The GRACE Scale in the Prognosis of Patients with Takotsubo Syndrome

Background. The prognosis of Takotsubo syndrome (TTS) is comparable to that of the non-ST-elevation myocardial infarction (NSTEMI). The GRACE scale is used to assess the risk of premature and long-term mortality in patients with NSTEMI in order to select the most favorable treatment strategy. Method...

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Bibliographic Details
Published in:Journal of interventional cardiology 2020, Vol.2020 (2020), p.1-7
Main Authors: Bachorzewska-Gajewska, Hanna, Dobrzycki, Slawomir, Kuzma, Lukasz, Zalewska-Adamiec, Malgorzata
Format: Article
Language:English
Subjects:
Acute coronary syndromes
Aged
Analysis
Blood pressure
Body mass index
Cardiology
Cardiovascular disease
Chronic obstructive pulmonary disease
Coronary vessels
Diabetes
Edema
Ejection fraction
Electrocardiography
Enzymes
Epidermal growth factor receptors
Family medical history
Female
Health aspects
Heart attack
Heart attacks
Heart rate
Humans
Hypertension
Kidney diseases
Laboratories
Long Term Adverse Effects - diagnosis
Long Term Adverse Effects - etiology
Male
Medical prognosis
Medical research
Medicine, Experimental
Middle Aged
Mortality
Multivariate analysis
Myocardial infarction
Non-ST Elevated Myocardial Infarction - complications
Non-ST Elevated Myocardial Infarction - diagnosis
Non-ST Elevated Myocardial Infarction - mortality
Non-ST Elevated Myocardial Infarction - therapy
Outcome Assessment, Health Care
Patient Selection
Patients
Pneumonia
Poland - epidemiology
Prognosis
Retrospective Studies
Risk Assessment
ROC Curve
Statistical analysis
Survival analysis
Takotsubo Cardiomyopathy - complications
Takotsubo Cardiomyopathy - diagnosis
Takotsubo Cardiomyopathy - mortality
Takotsubo Cardiomyopathy - therapy
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Summary:Background. The prognosis of Takotsubo syndrome (TTS) is comparable to that of the non-ST-elevation myocardial infarction (NSTEMI). The GRACE scale is used to assess the risk of premature and long-term mortality in patients with NSTEMI in order to select the most favorable treatment strategy. Methods. 101 patients with TTS hospitalized in four centers of invasive cardiology in Podlaskie Voivodeship during the period 2008–2012 were included in the study. The patients were divided into two groups: I—52 patients (GRACE ≤ 140 points) and II—49 patients (GRACE > 140 points). Results. The mean GRACE score in the study group was 138.66. The in-hospital stay of Takotsubo in the patients with higher GRACE scores was associated with higher incidence of pneumonia (36.7% vs 7.69%, p=0.0004), rhythm abnormalities (17.3% vs 3.85%, p=0.026), and serious complications (cardiogenic shock, pulmonary edema, and sudden cardiac arrest) (30.6% vs 5.77%, p=0.001). The mean observation period was 7.2 years. A significantly higher risk of 6-month (18.37% vs 3.85%, p=0.019), 1-year (22.45 vs 3.85%, p=0.005), 3-year (40.82 vs 3.85%, p
ISSN:0896-4327
1540-8183
DOI:10.1155/2020/4340930