Apical ballooning syndrome (Takotsubo Syndrome): case report

Nascimento, Charles Ulloffo do; Bosso, Carlos Eduardo da Costa Nunes; Jorge, Paulo Henrique; Vanderlei, Franciele Marques; Ebaid, Henrique Issa Artoni; Valenti, Vítor Engrácia; Vanderlei, Luiz Carlos Marques

doi:10.1186/1755-7682-6-12

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…TTS was largely unknown outside Japan until the first reports from Europe and the US were published in the late 90 s [4,5]. Since then, TTS has been reported from all continents, in both sexes and in different ethnic groups [6][7][8][9][10][11]. Although TTS was initially considered to be harmless, it is now known that it has a wide range of presentations and outcomes, depending on the triggering factor [12].…”

Section: Introductionmentioning

confidence: 99%

Ethnic comparison in takotsubo syndrome: novel insights from the International Takotsubo Registry

et al. 2021

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Background Ethnic disparities have been reported in cardiovascular disease. However, ethnic disparities in takotsubo syndrome (TTS) remain elusive. This study assessed differences in clinical characteristics between Japanese and European TTS patients and determined the impact of ethnicity on in-hospital outcomes. Methods TTS patients in Japan were enrolled from 10 hospitals and TTS patients in Europe were enrolled from 32 hospitals participating in the International Takotsubo Registry. Clinical characteristics and in-hospital outcomes were compared between Japanese and European patients. Results A total of 503 Japanese and 1670 European patients were included. Japanese patients were older (72.6 ± 11.4 years vs. 68.0 ± 12.0 years; p < 0.001) and more likely to be male (18.5 vs. 8.4%; p < 0.001) than European TTS patients. Physical triggering factors were more common (45.5 vs. 32.0%; p < 0.001), and emotional triggers less common (17.5 vs. 31.5%; p < 0.001), in Japanese patients than in European patients. Japanese patients were more likely to experience cardiogenic shock during the acute phase (15.5 vs. 9.0%; p < 0.001) and had a higher in-hospital mortality (8.2 vs. 3.2%; p < 0.001). However, ethnicity itself did not appear to have an impact on in-hospital mortality. Machine learning approach revealed that the presence of physical stressors was the most important prognostic factor in both Japanese and European TTS patients. Conclusion Differences in clinical characteristics and in-hospital outcomes between Japanese and European TTS patients exist. Ethnicity does not impact the outcome in TTS patients. The worse in-hospital outcome in Japanese patients, is mainly driven by the higher prevalence of physical triggers. Trial Registration URL: https://www.clinicaltrials.gov; Unique Identifier: NCT01947621.

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