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Incidence and progn...
Incidence and prognosis of the takotsubo syndrome compared to acute myocardial infarction
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- Redfors, B. Björn (författare)
- Sahlgrenska Academy, University of Gothenburg, Dept of Molecular & ClinicalMedicine/Cardiology, Gothenburg, Sweden
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- Jha, S. (författare)
- Sahlgrenska Academy, University of Gothenburg, Dept of Molecular & ClinicalMedicine/Cardiology, Gothenburg, Sweden
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- Thorleifsson, S. (författare)
- Sahlgrenska Academy, University of Gothenburg, Dept of Molecular & ClinicalMedicine/Cardiology, Gothenburg, Sweden
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- Angeras, O. (författare)
- Sahlgrenska Academy, University of Gothenburg, Dept of Molecular & ClinicalMedicine/Cardiology, Gothenburg, Sweden
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- Dworeck, C. (författare)
- Sahlgrenska Academy, University of Gothenburg, Dept of Molecular & ClinicalMedicine/Cardiology, Gothenburg, Sweden
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- Ravn-Fischer, A. (författare)
- Sahlgrenska Academy, University of Gothenburg, Dept of Molecular & ClinicalMedicine/Cardiology, Gothenburg, Sweden
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- Petursson, P. (författare)
- Sahlgrenska Academy, University of Gothenburg, Dept of Molecular & ClinicalMedicine/Cardiology, Gothenburg, Sweden
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- Sarno, G. (författare)
- Uppsala University Hospital, Uppsala, Sweden
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- Lyon, A. (författare)
- Royal Brompton Hospital, London, United Kingdom of Great Britain & Northern Ireland
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- Fröbert, Ole, 1964- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Örebro University Hospital, Örebro, Sweden
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- James, S. (författare)
- Uppsala University Hospital, Uppsala, Sweden
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- Erlinge, D. (författare)
- Skåne UniversityHospital, Lund, Sweden
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- Omerovic, E. (författare)
- Sahlgrenska Academy, University of Gothenburg, Dept of Molecular & ClinicalMedicine/Cardiology, Gothenburg, Sweden
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(creator_code:org_t)
- John Wiley & Sons, 2019
- 2019
- Engelska.
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Ingår i: European Journal of Heart Failure. - : John Wiley & Sons. - 1388-9842 .- 1879-0844. ; 21, s. 267-267
- Relaterad länk:
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https://urn.kb.se/re...
Abstract
Ämnesord
Stäng
- Background: Takotsubo syndrome (TS) is a potentially life-threatening acute cardiac syndrome with a clinical presentation very similar to myocardial infarction (MI) and for which the natural history, management and outcome remain incompletely understood.Purpose: The aims of this study were to assess the relative short- and long-term mortality risk of TS , ST-elevation MI (STEMI) and non STEMI (NSTEMI) and to identify predictors of in-hospital complications and poor prognosis in patients with TS.Methods: Using the nationwide Swedish Angiography and Angioplasty Registry (SCAAR) we identified almost all (n=117,720) patients who underwent coronary angiography due to TS (N=2,898 [2.5%]), STEMI (N=48,493 [41.2%]) or NSTEMI (N=66,329 [56.3%]) in Sweden between January 2009 and February 2018.Results: Patients with TS were more often women as compared with patients with STEMI or NSTEMI. TS was associated with unadjusted and adjusted 30-day mortality risks lower than STEMI (adjusted hazard ratio [adjHR] 0.60, 95% confidence interval [CI]0.48-0.76, p<0.001), but higher than NSTEMI (adjHR 2.70, 95% CI 2.14-3.41, p<0.001). Compared to STEMI, TS was associated with similar risk of acute heart failure (adjHR 1.26, 95% CI 0.91–1.76, p=0.16) but lower risk of cardio-genic shock (adjHR 0.55, 95% CI 0.34–0.89, p=0.02). The relative 30-day mortality risk for TS versus STEMI and NSTEMI was higher for smokers than non-smokers (adjusted pinteractionSTEMI=0.01 and pinteractionNSTEMI=0.01).Conclusion: Thirty-day mortality in TS was higher than in NSTEMI but lower than STEMI, despite a similar risk of acute heart failure in TS and STEMI. Among patients with TS, smoking was an independent predictor of mortality
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
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- Av författaren/redakt...
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Redfors, B. Björ ...
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Jha, S.
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Thorleifsson, S.
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Angeras, O.
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Dworeck, C.
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Ravn-Fischer, A.
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visa fler...
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Petursson, P.
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Sarno, G.
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Lyon, A.
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Fröbert, Ole, 19 ...
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James, S.
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Erlinge, D.
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Omerovic, E.
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