Chronobiological Patterns of Onset of Tako-Tsubo Cardiomyopathy

Citro, Rodolfo; Previtali, Mario; Bovelli, Daniella; Vriz, Olga; Astarita, Costantino; Patella, Marco Mariano; Provenza, Gennaro; Armentano, Corinna; Ciampi, Quirino; Gregorio, G. De; Piepoli, Massimo F; Bossone, Eduardo; Manfredini, Roberto

doi:10.1016/j.jacc.2009.03.048

Cited by 76 publications

(41 citation statements)

References 5 publications

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“…Abdulla et al [25] also report a slight, but not significant, summer preference. The data from our multicenter Italian population [13,14] confirm the seasonal summer pattern, with a peak in July (p = 0.006). A significant (p \ 0.001) summer preference (June-JulyAugust) is also found by Regnante et al [11] in the Rhode Island Registry, USA.…”

Section: Month/season Of the Yearsupporting

confidence: 72%

“…We collected 19 studies [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] (Table 1), but considered 18 for total count of cases. The studies from Citro et al The raw data provided in the study have been re-calculated and analyzed by the authors of the present study using Cosinor method (see text) [14] and Manfredini et al [13], in fact, are considered a progressive expansion of the same registry case series, and the more recent only was considered.…”

Section: Resultsmentioning

confidence: 99%

“…Finally, Citro et al[14] in a series of 79 patients with time distribution in four 6-h periods like Kurisu et al[24] confirm a higher frequency of events in the morning (n = 32, 40.5%) and fewest at night (n = 8, 10.2%, p = 0.021).…”

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confidence: 84%

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Tako-tsubo cardiomyopathy: is there a preferred time of onset?

et al. 2010

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The occurrence of major cardiovascular events is not randomly distributed over time, but exhibits chronobiological patterns, i.e., circadian, weekly, or seasonal. No systematic studies on the temporal preference of onset of Tako-tsubo cardiomyopathy (TTC) are known. We performed a computer-assisted search of the literature (from 2000 to January 2010), with the following search terms: transient left ventricular apical ballooning syndrome, takotsubo-like left ventricular dysfunction, ampulla cardiomyopathy, tako-tsubo or takotsubo cardiomyopathy, tako-tsubo, apical ballooning. Criteria for publication inclusion were (a) reporting of original data, (b) inclusion of at least 30 or more cases, (c) adherence to the requested diagnostic criteria for TTC. We focused on studies including in their purposes the "time of onset" of events. Out of the 19 studies found, 7 (4 from Europe, 1 each from Asia, Australia and USA) specifically addressed this aspect. A circadian (morning) and a seasonal (summer) higher frequency of events was found. TTC seems to exhibit a temporal variation of onset, with preferred peaks during morning and summer. Stress and catecholamines, also according to their temporal organization, might play a pivotal role. The demonstration of time frames characterized by highest frequency of occurrence might help to try to ensure maximal protection during particularly vulnerable periods.

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Section: Month/season Of the Yearsupporting

confidence: 72%

Section: Resultsmentioning

confidence: 99%

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Tako-tsubo cardiomyopathy: is there a preferred time of onset?

et al. 2010

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“…Significant LVOTO with gradients of 20-140 mmHg is reported in 10-25% of TTC patients, who often reveals MR (Figure 3) (59)(60)(61). This phenomenon is important for decision making in clinical practice, particularly for prescribing drugs.…”

Section: Left Ventricular Outflow Tract Obstruction (Lvoto)mentioning

confidence: 98%

Role of echocardiography for takotsubo cardiomyopathy: clinical and prognostic implications

Izumo¹,

Akashi²

2018

Cardiovasc. Diagn. Ther.

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Takotsubo cardiomyopathy (TTC) is newly-described secondary cardiomyopathy characterized by transient left ventricular (LV) dysfunction, which is increasingly recognized in the field of cardiology.TTC occurs in approximately 2% of the patients with acute coronary syndrome. Its onset is rare; however, its specific features play a crucial role in diagnosing the chest pain in clinical practice. TTC has generally favorable outcome with rapid recovery of LV function; however, an increasing evidence suggests that it should be regarded as a more serious acute cardiac disorder with a variety of complications. Owing to its widespread availability, even in emergency settings, transthoracic echocardiography plays a key role in the diagnostic assessment of TTC and contributes to an increased number of disease detection and incidence reports in contemporary clinical practice. This review focuses on the role of echocardiography in understanding the clinical prognostic implications in patients with TTC.

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“…Smoking, alcohol abuse, anxiety states, and hyperlipidemia are commonly associated with the prevalence of TTS. The peak incidence of hospitalization for TTS is in the spring 10,11) or summer. 9,12) Japanese researchers reported that the peak of TTS onset was in the autumn and late winter in Japan.…”

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confidence: 99%

Novel Understanding of Takotsubo Syndrome

2018

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SummaryTakotsubo cardiomyopathy is described as a transient reversible cardiomyopathy which typically occurs in older women after emotional or physical stress. This cardiomyopathy is also recognized as a "syndrome" because it develops in conjunction with various diseases. Since the clinical presentation of takotsubo syndrome (TTS) is similar to acute coronary syndrome (ACS), TTS should be distinguished from ischemic heart disease. Although the pathophysiology of TTS has not well been established, a number of its specific features have been suggested. The predictor of mortality in TTS is still unknown. In this review article, we describe a series of treatment decisions in TTS.(Int Heart J 2018; 59: 250-255) Key words: Apical ballooning, Catecholamine, Acute coronary syndrome, Heart failure, Stress T akotsubo cardiomyopathy is described as a transient reversible cardiomyopathy which typically occurs in older women after emotional or physical stress. [1][2][3][4] This cardiomyopathy is also recognized as a "syndrome" because it develops in conjunction with various diseases.5) Since the clingoogleical presentation of takotsubo syndrome (TTS) is similar to acute coronary syndrome (ACS), TTS should be distinguished from ischemic heart disease. Although the pathophysiology of TTS has not well been established, a number of its specific features suggest that TTS may be caused by catecholamine-induced microvascular spasm or by direct catecholamine-associated myocardial toxicity.6) The predictor of mortality in TTS is still unknown. In this review article, we describe a series of treatment decisions in TTS. Epidemiology TTS was first described in the literature in 1990 by Sato, et al. from Japan. 7) Since 2000, many case reports have been published around the world. Earthquakes have been regarded as a trigger to increase the prevalence of acute myocardiopathy, and currently it is believed that TTS should also be included. In fact, approximately half of the patients with ACS in Japan were diagnosed as having TTS. 8) One study from the United States showed that TTS was diagnosed in approximately 0.02% of all hospitalized patients. 9) Women have higher odds of developing TTS than men (odd ratio, 8.8). Women aged 55 years and older have 4.8 times higher odds for developing TTS than women younger than 55. Smoking, alcohol abuse, anxiety states, and hyperlipidemia are commonly associated with the prevalence of TTS. The peak incidence of hospitalization for TTS is in the spring 10,11) or summer. 9,12) Japanese researchers reported that the peak of TTS onset was in the autumn and late winter in Japan. 13) According to the Diagnosis Procedure Combination data presented by Isogai, et al.,14) there is no seasonal rule for the onset of TTS. PathophysiologyVarious etiologies are presumed to cause TTS, including coronary vasospasm, plaque rapture, microcirculatory dysfunction, loss of female hormones, metabolic disturbances, and catecholamine hypothesis, although no consensus with respect to pathophysiology has yet been reached. It i...

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Chronobiological Patterns of Onset of Tako-Tsubo Cardiomyopathy

Cited by 76 publications

References 5 publications

Tako-tsubo cardiomyopathy: is there a preferred time of onset?

Tako-tsubo cardiomyopathy: is there a preferred time of onset?

Role of echocardiography for takotsubo cardiomyopathy: clinical and prognostic implications

Novel Understanding of Takotsubo Syndrome

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