Heart failure & cardiomyopathies

Recovery of Left Ventricular Function and Long-Term Outcomes in Patients With Takotsubo Syndrome

J Am Coll CardiolPublished Prospective registry cohort study

Authors' conclusion

Late recovery of LV function after TTS is associated with reduced short- and long-term survival.

Study context

Population
Patients with Takotsubo syndrome (TTS) in the RETAKO registrymedian age 73 years, 13% men
Participants
1,463 patients
Exposure
Late vs early left ventricular (LV) recovery
  • Late recoveryn = 373
  • Early recoveryn = 1,090reference
Outcome
All-cause mortality
Follow-up
4-year follow-up
Methodological detailsnationwide, multicenter
  • Nationwide
  • Multicenter

Main finding

As reported in the abstract

Adjusted hazard ratio (95% CI)
Late recoveryvs Early recovery
1.31(1.12–1.60)
Every additional 10-day delay in time-to-LV recoveryrisk of death increasing by 8%
1.08(1.04–1.13)

Observational data: associations, not effects.

Further findings

Independent predictors of late recovery

Older age, history of neurological disorders, bystander CAD, active cancer, physical triggers, elevated inflammatory biomarkers, cardiogenic shock and lower LVEF at admission

Original publication

Recovery of Left Ventricular Function and Long-Term Outcomes in Patients With Takotsubo Syndrome. J Am Coll Cardiol. Published 24 September 2024. doi:10.1016/j.jacc.2024.05.075

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