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Clinical Features and Outcomes of Takotsubo (Stress) Cardiomyopathy by Christian Templin; Jelena R. Ghadri; Johanna Diekmann; L. Christian Napp; Dana R. Bataiosu; Milosz Jaguszewski; Victoria L. Cammann; Annahita Sarcon; Verena Geyer; Catharina A. Neumann; Burkhardt Seifert; Jens Hellermann; Moritz Schwyzer; Katharina Eisenhardt; Josef Jenewein; Jennifer Franke; Hugo A. Katus; Christof Burgdorf; Heribert Schunkert; Christian Moeller; Holger Thiele; Johann Bauersachs; Carsten Tschöpe; Heinz-Peter Schultheiss; Charles A. Laney; Lawrence Rajan; Guido Michels; Roman Pfister; Christian Ukena; Michael Böhm; Raimund Erbel; Alessandro Cuneo; Karl-Heinz Kuck; Claudius Jacobshagen; Gerd Hasenfuss; Mahir Karakas; Wolfgang Koenig; Wolfgang Rottbauer; Samir M. Said; Ruediger C. Braun-Dullaeus; Florim Cuculi; Adrian Banning; Thomas A. Fischer; Tuija Vasankari; K.E. Juhani Airaksinen; Marcin Fijalkowski; Andrzej Rynkiewicz; Maciej Pawlak; Grzegorz Opolski; Rafal Dworakowski; Philip MacCarthy; Christoph Kaiser; Stefan Osswald; Leonarda Galiuto; Filippo Crea; Wolfgang Dichtl; Wolfgang M. Franz; Klaus Empen; Stephan B. Felix; Clément Delmas; Olivier Lairez; Paul Erne; Jeroen J. Bax; Ian Ford; Frank Ruschitzka; Abhiram Prasad; Thomas F. Lüscher is a Medicine article available to read on EtoBox.

## Background: The natural history, management, and outcome of takotsubo (stress) cardiomyopathy are incompletely understood. ## Methods: The international takotsubo registry, a consortium of 26 centers in europe and the united states, was established to investigate clinical features, prognostic predictors, and outcome of takotsubo cardiomyopathy. patients were compared with age- and sex-matched patients who had an acute coronary syndrome. ## Results: Of 1750 patients with takotsubo cardiomyopathy, 89.8% were women (mean age, 66.8 years). emotional triggers were not as common as physical triggers (27.7% vs. 36.0%), and 28.5% of patients had no evident trigger. among patients with takotsubo cardiomyopathy, as compared with an acute coronary syndrome, rates of neurologic or psychiatric disorders were higher (55.8% vs. 25.7%) and the mean left ventricular ejection fraction was markedly lower (40.7±11.2% vs. 51.5±12.3%) (p<0.001 for both comparisons). rates of severe in-hospital complications including shock and death were similar in the two groups (p=0.93). physical triggers, acute neurologic or psychiatric diseases, high troponin levels, and a low ejection fraction on admission were

Author

Christian Templin; Jelena R. Ghadri; Johanna Diekmann; L. Christian Napp; Dana R. Bataiosu; Milosz Jaguszewski; Victoria L. Cammann; Annahita Sarcon; Verena Geyer; Catharina A. Neumann; Burkhardt Seifert; Jens Hellermann; Moritz Schwyzer; Katharina Eisenhardt; Josef Jenewein; Jennifer Franke; Hugo A. Katus; Christof Burgdorf; Heribert Schunkert; Christian Moeller; Holger Thiele; Johann Bauersachs; Carsten Tschöpe; Heinz-Peter Schultheiss; Charles A. Laney; Lawrence Rajan; Guido Michels; Roman Pfister; Christian Ukena; Michael Böhm; Raimund Erbel; Alessandro Cuneo; Karl-Heinz Kuck; Claudius Jacobshagen; Gerd Hasenfuss; Mahir Karakas; Wolfgang Koenig; Wolfgang Rottbauer; Samir M. Said; Ruediger C. Braun-Dullaeus; Florim Cuculi; Adrian Banning; Thomas A. Fischer; Tuija Vasankari; K.E. Juhani Airaksinen; Marcin Fijalkowski; Andrzej Rynkiewicz; Maciej Pawlak; Grzegorz Opolski; Rafal Dworakowski; Philip MacCarthy; Christoph Kaiser; Stefan Osswald; Leonarda Galiuto; Filippo Crea; Wolfgang Dichtl; Wolfgang M. Franz; Klaus Empen; Stephan B. Felix; Clément Delmas; Olivier Lairez; Paul Erne; Jeroen J. Bax; Ian Ford; Frank Ruschitzka; Abhiram Prasad; Thomas F. Lüscher

Publisher

Massachusetts Medical Society

Published

2015

Language

EN

Field

Medicine (Health Sciences)