Clinical characteristics of Takotsubo cardiomyopathy in North America

作者: Saeed Ahmed , Patompong Ungprasert , Supawat Ratanapo , Tanveer Hussain , Erik P Riesenfeld

DOI: 10.4103/1947-2714.107520

关键词: CardiologyMedical recordElectrocardiographyMedicineCohortST segmentChest painInternal medicineBroken heart syndromeCardiomyopathyCoronary artery disease

摘要: Background: Takotsubo cardiomyopathy (TC) or transient left ventricular apical ballooning syndrome is an acute cardiac characterized by wall motion abnormalities extending beyond a single epicardial vessel in the absence of significant obstructive coronary artery disease. Aim: This study was to describe clinical characteristics TC North America. Materials and Methods: We identified 10 patients who met Mayo Clinic criteria for using our Electronic Medical Records. also conducted systematic review case series that were done America searching MEDLINE database. 11 eligibility criteria. Results: Our included 620 patients. Chest pain ST segment elevation cardinal features this syndrome, but prevalence lower than European Asian cohort (50% 39% as compared with 80% 70%, respectively). Classic precipitating emotional physical stress described > Cardiac biomarkers found be elevated >90% Conclusions : worldwide problem presentation appears similar American, European, countries. However, fewer presented typical chest electrocardiography (ECG) changes, which might suggest ethnic variations perhaps more aggressive diagnostic approach American

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