Clinical presentation, treatment, and long‑term outcomes in patients with takotsubo cardiomyopathy. Experience of a single cardiology center

• DOI: 10.20452/pamw.933
• Publication Date: 2019-10-22T10:12:14Z
• Authors: Grzegorz Opolski; Maciej M. Pawlak; Marek F. Roik; Janusz Kochanowski; Piotr Ścisło; Radosław Piątkowski; Janusz Kochman; Grzegorz Karpiński; Robert Kowalik; Marcin Grabowski; Paweł Balsam; Krzysztof J. Fili...
• Keywords: Presentation (obstetrics); Single Center

Takotsubo cardiomyopathy (TTC) is a rare transient mimicking acute coronary syndrome (ACS).The aim of the study was to retrospectively analyze clinical course, treatment strategies, and follow-up patients with TTC.Among all hospitalized in department between January 2005 2010, we identified group who were fulfilling modified Mayo Clinic criteria for diagnosis TTC. Clinical presentation, hospital outcomes analyzed.A total 31 TTC included into study; women comprised 93.5% population. The most common symptoms chest pain dyspnea caused by emotional or physical stress. Cardiogenic shock present 2 subjects life-threatening ventricular arrhythmias 3 other patients. Twenty-four had ST-segment elevation on electrocardiogram. A mean left ejection fraction 42 +/-8.6% during contractility abnormalities, it increased 58 +/-7.9% recovery. Troponin I positive 30 cases peak level 2.7 +/-5.1 ng/ml. Follow-up data available 23 955 +/-502.8 days. We did not observe recurrence TTC.TTC observed mainly postmenopausal women. presentation almost indistinguishable from ACS, but its course milder are better.