P817Shall takotsubo syndrome be tear apart from the working diagnosis of myocardial infarction with non-obstructive coronary arteries?

• Published in: European heart journal 2019-10, Vol.40 (Supplement_1)
• Main Authors: Lopez Pais, J, Izquierdo Coronel, B, Galan Gil, D, Alcon Duran, B, Espinosa Pascual, M J, Alvarez Rodriguez, L, Nunez Rodriguez, A, Martinez Peredo, C G, Awamleh Garcia, P, Moreno Vinues, C, Gorriz Magana, J, Nunez Gil, I J, Oteo Dominguez, J F, Gonzalez Juanatey, J R, Alonso Martin, J J
• Format: Article
• Language: English
• ISSN: 0195-668X; 1522-9645
• DOI: 10.1093/eurheartj/ehz747.0416

Abstract Background There is controversy to whether Takotsubo Syndrome (TTS) should be classified as a Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA). The aim of this study is to compare the clinical profile and prognosis of TTS with non-TTS MINOCA patients. Methods Analytical and observational study developed in a University Hospital, which covers 220.000 individual. We analyzed the clinical data of all consecutive MINOCA patients admitted to our center during a 3 years period (2016–2018). We used the definitions and the clinical management of 2016 ESC Working Group Position Paper on MINOCA, which considers TTS as a MINOCA. Follow up analysis included death from any cause and major adverse cardiovascular events (MACE). Survival analysis is based on Cox regression. Median follow-up was 17 months. Results Twenty-six out of 109 patients (24%) classified as MINOCA where TTS. Patients with TTS were older (72.2±11.5 vs 62.3±14.9, p