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Medicas UIS
versão impressa ISSN 0121-0319versão On-line ISSN 1794-5240
Resumo
NARANJO-RESTREPO, Sebastián et al. Clinical, demographic and epidemiological characteristics of a cohort of patients with Takotsubo’s syndrome from 2011 to 2016 in Medellin, Colombia. Medicas UIS [online]. 2021, vol.34, n.1, pp.27-33. Epub 01-Abr-2021. ISSN 0121-0319. https://doi.org/10.18273/revmed.v34n1-2021003.
Introduction:
Takotsubo syndrome is an acute, usually reversible, temporal ventricular dysfunction secondary to stressful events that compromise the brain-heart axis. The study’s objective is to describe the clinical, epidemiological characteristics and outcomes of a cohort of patients with Takotsubo syndrome in Medellin-Colombia.
Methods:
Observational, descriptive, ambispective study performed in a cohort of patients. We reviewed the medical records of patients who entered the emergency department of a third-level complex institution of Medellin between January 2011 and December 2016 with Takotsubo syndrome diagnosis. A questionnaire was designed to collect demographic, clinical, laboratory, and imaging variables. Frequency measures and statistical analyses were obtained with the SPSS version 21 program.
Results:
66.7% of the patients were women, mortality was 11.1%, and recurrence was 5.6%. The majority of the cases had a known trigger (94.5%), being the infection the most frequent (44.4%), 77.8% of the patients presented dyspnea on admission, and 27.8% required the use of vasopressor. The mean baseline left ventricular ejection fraction was 34.17 + 7.8 with evidence of improvement in control, average after control = 54.81 + 10.2.
Discussion and conclusions:
Takotsubo syndrome is an uncommon condition. Women are the most affected population and most cases are due to a secondary cause. The reported mortality is within expectations, and a good medium-term cardiac prognosis was evidenced. MÉD.UIS. 2020;34(1):27-33.
Palavras-chave : Cardiomyopathy; Tako-tsubo syndrome; Ventricular; Dysfunction; Broken Heart syndrome.