Long‐term excess mortality in Takotsubo syndrome: is it justified to charge Takotsubo for the excess long‐term mortality?: Reply

Stiermaier, Thomas; Thiele, Holger; Eitel, Ingo

doi:10.1002/ejhf.573

Cited by 6 publications

(3 citation statements)

References 3 publications

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“…Recent data show that many patients with Takotsubo syndrome may have poor outcomes with an event rate comparable to that of patients after acute myocardial infarction . Heart rate and systolic blood pressure are major prognostic variables .…”

Section: Imagingmentioning

confidence: 99%

June 2019 at a glance: from genetics to haemodynamics, biomarkers and imaging for the prediction of outcomes

Metra

2019

European J of Heart Fail

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Section: Imagingmentioning

confidence: 99%

June 2019 at a glance: from genetics to haemodynamics, biomarkers and imaging for the prediction of outcomes

Metra

2019

European J of Heart Fail

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“…have demonstrated that the acute and long-term mortality in TTS are higher than previously recognized (3,4). Therefore, the accurate diagnosis is crucial for this entity.…”

mentioning

confidence: 92%

“…The Absence of obstructive coronary disease or angiographic evidence of acute plaque rupture.3. New electrocardiographic abnormalities (either ST-segment elevation and/or T-wave inversion) or modest elevation in cardiac troponin 4…”

mentioning

confidence: 99%

Takotsubo Syndrome

Okuyama

Akashi

2018

Annals of Nuclear Cardiology

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Takotsubo syndrome (TTS) was first described in 1990. A wide variety of TTS cases have been reported since then; the international consensus has proposed several diagnostic criteria. The current diagnostic system often relies on identifying combinations of subsets of symptoms, or criteria, to define diagnoses. In the recently proposed TTS diagnostic criteria, obstructive coronary syndrome and pheochromocytoma involvement changes. Here, we review the criteria and the role of nuclear imaging in TTS diagnosis and discuss new directions that can provide better information

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Short-term recurrence of takotsubo syndrome with phenotypic variation: a case report

Saito

Natsumeda

Sakagami

et al. 2023

European Heart Journal - Case Reports

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Background Takotsubo syndrome (TTS) is an acute and usually reversible heart failure syndrome characterised as an uncommon left ventricular (LV) cardiomyopathy. Recurrence of TTS is rare, estimated to be 1-6%. We report a rare case of TTS that occurred three times in two months but manifested various phenotypes. Case summary A 68-year-old woman was admitted to our hospital with acute-onset chest pain and hypertension. The coronary angiography findings were normal, although left ventriculography (LVG) revealed inferior wall hypokinesis, leading to a mid-ventricular TTS diagnosis. She was discharged on day 3 after her symptoms improved and vitals stabilised. The patient’s condition remained uneventful until two weeks post discharge, when acute chest pain and hypertension recurred. She was admitted again with the same diagnosis. However, LV morphology revealed an apical ballooning pattern, with inferior LV wall hypokinesis. She was discharged on day 7 after her symptoms and electrocardiography findings improved but was readmitted again two weeks later after acute chest pain and hypertension recurred. LVG performed a third time demonstrated mid-ventricular TTS. The patient was prescribed additional medications and discharged on day 12. Her electrocardiography findings normalised, and the patient remained asymptomatic without recurrence four months after the initial presentation. Discussion Recurrence and phenotypic change of TTS is rare. Some cases have been reported but occurring months to years after initial diagnosis. Combined treatment with β-blockers and angiotensin converting enzyme inhibitors or angiotensin receptor antagonists may be more effective to prevent the recurrence than monotherapies.

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Long‐term excess mortality in Takotsubo syndrome: is it justified to charge Takotsubo for the excess long‐term mortality?: Reply

Cited by 6 publications

References 3 publications

June 2019 at a glance: from genetics to haemodynamics, biomarkers and imaging for the prediction of outcomes

June 2019 at a glance: from genetics to haemodynamics, biomarkers and imaging for the prediction of outcomes

Takotsubo Syndrome

Short-term recurrence of takotsubo syndrome with phenotypic variation: a case report

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