Peripartum Takotsubo Cardiomyopathy

Takotsubo syndrome (TTS) during the peripartum period is a relevant cause of morbidity in this population; its clinical course and prognosis, compared to the general TTS population, is yet to be elucidated. Our aim was to analyze the clinical features and prognosis of peripartum TTS in a nationwide...

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Detalles Bibliográficos
Autores: Vazirani Ballesteros, Ravi|||0000-0002-7337-0593, Blanco, Emilia|||0000-0001-6157-679X, Almendro-Delia, Manuel|||0000-0001-7144-4782, Martin-Garcia, Agustin C.|||0000-0001-8662-3791, Fernández-Cordon, Clara|||0000-0002-2492-2873, Uribarri, Aitor|||0000-0002-6911-7480, Vedia Cruz, Oscar|||0000-0001-5062-3335, Sionis, Alessandro|||0000-0003-0843-9512, Salamanca, Jorge|||0000-0002-5067-5052, Corbí-Pascual, Miguel|||0000-0001-5923-1290, Pérez-Castellanos, Alberto|||0000-0002-5879-0012, Martínez-Sellés, Manuel|||0000-0003-0289-6229, Becerra-Muñoz, Víctor Manuel|||0000-0001-6454-7644, Raposeiras-Roubin, Sergio|||0000-0002-6462-4715, Aritza-Conty, David, López-Pais, Javier|||0000-0001-5511-5954, Guillén Marzo, Marta|||0000-0003-3345-2356, Lluch Requerey, Carmen|||0000-0001-8563-2717, Nuñez-Gil, Ivan Javier|||0000-0002-1779-3102
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:304068
Acceso en línea:https://ddd.uab.cat/record/304068
https://dx.doi.org/urn:doi:10.3390/jcdd11020037
Access Level:acceso abierto
Palabra clave:Cardiomyopathy
Peripartum
Pregnancy
Prognosis
Registry
Takotsubo syndrome
Women
Descripción
Sumario:Takotsubo syndrome (TTS) during the peripartum period is a relevant cause of morbidity in this population; its clinical course and prognosis, compared to the general TTS population, is yet to be elucidated. Our aim was to analyze the clinical features and prognosis of peripartum TTS in a nationwide prospective specifically oriented registry database and consider the published literature. Peripartum TTS patients from the prospective nationwide RETAKO registry-as well as peripartum TTS patients from the published literature-were included, and multiple comparisons between groups were performed in order to assess for statistically and clinically relevant prognostic differences between the groups. Patients with peripartum TTS exhibit a higher prevalence of secondary forms, dyspnea, atypical symptoms, and echocardiographic patterns, as well as less ST-segment elevation than the general TTS population. In the literature, patients with peripartum TTS had a higher Killip status on admission. TTS during the peripartum period has a higher prevalence of angina and dyspnea, as well as physical triggers, neither of which are related to a worse prognosis. Killip status on admission was higher in the literature for patients with TTS but with excellent mid- and long-term prognoses after the acute phase, despite mostly being secondary forms.

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