دورية أكاديمية
أعرض في EDS

Renal impairment and outcome in Takotsubo syndrome: Insights from a national multicentric cohort.

التفاصيل البيبلوغرافية
العنوان: Renal impairment and outcome in Takotsubo syndrome: Insights from a national multicentric cohort.
المؤلفون: Vazirani R; Department of Cardiology, Hospital Clínico San Carlos, Madrid, Spain., Delia MA; Department of Cardiology, Hospital Virgen de la Macarena, Sevilla, Spain., Blanco-Ponce E; Department of Cardiology, Hospital Universitario Arnau de Vilanova, IRB LLeida, Lleida, Spain. Electronic address: eblanco.lleida.ics@gencat.cat., Martín-García AC; Department of Cardiology, Complejo Asistencial Universitario de Salamanca, Salamanca, Spain., Fernández-Cordón C; Department of Cardiology, Hospital Universitario Valladolid, Valladolid, Spain. Electronic address: cfernandez.1@alumni.unav.es., Uribarri A; Department of Cardiology, Hospital de Vall d'Hebron, Barcelona, Spain., Andrés M; Department of Cardiology, Hospital de Vall d'Hebron, Barcelona, Spain., Vedia O; Department of Cardiology, Hospital Clínico San Carlos, Madrid, Spain., Sionis A; Cardiology Department, Hospital de la Santa Creu i Sant Pau, II-B Sant Pau, Universitat Autònoma de Barcleona, CIBER-CV, Barcelona, Spain. Electronic address: Asionis@santpau.cat., Corbí-Pascual M; Department of Cardiology, Hospital Universitario de Albacete, Albacete, Spain., Salamanca J; Department of Cardiology, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-IP), Madrid, Spain., Pérez-Castellanos A; Department of Cardiology, Hospital Universitario de Son Espases, Palma, Spain., Carmona JDM; Department of Cardiology, Hospital Universitario Virgen de la Victoria, Malaga, Spain, Instituto de Investigación Biomédica de Málaga-IBIMA, CIBERCV., Raposeiras-Roubín S; Department of Cardiology, Hospital Álvaro Cunqueiro, Vigo, Spain., Aritza-Conty D; Department of Cardiology, Hospital Universitario de Navarra, Pamplona, Spain., Lopez-País J; Department of Cardiology, Hospital Universitario de Orense, Orense, Spain., Guillén-Marzo M; Department of Cardiology, Hospital Universitario Joan XXIII, Tarragona, Spain., Lluch-Requerey C; Department of Cardiology, Hospital Universitario Juan Ramón Jimenez, Huelva, Spain., Escudier JM; Department of Cardiology, Hospital Puerta de Hierro, Majadahonda, Madrid, Spain., Martínez-Sellés M; Department of Cardiology, Hospital Universitario Gregorio Marañón, CIBERCV, Madrid, Spain; Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, Madrid and School of Medicine, Universidad Complutense, Madrid, Spain. Electronic address: mmselles@secardiologia.es., Núñez-Gil IJ; Department of Cardiology, Hospital Clínico San Carlos, Madrid, Spain; Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, Madrid and School of Medicine, Universidad Complutense, Madrid, Spain. Electronic address: ibnsky@yahoo.es.
مؤلفون مشاركون: RETAKO Investigators
المصدر: International journal of cardiology [Int J Cardiol] 2024 Jun 15; Vol. 405, pp. 131971. Date of Electronic Publication: 2024 Mar 14.
نوع المنشور: Journal Article; Multicenter Study
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Netherlands NLM ID: 8200291 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1874-1754 (Electronic) Linking ISSN: 01675273 NLM ISO Abbreviation: Int J Cardiol Subsets: MEDLINE
أسماء مطبوعة: Publication: Amsterdam : Elsevier
Original Publication: Amsterdam : Elsevier/North-Holland Biomedical Press, c1981-
مواضيع طبية MeSH: Takotsubo Cardiomyopathy*/epidemiology , Takotsubo Cardiomyopathy*/physiopathology , Takotsubo Cardiomyopathy*/diagnosis , Takotsubo Cardiomyopathy*/complications , Registries* , Renal Insufficiency, Chronic*/epidemiology , Renal Insufficiency, Chronic*/complications, Humans ; Female ; Male ; Aged ; Prospective Studies ; Middle Aged ; Cohort Studies ; Acute Kidney Injury/epidemiology ; Acute Kidney Injury/diagnosis ; Aged, 80 and over ; Treatment Outcome ; Follow-Up Studies
مستخلص: Introduction: Data on the association between kidney function and Takotsubo syndrome (TTS) outcomes are scarce and conflictive.
Objective: To assess the impact of chronic kidney disease (CKD) and acute renal failure (ARF) in patients with TTS.
Material and Methods: Patients from the prospective nation-wide (RETAKO) registry were included and divided into quartiles of maximum creatinine (Cr) level during hospitalization.
Results: The prevalence of CKD and ARF in the whole RETAKO cohort was 5.4% and 11.7%, respectively. Compared to Q1 (Cr <0.71), patients within Q4 (Cr > 1.1) had lower left ventricular ejection fraction on admission (38.5 ± 12 vs 43.3 ± 11.3, p = 0.002) and higher bleeding rates during hospitalization (6.7% vs 2%, p = 0.005). In addition, compared to Q1, Q4 patients have a greater incidence of cardiogenic shock (17.3% vs 5.6%, p < 0.001), and a higher rate of 5-year all-cause death and major adverse cardiovascular events (31.5% vs 15.8%, p < 0.001 and 22.5% vs 9.3%, p < 0.001, respectively).
Conclusions: TTS patients with CKD have a higher incidence of ARF and exhibit greater Cr on admission, which were linked with higher rates of cardiogenic shock, bleeding during hospitalization as well as major adverse cardiovascular events and all-cause death during a 5-year follow-up.
(Copyright © 2024 Elsevier B.V. All rights reserved.)
فهرسة مساهمة: Keywords: Chronic kidney disease; Death; Prognosis; Renal failure; Takotsubo syndrome
تواريخ الأحداث: Date Created: 20240315 Date Completed: 20240426 Latest Revision: 20240426
رمز التحديث: 20240427
DOI: 10.1016/j.ijcard.2024.131971
PMID: 38490270
قاعدة البيانات: MEDLINE
الوصف
تدمد:1874-1754
DOI:10.1016/j.ijcard.2024.131971