Abstract
Current data suggest an excellent outcome for patients with Tako-tsubo cardiomyopathy (TC). The objectives of this study were to evaluate the long-term outcome and the prognostic implication of thrombolysis in myocardial infarction myocardial perfusion grade (TMPG) in patients with TC. Retrospective analysis of all patients diagnosed with TC at our hospital between 2003 and 2008. During the five-year period, we identified 27 patients with TC out of 1374 cases of emergent left heart catheterisation (2%). Mean follow-up was 27 ± 16 months. The majority were Caucasian (81%) female (96%), postmenopausal (96%), with a mean age of 68 ± 14 years. A precipitating stressor event was found in 74% of the patients, 30% being gastrointestinal triggers. Fourteen patients (52%) reached a combined end point of all cause death, cardiogenic shock, sudden cardiac death and rehospitalisation for cardiac reasons. TMPG was abnormal in 37% cases with no correlation with the outcome. The long-term outcome of patients with TC is worse than previously reported. TMPG does not correlate with the outcome in TC.
References
Jan 19, 2000·Circulation·C M GibsonE Braunwald
Jun 15, 2006·Mayo Clinic Proceedings·Borja IbanezJeronimo Farre
Aug 23, 2006·American Heart Journal·Ahmad ElesberAbhiram Prasad
Jul 27, 2007·International Journal of Cardiology·Thomas M Pilgrim, Thomas R Wyss
Feb 26, 2008·American Heart Journal·Abhiram PrasadCharanjit S Rihal
Jul 7, 2009·The American Journal of Cardiology·Tania ChaoRon Waksman
Aug 5, 2009·Circulation·Emmanouil S BrilakisDeepak L Bhatt
Feb 2, 2010·Journal of the American College of Cardiology·Scott W SharkeyBarry J Maron
Citations
Mar 5, 2013·Current Treatment Options in Cardiovascular Medicine·Amit S Dande, Amrita S Pandit
May 4, 2013·North American Journal of Medical Sciences·Saeed AhmedErik P Riesenfeld
Aug 30, 2012·Herz·I AkpinarM Aydin
Apr 2, 2014·The American Journal of Cardiology·Kuljit SinghJohn Horowitz
Jul 9, 2013·Journal of Clinical Anesthesia·Philippe GuerciHervé Bouaziz
Feb 26, 2013·Cardiovascular Pathology : the Official Journal of the Society for Cardiovascular Pathology·Josef FinstererKarim Wahbi
Apr 9, 2013·Heart Failure Clinics·Judith Z GoldfingerBrett A Sealove
Jul 17, 2012·Revista Portuguesa De Cardiologia : Orgão Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology·Sofia Nóbrega, Dulce Brito
Jun 28, 2011·The American Journal of Medicine·W Victor R ViewegAnanda K Pandurangi
Dec 20, 2015·Medicine·Marie Batisse-LignierRomain Eschalier
Feb 11, 2015·The American Journal of Medicine·Francesco PellicciaJuan Carlos Kaski
Mar 31, 2015·Journal of Cardiovascular Medicine·Enrico VizzardiMarco Metra
Mar 12, 2013·JACC. Cardiovascular Imaging·Wael A AljaroudiDeborah Kwon
Aug 11, 2012·American Heart Journal·Waleed BrinjikjiSamer Salka
Oct 20, 2012·Journal of Cardiovascular Medicine·Olga VrizEduardo Bossone
Dec 5, 2018·Expert Review of Cardiovascular Therapy·Sandeep JhaBjörn Redfors
Feb 1, 2020·Psychology, Health & Medicine·E OlligesJ Ronel
Jan 26, 2016·Journal of Cardiovascular Development and Disease·Mohammad Umar Farooq, Koroush Khalighi
Nov 16, 2015·Journal of Cardiovascular Development and Disease·Koroush KhalighiSwe Oo
Jul 12, 2017·Angiology·Verena BillIbrahim Akin