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Tako-tsubo cardiomyopathy

التفاصيل البيبلوغرافية
العنوان:	Tako-tsubo cardiomyopathy
المؤلفون:	Daniela Pavan, Maria G. Fazio, Eduardo Bossone, Lucio Mos, Manola Bettio, Caterina Driussi, Franco Pertoldi, Olga Vriz, Franco Arteni
المساهمون:	Vriz, O, Driussi, C, Fazio, Mg, Arteni, F, Mos, L, Pertoldi, F, Bettio, M, Pavan, D, Bossone, E
المصدر:	Journal of Cardiovascular Medicine. 14:576-581
بيانات النشر:	Ovid Technologies (Wolters Kluwer Health), 2013.
سنة النشر:	2013
مصطلحات موضوعية:	Male, medicine.medical_specialty, Acute coronary syndrome, Population, Myocardial Infarction, Cardiomyopathy, Hospitals, Community, Chest pain, Electrocardiography, Recurrence, Takotsubo Cardiomyopathy, Internal medicine, Prevalence, Humans, Medicine, Acute Coronary Syndrome, education, Aged, education.field_of_study, Ejection fraction, business.industry, Incidence, Incidence (epidemiology), General Medicine, Emergency department, Middle Aged, Prognosis, medicine.disease, Community hospital, Hospitalization, Italy, Cardiology, Female, medicine.symptom, Emergency Service, Hospital, Cardiology and Cardiovascular Medicine, business, Follow-Up Studies
الوصف:	AIMS To describe the actual incidence, prevalence among acute coronary syndrome patients and rate of recurrences of tako-tsubo cardiomyopathy in an emergency department of a community hospital. METHODS We report the in-hospital and long-term clinical course (7.5 years follow-up) of 25 consecutive tako-tsubo cardiomyopathy patients (mean age 66.8 ± 11.76 years; F/M: 21/4) admitted to a community hospital (referring population: 97,000 inhabitants). RESULTS The incidence rate of tako-tsubo cardiomyopathy was 0.03 cases per 1000 person-years; the prevalence was 3.0% among those with acute coronary syndrome and 7.6% among ST elevation myocardial infarction patients. Clinical presentations included mainly chest pain (n = 16, 64%) and dyspnea (n = 3, 12%). Precipitating conditions were emotional (n = 10, 40%), physical stress (n = 5, 20%) or both (n = 1, 4%); no stressors were recorded in nine patients (36%). Two patients died during hospitalization (8%). At the end of follow-up (mean time: 960.24 ± 724.34 days), all patients (n = 23) were alive and no major cardiovascular events were observed. Five patients had recurrences (22%). The mean time of recurrence was 105.4 ± 82.92 days and the clinical presentation was less severe compared with the first event: ECG had less ST involvement, ejection fraction was higher and cardiac injury biomarkers were lower. CONCLUSIONS In our population incidence and prevalence of tako-tsubo cardiomyopathy among acute coronary syndrome patients, as well as the recurrence rate of tako-tsubo cardiomyopathy, were higher than previously reported, suggesting that probably this syndrome often passes undiagnosed.
تدمد:	1558-2027
الوصول الحر:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::013771b05d85a651ff8ee88f32485d02Test https://doi.org/10.2459/jcm.0b013e3283595ab8Test
حقوق:	CLOSED
رقم الانضمام:	edsair.doi.dedup.....013771b05d85a651ff8ee88f32485d02
قاعدة البيانات:	OpenAIRE

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METHODS We report the in-hospital and long-term clinical course (7.5 years follow-up) of 25 consecutive tako-tsubo cardiomyopathy patients (mean age 66.8 ± 11.76 years; F/M: 21/4) admitted to a community hospital (referring population: 97,000 inhabitants). RESULTS The incidence rate of tako-tsubo cardiomyopathy was 0.03 cases per 1000 person-years; the prevalence was 3.0% among those with acute coronary syndrome and 7.6% among ST elevation myocardial infarction patients. Clinical presentations included mainly chest pain (n = 16, 64%) and dyspnea (n = 3, 12%). Precipitating conditions were emotional (n = 10, 40%), physical stress (n = 5, 20%) or both (n = 1, 4%); no stressors were recorded in nine patients (36%). Two patients died during hospitalization (8%). At the end of follow-up (mean time: 960.24 ± 724.34 days), all patients (n = 23) were alive and no major cardiovascular events were observed. Five patients had recurrences (22%). The mean time of recurrence was 105.4 ± 82.92 days and the clinical presentation was less severe compared with the first event: ECG had less ST involvement, ejection fraction was higher and cardiac injury biomarkers were lower. 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