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Spontaneous coronary artery dissection and takotsubo syndrome: comparison of baseline clinical and angiographic characteristics and in-hospital outcomes

Title: Spontaneous coronary artery dissection and takotsubo syndrome: comparison of baseline clinical and angiographic characteristics and in-hospital outcomes
Authors: Salamanca Viloria, J; Garcia-Guimaraes, M; Diez-Villanueva, P; Macaya, F; Sanz, R; Roura, G; Barahona-Alvarado, J.C; Tizon, H; Flores-Rios, X; Lezcano-Pertejo, C; Portero-Portaz, J.J; Alvarado Casas, T; Aguilar Torres, R; Bastante Valiente, T; Alfonso Manterola, F
Source: European Heart Journal ; volume 41, issue Supplement_2 ; ISSN 0195-668X 1522-9645
Publisher Information: Oxford University Press (OUP)
Publication Year: 2020
Description: Background Spontaneous coronary artery dissection (SCAD) and Takotsubo syndrome (TTS) constitute two relatively common non-atherosclerotic causes of acute cardiac syndrome particularly frequent in women. Methods Herein we compared the baseline clinical and angiographic characteristics and in-hospital outcomes of 2 large prospective registries on SCAD and TTS. Results A total of 318 SCAD and 106 TTS patients were included (88% women). Patients in the TTS group were older (Table) and presented a higher prevalence of cardiovascular risk factors. Precipitating triggers were more frequent in TTS patients (42% vs. 56%, P=0.009) but emotional stress was more common in the SCAD group (25% vs. 15%, P=0.037). SCAD patients had higher troponin and creatine-kinase levels. The left anterior descending coronary artery was the most frequently involved vessel (44%). Left ventricular dysfunction (ejection fraction 57±10 vs. 40±10%, P
Document Type: article in journal/newspaper
Language: English
DOI: 10.1093/ehjci/ehaa946.1810
Availability: https://doi.org/10.1093/ehjci/ehaa946.1810; http://academic.oup.com/eurheartj/article-pdf/41/Supplement_2/ehaa946.1810/34519495/ehaa946.1810.pdf
Rights: https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model
Accession Number: edsbas.9E96A76C
Database: BASE