Spontaneous coronary artery dissection and takotsubo syndrome: comparison of baseline clinical and angiographic characteristics and in-hospital outcomes
| العنوان: | Spontaneous coronary artery dissection and takotsubo syndrome: comparison of baseline clinical and angiographic characteristics and in-hospital outcomes |
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| المؤلفون: | H Tizon, T Alvarado Casas, Marcos García-Guimaraes, J.J Portero-Portaz, R Sanz, T Bastante Valiente, F Alfonso Manterola, J.C Barahona-Alvarado, R Aguilar Torres, Fernando Macaya, Gerard Roura, Pablo Díez-Villanueva, Xacobe Flores-Ríos, J Salamanca Viloria, C Lezcano-Pertejo |
| المصدر: | European Heart Journal. 41 |
| بيانات النشر: | Oxford University Press (OUP), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, Ejection fraction, biology, business.industry, medicine.medical_treatment, Ischemia, Atrial fibrillation, Revascularization, medicine.disease, Troponin, Internal medicine, Heart failure, medicine, biology.protein, Cardiology, Myocardial infarction, Cardiology and Cardiovascular Medicine, business, Adverse effect |
| الوصف: | Background Spontaneous coronary artery dissection (SCAD) and Takotsubo syndrome (TTS) constitute two relatively common non-atherosclerotic causes of acute cardiac syndrome particularly frequent in women. Methods Herein we compared the baseline clinical and angiographic characteristics and in-hospital outcomes of 2 large prospective registries on SCAD and TTS. Results A total of 318 SCAD and 106 TTS patients were included (88% women). Patients in the TTS group were older (Table) and presented a higher prevalence of cardiovascular risk factors. Precipitating triggers were more frequent in TTS patients (42% vs. 56%, P=0.009) but emotional stress was more common in the SCAD group (25% vs. 15%, P=0.037). SCAD patients had higher troponin and creatine-kinase levels. The left anterior descending coronary artery was the most frequently involved vessel (44%). Left ventricular dysfunction (ejection fraction 57±10 vs. 40±10%, P Conclusions TTS patients are older and present a higher prevalence of cardiovascular risk factors than SCAD patients. They also present a worse in-hospital prognosis with higher mortality. Funding Acknowledgement Type of funding source: None |
| تدمد: | 1522-9645 0195-668X |
| DOI: | 10.1093/ehjci/ehaa946.1810 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::d527d23f1391cca6abb8d935405b8d3b https://doi.org/10.1093/ehjci/ehaa946.1810 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi...........d527d23f1391cca6abb8d935405b8d3b |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15229645 0195668X |
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| DOI: | 10.1093/ehjci/ehaa946.1810 |