Novel ECG-based scoring tool for prediction of takotsubo syndrome.
Acute myocardial infarction
Electrocardiography
Takotsubo cardiomyopathy
Journal
Clinical research in cardiology : official journal of the German Cardiac Society
ISSN: 1861-0692
Titre abrégé: Clin Res Cardiol
Pays: Germany
ID NLM: 101264123
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
received:
10
03
2018
accepted:
25
06
2018
pubmed:
29
6
2018
medline:
24
4
2019
entrez:
29
6
2018
Statut:
ppublish
Résumé
Takotsubo syndrome (TS) usually involves ECG changes mimicking acute myocardial infarction (AMI). The differentiation of both disorders is crucial for selection of appropriate treatment. The aim of this study was to assess ECG parameters in patients with TS and AMI, and try to establish a scoring tool for TS prediction. The study consisted of two study parts: evaluation and validation cohorts. Overall, the study included 82 patients with TS and 141 subjects with AMI. In addition to the major demographic characteristics and comorbidities, the following ECG parameters were analyzed: heart rate, QRS duration, QTc, QRS amplitudes in frontal and precordial leads, frequencies for ST-segment elevation, combined sign of positive ST-segment elevation in -aVR and absent in V TS was frequently diagnosed in women and in elderly patients. Presence of ST-segment elevation, inverted/biphasic T-waves in V The developed ECG-based TS-score model may be a useful complimentary tool for TS prediction in acute clinical setting.
Sections du résumé
BACKGROUND
BACKGROUND
Takotsubo syndrome (TS) usually involves ECG changes mimicking acute myocardial infarction (AMI). The differentiation of both disorders is crucial for selection of appropriate treatment. The aim of this study was to assess ECG parameters in patients with TS and AMI, and try to establish a scoring tool for TS prediction.
METHODS
METHODS
The study consisted of two study parts: evaluation and validation cohorts. Overall, the study included 82 patients with TS and 141 subjects with AMI. In addition to the major demographic characteristics and comorbidities, the following ECG parameters were analyzed: heart rate, QRS duration, QTc, QRS amplitudes in frontal and precordial leads, frequencies for ST-segment elevation, combined sign of positive ST-segment elevation in -aVR and absent in V
RESULTS
RESULTS
TS was frequently diagnosed in women and in elderly patients. Presence of ST-segment elevation, inverted/biphasic T-waves in V
CONCLUSION
CONCLUSIONS
The developed ECG-based TS-score model may be a useful complimentary tool for TS prediction in acute clinical setting.
Identifiants
pubmed: 29951804
doi: 10.1007/s00392-018-1314-3
pii: 10.1007/s00392-018-1314-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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