Peripartum Takotsubo Cardiomyopathy : A Review and Insights from a National Registry
Vazirani Ballesteros, Ravi (Hospital Clínico San Carlos (Madrid))
Blanco-Ponce, E. (Hospital Universitario Arnau de Vilanova. Institut de Recerca Biomedica (IRB))
Almendro-Delia, Manuel (Hospital Universitario Virgen Macarena (Sevilla, Andalusia))
Martin-Garcia, Agustin C. (Complejo Asistencial Universitario de Salamanca)
Fernández-Cordon, Clara (Hospital General Universitario Gregorio Marañón)
Uribarri, Aitor (Hospital Universitari Vall d'Hebron)
Vedia Cruz, Oscar (Hospital Clínico San Carlos (Madrid))
Sionis, Alessandro (Institut de Recerca Sant Pau)
Salamanca, Jorge (Hospital Universitario de la Princesa (Madrid))
Corbí-Pascual, Miguel (Complejo Hospitalario Universitario de Albacete)
Pérez-Castellanos, Alberto (Hospital Universitari Son Espases (Palma de Mallorca, Balears))
Martínez-Sellés, Manuel (Hospital General Universitario Gregorio Marañón)
Becerra-Muñoz, Víctor Manuel (Hospital Regional Universitario de Málaga)
Raposeiras-Roubin, Sergio (Hospital Álvaro Cunqueiro (Vigo))
Aritza-Conty, David (Hospital Universitario de Navarra)
López-Pais, Javier (Hospital Universitario de Ourense)
Guillén Marzo, Marta (Hospital Universitari Joan XXIII de Tarragona)
Lluch Requerey, Carmen (Hospital Universitario Juan Ramón Jiménez)
Nuñez-Gil, Ivan Javier (Universidad Europea de Madrid)

Data:	2024
Resum:	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.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Cardiomyopathy ; Peripartum ; Pregnancy ; Prognosis ; Registry ; Takotsubo syndrome ; Women
Publicat a:	Journal of Cardiovascular Development and Disease, Vol. 11 Núm. 2 (february 2024) , p. 37, ISSN 2308-3425

DOI: 10.3390/jcdd11020037
PMID: 38392251

11 p, 682.0 KB

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