Heart failure & cardiomyopathies

Effects of Pharmacological Interventions on Mortality in Patients with Takotsubo Syndrome: A Report from the SWEDEHEART Registry

ESC Heart FailPublished Registry-based cohort study

Authors' conclusion

Our findings suggest that some medications commonly used to treat TS are associated with higher mortality, while others have lower mortality.

Study context

Population
Patients with takotsubo syndrome undergoing coronary angiography, SWEDEHEART registry, 2009–2016among 228,263 in registry
Participants
1,724 patients
Exposure
Pharmacological interventions vs none, by drug class
Outcome
All-cause mortality (short- and long-term)
Methodological detailsSWEDEHEART registry
  • SWEDEHEART registry

Main finding

As reported in the abstract

All-cause mortality by drug class
Kaplan-Meier all-cause mortality at 30 days
2.5%
Kaplan-Meier all-cause mortality at 6 years
16.6%
IV inotropes, 30-day mortality, HR
9.92 (P < 0.001)
IV diuretics, 30-day mortality, HR
3.22 (P = 0.001)
ACEi, long-term mortality, HR
0.60 (P = 0.025)
Statins, long-term mortality, HR
0.62 (P = 0.040)
Unfractionated and low-molecular-weight heparins, 30-day mortality, HR
0.63 (P = 0.01)

Observational data: associations, not effects.

Original publication

Effects of Pharmacological Interventions on Mortality in Patients with Takotsubo Syndrome: A Report from the SWEDEHEART Registry. ESC Heart Fail. Published 7 March 2024. doi:10.1002/ehf2.14713

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