Monday preference in onset of takotsubo cardiomyopathy

Manfredini, Roberto; Citro, Rodolfo; Previtali, Mario; Vriz, Olga; Ciampi, Quirino; Pascotto, Marco; Tagliamonte, Ercole; Provenza, Gennaro; Manfredini, Fabio; Bossone, Eduardo

doi:10.1016/j.ajem.2009.04.023

Cited by 40 publications

(18 citation statements)

References 40 publications

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“…One study reported that the highest number of cases was found on Monday and the lowest on Saturday. This phenomenon might be because of stress and catecholamine release (Manfredini et al, 2010). However, conclusions are hard to reach because of the relatively small number of patients involved in this study.…”

Section: Preferred Time Of Onsetmentioning

confidence: 74%

Stress-Induced Cardiomyopathy: Clinical Observations

Lee¹,

Lim²,

Kim³

et al. 2012

Cardiomyopathies - From Basic Research to Clinical Management

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Section: Preferred Time Of Onsetmentioning

confidence: 74%

Stress-Induced Cardiomyopathy: Clinical Observations

Lee¹,

Lim²,

Kim³

et al. 2012

Cardiomyopathies - From Basic Research to Clinical Management

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“…Several cases have been noted to be connected to cocaine use, opiate withdrawal or excessive alcohol consumption (Daka et al, 2007;Rivera et al, 2006). TTC has also been described following a normal vaginal delivery or after caesarean delivery (Teh et al, 2010;Zdanowicz et al, 2011;Citro et al, 2010;Crimi, 2008;Muller et al, 2007;Hawthorne et al, 1997). These cases in premenopausal women highlight the potential role of estrogens in TTC etiopathogenesis and the interaction of the latter with catecholamines.…”

Section: Other Physical Stressful Eventsmentioning

confidence: 98%

“…This condition is found in approximately two thirds of the TTC patients (Sharkey et al, 2010;Elesber et al, 2007;Gianni et al, 2006). In the case of seasonal, weekly, circadian variations of TTC occurrence, stress caused by resuming working activities after a break was suggested as a triggering factor (Manfredini et al, 2010). A recent study has showed that in TTC patients, a high-anxiety trait is common but not significantly higher as compared with ST Elevation Myocardial Infarction patients.…”

Section: Preceding Stressful Eventmentioning

confidence: 99%

“…A report described a case of TTC characterized by biventricular ballooning, pulmonary hypertension and hemodynamic compromise associated with prolonged hospitalisation, highlighting the fact that initial management should evaluate left ventricle function but also detect right ventricle involvement (Citro et al, 2010). In another series, association between right ventricle involvement and lower ejection fraction has not been shown (Teh et al, 2010).…”

Section: Wwwintechopencommentioning

confidence: 99%

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Tako-Tsubo Cardiomyopathy: A Recent Clinical Syndrome Mimicking an Acute Coronary Syndrome

Montassier¹,

Segard²,

Martinage³

et al. 2011

Coronary Angiography - The Need for Improvement in Medical and Interventional Therapy

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“…Several life-threatening acute diseases seem to exhibit precise preferred times of onset, characterized by highest risk, during the hours of the day (morning), month or season of the year (winter), and day of the week (Monday) [1][2][3][4][5][6][7][8][9][10][11][12][13] . In particular, admission to the hospital during nighttime and weekend (WE) was associated with increased risk of in-hospital mortality (IHM) and length-of-hospital stay (LOS) in acute care hospitals in Canada and England [14,15] , and an increased risk has been recently reported to be associated with duration of visits in the ED [16] .…”

Section: Introductionmentioning

confidence: 99%

In-hospital mortality and length-of-stay in a cohort of ED patients admitted to internistic units

Giorgi¹,

Fabbian²,

Ferro³

et al. 2013

JHA

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Background: Several life-threatening acute diseases exhibit precise preferred times of onset, during the day (morning), the month or season of the year (winter), and the day of the week (Monday). Moreover, admission to the hospital during nighttime and weekend (WE) is associated with increased risk of in-hospital mortality (IHM) and length-of-hospital stay (LOS). Since most of these data have been obtained in North American settings, the aim of this study was to verify also in an Italian setting whether some factors related to ED evaluation, including time of arrival, and disease's severity evaluated by a colour code, could be associated with IHM and LOS in ED patients admitted to internal medicine units. Methods:This study was conducted between January 1, 2010 and July 31, 2012, at the St Anna Hospital of Ferrara. We analyzed age, sex, time of arrival to the ED, ED boarding time, and triage colour code of all patients admitted to the Department of Medicine. Friday to midnight Sunday was considered as WE, and the nine main national festive days were always considered as Sunday-WE. Thus, the time period was classified into holidays (WE + festive days) and weekdays (WD), and daytime (8:00 am -8:00 pm) and nighttime (8:00 pm -8:00 am). IHM and LOS were assumed as primary and secondary objectives, respectively. Patients were classified into deceased and survivors, and LOS was classified depending on length lower or higher than the median (seven days). T-test, chi-squared test, U Mann-Whitney test, and logistic regression analysis were performed.Results: During the 18-month period, 13,237 consecutive patients visiting the ED (43.4% males, mean age 74.8 ± 13.6 years, 56.6% females, mean age 78.0 ± 13.3 years), were considered. IHM was related to: time of admission (daytime vs. nighttime, p = .015; WE vs. WD, p = .026, holidays vs. no holidays, p = .021), colour code (p < .001), and age (p < .001). Multivariate analysis showed an independent association with IHM for colour code (p < .001), and age (p < .001). LOS >7 days was related to: time of admission (daytime vs. nighttime, p < .001; WE or WD, p = .001; holidays vs. no holidays, p = .002). Furthermore, LOS >7 days depended on both colour code of admission (p < .001), and age (p < .001). Multivariate analysis showed a significant correlation with LOS >7 days for yellow colour code (p < .001), and age (p < .001). Conclusions:Although several factors, such as admission colour code and age, influence some parameters of clinical outcome, i.e., IHM and LOS, a striking weekend effect is not evident in a cohort of consecutive patients admitted to an Italian Medical Department, characterized by intermediate-high level of urgency.

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Monday preference in onset of takotsubo cardiomyopathy

Cited by 40 publications

References 40 publications

Stress-Induced Cardiomyopathy: Clinical Observations

Stress-Induced Cardiomyopathy: Clinical Observations

Tako-Tsubo Cardiomyopathy: A Recent Clinical Syndrome Mimicking an Acute Coronary Syndrome

In-hospital mortality and length-of-stay in a cohort of ED patients admitted to internistic units

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