Takotsubo Syndrome Associated with Neurally Mediated Reflex Syncope: A Meta-summary of Case Reports and Literature Review.

Autor: Russo, Vincenzo, Pecori, Filippo, Colalillo, Nicola, Massimo, Nicola, Valentino, Giovanni Battista, Comune, Angelo, Parente, Erika, Nigro, Gerardo
Zdroj: Reviews in Cardiovascular Medicine; Jul2024, Vol. 25 Issue 7, p1-4, 4p
Abstrakt: Background: Neurally mediated reflex syncope (NMRS) has been recently described as a possible trigger of Takotsubo syndrome (TTS). There are few data in the literature about this association. Methods: In the present meta-summary, 6 case reports describing patients who experienced TTS following an NMRS episode were included. Patient characteristics, triggers and type of syncope were collected. Results: A total of 7 patients with a median age of 63.4 years (interquartile range, IQR: 47.5–76) were evaluated; 71.4% were females, mainly in the menopausal state (80%). The TTS triggers were: vasovagal syncope in 6 patients (85.7%) and situational syncope in 1 patient (14.3%). 2 patients underwent a comprehensive clinical evaluation which showed a cardioinhibitory response. Conclusions: NMRS due to sudden orthostatism and emotional stress, mainly with a cardioinhibitory response, has been associated with the onset of TTS, in particular among female patients in a menopausal state. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index