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Ethnic comparison in takotsubo syndrome: novel insights from the International Takotsubo Registry
Y. Imori, K. Kato, VL. Cammann, KA. Szawan, M. Wischnewsky, S. Dreiding, M. Würdinger, M. Schönberger, V. Petkova, D. Niederseer, RA. Levinson, D. Di Vece, S. Gili, B. Seifert, M. Wakita, N. Suzuki, R. Citro, E. Bossone, S. Heiner, M. Knorr, T....
Jazyk angličtina Země Německo
Typ dokumentu časopisecké články
NLK
ProQuest Central
od 2005-01-01 do Před 1 rokem
Medline Complete (EBSCOhost)
od 2000-08-01 do Před 1 rokem
Health & Medicine (ProQuest)
od 2005-01-01 do Před 1 rokem
- MeSH
- Asijci etnologie statistika a číselné údaje MeSH
- běloši etnologie statistika a číselné údaje MeSH
- disparity zdravotního stavu MeSH
- kardiogenní šok etnologie mortalita MeSH
- lidé středního věku MeSH
- lidé MeSH
- mortalita v nemocnicích etnologie MeSH
- prevalence MeSH
- registrace MeSH
- senioři MeSH
- takotsubo kardiomyopatie etnologie mortalita MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Evropa MeSH
- Japonsko MeSH
BACKGROUND: Ethnic disparities have been reported in cardiovascular disease. However, ethnic disparities in takotsubo syndrome (TTS) remain elusive. This study assessed differences in clinical characteristics between Japanese and European TTS patients and determined the impact of ethnicity on in-hospital outcomes. METHODS: TTS patients in Japan were enrolled from 10 hospitals and TTS patients in Europe were enrolled from 32 hospitals participating in the International Takotsubo Registry. Clinical characteristics and in-hospital outcomes were compared between Japanese and European patients. RESULTS: A total of 503 Japanese and 1670 European patients were included. Japanese patients were older (72.6 ± 11.4 years vs. 68.0 ± 12.0 years; p < 0.001) and more likely to be male (18.5 vs. 8.4%; p < 0.001) than European TTS patients. Physical triggering factors were more common (45.5 vs. 32.0%; p < 0.001), and emotional triggers less common (17.5 vs. 31.5%; p < 0.001), in Japanese patients than in European patients. Japanese patients were more likely to experience cardiogenic shock during the acute phase (15.5 vs. 9.0%; p < 0.001) and had a higher in-hospital mortality (8.2 vs. 3.2%; p < 0.001). However, ethnicity itself did not appear to have an impact on in-hospital mortality. Machine learning approach revealed that the presence of physical stressors was the most important prognostic factor in both Japanese and European TTS patients. CONCLUSION: Differences in clinical characteristics and in-hospital outcomes between Japanese and European TTS patients exist. Ethnicity does not impact the outcome in TTS patients. The worse in-hospital outcome in Japanese patients, is mainly driven by the higher prevalence of physical triggers. TRIAL REGISTRATION: URL: https://www.clinicaltrials.gov ; Unique Identifier: NCT01947621.
1st Department of Cardiology Medical University of Gdansk Gdansk Poland
Cardiocenter 3rd Faculty of Medicine Charles University Prague Prague Czech Republic
Center for Cardiology University Medical Center Mainz Cardiology 1 Mainz Germany
Center for Molecular Cardiology Schlieren Campus University of Zurich Zurich Switzerland
Centro Cardiologico Monzino IRCCS Milan Italy
Clinic for Cardiology and Pneumology Goettingen University Goettingen Germany
Department of Cardiac Electrophysiology Helios St Marienberg Hospital Helmstedt Helmstedt 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 Charité Universitätsmedizin Berlin Berlin Germany
Department of Cardiology Chiba Emergency Medical Center Chiba Japan
Department of Cardiology Christchurch Hospital Christchurch New Zealand
Department of Cardiology Japanese Red Cross Musashino Hospital Tokyo Japan
Department of Cardiology John Radcliffe Hospital Oxford University Hospitals Oxford UK
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 UK
Department of Cardiology Leiden University Medical Centre Leiden The Netherlands
Department of Cardiology Medical University Hospital Heidelberg Heidelberg Germany
Department of Cardiology Medical University of Warsaw Warsaw Poland
Department of Cardiology St Luke's International Hospital Tokyo Japan
Department of Cardiology Tokai University School of Medicine Isehara Japan
Department of Cardiology Tokyo Metropolitan Tama Medical Center Tokyo Japan
Department of Cardiology Toranomon Hospital Tokyo Japan
Department of Cardiology University Hospital Basel Basel Switzerland
Department of Cardiovascular Diseases Mayo Clinic Rochester MN USA
Department of Cardiovascular Medicine Chiba University Graduate School of Medicine Chiba Japan
Department of Cardiovascular Medicine Nippon Medical School Tokyo 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 Medical Center University of Ulm Ulm Germany
Department of Internal Medicine 3 Heart Center University of Cologne Cologne Germany
Department of Internal Medicine B University Medicine Greifswald Greifswald Germany
Department of Internal Medicine Cardiology Heart Center Leipzig University Hospital Leipzig Germany
Department of Internal Medicine Kreiskrankenhaus Wolgast Wolgast Germany
Department of Mathematics and Computer Science University of Bremen Bremen 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 IA USA
Division of Cardiology Kimitsu Central Hospital Kisarazu Japan
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
Fondazione Policlinico Universitario A Gemelli IRCCS Roma Italia
Heart and Vascular Centre Bad Bevensen Bad Bevensen 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
Keck School of Medicine University of Southern California Los Angeles CA USA
Klinik Für Innere Medizin 3 Universitätsklinikum des Saarlandes Homburg Saar 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 UK
Service de Cardiologie Hôpitaux Universitaires de Genève Geneva Switzerland
Structural Interventional Cardiology Careggi University Hospital Florence Italy
TJ Health Partners Heart and Vascular Glasgow KY USA
Universitäres Herzzentrum Regensburg Regensburg Germany
University Hospital for Internal Medicine 3 Medical University Innsbruck Innsbruck Austria
Citace poskytuje Crossref.org
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- $a Imori, Yoichi $u Department of Cardiovascular Medicine, Nippon Medical School, Tokyo, Japan
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- $a Ethnic comparison in takotsubo syndrome: novel insights from the International Takotsubo Registry / $c Y. Imori, K. Kato, VL. Cammann, KA. Szawan, M. Wischnewsky, S. Dreiding, M. Würdinger, M. Schönberger, V. Petkova, D. Niederseer, RA. Levinson, D. Di Vece, S. Gili, B. Seifert, M. Wakita, N. Suzuki, R. Citro, E. Bossone, S. Heiner, M. Knorr, T. Jansen, T. Münzel, F. D'Ascenzo, J. Franke, I. Sorici-Barb, HA. Katus, A. Sarcon, J. Shinbane, LC. Napp, J. Bauersachs, M. Jaguszewski, R. Shiomura, S. Nakamura, H. Takano, M. Noutsias, C. Burgdorf, I. Ishibashi, T. Himi, W. Koenig, H. Schunkert, H. Thiele, B. Kherad, C. Tschöpe, BM. Pieske, L. Rajan, G. Michels, R. Pfister, S. Mizuno, A. Cuneo, C. Jacobshagen, G. Hasenfuß, M. Karakas, H. Mochizuki, A. Pott, W. Rottbauer, SM. Said, RC. Braun-Dullaeus, A. Banning, T. Isogai, A. Kimura, F. Cuculi, R. Kobza, TA. Fischer, T. Vasankari, KEJ. Airaksinen, Y. Tomita, M. Budnik, G. Opolski, R. Dworakowski, P. MacCarthy, C. Kaiser, S. Osswald, L. Galiuto, F. Crea, W. Dichtl, T. Murakami, Y. Ikari, K. Empen, D. Beug, SB. Felix, C. Delmas, O. Lairez, T. Yamaguchi, I. El-Battrawy, I. Akin, M. Borggrefe, JD. Horowitz, M. Kozel, P. Tousek, P. Widimský, E. Gilyarova, A. Shilova, M. Gilyarov, M. Neuhaus, P. Meyer, JD. Arroja, C. Chan, P. Bridgman, J. Galuszka, G. Poglajen, P. Carrilho-Ferreira, FJ. Pinto, C. Hauck, LS. Maier, K. Liu, C. Di Mario, C. Paolini, C. Bilato, M. Bianco, L. Jörg, H. Rickli, DE. Winchester, C. Ukena, M. Böhm, JJ. Bax, A. Prasad, CS. Rihal, S. Saito, Y. Kobayashi, TF. Lüscher, F. Ruschitzka, W. Shimizu, JR. Ghadri, C. Templin
- 520 9_
- $a BACKGROUND: Ethnic disparities have been reported in cardiovascular disease. However, ethnic disparities in takotsubo syndrome (TTS) remain elusive. This study assessed differences in clinical characteristics between Japanese and European TTS patients and determined the impact of ethnicity on in-hospital outcomes. METHODS: TTS patients in Japan were enrolled from 10 hospitals and TTS patients in Europe were enrolled from 32 hospitals participating in the International Takotsubo Registry. Clinical characteristics and in-hospital outcomes were compared between Japanese and European patients. RESULTS: A total of 503 Japanese and 1670 European patients were included. Japanese patients were older (72.6 ± 11.4 years vs. 68.0 ± 12.0 years; p < 0.001) and more likely to be male (18.5 vs. 8.4%; p < 0.001) than European TTS patients. Physical triggering factors were more common (45.5 vs. 32.0%; p < 0.001), and emotional triggers less common (17.5 vs. 31.5%; p < 0.001), in Japanese patients than in European patients. Japanese patients were more likely to experience cardiogenic shock during the acute phase (15.5 vs. 9.0%; p < 0.001) and had a higher in-hospital mortality (8.2 vs. 3.2%; p < 0.001). However, ethnicity itself did not appear to have an impact on in-hospital mortality. Machine learning approach revealed that the presence of physical stressors was the most important prognostic factor in both Japanese and European TTS patients. CONCLUSION: Differences in clinical characteristics and in-hospital outcomes between Japanese and European TTS patients exist. Ethnicity does not impact the outcome in TTS patients. The worse in-hospital outcome in Japanese patients, is mainly driven by the higher prevalence of physical triggers. TRIAL REGISTRATION: URL: https://www.clinicaltrials.gov ; Unique Identifier: NCT01947621.
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- $a Gili, Sebastiano $u Centro Cardiologico Monzino, IRCCS, Milan, Italy
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- $a Seifert, Burkhardt $u Department of Biostatistics, Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
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- $a Bossone, Eduardo $u Division of Cardiology, "Antonio Cardarelli" Hospital, Naples, Italy
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- 700 1_
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- 700 1_
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- 700 1_
- $a Rickli, Hans $u Department of Cardiology, Kantonsspital St. Gallen, St. Gallen, Switzerland
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- $a Winchester, David E $u Division of Cardiovascular Medicine, Department of Medicine, College of Medicine, University of Florida, Gainesville, FL, USA
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- $a Ruschitzka, Frank $u Department of Cardiology, University Heart Center, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland
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- $a Shimizu, Wataru $u Department of Cardiovascular Medicine, Nippon Medical School, Tokyo, Japan
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- $a Templin, Christian $u Department of Cardiology, University Heart Center, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland. Christian.Templin@usz.ch $1 https://orcid.org/0000000302874193
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