Ethnic comparison in takotsubo syndrome: novel insights from the International Takotsubo Registry
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00098892%3A_____%2F22%3A10157121" target="_blank" >RIV/00098892:_____/22:10157121 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11120/22:43921575
Result on the web
<a href="https://link.springer.com/article/10.1007/s00392-021-01857-4" target="_blank" >https://link.springer.com/article/10.1007/s00392-021-01857-4</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1007/s00392-021-01857-4" target="_blank" >10.1007/s00392-021-01857-4</a>
Alternative languages
Result language
angličtina
Original language name
Ethnic comparison in takotsubo syndrome: novel insights from the International Takotsubo Registry
Original language description
Background: Ethnic disparities have been reported in cardiovascular disease. However, ethnic disparities in takotsubo syndrome (TTS) remain elusive. This study assessed differences in clinical characteristics between Japanese and European TTS patients and determined the impact of ethnicity on in-hospital outcomes. Methods: TTS patients in Japan were enrolled from 10 hospitals and TTS patients in Europe were enrolled from 32 hospitals participating in the International Takotsubo Registry. Clinical characteristics and in-hospital outcomes were compared between Japanese and European patients. Results: A total of 503 Japanese and 1670 European patients were included. Japanese patients were older (72.6 ± 11.4 years vs. 68.0 ± 12.0 years; p< 0.001) and more likely to be male (18.5 vs. 8.4%; p< 0.001) than European TTS patients. Physical triggering factors were more common (45.5 vs. 32.0%; p< 0.001), and emotional triggers less common (17.5 vs. 31.5%; p< 0.001), in Japanese patients than in European patients. Japanese patients were more likely to experience cardiogenic shock during the acute phase (15.5 vs. 9.0%; p< 0.001) and had a higher in-hospital mortality (8.2 vs. 3.2%; p< 0.001). However, ethnicity itself did not appear to have an impact on in-hospital mortality. Machine learning approach revealed that the presence of physical stressors was the most important prognostic factor in both Japanese and European TTS patients. Conclusion: Differences in clinical characteristics and in-hospital outcomes between Japanese and European TTS patients exist. Ethnicity does not impact the outcome in TTS patients. The worse in-hospital outcome in Japanese patients, is mainly driven by the higher prevalence of physical triggers.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30201 - Cardiac and Cardiovascular systems
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2022
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Clinical Research in Cardiology
ISSN
1861-0684
e-ISSN
1861-0692
Volume of the periodical
111
Issue of the periodical within the volume
2
Country of publishing house
DE - GERMANY
Number of pages
11
Pages from-to
186-196
UT code for WoS article
000652155200001
EID of the result in the Scopus database
2-s2.0-85106242302