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Статья
Prognostic impact of acute pulmonary triggers in patients with takotsubo syndrome: new insights from the International Takotsubo Registry
K. Kato,
V. Cammann,
L. Napp,
K. Szawan,
J. Micek,
S. Dreiding,
R. Levinson,
V. Petkova,
M. Würdinger,
A. Patrascu,
R. Sumalinog,
S. Gili,
C. Clarenbach,
M. Kohler,
M. Wischnewsky,
R. Citro,
C. Vecchione,
E. Bossone,
M. Neuhaus,
J. Franke,
B. Meder,
M. Jaguszewski,
M. Noutsias,
M. Knorr,
S. Heiner,
F. D'Ascenzo,
W. Dichtl,
C. Burgdorf,
B. Kherad,
C. Tschöpe,
A. Sarcon,
J. Shinbane,
L. Rajan,
G. Michels,
R. Pfister,
A. Cuneo,
C. Jacobshagen,
M. Karakas,
W. Koenig,
A. Pott,
P. Meyer,
M. Roffi,
A. Banning,
M. Wolfrum,
F. Cuculi,
R. Kobza,
T. Fischer,
T. Vasankari,
K. Airaksinen,
M. Budnik,
R. Dworakowski,
P. MacCarthy,
C. Kaiser,
S. Osswald,
L. Galiuto,
C. Chan,
P. Bridgman,
D. Beug,
C. Delmas,
O. Lairez,
E. Gilyarova,
A. Shilova,
M. Gilyarov,
I. El-Battrawy,
I. Akin,
M. Kozel,
P. Tousek,
D. Winchester,
J. Galuszka,
C. Ukena,
G. Poglajen,
P. Carrilho-Ferreira,
C. Hauck,
C. Paolini,
C. Bilato,
M. Sano,
I. Ishibashi,
M. Takahara,
T. Himi,
Y. Kobayashi,
A. Prasad,
C. Rihal,
K. Liu,
P. Schulze,
M. Bianco,
L. Jörg,
H. Rickli,
G. Pestana,
T. Nguyen,
M. Böhm,
L. Maier,
F. Pinto,
P. Widimský,
S. Felix,
G. Opolski,
R. Braun-Dullaeus,
W. Rottbauer,
G. Hasenfuß,
B. Pieske,
H. Schunkert,
2021
Aims: Acute pulmonary disorders are known physical triggers of takotsubo syndrome (TTS). This study aimed to investigate prevalence of acute pulmonary triggers in patients with TTS and their impact on outcomes. Methods and results: Patients with TTS were enrolled from the International Takotsubo Registry and screened for triggering factors and comorbidities. Patients were categorized into three groups (acute pulmonary trigger, chronic lung disease, and no lung disease) to compare clinical characteristics and outcomes. Of the 1670 included patients with TTS, 123 (7%) were identified with an acute pulmonary trigger, and 194 (12%) had a known history of chronic lung disease. The incidence of cardiogenic shock was highest in patients with an acute pulmonary trigger compared with those with chronic lung disease or without lung disease (17% vs. 10% vs. 9%, P = 0.017). In-hospital mortality was also higher in patients with an acute pulmonary trigger than in the other two groups, although not significantly (5.7% vs. 1.5% vs. 4.2%, P = 0.13). Survival analysis demonstrated that patients with an acute pulmonary trigger had the worst long-term outcome (P = 0.002). The presence of an acute pulmonary trigger was independently associated with worse long-term mortality (hazard ratio 2.12, 95% confidence interval 1.33–3.38; P = 0.002). Conclusions: The present study demonstrates that TTS is related to acute pulmonary triggers in 7% of all TTS patients, which accounts for 21% of patients with physical triggers. The presence of acute pulmonary trigger is associated with a severe in-hospital course and a worse long-term outcome.
Цитирование
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Версии
- 1. Version of Record от 2021-06-01
Метаданные
Об авторах
-
K. Kato
UniversitatsSpital Zurich -
V. Cammann
UniversitatsSpital Zurich -
L. Napp
Medizinische Hochschule Hannover (MHH) -
K. Szawan
UniversitatsSpital Zurich -
J. Micek
UniversitatsSpital Zurich -
S. Dreiding
UniversitatsSpital Zurich -
R. Levinson
UniversitatsSpital Zurich -
V. Petkova
UniversitatsSpital Zurich -
M. Würdinger
UniversitatsSpital Zurich -
A. Patrascu
UniversitatsSpital Zurich -
R. Sumalinog
UniversitatsSpital Zurich -
S. Gili
IRCCS Centro Cardiologico Monzino -
C. Clarenbach
UniversitatsSpital Zurich -
M. Kohler
UniversitatsSpital Zurich -
M. Wischnewsky
Universität Bremen -
R. Citro
Università di Salerno -
C. Vecchione
Università di Salerno -
E. Bossone
Azienda Ospedaliera Di Rilievo Nazionale Antonio Cardarelli -
M. Neuhaus
Kantonsspital Frauenfeld -
J. Franke
Universitätsklinikum Heidelberg -
B. Meder
Universitätsklinikum Heidelberg -
M. Jaguszewski
Gdanski Uniwersytet Medyczny -
M. Noutsias
Universitätsklinikum Halle und Medizinische Fakultät -
M. Knorr
Universitätsmedizin Mainz -
S. Heiner
Universitätsmedizin Mainz -
F. D'Ascenzo
Università degli Studi di Torino -
W. Dichtl
University Hospital Innsbruck -
C. Burgdorf
Heart and Vascular Centre Bad Bevensen -
B. Kherad
Charité – Universitätsmedizin Berlin -
C. Tschöpe
Charité – Universitätsmedizin Berlin -
A. Sarcon
University of California, San Francisco -
J. Shinbane
Keck School of Medicine of USC -
L. Rajan
TJ Health Partners Heart and Vascular -
G. Michels
University of Cologne -
R. Pfister
University of Cologne -
A. Cuneo
Krankenhaus ‘Maria Hilf’ Medizinische Klinik -
C. Jacobshagen
Georg-August-Universität Göttingen -
M. Karakas
Universitäre Herz- und Gefäßzentrum UKE Hamburg GmbH, Deutsches Zentrum für Herz-Kreislauf-Forschung e. V. -
W. Koenig
Deutsches Herzzentrum München, Deutsches Zentrum für Herz-Kreislauf-Forschung e. V. -
A. Pott
Universitätsklinikum Ulm -
P. Meyer
Hôpitaux Universitaires de Genève -
M. Roffi
Hôpitaux Universitaires de Genève -
A. Banning
John Radcliffe Hospital -
M. Wolfrum
Kantonsspital Luzern -
F. Cuculi
Kantonsspital Luzern -
R. Kobza
Kantonsspital Luzern -
T. Fischer
Kantonsspital Winterthur -
T. Vasankari
Turun Yliopistollinen Keskussairaala -
K. Airaksinen
Turun Yliopistollinen Keskussairaala -
M. Budnik
Medical University of Warsaw -
R. Dworakowski
King's College Hospital -
P. MacCarthy
King's College Hospital -
C. Kaiser
Universitätsspital Basel -
S. Osswald
Universitätsspital Basel -
L. Galiuto
Policlinico Universitario Agostino Gemelli -
C. Chan
Christchurch Hospital New Zealand -
P. Bridgman
Christchurch Hospital New Zealand -
D. Beug
Universitätsmedizin Greifswald, Deutsches Zentrum für Herz-Kreislauf-Forschung e. V. -
C. Delmas
Hopital de Rangueil -
O. Lairez
Hopital de Rangueil -
E. Gilyarova
Moscow City Hospital # 1 named after N. Pirogov -
A. Shilova
Moscow City Hospital # 1 named after N. Pirogov -
M. Gilyarov
Moscow City Hospital # 1 named after N. Pirogov -
I. El-Battrawy
Universitätsklinikum Mannheim, Deutsches Zentrum für Herz-Kreislauf-Forschung e. V. -
I. Akin
Universitätsklinikum Mannheim, Deutsches Zentrum für Herz-Kreislauf-Forschung e. V. -
M. Kozel
Fakultní nemocnice Královské Vinohrady -
P. Tousek
Fakultní nemocnice Královské Vinohrady -
D. Winchester
University of Florida College of Medicine -
J. Galuszka
University Hospital Olomouc -
C. Ukena
Universitätsklinikum des Saarlandes Medizinische Fakultät der Universität des Saarlandes -
G. Poglajen
Univerzitetni Klinični Center Ljubljana -
P. Carrilho-Ferreira
Santa Maria Hospital, Lisbon -
C. Hauck
Klinikum der Universität Regensburg und Medizinische Fakultät -
C. Paolini
Arzignano General Hospital -
C. Bilato
Arzignano General Hospital -
M. Sano
Chiba Emergency Medical Center -
I. Ishibashi
Chiba Emergency Medical Center -
M. Takahara
Kimitsu Chuo Hospital -
T. Himi
Kimitsu Chuo Hospital -
Y. Kobayashi
Graduate School of Medicine -
A. Prasad
Mayo Clinic -
C. Rihal
Mayo Clinic -
K. Liu
University of Iowa -
P. Schulze
Friedrich Schiller Universität Jena -
M. Bianco
Division of Cardiology -
L. Jörg
Kantonsspital St Gallen -
H. Rickli
Kantonsspital St Gallen -
G. Pestana
EPE -
T. Nguyen
The University of Adelaide -
M. Böhm
Universitätsklinikum des Saarlandes Medizinische Fakultät der Universität des Saarlandes -
L. Maier
Klinikum der Universität Regensburg und Medizinische Fakultät -
F. Pinto
Santa Maria Hospital, Lisbon -
P. Widimský
Fakultní nemocnice Královské Vinohrady -
S. Felix
Universitätsmedizin Greifswald, Deutsches Zentrum für Herz-Kreislauf-Forschung e. V. -
G. Opolski
Medical University of Warsaw -
R. Braun-Dullaeus
Otto von Guericke University of Magdeburg -
W. Rottbauer
Universitätsklinikum Ulm -
G. Hasenfuß
Georg-August-Universität Göttingen -
B. Pieske
Charité – Universitätsmedizin Berlin -
H. Schunkert
Deutsches Herzzentrum München, Deutsches Zentrum für Herz-Kreislauf-Forschung e. V.
Название журнала
- ESC Heart Failure
Том
- 8
Выпуск
- 3
Страницы
- 1924-1932
Финансирующая организация
- Biss Davies Charitable Trust
Номер гранта
- SILICOFCM ID777204
Тип документа
- journal article
Тип лицензии Creative Commons
- CC BY
Правовой статус документа
- Свободная лицензия
Источник
- scopus
