Republic

Cardiology Department Santa Maria University Hospital Lisbon Academic Medical Centre and Cardiovascular Centre of the University of Lisbon Lisbon School of Medicine Universidade de Lisboa Portugal

Center for Cardiology Cardiology 1 University Medical Center Mainz Germany

Center for Molecular Cardiology Schlieren Campus University of Zurich Switzerland

Centro Cardiologico Monzino IRCCS Milan Italy

Clinic for Cardiology and Pneumology Georg August University Goettingen Germany

Department of Cardiology and Angiology Hannover Medical School 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 Australia

Department of Cardiology Christchurch Hospital New Zealand

Department of Cardiology Heidelberg University Hospital Germany

Department of Cardiology John Radcliffe Hospital Oxford University Hospitals United Kingdom

Department of Cardiology Kantonsspital Frauenfeld Switzerland

Department of Cardiology Kantonsspital Lucerne Switzerland

Department of Cardiology Kantonsspital Winterthur Switzerland

Department of Cardiology King's College Hospital London United Kingdom

Department of Cardiology Leiden University Medical Centre the Netherlands

Department of Cardiology Medical University of Warsaw Poland

Department of Cardiology University Hospital Basel Switzerland

Department of Cardiovascular Diseases Mayo Clinic Rochester MN

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

Department of General and Interventional Cardiology University Heart Center Hamburg Germany

Department of Internal Medicine 1 Cardiology University Hospital Olomouc Czech Republic

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

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

Department of Internal Medicine 3 Heart Center University of Cologne Germany

Department of Internal Medicine and Cardiology Charité University Medicine Berlin Campus Virchow Klinikum Germany

Department of Internal Medicine B University Medicine Greifswald Germany

Department of Internal Medicine Cardiology Heart Center Leipzig University Hospital Germany

Department of Mathematics and Computer Science University of Bremen Germany

Deutsches Herzzentrum München Technische Universität München Munich Germany

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

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

Division of Cardiovascular Medicine Department of Medicine College of Medicine University of Florida Gainesville

From the Department of Cardiology University Heart Center University Hospital Zurich Switzerland

Heart and Vascular center Bad Bevensen Germany

Heart Center Turku University Hospital and University of Turku Finland

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

Intensive Coronary Care Unit Moscow City Hospital No 1 named after N Pirogov Moscow Russia

Internal Medicine Cardiology Angiology and Pneumology Magdeburg University Germany

Klinik für Innere Medizin 3 Universitätsklinikum des Saarlandes Homburg Saar Germany

Krankenhaus Maria Hilf Medizinische Klinik Stadtlohn Germany

Local Health Unit No 8 Cardiology Unit Arzignano Vicenza Italy

Section of Cardiac Electrophysiology Department of Medicine University of California San Francisco

Service de cardiologie Hôpitaux Universitaires de Genève Switzerland

Structural Interventional Cardiology Careggi University Hospital Florence Italy

T J Health Partners Heart and Vascular Glasgow KY

University Hospital for Internal Medicine III

Citace poskytuje Crossref.org

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$a Ding, Katharina J $u From the Department of Cardiology, University Heart Center, University Hospital Zurich, Switzerland (K.J.D., V.L.C., K.A.S., B.E.S., D.D.V., F.R., J.R.G., C. Templin).
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$a Intraventricular Thrombus Formation and Embolism in Takotsubo Syndrome: Insights From the International Takotsubo Registry / $c KJ. Ding, VL. Cammann, KA. Szawan, BE. Stähli, M. Wischnewsky, D. Di Vece, R. Citro, M. Jaguszewski, B. Seifert, A. Sarcon, M. Knorr, S. Heiner, S. Gili, F. D'Ascenzo, M. Neuhaus, LC. Napp, J. Franke, M. Noutsias, C. Burgdorf, W. Koenig, B. Kherad, L. Rajan, G. Michels, R. Pfister, A. Cuneo, C. Jacobshagen, M. Karakas, A. Pott, P. Meyer, JD. Arroja, A. Banning, F. Cuculi, R. Kobza, TA. Fischer, T. Vasankari, KEJ. Airaksinen, C. Paolini, C. Bilato, P. Carrilho-Ferreira, G. Opolski, R. Dworakowski, P. MacCarthy, C. Kaiser, S. Osswald, L. Galiuto, W. Dichtl, C. Chan, P. Bridgman, C. Delmas, O. Lairez, I. El-Battrawy, I. Akin, E. Gilyarova, A. Shilova, M. Gilyarov, M. Kozel, P. Tousek, P. Widimský, DE. Winchester, J. Galuszka, C. Ukena, JD. Horowitz, C. Di Mario, A. Prasad, CS. Rihal, FJ. Pinto, F. Crea, M. Borggrefe, RC. Braun-Dullaeus, W. Rottbauer, J. Bauersachs, HA. Katus, G. Hasenfuß, C. Tschöpe, BM. Pieske, H. Thiele, H. Schunkert, M. Böhm, SB. Felix, T. Münzel, JJ. Bax, TF. Lüscher, F. Ruschitzka, JR. Ghadri, E. Bossone, C. Templin,
520    9_
$a OBJECTIVE: Takotsubo syndrome (TTS) is characterized by acute left ventricular dysfunction, which can contribute to intraventricular thrombus and embolism. Still, prevalence and clinical impact of thrombus formation and embolic events on outcome of TTS patients remain unclear. This study aimed to investigate clinical features and outcomes of patients with and without intraventricular thrombus or embolism. Additionally, factors associated with thrombus formation or embolism, as well as predictors for mortality, were identified. Approach and Results: TTS patients enrolled in the International Takotsubo Registry at 28 centers in Australia, Europe, and the United States were dichotomized according to the occurrence/absence of intraventricular thrombus or embolism. Patients with intraventricular thrombus or embolism were defined as the ThrombEmb group. Of 1676 TTS patients, 56 (3.3%) patients developed intraventricular thrombus and/or embolism following TTS diagnosis (median time interval, 2.0 days [range, 0-38 days]). Patients in the ThrombEmb group had a different clinical profile including lower left ventricular ejection fraction, higher prevalence of the apical type, elevated levels of troponin and inflammatory markers, and higher prevalence of vascular disease. In a Firth bias-reduced penalized-likelihood logistic regression model apical type, left ventricular ejection fraction ≤30%, previous vascular disease, and a white blood cell count on admission >10×103 cells/μL emerged as independent predictors for thrombus formation or embolism. CONCLUSIONS: Intraventricular thrombus or embolism occur in 3.3% of patients in the acute phase of TTS. A simple risk score including clinical parameters associated with intraventricular thrombus formation or embolism identifies patients at increased risk. CLINICAL TRIAL REGISTRATION: URL: http://www.clinicaltrials.gov. Unique identifier: NCT01947621.
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700    1_
$a Cammann, Victoria L $u From the Department of Cardiology, University Heart Center, University Hospital Zurich, Switzerland (K.J.D., V.L.C., K.A.S., B.E.S., D.D.V., F.R., J.R.G., C. Templin).
700    1_
$a Szawan, Konrad A $u From the Department of Cardiology, University Heart Center, University Hospital Zurich, Switzerland (K.J.D., V.L.C., K.A.S., B.E.S., D.D.V., F.R., J.R.G., C. Templin).
700    1_
$a Stähli, Barbara E $u From the Department of Cardiology, University Heart Center, University Hospital Zurich, Switzerland (K.J.D., V.L.C., K.A.S., B.E.S., D.D.V., F.R., J.R.G., C. Templin).
700    1_
$a Wischnewsky, Manfred $u Department of Mathematics and Computer Science, University of Bremen, Germany (M.W.).
700    1_
$a Di Vece, Davide $u From the Department of Cardiology, University Heart Center, University Hospital Zurich, Switzerland (K.J.D., V.L.C., K.A.S., B.E.S., D.D.V., F.R., J.R.G., C. Templin).
700    1_
$a Citro, Rodolfo $u Heart Department, University Hospital "San Giovanni di Dio e Ruggi d'Aragona", Salerno, Italy (R.C.).
700    1_
$a Jaguszewski, Milosz $u First Department of Cardiology, Medical University of Gdansk, Poland (M.J.).
700    1_
$a Seifert, Burkhardt $u Division of Biostatistics, Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Switzerland (B.S.).
700    1_
$a Sarcon, Annahita $u Section of Cardiac Electrophysiology, Department of Medicine, University of California-San Francisco (A. Sarcon).
700    1_
$a Knorr, Maike $u Center for Cardiology, Cardiology 1, University Medical Center Mainz, Germany (M. Knorr, S.H., T.M.).
700    1_
$a Heiner, Susanne $u Center for Cardiology, Cardiology 1, University Medical Center Mainz, Germany (M. Knorr, S.H., T.M.).
700    1_
$a Gili, Sebastiano $u Centro Cardiologico Monzino, IRCCS, Milan, Italy (S.G.).
700    1_
$a D'Ascenzo, Fabrizio $u Division of Cardiology, Department of Medical Sciences, AOU Città della Salute e della Scienza, University of Turin, Italy (F.D.).
700    1_
$a Neuhaus, Michael $u Department of Cardiology, Kantonsspital Frauenfeld, Switzerland (M. Neuhaus).
700    1_
$a Napp, L Christian $u Department of Cardiology and Angiology, Hannover Medical School, Germany (L.C.N., J.B.).
700    1_
$a Franke, Jennifer $u Department of Cardiology, Heidelberg University Hospital, Germany (J.F., H.A.K.).
700    1_
$a Noutsias, Michel $u Department of Internal Medicine III, Division of Cardiology, Angiology and Intensive Medical Care, University Hospital Halle, Martin-Luther-University Halle, Germany (M. Noutsias).
700    1_
$a Burgdorf, Christof $u Heart and Vascular center Bad Bevensen, Germany (C. Burgdorf).
700    1_
$a Koenig, Wolfgang $u Deutsches Herzzentrum München, Technische Universität München, Munich, Germany (W.K., H.S.). German center for Cardiovascular Research, Partner Site Munich Heart Alliance (W.K., H.S.).
700    1_
$a Kherad, Behrouz $u Department of Internal Medicine and Cardiology, Charité University Medicine Berlin, Campus Virchow Klinikum, Germany (B.K., C. Tschöpe, B.M.P.). Department of Internal Medicine and Cardiology, German Heart Center Berlin, Germany (B.K., C. Tschöpe, B.M.P.).
700    1_
$a Rajan, Lawrence $u T.J. Health Partners Heart and Vascular, Glasgow, KY (L.R.).
700    1_
$a Michels, Guido $u Department of Internal Medicine III, Heart Center University of Cologne, Germany (G.M., R.P.).
700    1_
$a Pfister, Roman $u Department of Internal Medicine III, Heart Center University of Cologne, Germany (G.M., R.P.).
700    1_
$a Cuneo, Alessandro $u Krankenhaus "Maria Hilf" Medizinische Klinik, Stadtlohn, Germany (A.C.).
700    1_
$a Jacobshagen, Claudius $u Clinic for Cardiology and Pneumology, Georg August University Goettingen, Germany (C.J., G.H.).
700    1_
$a Karakas, Mahir $u Department of General and Interventional Cardiology, University Heart Center Hamburg, Germany (M. Karakas). German Centre for Cardiovascular Research, Partner Site Hamburg/Kiel/Luebeck (M. Karakas).
700    1_
$a Pott, Alexander $u Department of Internal Medicine II-Cardiology, University of Ulm, Medical Center, Germany (A. Pott, W.R.).
700    1_
$a Meyer, Philippe $u Service de cardiologie, Hôpitaux Universitaires de Genève, Switzerland (P. Meyer, J.D.A.).
700    1_
$a Arroja, Jose D $u Service de cardiologie, Hôpitaux Universitaires de Genève, Switzerland (P. Meyer, J.D.A.).
700    1_
$a Banning, Adrian $u Department of Cardiology, John Radcliffe Hospital, Oxford University Hospitals, United Kingdom (A.B.).
700    1_
$a Cuculi, Florim $u Department of Cardiology, Kantonsspital Lucerne, Switzerland (F. Cuculi, R.K.).
700    1_
$a Kobza, Richard $u Department of Cardiology, Kantonsspital Lucerne, Switzerland (F. Cuculi, R.K.).
700    1_
$a Fischer, Thomas A $u Department of Cardiology, Kantonsspital Winterthur, Switzerland (T.A.F.).
700    1_
$a Vasankari, Tuija $u Heart Center, Turku University Hospital and University of Turku, Finland (T.V., K.E.J.A.).
700    1_
$a Airaksinen, K E Juhani $u Heart Center, Turku University Hospital and University of Turku, Finland (T.V., K.E.J.A.).
700    1_
$a Paolini, Carla $u Local Health Unit No. 8, Cardiology Unit, Arzignano, Vicenza, Italy (C.P., C. Bilato).
700    1_
$a Bilato, Claudio $u Local Health Unit No. 8, Cardiology Unit, Arzignano, Vicenza, Italy (C.P., C. Bilato).
700    1_
$a Carrilho-Ferreira, Pedro $u Cardiology Department, Santa Maria University Hospital, Lisbon Academic Medical Centre and Cardiovascular Centre of the University of Lisbon, Lisbon School of Medicine, Universidade de Lisboa, Portugal (P.C.-F., F.J.P.).
700    1_
$a Opolski, Grzegorz $u Department of Cardiology, Medical University of Warsaw, Poland (G.O.).
700    1_
$a Dworakowski, Rafal $u Department of Cardiology, King's College Hospital, London, United Kingdom (R.D., P. MacCarthy).
700    1_
$a MacCarthy, Philip $u Department of Cardiology, King's College Hospital, London, United Kingdom (R.D., P. MacCarthy).
700    1_
$a Kaiser, Christoph $u Department of Cardiology, University Hospital Basel, Switzerland (C.K., S.O.).
700    1_
$a Osswald, Stefan $u Department of Cardiology, University Hospital Basel, Switzerland (C.K., S.O.).
700    1_
$a Galiuto, Leonarda $u Department of Cardiovascular Sciences, Catholic University of the Sacred Heart Rome, Italy (L.G., F. Crea).
700    1_
$a Dichtl, Wolfgang $u University Hospital for Internal Medicine III (Cardiology and Angiology), Medical University Innsbruck, Austria (W.D.).
700    1_
$a Chan, Christina $u Department of Cardiology, Christchurch Hospital, New Zealand (C.C., P.B.).
700    1_
$a Bridgman, Paul $u Department of Cardiology, Christchurch Hospital, New Zealand (C.C., P.B.).
700    1_
$a Delmas, Clément $u Department of Cardiology and Cardiac Imaging Center, University Hospital of Rangueil, Toulouse, France (C.D., O.L.).
700    1_
$a Lairez, Olivier $u Department of Cardiology and Cardiac Imaging Center, University Hospital of Rangueil, Toulouse, France (C.D., O.L.).
700    1_
$a El-Battrawy, Ibrahim $u First Department of Medicine, Faculty of Medicine, University Medical Centre Mannheim, University of Heidelberg, Germany (I.E.-B., I.A., M. Borggrefe). German Center for Cardiovascular Research, Partner Site, Heidelberg-Mannheim (I.E.-B., I.A., M. Borggrefe).
700    1_
$a Akin, Ibrahim $u First Department of Medicine, Faculty of Medicine, University Medical Centre Mannheim, University of Heidelberg, Germany (I.E.-B., I.A., M. Borggrefe). German Center for Cardiovascular Research, Partner Site, Heidelberg-Mannheim (I.E.-B., I.A., M. Borggrefe).
700    1_
$a Gilyarova, Ekaterina $u Intensive Coronary Care Unit, Moscow City Hospital No. 1 named after N. Pirogov, Moscow, Russia (E.G., A. Shilova, M.G.).
700    1_
$a Shilova, Alexandra $u Intensive Coronary Care Unit, Moscow City Hospital No. 1 named after N. Pirogov, Moscow, Russia (E.G., A. Shilova, M.G.).
700    1_
$a Gilyarov, Mikhail $u Intensive Coronary Care Unit, Moscow City Hospital No. 1 named after N. Pirogov, Moscow, Russia (E.G., A. Shilova, M.G.).
700    1_
$a Kozel, Martin $u Cardiocenter, Third Faculty of Medicine, Charles University in Prague and University Hospital Kralovske Vinohrady, Czech Republic (M. Kozel, P.T., P.W.).
700    1_
$a Tousek, Petr $u Cardiocenter, Third Faculty of Medicine, Charles University in Prague and University Hospital Kralovske Vinohrady, Czech Republic (M. Kozel, P.T., P.W.).
700    1_
$a Widimský, Petr $u Cardiocenter, Third Faculty of Medicine, Charles University in Prague and University Hospital Kralovske Vinohrady, Czech Republic (M. Kozel, P.T., P.W.).
700    1_
$a Winchester, David E $u Division of Cardiovascular Medicine, Department of Medicine, College of Medicine, University of Florida, Gainesville (D.E.W.).
700    1_
$a Galuszka, Jan $u Department of Internal Medicine I-Cardiology, University Hospital Olomouc, Czech Republic (J.G.).
700    1_
$a Ukena, Christian $u Klinik für Innere Medizin III, Universitätsklinikum des Saarlandes, Homburg/Saar, Germany (C.U., M. Böhm).
700    1_
$a Horowitz, John D $u Department of Cardiology, Basil Hetzel Institute, Queen Elizabeth Hospital, University of Adelaide, Australia (J.D.H.).
700    1_
$a Di Mario, Carlo $u Structural Interventional Cardiology, Careggi University Hospital, Florence, Italy (C.D.M.).
700    1_
$a Prasad, Abhiram $u Department of Cardiovascular Diseases, Mayo Clinic, Rochester MN (A. Prasad, C.S.R.).
700    1_
$a Rihal, Charanjit S $u Department of Cardiovascular Diseases, Mayo Clinic, Rochester MN (A. Prasad, C.S.R.).
700    1_
$a Pinto, Fausto J $u Cardiology Department, Santa Maria University Hospital, Lisbon Academic Medical Centre and Cardiovascular Centre of the University of Lisbon, Lisbon School of Medicine, Universidade de Lisboa, Portugal (P.C.-F., F.J.P.).
700    1_
$a Crea, Filippo $u Department of Cardiovascular Sciences, Catholic University of the Sacred Heart Rome, Italy (L.G., F. Crea).
700    1_
$a Borggrefe, Martin $u First Department of Medicine, Faculty of Medicine, University Medical Centre Mannheim, University of Heidelberg, Germany (I.E.-B., I.A., M. Borggrefe). German Center for Cardiovascular Research, Partner Site, Heidelberg-Mannheim (I.E.-B., I.A., M. Borggrefe).
700    1_
$a Braun-Dullaeus, Ruediger C $u Internal Medicine/Cardiology, Angiology, and Pneumology, Magdeburg University, Germany (R.C.B.-D.).
700    1_
$a Rottbauer, Wolfgang $u Department of Internal Medicine II-Cardiology, University of Ulm, Medical Center, Germany (A. Pott, W.R.).
700    1_
$a Bauersachs, Johann $u Department of Cardiology and Angiology, Hannover Medical School, Germany (L.C.N., J.B.).
700    1_
$a Katus, Hugo A $u Department of Cardiology, Heidelberg University Hospital, Germany (J.F., H.A.K.).
700    1_
$a Hasenfuß, Gerd $u Clinic for Cardiology and Pneumology, Georg August University Goettingen, Germany (C.J., G.H.).
700    1_
$a Tschöpe, Carsten $u Department of Internal Medicine and Cardiology, Charité University Medicine Berlin, Campus Virchow Klinikum, Germany (B.K., C. Tschöpe, B.M.P.). Department of Internal Medicine and Cardiology, German Heart Center Berlin, Germany (B.K., C. Tschöpe, B.M.P.).
700    1_
$a Pieske, Burkert M $u Department of Internal Medicine and Cardiology, Charité University Medicine Berlin, Campus Virchow Klinikum, Germany (B.K., C. Tschöpe, B.M.P.). Department of Internal Medicine and Cardiology, German Heart Center Berlin, Germany (B.K., C. Tschöpe, B.M.P.). German Center for Cardiovascular Research, Partner Site Berlin (B.M.P.). Berlin Institute of Health, Germany (B.M.P.).
700    1_
$a Thiele, Holger $u Department of Internal Medicine/Cardiology, Heart Center Leipzig-University Hospital, Germany (H.T.).
700    1_
$a Schunkert, Heribert $u Deutsches Herzzentrum München, Technische Universität München, Munich, Germany (W.K., H.S.). German center for Cardiovascular Research, Partner Site Munich Heart Alliance (W.K., H.S.).
700    1_
$a Böhm, Michael $u Klinik für Innere Medizin III, Universitätsklinikum des Saarlandes, Homburg/Saar, Germany (C.U., M. Böhm).
700    1_
$a Felix, Stephan B $u Department of Internal Medicine B, University Medicine Greifswald, Germany (S.B.F.). German Centre for Cardiovascular Research, Partner Site Greifswald (S.B.F.).
700    1_
$a Münzel, Thomas $u Center for Cardiology, Cardiology 1, University Medical Center Mainz, Germany (M. Knorr, S.H., T.M.).
700    1_
$a Bax, Jeroen J $u Department of Cardiology, Leiden University Medical Centre, the Netherlands (J.J.B.).
700    1_
$a Lüscher, Thomas F $u Center for Molecular Cardiology, Schlieren Campus, University of Zurich, Switzerland (T.F.L.). Royal Brompton and Harefield Hospitals Trust and Imperial College, London, United Kingdom (T.F.L.).
700    1_
$a Ruschitzka, Frank $u From the Department of Cardiology, University Heart Center, University Hospital Zurich, Switzerland (K.J.D., V.L.C., K.A.S., B.E.S., D.D.V., F.R., J.R.G., C. Templin).
700    1_
$a Ghadri, Jelena R $u From the Department of Cardiology, University Heart Center, University Hospital Zurich, Switzerland (K.J.D., V.L.C., K.A.S., B.E.S., D.D.V., F.R., J.R.G., C. Templin).
700    1_
$a Bossone, Eduardo $u A. Cardarelli Hospital, Naples, Italy (E.B.).
700    1_
$a Templin, Christian $u From the Department of Cardiology, University Heart Center, University Hospital Zurich, Switzerland (K.J.D., V.L.C., K.A.S., B.E.S., D.D.V., F.R., J.R.G., C. Templin).
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BMC    __
$a 2020 $b 40 $c 1 $d 279-287 $e 20191126 $i 1524-4636 $m Arteriosclerosis, thrombosis and vascular biology $n Arterioscler Thromb Vasc Biol $x MED00000590
LZP    __
$a Pubmed-20201125

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