"Takotsubo effect" in patients with ST segment elevation myocardial infarction.
Diastole
Echocardiography
Female
Humans
Male
Middle Aged
Percutaneous Coronary Intervention
Prognosis
Retrospective Studies
ST Elevation Myocardial Infarction
/ diagnosis
Stroke Volume
/ physiology
Systole
Takotsubo Cardiomyopathy
/ complications
Ventricular Function, Left
/ physiology
Ventricular Pressure
/ physiology
Acute myocardial infarction
Takotsubo effect
Takotsubo syndrome
echocardiography
hemodynamics
Journal
European heart journal. Acute cardiovascular care
ISSN: 2048-8734
Titre abrégé: Eur Heart J Acute Cardiovasc Care
Pays: England
ID NLM: 101591369
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
pubmed:
9
6
2020
medline:
13
5
2021
entrez:
9
6
2020
Statut:
ppublish
Résumé
Myocardial infarction can be a trigger of Takotsubo syndrome. We recently characterized imaging features of acute myocardial infarction-induced Takotsubo syndrome ("Takotsubo effect"). In this study, we investigate diagnostic and prognostic implications of Takotsubo effect in patients with anterior wall ST-segment elevation myocardial infarction. We enrolled 111 consecutive patients who developed anterior wall ST-segment elevation myocardial infarction and received percutaneous coronary intervention, and studied systolic/diastolic function, hemodynamic consequences, adverse cardiac events, as well as 30-day and five-year outcomes in patients with and without Takotsubo effect. Patients with Takotsubo effect showed significantly worse average peak systolic longitudinal strain (-9.5 ± 2.6% vs -11.1 ± 3.6%, Takotsubo effect secondary to anterior ST-segment elevation myocardial infarction predicts a worse long-term prognosis.
Sections du résumé
BACKGROUND
BACKGROUND
Myocardial infarction can be a trigger of Takotsubo syndrome. We recently characterized imaging features of acute myocardial infarction-induced Takotsubo syndrome ("Takotsubo effect"). In this study, we investigate diagnostic and prognostic implications of Takotsubo effect in patients with anterior wall ST-segment elevation myocardial infarction.
METHODS
METHODS
We enrolled 111 consecutive patients who developed anterior wall ST-segment elevation myocardial infarction and received percutaneous coronary intervention, and studied systolic/diastolic function, hemodynamic consequences, adverse cardiac events, as well as 30-day and five-year outcomes in patients with and without Takotsubo effect.
RESULTS
RESULTS
Patients with Takotsubo effect showed significantly worse average peak systolic longitudinal strain (-9.5 ± 2.6% vs -11.1 ± 3.6%,
CONCLUSION
CONCLUSIONS
Takotsubo effect secondary to anterior ST-segment elevation myocardial infarction predicts a worse long-term prognosis.
Identifiants
pubmed: 32508142
doi: 10.1177/2048872620926680
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM