Electrocardiogram changes and wall motion abnormalities in the acute phase of Tako-Tsubo syndrome
| Autor: | Cornelia Dechant, Beate Hochmayer, Kurt Huber, Wolfgang Weihs, Andrea Podczeck-Schweighofer, Veronika Eder, Thomas Lambert, Bernhard Metzler, Peter Siostrzonek, Georg Gaul, Daniela Szücs, Valerie Weihs, Heinz Weber, Georg Titscher, Otmar Pachinger, Hans-Joachim Nesser, Barbara Fellner, Bernd Eber, Franz Leisch, Max Pichler |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Movement 030204 cardiovascular system & hematology Critical Care and Intensive Care Medicine Diagnosis Differential 03 medical and health sciences Electrocardiography Ventricular Dysfunction Left 0302 clinical medicine Takotsubo Cardiomyopathy T wave Internal medicine Medicine Humans 030212 general & internal medicine Retrospective Studies Sex Characteristics medicine.diagnostic_test business.industry ST elevation Retrospective cohort study General Medicine Middle Aged Coronary arteries medicine.anatomical_structure Ventricle Echocardiography Cohort Cardiology ST Elevation Myocardial Infarction Female Differential diagnosis Cardiology and Cardiovascular Medicine business |
| Zdroj: | European heart journal. Acute cardiovascular care. 5(6) |
| ISSN: | 2048-8734 |
| Popis: | The Tako-Tsubo syndrome is still rarely diagnosed in patients presenting with symptoms of acute myocardial ischaemia. It is accompanied by wall motion abnormalities of the left ventricle but significant narrowings or occlusions of epicardial coronary arteries are absent. We investigated a potential relationship between electrocardiogram (ECG) changes, wall motion abnormalities and gender influence of Tako-Tsubo syndrome in an Austrian cohort of Tako-Tsubo syndrome patients.We were recently able to describe four different anatomical types of Tako-Tsubo syndrome in 153 patients of the Austrian Tako-Tsubo syndrome registry. In the present retrospective analysis we investigated ischaemia-related changes in the first diagnostic ECG for the different types of Tako-Tsubo syndrome: the apical and the combined apical-midventricular type showed most frequently a ST elevation (41.1% and 35.3%), whereas the midventricular type of Tako-Tsubo syndrome was more often accompanied by T wave inversion (60%). ECG changes in relation to the Tako-Tsubo syndrome type were similar in women and men. There was no difference in the prevalence of clinical complications among patients presenting with ST elevation or left bundle branch block (14.5%) compared with patients without ST elevation (10.4%) (p=0.476).Patients with Tako-Tsubo syndrome show characteristic ECG changes in the first diagnostic ECG which are associated to some extent with the anatomical type of Tako-Tsubo syndrome, but these ECG changes were not related to clinical outcome. |
| Databáze: | OpenAIRE |
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