Takotsubo Syndrome: Is This a Common Occurrence in Elderly Females after Hip Fracture?
, , , , , , , and | Aug 11, 2020
About this article
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
© 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.
Clinical characteristics of patients with stress cardiomyopathy after hip fracture
| Fracture | Age | ECG | Echocardiogram at diagnosis | Echocardiogram at discharge | Troponin I peak μg/L | ASA risk | Day from diagnosis to hip surgery |
|---|---|---|---|---|---|---|---|
| Left hip fracture | 90 | ST-segment elevation V2–V4 | Severe apical hypokinesia LVEF = 30% AVA 1,2 cm2 | LBB related septal asynchrony LVEF = 50% | 1.14 | 4 | 6 |
| Extracapsular left hip fracture | 76 | ST-segment elevation V1 - V3 | Severe apical hypokinesia LVEF = 38% | Improvement segmental wall of motion LVEF= 47% | 0.52 | 3 | 7 |
| Right hip fracture | 75 | Incomplete LBB ST-elevation V2-V4 | Anterolateral hypokinesia, and apical septal hypokinesia LVEF = 29% | Normalization of LVWM LVEF = 63% | 5.53 | 3 | 11 |
| Left hip fracture | 88 | ST-elevation V2-V6, D3, avF | Apical akinesia, anterior hypokinesia LVEF = 45% | Normalization of LVWM LVEF = 55% | 2.73 | 3 | 4 |
| Right hip fracture | 84 | Mild ST elevation V2-V5 | Akinesia of anterior septum and apex LVEF= 35%, | Normalization of LVWM LVEF =58% | 1.53 | 3 | 3 |
| Right per trochanteric fracture | 86 | Negative T waves V2-V5 | Apical akinesia LVEF =35% | Normalization of LVWM LVEF= 53% | 3.43 | 3 | 14 |
| Left hip fracture | 89 | waves Negative V3-T V6, D3, aVF | Apical akinesia LVEF= 32% | Improvement LVWM of LEVF= 48% | 0.53 | 3 | 5 |
| Right femur neck fracture | 89 | Negative T waves V2-V5 | Apical ballooning LVEF =40% | Normalization of LVWM LVEF= 58% | 0.51 | 3 | 5 |
Clinical characteristics of patients with preoperative myocardial infarction in comparison to those with stress cardiomyopathy
| Preoperative Myocardial infarction (n=43) | Stress Cardiomyopathy (n=8) | p | |
|---|---|---|---|
| Gender (F/M) | 28/15 | 8/0 | 0.08 |
| Age (years) (mean-SD) | 86.7 (7.9) | 84.7 (7.6) | 0.20 |
| Coronary heart disease | 22 | 0 | 0.007 |
| Diabetes | 24 | 2 | 0.14 |
| Hypertension | 33 | 8 | 0.09 |
| Dementia | 10 | 1 | 0.6 |
| Peripheral vascular disease | 13 | 1 | 0.4 |
| Need for RB transfusion | 15 | 5 | 0.23 |
| Double antiplatelet drug | 7 | 0 | 0.5 |
| Atrial fibrillation | 14 | 1 | 0.4 |
| Oral anticoagulation | 11 | 1 | 0.4 |
| Admission LVEF (%)(mean-SD) | 45.8 (6.3) | 35.5 (5.3) | 0.0001 |
| Troponin I peak μg/L (mean-SD) | 12.7 (4.8) | 1.96 (1.8) | 0.0001 |
| Thirty-day mortality | 5 | 0 | 0.5 |
| One-year mortality | 19 | 1 | 0.12 |
| Cause of death | |||
| Non-cardiac | 5 | 0.25 | |
| Cardiac | 15 |