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Takotsubo syndrome and cardiac implantable electronic device therapy
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Veröffentlicht in: | Scientific reports 9(2019) Artikel-Nummer 16559, 6 Seiten |
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Personen und Körperschaften: | , , , , , , , , |
Titel: | Takotsubo syndrome and cardiac implantable electronic device therapy/ Ibrahim El-Battrawy, Julia W. Erath, Siegfried Lang, Uzair Ansari, Michael Behnes, Thorsten Gietzen, Xiaobo Zhou, Martin Borggrefe & Ibrahim Akin |
Format: | E-Book-Kapitel |
Sprache: | Englisch |
veröffentlicht: |
12 November 2019
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Gesamtaufnahme: |
: Scientific reports, 9(2019) Artikel-Nummer 16559, 6 Seiten
, volume:9 |
Quelle: | Verbunddaten SWB Lizenzfreie Online-Ressourcen |
Zusammenfassung: | Recent studies have reported that takotsubo syndrome (TTS) patients are suffering from life-threatening arrhythmias. The aim of our study was to understand the short and long-term usefulness of cardiac implantable electronic devices in TTS patients.We constituted a collective of 142 patients in a bi-centric study diagnosed with TTS between 2003 and 2017. The patient groups, divided according to the treatment with (n = 9, 6.3%) or without cardiac devices (n = 133, 93.7%), were followed-up to determine the importance of devices and its complications. One patient was treated with a permanent pacemaker, five patients with a wearable cardioverter defibrillator, two patients with a subcutaneous defibrillator and one patient with a transvenous defibrillator. Regular device check-up was documented in all patients, presenting an ongoing high-degree AV-block. Neither device complications nor life-threatening tachyarrhythmias were documented after acute TTS event. However, patients comprising the device group suffered significantly more often from a highly reduced EF (30 ± 7.7% versus 39.1 ± 9.7%; p < 0.05), cardiogenic shock with use of inotropic agents (66.6% versus 16.6%; p < 0.05) and cardiopulmonary resuscitation (44.4% versus 5.3%; p < 0.05). Our data confirm the usefulness of pacemaker in TTS patients. However, the cardioverter defibrillator including wearable cardioverter defibrillator may not be recommended. |
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Beschreibung: | Gesehen am 02.03.2020 |
Umfang: | 6 |
ISSN: |
2045-2322
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DOI: | 10.1038/s41598-019-52929-5 |