<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_jccm-2020-0022_s_006_w2aab3b7c31b1b6b1aab1c16b1Aa"><h3>Background</h3><p>The prevalence of Takotsubo syndrome in hip fracture is not known.</p></sec><sec id="j_jccm-2020-0022_s_007_w2aab3b7c31b1b6b1aab1c16b2Aa"><h3>Methods</h3><p>Hip fracture patients were evaluated in a multidisciplinary unit. Patients with ECG abnormalities and increased troponin I values at the time of hospital admission were included in the study Follow-up was clinical at 30 days and by telephonic interview at one year.</p></sec><sec id="j_jccm-2020-0022_s_008_w2aab3b7c31b1b6b1aab1c16b3Aa"><h3>Results</h3><p>Between October 1st 2011 to September 30th 2016, 51 of 1506 patients had preoperative evidence of myocardial damage. Eight, all females, fulfilled the Mayo criteria for Takotsubo syndrome, six had no coronary lesions. Hip surgery was uneventful, and all eight were alive at thirty days, and seven of these were still alive after one year. Forty-three patients had myocardial infarction: mortality at thirty days and one year were 11% and 44% (p&lt;0.0001, Student’s t-test; log-rank test).</p></sec><sec id="j_jccm-2020-0022_s_009_w2aab3b7c31b1b6b1aab1c16b4Aa"><h3>Conclusion</h3><p>At least 15% of patients with hip fracture and preoperative myocardial damage had Takotsubo syndrome. They were all elderly females. Contrary to myocardial infarction, Takotsubo syndrome has a favourable long term prognosis.</p></sec></abstract>

BackgroundThe prevalence of Takotsubo syndrome in hip fracture is not known.MethodsHip fracture patients were evaluated in a multidisciplinary unit. Patients with ECG abnormalities and increased troponin I values at the time of hospital admission were included in the study Follow-up was clinical at 30 days and by telephonic interview at one year.ResultsBetween October 1st 2011 to September 30th 2016, 51 of 1506 patients had preoperative evidence of myocardial damage. Eight, all females, fulfilled the Mayo criteria for Takotsubo syndrome, six had no coronary lesions. Hip surgery was uneventful, and all eight were alive at thirty days, and seven of these were still alive after one year. Forty-three patients had myocardial infarction: mortality at thirty days and one year were 11% and 44% (p<0.0001, Student’s t-test; log-rank test).ConclusionAt least 15% of patients with hip fracture and preoperative myocardial damage had Takotsubo syndrome. They were all elderly females. Contrary to myocardial infarction, Takotsubo syndrome has a favourable long term prognosis.

Takotsubo Syndrome: Is This a Common Occurrence in Elderly Females after Hip Fracture?

The Journal of Critical Care Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

BackgroundThe prevalence of Takotsubo syndrome in hip fracture is not known.MethodsHip fracture patients were evaluated in a multidisciplinary unit. Patients...

Takotsubo Syndrome: Is This a Common Occurrence in Elderly Females after Hip Fracture?

Article Category: Research Article

Published Online: Aug 11, 2020

Page range: 146 - 151

Received: Jan 24, 2020

Accepted: May 31, 2020

DOI: https://doi.org/10.2478/jccm-2020-0022

Keywords
Takotsubo syndrome, hip-fracture, ischemic heart disease

© 2020 Carlo Rostagno, Gianluca Polidori, Alice Ceccofiglio, Alessandro Cartei, Alberto Boccaccini, Adriano Peris, Gaia Rubbieri, Roberto Civinini, Massimo Innocenti, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Takotsubo Syndrome: Is This a Common Occurrence in Elderly Females after Hip Fracture?

Article Category: Research Article

Published Online: Aug 11, 2020

Page range: 146 - 151

Received: Jan 24, 2020

Accepted: May 31, 2020

DOI: https://doi.org/10.2478/jccm-2020-0022

KeywordsTakotsubo syndrome, hip-fracture, ischemic heart disease

© 2020 Carlo Rostagno, Gianluca Polidori, Alice Ceccofiglio, Alessandro Cartei, Alberto Boccaccini, Adriano Peris, Gaia Rubbieri, Roberto Civinini, Massimo Innocenti, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Keywords
Takotsubo syndrome, hip-fracture, ischemic heart disease