Takotsubo syndrome in a Sardinian amyotrophic lateral sclerosis cohort.

ALS Autonomic dysfunction Bulbar Takotsubo cardiomyopathy

Journal

Journal of neurology
ISSN: 1432-1459
Titre abrégé: J Neurol
Pays: Germany
ID NLM: 0423161

Informations de publication

Date de publication:
10 Sep 2024
Historique:
received: 31 07 2024
accepted: 01 09 2024
revised: 29 08 2024
medline: 10 9 2024
pubmed: 10 9 2024
entrez: 10 9 2024
Statut: aheadofprint

Résumé

Amyotrophic lateral sclerosis (ALS) is known to be associated with varying degrees of autonomic and cardiovascular dysfunction. Recent case reports showed that ALS may be linked to Takotsubo syndrome (TTS). We assessed the frequency of TTS in an incident ALS cohort from Sardinia, Italy, and investigated the relationship of TTS with ALS course. We retrospectively examined a 10-year (2010-2019) incident cohort of ALS patients of Sardinian ancestry, reported TTS frequency and patients' clinical characteristics. Following, we checked for TTS among patients with ALS onset after 2019 and focused on the same features as for the incident cohort. Our incident cohort included 344 ALS patients and 5 of them (1.45%) developed TTS. All were female and their median onset age was 71.5 years (IQR 62.75-77). Two patients had spinal and three bulbar onset, though all patients had bulbar involvement and were at an advanced stage of disease (ALSFRS ≤ 25, King's ≥ 3) at TTS diagnosis. We identified a potential TTS trigger in three patients (hospitalization for PEG placement, pneumonia). Among patients who had ALS onset after 2019, we identified a further TTS case and described it. TTS is not a rare condition in ALS. Female sex, bulbar involvement, and later age of disease onset may be important risk factors for developing this cardiac condition and a physical or psychological trigger is often observed. Despite autonomic dysfunction in ALS has been already demonstrated, the precise physiopathological mechanism underlying TTS needs to be further clarified.

Identifiants

pubmed: 39254699
doi: 10.1007/s00415-024-12681-x
pii: 10.1007/s00415-024-12681-x
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s).

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Auteurs

A Maccabeo (A)

Department of Medical Sciences and Public Health, Institute of Neurology, Policlinico Universitario di Monserrato, University of Cagliari, 09042, Cagliari, Italy. alessandramaccabeo@outlook.it.

M I Pateri (MI)

Department of Medical Sciences and Public Health, Institute of Neurology, Policlinico Universitario di Monserrato, University of Cagliari, 09042, Cagliari, Italy.

F Pili (F)

Neurology Unit, AOU Cagliari, Hospital D. Casula Monserrato, Cagliari, Italy.

S Pilotto (S)

Department of Medical Sciences and Public Health, Institute of Neurology, Policlinico Universitario di Monserrato, University of Cagliari, 09042, Cagliari, Italy.

V Pierri (V)

Department of Medical Sciences and Public Health, Institute of Neurology, Policlinico Universitario di Monserrato, University of Cagliari, 09042, Cagliari, Italy.

A Muroni (A)

Neurology Unit, AOU Cagliari, Hospital D. Casula Monserrato, Cagliari, Italy.

T Ercoli (T)

Department of Neurology, University of Sassari, Viale S. Pietro 10, 07100, Sassari, Italy.

R Montisci (R)

Cardiology Unit, AOU Cagliari, Hospital D. Casula Monserrato, Cagliari, Italy.

M F Marchetti (MF)

Cardiology Unit, AOU Cagliari, Hospital D. Casula Monserrato, Cagliari, Italy.

A Martis (A)

Department of Medical Sciences and Public Health, Institute of Cardiology, University of Cagliari, Cagliari, Italy.

L Fazzini (L)

Department of Medical Sciences and Public Health, Institute of Cardiology, University of Cagliari, Cagliari, Italy.

G Defazio (G)

Department of Translational Biomedicine and Neurosciences, University of Bari "Aldo Moro", Bari, Italy.

M Puligheddu (M)

Neurology Unit, AOU Cagliari, Hospital D. Casula Monserrato, Cagliari, Italy.

G Borghero (G)

Neurology Unit, AOU Cagliari, Hospital D. Casula Monserrato, Cagliari, Italy.

Classifications MeSH