Prevalence of malignant arrhythmia and sudden cardiac death in takotsubo syndrome and its management

Abstract

The short- as well as the long-term prevalence and recurrence of LTAs in TTS patients is high. The long-term mortality rates were similar to the TTS patients presenting without any LTAs. LTAs in TTS could be triggered by a concomitant atrial fibrillation.

Systemic Inflammatory Response Syndrome Is a Major Determinant of Cardiovascular Outcome in Takotsubo Syndrome

“…28 Besides the negative role of inflammation in athero-thrombotic burden, systemic inflammation could also pave the way to arrhythmias as observed in the early phase, possibly causing fatal events. [29][30][31][32] Altogether, the present data identify SIRS patients as a vulnerable high-risk subgroup requiring close follow-up. Along these lines, therapies to attenuate SIRS in TTS represent an appealing subject for future research.…”

The presence of atrial fibrillation in Takotsubo cardiomyopathy is predictive of mortality: Systematic review and meta‐analysis

“…Eight studies were excluded because they did not report numbers of patients with AF among the death group. One was excluded due to the same database (El‐Battrawy, Lang, Ansari, Tulumen et al ( ). Three were excluded because there was no outcome of interest.…”

“…In addition, some studies suggested a noticeable association between AF and fatal arrhythmia. El‐Battrawy, Lang, Ansari, Tulumen, et al () portrayed that there was a high likelihood of the occurrence of fatal arrhythmias in patient with AF. Dip et al noticed a higher prevalence of AF among patients with life‐threatening arrhythmia.…”

Das verspätete Tako-Tsubo-Syndrom – Ein kritischer perioperativer Zwischenfall

“…Die intraoperativen EKG-Veränderungen könnten bereits durch die frühe mikrozirkulatorische Dysfunktion und transiente koronararterielle Spasmen hervorgerufen worden sein [1]. Dass mit Verzögerung dennoch die Diagnose eines TTS gelang, war insofern bedeutsam, da bei jedem fünften Patienten in der akuten Phase mit lebensbedrohlichen Komplikationen zu rechnen ist, insbesondere mit einem kardiogenen Schock sowie malignen Herzrhythmusstörungen [2,3]; diese machen die durchgängige EKG-Überwachung in dieser Phase unabdingbar [12]. Patienten mit der apikalen Form des TTS und physischem Trigger haben dabei das höchste Risiko für Komplikationen in der Initialphase [13,14].…”