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Age-Related Variations in Takotsubo Syndrome
VL. Cammann, KA. Szawan, BE. Stähli, K. Kato, M. Budnik, M. Wischnewsky, S. Dreiding, RA. Levinson, D. Di Vece, S. Gili, R. Citro, E. Bossone, M. Neuhaus, J. Franke, B. Meder, M. Jaguszewski, M. Noutsias, M. Knorr, S. Heiner, F. D'Ascenzo, W....
Language English Country United States
Document type Journal Article, Research Support, Non-U.S. Gov't
NLK
Free Medical Journals
from 1983 to 1 year ago
Open Access Digital Library
from 1998-01-01
- MeSH
- Global Health MeSH
- Mental Disorders epidemiology MeSH
- Risk Assessment statistics & numerical data MeSH
- Shock, Cardiogenic * epidemiology etiology MeSH
- Causality MeSH
- Middle Aged MeSH
- Humans MeSH
- Hospital Mortality * MeSH
- Mortality MeSH
- Nervous System Diseases epidemiology MeSH
- Prevalence MeSH
- Prognosis MeSH
- Registries MeSH
- Aged MeSH
- Takotsubo Cardiomyopathy * complications diagnosis epidemiology physiopathology MeSH
- Age of Onset * MeSH
- Age Factors * MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
BACKGROUND: Takotsubo syndrome (TTS) occurs predominantly in post-menopausal women but is also found in younger patients. OBJECTIVES: This study aimed to investigate age-related differences in TTS. METHODS: Patients diagnosed with TTS and enrolled in the International Takotsubo Registry between January 2011 and February 2017 were included in this analysis and were stratified by age (younger: ≤50 years, middle-age: 51 to 74 years, elderly: ≥75 years). Baseline characteristics, hospital course, as well as short- and long-term mortality were compared among groups. RESULTS: Of 2,098 TTS patients, 242 (11.5%) patients were ≤50 years of age, 1,194 (56.9%) were 51 to 74 years of age, and 662 (31.6%) were ≥75 years of age. Younger patients were more often men (12.4% vs. 10.9% vs. 6.3%; p = 0.002) and had an increased prevalence of acute neurological (16.3% vs. 8.4% vs. 8.8%; p = 0.001) or psychiatric disorders (14.1% vs. 10.3% vs. 5.6%; p < 0.001) compared with middle-aged and elderly TTS patients. Furthermore, younger patients had more often cardiogenic shock (15.3% vs. 9.1% vs. 8.1%; p = 0.004) and had a numerically higher in-hospital mortality (6.6% vs. 3.6% vs. 5.1%; p = 0.07). At multivariable analysis, younger (odds ratio: 1.60; 95% confidence interval: 0.86 to 3.01; p = 0.14) and older age (odds ratio: 1.09; 95% confidence interval: 0.66 to 1.80; p = 0.75) were not independently associated with in-hospital mortality using the middle-aged group as a reference. There were no differences in 60-day mortality rates among groups. CONCLUSIONS: A substantial proportion of TTS patients are younger than 50 years of age. TTS is associated with severe complications requiring intensive care, particularly in younger patients.
1st Department of Cardiology Medical University of Gdansk Gdansk Poland
Center for Cardiology Cardiology 1 University Medical Center Mainz Mainz Germany
Center for Molecular Cardiology Schlieren Campus University of Zurich Zurich Switzerland
Centro cardiologico Monzino IRCCS Milan Italy
Clinic for Cardiology and Pneumology Georg August University Goettingen Goettingen Germany
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 and Internal Medicine B University Medicine Greifswald Greifswald Germany
Department of Cardiology Centro Hospitalar Universitário de São João E P E Porto Portugal
Department of Cardiology Charité Campus Rudolf Virchow Berlin Germany
Department of Cardiology Chiba Emergency Medical Center Chiba Japan
Department of Cardiology Christchurch Hospital Christchurch New Zealand
Department of Cardiology Heidelberg University Hospital Heidelberg Germany
Department of Cardiology John Radcliffe Hospital Oxford University Hospitals Oxford United Kingdom
Department of Cardiology Kantonsspital Frauenfeld Frauenfeld Switzerland
Department of Cardiology Kantonsspital Lucerne Lucerne Switzerland
Department of Cardiology Kantonsspital St Gallen St Gallen Switzerland
Department of Cardiology Kantonsspital Winterthur Winterthur Switzerland
Department of Cardiology King's College Hospital 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 Diseases Mayo Clinic Rochester Minnesota
Department of Cardiovascular Medicine Chiba University Graduate School of Medicine Chiba Japan
Department of General and Interventional Cardiology University Heart Center Hamburg Hamburg Germany
Department of Internal Medicine 1 Cardiology University Hospital Olomouc Olomouc Czech Republic
Department of Internal Medicine 2 Cardiology University of Ulm Medical Center Ulm Germany
Department of Internal Medicine 3 Heart Center University of Cologne Cologne Germany
Department of Internal Medicine Cardiology and Angiology Magdeburg University Magdeburg Germany
Deutsches Herzzentrum München Technische Universität München Munich Germany
Division of Cardiology A O U San Luigi Gonzaga Orbassano Turin Italy
Division of Cardiology Antonio Cardarelli Hospital Naples Italy
Division of Cardiology Heart and Vascular Center University of Iowa Iowa City Iowa
Division of Cardiology Kimitsu Central Hospital Kisarazu Japan
Dorset Heart Centre Royal Bournemouth Hospital Bournemouth United Kingdom
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
FB Mathematics and Computer Science University of Bremen Bremen Germany
Fondazione Policlinico Universitario A Gemelli IRCCS Università Cattolica del Sacro Cuore Rome Italy
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
Klinik für Innere Medizin 3 Universitätsklinikum des Saarlandes Homburg Saar Germany
Klinik und Poliklinik für Innere Medizin 2 Universitätsklinikum Regensburg Regensburg Germany
Krankenhaus Maria Hilf Medizinische Klinik Stadtlohn Germany
Local Health Unit n 8 Cardiology Unit Arzignano Vicenza Italy
Royal Brompton and Harefield Hospitals Trust and Imperial College London United Kingdom
Service de cardiologie Hôpitaux Universitaires de Genève Geneva Switzerland
Structural Interventional Cardiology Careggi University Hospital Florence Italy
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 of Southern California Keck School of Medicine Los Angeles California
References provided by Crossref.org
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- $a Age-Related Variations in Takotsubo Syndrome / $c VL. Cammann, KA. Szawan, BE. Stähli, K. Kato, M. Budnik, M. Wischnewsky, S. Dreiding, RA. Levinson, D. Di Vece, S. Gili, R. Citro, E. Bossone, M. Neuhaus, J. Franke, B. Meder, M. Jaguszewski, M. Noutsias, M. Knorr, S. Heiner, F. D'Ascenzo, W. Dichtl, C. Burgdorf, B. Kherad, C. Tschöpe, A. Sarcon, J. Shinbane, L. Rajan, G. Michels, R. Pfister, A. Cuneo, C. Jacobshagen, M. Karakas, W. Koenig, A. Pott, P. Meyer, M. Roffi, A. Banning, M. Wolfrum, F. Cuculi, R. Kobza, TA. Fischer, T. Vasankari, KEJ. Airaksinen, LC. Napp, R. Dworakowski, P. MacCarthy, C. Kaiser, S. Osswald, L. Galiuto, C. Chan, P. Bridgman, D. Beug, C. Delmas, O. Lairez, E. Gilyarova, A. Shilova, M. Gilyarov, I. El-Battrawy, I. Akin, K. Poledniková, P. Toušek, DE. Winchester, J. Galuszka, C. Ukena, G. Poglajen, P. Carrilho-Ferreira, C. Hauck, C. Paolini, C. Bilato, Y. Kobayashi, T. Shoji, I. Ishibashi, M. Takahara, T. Himi, J. Din, A. Al-Shammari, A. Prasad, CS. Rihal, K. Liu, PC. Schulze, M. Bianco, L. Jörg, H. Rickli, G. Pestana, TH. Nguyen, M. Böhm, LS. Maier, FJ. Pinto, P. Widimský, SB. Felix, RC. Braun-Dullaeus, W. Rottbauer, G. Hasenfuß, BM. Pieske, H. Schunkert, M. Borggrefe, H. Thiele, J. Bauersachs, HA. Katus, JD. Horowitz, C. Di Mario, T. Münzel, F. Crea, JJ. Bax, TF. Lüscher, F. Ruschitzka, JR. Ghadri, G. Opolski, C. Templin
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- $a BACKGROUND: Takotsubo syndrome (TTS) occurs predominantly in post-menopausal women but is also found in younger patients. OBJECTIVES: This study aimed to investigate age-related differences in TTS. METHODS: Patients diagnosed with TTS and enrolled in the International Takotsubo Registry between January 2011 and February 2017 were included in this analysis and were stratified by age (younger: ≤50 years, middle-age: 51 to 74 years, elderly: ≥75 years). Baseline characteristics, hospital course, as well as short- and long-term mortality were compared among groups. RESULTS: Of 2,098 TTS patients, 242 (11.5%) patients were ≤50 years of age, 1,194 (56.9%) were 51 to 74 years of age, and 662 (31.6%) were ≥75 years of age. Younger patients were more often men (12.4% vs. 10.9% vs. 6.3%; p = 0.002) and had an increased prevalence of acute neurological (16.3% vs. 8.4% vs. 8.8%; p = 0.001) or psychiatric disorders (14.1% vs. 10.3% vs. 5.6%; p < 0.001) compared with middle-aged and elderly TTS patients. Furthermore, younger patients had more often cardiogenic shock (15.3% vs. 9.1% vs. 8.1%; p = 0.004) and had a numerically higher in-hospital mortality (6.6% vs. 3.6% vs. 5.1%; p = 0.07). At multivariable analysis, younger (odds ratio: 1.60; 95% confidence interval: 0.86 to 3.01; p = 0.14) and older age (odds ratio: 1.09; 95% confidence interval: 0.66 to 1.80; p = 0.75) were not independently associated with in-hospital mortality using the middle-aged group as a reference. There were no differences in 60-day mortality rates among groups. CONCLUSIONS: A substantial proportion of TTS patients are younger than 50 years of age. TTS is associated with severe complications requiring intensive care, particularly in younger patients.
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