Back to Search
Start Over
Tako-tsubo cardiomyopathy
- Source :
- Journal of Cardiovascular Medicine. 14:576-581
- Publication Year :
- 2013
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2013.
-
Abstract
- 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.
- Subjects :
- 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
Subjects
Details
- ISSN :
- 15582027
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- Journal of Cardiovascular Medicine
- Accession number :
- edsair.doi.dedup.....013771b05d85a651ff8ee88f32485d02