Atrial arrhythmias in Takotsubo cardiomyopathy: incidence, predictive factors, and prognosis
Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology
Laurence JeselOlivier Morel
Abstract
Takotsubo cardiomyopathy (TTC) is a stress-related transient cardiomyopathy. It is unclear whether TTC is associated with poorer prognosis when atrial arrhythmia (AA), atrial fibrillation or flutter, occurs. The purpose of this study was to assess the incidence of AA in patients with TTC, predictive factors of AA, and its association with mortality. We studied 214 consecutive cases of TTC over 8 years. The study cohort was divided into two groups-those with newly diagnosed AA (AA-group) and those without (non-AA group). AA occurred in 24.8% of the patients. The AA group presented with lower left ventricular ejection fraction (LVEF) on admission and higher cardiac arrest rate. Admission and peak levels of troponin, B-type natriuretic peptide (BNP), C-reactive protein (CRP), and leucocytes were higher in the AA group. In-hospital, 30-day, cardiovascular, and all-cause mortality were significantly higher in the AA group. Independent predictors of newly diagnosed AA were troponin peak [odds ratio (OR) 1.03 (1.003-1.06); P = 0.029], CRP peak [OR 1.006 (1.001-1.01); P = 0.026], and LVEF on admission [OR 0.96 (0.93-0.99); P = 0.01]. Newly diagnosed AA was not predictive of mortality. The BNP peak [OR 1.00 (1.000-1.001); P = 0.022] and...Continue Reading
References
Sep 3, 1998·The New England Journal of Medicine·M HaïssaguerreJ Clémenty
Nov 19, 2003·Circulation·Ronnier J AvilesMina K Chung
Feb 11, 2005·The New England Journal of Medicine·Ilan S WittsteinHunter C Champion
Mar 9, 2007·International Journal of Cardiology·Holger M NefA Elsässer
Mar 31, 2007·European Heart Journal·Holger M NefAlbrecht Elsässer
Aug 19, 2007·Neuroimmunomodulation·Tomás ZelinkaJirí Widimský
May 28, 2008·The International Journal of Cardiovascular Imaging·Imran S SyedPaul R Julsrud
Mar 31, 2009·Journal of Cardiac Failure·Olivier MorelPierre Bareiss
Oct 22, 2009·Circulation. Arrhythmia and Electrophysiology·Vincent Y SeeBruce A Koplan
Feb 2, 2010·Journal of the American College of Cardiology·Scott W SharkeyBarry J Maron
Dec 7, 2010·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Faisal F SyedJohnson Francis
Jun 27, 2012·Circulation·Helen PaurSian E Harding
Apr 16, 2013·Clinical Cardiology·Cher-Rin ChongJohn D Horowitz
Oct 22, 2013·Journal of cardiology·Tsutomu MurakamiUNKNOWN CCU Network Scientific Committee
May 14, 2014·International Journal of Cardiology·John E Madias
Jul 23, 2014·International Journal of Cardiology·Birke SchneiderUdo Sechtem
Nov 19, 2015·International Journal of Cardiology·Dipak KotechaGregory Y H Lip
Mar 19, 2016·European Journal of Heart Failure·Thomas StiermaierIngo Eitel
Sep 2, 2016·Circulation Journal : Official Journal of the Japanese Circulation Society·Mélanie GirardeyOlivier Morel
Oct 6, 2016·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Ibrahim El-BattrawyIbrahim Akin
Citations
Jul 28, 2018·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Thomas StiermaierCharlotte Eitel
Jan 30, 2020·ESC Heart Failure·Kalliopi KeramidaAlexander R Lyon
Jul 6, 2020·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Ryan T SlessGerry Fahy
Mar 10, 2020·Circulation Journal : Official Journal of the Japanese Circulation Society·Lucie Lachmet-ThébaudOlivier Morel
Nov 19, 2020·ESC Heart Failure·Lucie Lachmet-ThebaudOlivier Morel
Feb 9, 2021·World Journal of Clinical Cases·Hao-Yu WuYi-Wei Cao
Feb 20, 2021·Journal of the American College of Cardiology·Alexander R LyonElmir Omerovic
Jul 29, 2021·Journal of the American Heart Association·Ibrahim El-BattrawyChristian Templin
Aug 11, 2021·ESC Heart Failure·Xiaojia LuBin Wang