Electrocardiogram changes and wall motion abnormalities in the acute phase of Tako-Tsubo syndrome
Background: 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...
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| Veröffentlicht in: | European heart journal. Acute cardiovascular care 2016-10, Vol.5 (6), p.481-488 |
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| creator | Weihs, Valerie Szücs, Daniela Fellner, Barbara Eber, Bernd Weihs, Wolfgang Lambert, Thomas Metzler, Bernhard Titscher, Georg Hochmayer, Beate Dechant, Cornelia Eder, Veronika Siostrzonek, Peter Leisch, Franz Pichler, Max Pachinger, Otmar Gaul, Georg Weber, Heinz Podczeck-Schweighofer, Andrea Nesser, Hans-Joachim Huber, Kurt |
| description | Background:
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.
Methods and results:
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).
Conclusion:
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. |
| doi_str_mv | 10.1177/2048872615598630 |
| format | Article |
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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.
Methods and results:
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).
Conclusion:
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.</description><identifier>ISSN: 2048-8726</identifier><identifier>EISSN: 2048-8734</identifier><identifier>DOI: 10.1177/2048872615598630</identifier><identifier>PMID: 26228446</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Diagnosis, Differential ; Echocardiography ; Electrocardiography ; Female ; Humans ; Male ; Middle Aged ; Movement - physiology ; Retrospective Studies ; Sex Characteristics ; ST Elevation Myocardial Infarction - diagnosis ; Takotsubo Cardiomyopathy - diagnosis ; Takotsubo Cardiomyopathy - physiopathology ; Ventricular Dysfunction, Left - diagnosis ; Ventricular Dysfunction, Left - physiopathology</subject><ispartof>European heart journal. Acute cardiovascular care, 2016-10, Vol.5 (6), p.481-488</ispartof><rights>The European Society of Cardiology 2015</rights><rights>The European Society of Cardiology 2015.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c449t-3aa9723b7c36282afb966c611166184172bfafddb9dab7740b2f393efadca21a3</citedby><cites>FETCH-LOGICAL-c449t-3aa9723b7c36282afb966c611166184172bfafddb9dab7740b2f393efadca21a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/2048872615598630$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/2048872615598630$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26228446$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Weihs, Valerie</creatorcontrib><creatorcontrib>Szücs, Daniela</creatorcontrib><creatorcontrib>Fellner, Barbara</creatorcontrib><creatorcontrib>Eber, Bernd</creatorcontrib><creatorcontrib>Weihs, Wolfgang</creatorcontrib><creatorcontrib>Lambert, Thomas</creatorcontrib><creatorcontrib>Metzler, Bernhard</creatorcontrib><creatorcontrib>Titscher, Georg</creatorcontrib><creatorcontrib>Hochmayer, Beate</creatorcontrib><creatorcontrib>Dechant, Cornelia</creatorcontrib><creatorcontrib>Eder, Veronika</creatorcontrib><creatorcontrib>Siostrzonek, Peter</creatorcontrib><creatorcontrib>Leisch, Franz</creatorcontrib><creatorcontrib>Pichler, Max</creatorcontrib><creatorcontrib>Pachinger, Otmar</creatorcontrib><creatorcontrib>Gaul, Georg</creatorcontrib><creatorcontrib>Weber, Heinz</creatorcontrib><creatorcontrib>Podczeck-Schweighofer, Andrea</creatorcontrib><creatorcontrib>Nesser, Hans-Joachim</creatorcontrib><creatorcontrib>Huber, Kurt</creatorcontrib><title>Electrocardiogram changes and wall motion abnormalities in the acute phase of Tako-Tsubo syndrome</title><title>European heart journal. Acute cardiovascular care</title><addtitle>Eur Heart J Acute Cardiovasc Care</addtitle><description>Background:
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.
Methods and results:
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).
Conclusion:
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.</description><subject>Diagnosis, Differential</subject><subject>Echocardiography</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Movement - physiology</subject><subject>Retrospective Studies</subject><subject>Sex Characteristics</subject><subject>ST Elevation Myocardial Infarction - diagnosis</subject><subject>Takotsubo Cardiomyopathy - diagnosis</subject><subject>Takotsubo Cardiomyopathy - physiopathology</subject><subject>Ventricular Dysfunction, Left - diagnosis</subject><subject>Ventricular Dysfunction, Left - physiopathology</subject><issn>2048-8726</issn><issn>2048-8734</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kL1PwzAQxS0EolXpzoQ8sgTij9rOiKryIVViKXN0duw2JbGLnQj1vydVSwckbrnT3e896R5CtyR_IETKR5pzpSQVZDYrlGD5BRofVpmSjF-eZypGaJrSNh9K5oIrdo1GVFCqOBdjBIvGmi4GA7GqwzpCi80G_NomDL7C39A0uA1dHTwG7UNsoam7erjWHncbi8H0ncW7DSSLg8Mr-AzZKvU64LT3VQytvUFXDppkp6c-QR_Pi9X8NVu-v7zNn5aZ4bzoMgZQSMq0NExQRcHpQggjCCFCEMWJpNqBqypdVKCl5LmmjhXMOqgMUAJsgu6PvrsYvnqburKtk7FNA96GPpVEUSFowRQd0PyImhhSitaVu1i3EPclyctDtuXfbAfJ3cm9162tzoLfJAcgOwIJ1rbchj764dv_DX8A0OOBzA</recordid><startdate>20161001</startdate><enddate>20161001</enddate><creator>Weihs, Valerie</creator><creator>Szücs, Daniela</creator><creator>Fellner, Barbara</creator><creator>Eber, Bernd</creator><creator>Weihs, Wolfgang</creator><creator>Lambert, Thomas</creator><creator>Metzler, Bernhard</creator><creator>Titscher, Georg</creator><creator>Hochmayer, Beate</creator><creator>Dechant, Cornelia</creator><creator>Eder, Veronika</creator><creator>Siostrzonek, Peter</creator><creator>Leisch, Franz</creator><creator>Pichler, Max</creator><creator>Pachinger, Otmar</creator><creator>Gaul, Georg</creator><creator>Weber, Heinz</creator><creator>Podczeck-Schweighofer, Andrea</creator><creator>Nesser, Hans-Joachim</creator><creator>Huber, Kurt</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20161001</creationdate><title>Electrocardiogram changes and wall motion abnormalities in the acute phase of Tako-Tsubo syndrome</title><author>Weihs, Valerie ; Szücs, Daniela ; Fellner, Barbara ; Eber, Bernd ; Weihs, Wolfgang ; Lambert, Thomas ; Metzler, Bernhard ; Titscher, Georg ; Hochmayer, Beate ; Dechant, Cornelia ; Eder, Veronika ; Siostrzonek, Peter ; Leisch, Franz ; Pichler, Max ; Pachinger, Otmar ; Gaul, Georg ; Weber, Heinz ; Podczeck-Schweighofer, Andrea ; Nesser, Hans-Joachim ; Huber, Kurt</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c449t-3aa9723b7c36282afb966c611166184172bfafddb9dab7740b2f393efadca21a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Diagnosis, Differential</topic><topic>Echocardiography</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Movement - physiology</topic><topic>Retrospective Studies</topic><topic>Sex Characteristics</topic><topic>ST Elevation Myocardial Infarction - diagnosis</topic><topic>Takotsubo Cardiomyopathy - diagnosis</topic><topic>Takotsubo Cardiomyopathy - physiopathology</topic><topic>Ventricular Dysfunction, Left - diagnosis</topic><topic>Ventricular Dysfunction, Left - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Weihs, Valerie</creatorcontrib><creatorcontrib>Szücs, Daniela</creatorcontrib><creatorcontrib>Fellner, Barbara</creatorcontrib><creatorcontrib>Eber, Bernd</creatorcontrib><creatorcontrib>Weihs, Wolfgang</creatorcontrib><creatorcontrib>Lambert, Thomas</creatorcontrib><creatorcontrib>Metzler, Bernhard</creatorcontrib><creatorcontrib>Titscher, Georg</creatorcontrib><creatorcontrib>Hochmayer, Beate</creatorcontrib><creatorcontrib>Dechant, Cornelia</creatorcontrib><creatorcontrib>Eder, Veronika</creatorcontrib><creatorcontrib>Siostrzonek, Peter</creatorcontrib><creatorcontrib>Leisch, Franz</creatorcontrib><creatorcontrib>Pichler, Max</creatorcontrib><creatorcontrib>Pachinger, Otmar</creatorcontrib><creatorcontrib>Gaul, Georg</creatorcontrib><creatorcontrib>Weber, Heinz</creatorcontrib><creatorcontrib>Podczeck-Schweighofer, Andrea</creatorcontrib><creatorcontrib>Nesser, Hans-Joachim</creatorcontrib><creatorcontrib>Huber, Kurt</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European heart journal. Acute cardiovascular care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Weihs, Valerie</au><au>Szücs, Daniela</au><au>Fellner, Barbara</au><au>Eber, Bernd</au><au>Weihs, Wolfgang</au><au>Lambert, Thomas</au><au>Metzler, Bernhard</au><au>Titscher, Georg</au><au>Hochmayer, Beate</au><au>Dechant, Cornelia</au><au>Eder, Veronika</au><au>Siostrzonek, Peter</au><au>Leisch, Franz</au><au>Pichler, Max</au><au>Pachinger, Otmar</au><au>Gaul, Georg</au><au>Weber, Heinz</au><au>Podczeck-Schweighofer, Andrea</au><au>Nesser, Hans-Joachim</au><au>Huber, Kurt</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Electrocardiogram changes and wall motion abnormalities in the acute phase of Tako-Tsubo syndrome</atitle><jtitle>European heart journal. Acute cardiovascular care</jtitle><addtitle>Eur Heart J Acute Cardiovasc Care</addtitle><date>2016-10-01</date><risdate>2016</risdate><volume>5</volume><issue>6</issue><spage>481</spage><epage>488</epage><pages>481-488</pages><issn>2048-8726</issn><eissn>2048-8734</eissn><abstract>Background:
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.
Methods and results:
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).
Conclusion:
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.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>26228446</pmid><doi>10.1177/2048872615598630</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | European heart journal. Acute cardiovascular care, 2016-10, Vol.5 (6), p.481-488 |
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| source | MEDLINE; SAGE Complete; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Diagnosis, Differential Echocardiography Electrocardiography Female Humans Male Middle Aged Movement - physiology Retrospective Studies Sex Characteristics ST Elevation Myocardial Infarction - diagnosis Takotsubo Cardiomyopathy - diagnosis Takotsubo Cardiomyopathy - physiopathology Ventricular Dysfunction, Left - diagnosis Ventricular Dysfunction, Left - physiopathology |
| title | Electrocardiogram changes and wall motion abnormalities in the acute phase of Tako-Tsubo syndrome |
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