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Prognostic relevance of GRACE risk score in Takotsubo syndrome

Title: Prognostic relevance of GRACE risk score in Takotsubo syndrome
Authors: Scudiero F; Arcari L; Cacciotti L; De Vito E; Marcucci R; Passaseo I; Limite LR; Musumeci MB; Autore C; Citro R; Bossone E; Sanna GD; Bacchi B; Volpe M; Di Mario C; Parodi G
Contributors: Scudiero, F; Arcari, L; Cacciotti, L; De Vito, E; Marcucci, R; Passaseo, I; Limite, Lr; Musumeci, Mb; Autore, C; Citro, R; Bossone, E; Sanna, Gd; Bacchi, B; Volpe, M; Di Mario, C; Parodi, G
Publication Year: 2020
Collection: Università degli Studi del Molise: IRIS
Description: Background: Takotsubo syndrome is an increasingly recognised cardiac condition that clinically mimics an acute coronary syndrome, but data regarding its prognosis remain controversial. It is currently unknown whether acute coronary syndrome risk scores could effectively be applied to Takotsubo syndrome patients. This study aims to assess whether the Global Registry of Acute Coronary Events (GRACE) score can predict clinical outcome in Takotsubo syndrome and to compare the prognosis with matched acute coronary syndrome patients. Methods: A total of 561 Takotsubo syndrome patients was included in this prospective registry. According to the GRACE score, the population was divided into quartiles. The primary endpoint was all-cause mortality and the secondary endpoints were cardiocerebrovascular events (a composite of all-cause mortality, cardiovascular death, recurrence of Takotsubo syndrome and stroke). Results: The median GRACE risk score was 139 +/- 27. Takotsubo syndrome patients with a higher GRACE risk score mostly have a higher rate of physical triggers and lower left ventricular ejection fraction on admission. During long-term follow-up, all-cause mortality rates were 5%, 11%, 12% and 22%, respectively, in the first, second, third and fourth quartile (P
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/wos/WOS:000492126500001; volume:9; issue:7; firstpage:721; lastpage:728; numberofpages:8; journal:EUROPEAN HEART JOURNAL. ACUTE CARDIOVASCULAR CARE; https://hdl.handle.net/11695/135199
Availability: https://hdl.handle.net/11695/135199
Accession Number: edsbas.3CBA9324
Database: BASE