Publicação
Ethnic comparison in takotsubo syndrome : novel insights from the International Takotsubo Registry
| Resumo: | 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. |
|---|---|
| Autores principais: | Imori, Yoichi |
| Outros Autores: | Kato, Ken; Cammann, Victoria L.; Szawan, Konrad A.; Wischnewsky, Manfred; Dreiding, Sara; Würdinger, Michael; Schönberger, Maximilian; Petkova, Vanya; Niederseer, David; Levinson, Rena A.; Ikari, Yuji; Empen, Klaus; Beug, Daniel; Felix, Stephan B.; Delmas, Clément; Lairez, Olivier; Yamaguchi, Tetsuo; El-Battrawy, Ibrahim; Akin, Ibrahim; Borggrefe, Martin; Carrilho-Ferreira, Pedro; Horowitz, John D.; Kozel, Martin; Tousek, Petr; Widimský, Petr; Gilyarova, Ekaterina; Shilova, Alexandra; Gilyarov, Mikhail; Neuhaus, Michael; Meyer, Philippe; Arroja, Jose David; Pinto, Fausto J.; Chan, Christina; Bridgman, Paul; Galuszka, Jan; Poglajen, Gregor; Hauck, Christian; Maier, Lars S.; Liu, Kan; Di Mario, Carlo; Paolini, Carla; Bilato, Claudio; Bianco, Matteo; Jörg, Lucas; Di Vece, Davide; Rickli, Hans; Winchester, David E.; Ukena, Christian; Böhm, Michael; Bax, Jeroen J.; Prasad, Abhiram; Rihal, Charanjit S.; Saito, Shigeru; Kobayashi, Yoshio; Lüscher, Thomas F.; Gili, Sebastiano; Ruschitzka, Frank; Shimizu, Wataru; Ghadri, Jelena R.; Templin, Christian; Seifert, Burkhardt; Wakita, Masaki; Suzuki, Noriko; Citro, Rodolfo; Bossone, Eduardo; Heiner, Susanne; Knorr, Maike; Jansen, Thomas; Münzel, Thomas; D’Ascenzo, Fabrizio; Franke, Jennifer; Sorici-Barb, Ioana; Katus, Hugo A.; Sarcon, Annahita; Shinbane, Jerold; Napp, L. Christian; Bauersachs, Johann; Jaguszewski, Milosz; Shiomura, Reiko; Nakamura, Shunichi; Takano, Hitoshi; Noutsias, Michel; Burgdorf, Christof; Ishibashi, Iwao; Himi, Toshiharu; Koenig, Wolfgang; Schunkert, Heribert; Thiele, Holger; Kherad, Behrouz; Tschöpe, Carsten; Pieske, Burkert M.; Rajan, Lawrence; Michels, Guido; Pfister, Roman; Mizuno, Shingo; Cuneo, Alessandro; Jacobshagen, Claudius; Hasenfuß, Gerd; Karakas, Mahir; Mochizuki, Hiroki; Pott, Alexander; Rottbauer, Wolfgang; Said, Samir M.; Braun-Dullaeus, Ruediger C.; Banning, Adrian; Isogai, Toshiaki; Kimura, Akihisa; Cuculi, Florim; Kobza, Richard; Fischer, Thomas A.; Vasankari, Tuija; Airaksinen, K. E. Juhani; Tomita, Yasuhiro; Budnik, Monika; Opolski, Grzegorz; Dworakowski, Rafal; MacCarthy, Philip; Kaiser, Christoph; Osswald, Stefan; Galiuto, Leonarda; Crea, Filippo; Dichtl, Wolfgang; Murakami, Tsutomu |
| Assunto: | Broken heart syndrome Ethnicity Race Takotsubo syndrome. |
| Ano: | 2021 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Universidade de Lisboa |
| Idioma: | inglês |
| Origem: | Repositório da Universidade de Lisboa |
| _version_ | 1865920843255644160 |
|---|---|
| author | Imori, Yoichi |
| author2 | Kato, Ken Cammann, Victoria L. Szawan, Konrad A. Wischnewsky, Manfred Dreiding, Sara Würdinger, Michael Schönberger, Maximilian Petkova, Vanya Niederseer, David Levinson, Rena A. Ikari, Yuji Empen, Klaus Beug, Daniel Felix, Stephan B. Delmas, Clément Lairez, Olivier Yamaguchi, Tetsuo El-Battrawy, Ibrahim Akin, Ibrahim Borggrefe, Martin Carrilho-Ferreira, Pedro Horowitz, John D. Kozel, Martin Tousek, Petr Widimský, Petr Gilyarova, Ekaterina Shilova, Alexandra Gilyarov, Mikhail Neuhaus, Michael Meyer, Philippe Arroja, Jose David Pinto, Fausto J. Chan, Christina Bridgman, Paul Galuszka, Jan Poglajen, Gregor Hauck, Christian Maier, Lars S. Liu, Kan Di Mario, Carlo Paolini, Carla Bilato, Claudio Bianco, Matteo Jörg, Lucas Di Vece, Davide Rickli, Hans Winchester, David E. Ukena, Christian Böhm, Michael Bax, Jeroen J. Prasad, Abhiram Rihal, Charanjit S. Saito, Shigeru Kobayashi, Yoshio Lüscher, Thomas F. Gili, Sebastiano Ruschitzka, Frank Shimizu, Wataru Ghadri, Jelena R. Templin, Christian Seifert, Burkhardt Wakita, Masaki Suzuki, Noriko Citro, Rodolfo Bossone, Eduardo Heiner, Susanne Knorr, Maike Jansen, Thomas Münzel, Thomas D’Ascenzo, Fabrizio Franke, Jennifer Sorici-Barb, Ioana Katus, Hugo A. Sarcon, Annahita Shinbane, Jerold Napp, L. Christian Bauersachs, Johann Jaguszewski, Milosz Shiomura, Reiko Nakamura, Shunichi Takano, Hitoshi Noutsias, Michel Burgdorf, Christof Ishibashi, Iwao Himi, Toshiharu Koenig, Wolfgang Schunkert, Heribert Thiele, Holger Kherad, Behrouz Tschöpe, Carsten Pieske, Burkert M. Rajan, Lawrence Michels, Guido Pfister, Roman Mizuno, Shingo Cuneo, Alessandro Jacobshagen, Claudius Hasenfuß, Gerd Karakas, Mahir Mochizuki, Hiroki Pott, Alexander Rottbauer, Wolfgang Said, Samir M. Braun-Dullaeus, Ruediger C. Banning, Adrian Isogai, Toshiaki Kimura, Akihisa Cuculi, Florim Kobza, Richard Fischer, Thomas A. Vasankari, Tuija Airaksinen, K. E. Juhani Tomita, Yasuhiro Budnik, Monika Opolski, Grzegorz Dworakowski, Rafal MacCarthy, Philip Kaiser, Christoph Osswald, Stefan Galiuto, Leonarda Crea, Filippo Dichtl, Wolfgang Murakami, Tsutomu |
| author2_role | author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
| author_facet | Imori, Yoichi Imori, Yoichi Kato, Ken Cammann, Victoria L. Szawan, Konrad A. Wischnewsky, Manfred Dreiding, Sara Würdinger, Michael Schönberger, Maximilian Petkova, Vanya Niederseer, David Levinson, Rena A. Ikari, Yuji Empen, Klaus Beug, Daniel Felix, Stephan B. Delmas, Clément Lairez, Olivier Yamaguchi, Tetsuo El-Battrawy, Ibrahim Akin, Ibrahim Borggrefe, Martin Carrilho-Ferreira, Pedro Horowitz, John D. Kozel, Martin Tousek, Petr Widimský, Petr Gilyarova, Ekaterina Shilova, Alexandra Gilyarov, Mikhail Neuhaus, Michael Meyer, Philippe Arroja, Jose David Pinto, Fausto J. Chan, Christina Bridgman, Paul Galuszka, Jan Poglajen, Gregor Hauck, Christian Maier, Lars S. Liu, Kan Di Mario, Carlo Paolini, Carla Bilato, Claudio Bianco, Matteo Jörg, Lucas Di Vece, Davide Rickli, Hans Winchester, David E. Ukena, Christian Böhm, Michael Bax, Jeroen J. Prasad, Abhiram Rihal, Charanjit S. Saito, Shigeru Kobayashi, Yoshio Lüscher, Thomas F. Gili, Sebastiano Ruschitzka, Frank Shimizu, Wataru Ghadri, Jelena R. Templin, Christian Seifert, Burkhardt Wakita, Masaki Suzuki, Noriko Citro, Rodolfo Bossone, Eduardo Heiner, Susanne Knorr, Maike Jansen, Thomas Münzel, Thomas D’Ascenzo, Fabrizio Franke, Jennifer Sorici-Barb, Ioana Katus, Hugo A. Sarcon, Annahita Shinbane, Jerold Napp, L. Christian Bauersachs, Johann Jaguszewski, Milosz Shiomura, Reiko Nakamura, Shunichi Takano, Hitoshi Noutsias, Michel Burgdorf, Christof Ishibashi, Iwao Himi, Toshiharu Koenig, Wolfgang Schunkert, Heribert Thiele, Holger Kherad, Behrouz Tschöpe, Carsten Pieske, Burkert M. Rajan, Lawrence Michels, Guido Pfister, Roman Mizuno, Shingo Cuneo, Alessandro Jacobshagen, Claudius Hasenfuß, Gerd Karakas, Mahir Mochizuki, Hiroki Pott, Alexander Rottbauer, Wolfgang Said, Samir M. Braun-Dullaeus, Ruediger C. Banning, Adrian Isogai, Toshiaki Kimura, Akihisa Cuculi, Florim Kobza, Richard Fischer, Thomas A. Vasankari, Tuija Airaksinen, K. E. Juhani Tomita, Yasuhiro Budnik, Monika Opolski, Grzegorz Dworakowski, Rafal MacCarthy, Philip Kaiser, Christoph Osswald, Stefan Galiuto, Leonarda Crea, Filippo Dichtl, Wolfgang Murakami, Tsutomu Kato, Ken Cammann, Victoria L. Szawan, Konrad A. Wischnewsky, Manfred Dreiding, Sara Würdinger, Michael Schönberger, Maximilian Petkova, Vanya Niederseer, David Levinson, Rena A. Ikari, Yuji Empen, Klaus Beug, Daniel Felix, Stephan B. Delmas, Clément Lairez, Olivier Yamaguchi, Tetsuo El-Battrawy, Ibrahim Akin, Ibrahim Borggrefe, Martin Carrilho-Ferreira, Pedro Horowitz, John D. Kozel, Martin Tousek, Petr Widimský, Petr Gilyarova, Ekaterina Shilova, Alexandra Gilyarov, Mikhail Neuhaus, Michael Meyer, Philippe Arroja, Jose David Pinto, Fausto J. Chan, Christina Bridgman, Paul Galuszka, Jan Poglajen, Gregor Hauck, Christian Maier, Lars S. Liu, Kan Di Mario, Carlo Paolini, Carla Bilato, Claudio Bianco, Matteo Jörg, Lucas Di Vece, Davide Rickli, Hans Winchester, David E. Ukena, Christian Böhm, Michael Bax, Jeroen J. Prasad, Abhiram Rihal, Charanjit S. Saito, Shigeru Kobayashi, Yoshio Lüscher, Thomas F. Gili, Sebastiano Ruschitzka, Frank Shimizu, Wataru Ghadri, Jelena R. Templin, Christian Seifert, Burkhardt Wakita, Masaki Suzuki, Noriko Citro, Rodolfo Bossone, Eduardo Heiner, Susanne Knorr, Maike Jansen, Thomas Münzel, Thomas D’Ascenzo, Fabrizio Franke, Jennifer Sorici-Barb, Ioana Katus, Hugo A. Sarcon, Annahita Shinbane, Jerold Napp, L. Christian Bauersachs, Johann Jaguszewski, Milosz Shiomura, Reiko Nakamura, Shunichi Takano, Hitoshi Noutsias, Michel Burgdorf, Christof Ishibashi, Iwao Himi, Toshiharu Koenig, Wolfgang Schunkert, Heribert Thiele, Holger Kherad, Behrouz Tschöpe, Carsten Pieske, Burkert M. Rajan, Lawrence Michels, Guido Pfister, Roman Mizuno, Shingo Cuneo, Alessandro Jacobshagen, Claudius Hasenfuß, Gerd Karakas, Mahir Mochizuki, Hiroki Pott, Alexander Rottbauer, Wolfgang Said, Samir M. Braun-Dullaeus, Ruediger C. Banning, Adrian Isogai, Toshiaki Kimura, Akihisa Cuculi, Florim Kobza, Richard Fischer, Thomas A. Vasankari, Tuija Airaksinen, K. E. Juhani Tomita, Yasuhiro Budnik, Monika Opolski, Grzegorz Dworakowski, Rafal MacCarthy, Philip Kaiser, Christoph Osswald, Stefan Galiuto, Leonarda Crea, Filippo Dichtl, Wolfgang Murakami, Tsutomu |
| author_role | author |
| contributor_name_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| country_str | PT |
| creators_json_str | [{\"Person.name\":\"Imori, Yoichi\"},{\"Person.name\":\"Kato, Ken\"},{\"Person.name\":\"Cammann, Victoria L.\"},{\"Person.name\":\"Szawan, Konrad A.\"},{\"Person.name\":\"Wischnewsky, Manfred\"},{\"Person.name\":\"Dreiding, Sara\"},{\"Person.name\":\"Würdinger, Michael\"},{\"Person.name\":\"Schönberger, Maximilian\"},{\"Person.name\":\"Petkova, Vanya\"},{\"Person.name\":\"Niederseer, David\"},{\"Person.name\":\"Levinson, Rena A.\"},{\"Person.name\":\"Ikari, Yuji\"},{\"Person.name\":\"Empen, Klaus\"},{\"Person.name\":\"Beug, Daniel\"},{\"Person.name\":\"Felix, Stephan B.\"},{\"Person.name\":\"Delmas, Clément\"},{\"Person.name\":\"Lairez, Olivier\"},{\"Person.name\":\"Yamaguchi, Tetsuo\"},{\"Person.name\":\"El-Battrawy, Ibrahim\"},{\"Person.name\":\"Akin, Ibrahim\"},{\"Person.name\":\"Borggrefe, Martin\"},{\"Person.name\":\"Carrilho-Ferreira, Pedro\",\"Person.identifier.orcid\":\"0000-0003-2008-1496\"},{\"Person.name\":\"Horowitz, John D.\"},{\"Person.name\":\"Kozel, Martin\"},{\"Person.name\":\"Tousek, Petr\"},{\"Person.name\":\"Widimský, Petr\"},{\"Person.name\":\"Gilyarova, Ekaterina\"},{\"Person.name\":\"Shilova, Alexandra\"},{\"Person.name\":\"Gilyarov, Mikhail\"},{\"Person.name\":\"Neuhaus, Michael\"},{\"Person.name\":\"Meyer, Philippe\"},{\"Person.name\":\"Arroja, Jose David\"},{\"Person.name\":\"Pinto, Fausto J.\",\"Person.identifier.orcid\":\"0000-0002-8034-4529\"},{\"Person.name\":\"Chan, Christina\"},{\"Person.name\":\"Bridgman, Paul\"},{\"Person.name\":\"Galuszka, Jan\"},{\"Person.name\":\"Poglajen, Gregor\"},{\"Person.name\":\"Hauck, Christian\"},{\"Person.name\":\"Maier, Lars S.\"},{\"Person.name\":\"Liu, Kan\"},{\"Person.name\":\"Di Mario, Carlo\"},{\"Person.name\":\"Paolini, Carla\"},{\"Person.name\":\"Bilato, Claudio\"},{\"Person.name\":\"Bianco, Matteo\"},{\"Person.name\":\"Jörg, Lucas\"},{\"Person.name\":\"Di Vece, Davide\"},{\"Person.name\":\"Rickli, Hans\"},{\"Person.name\":\"Winchester, David E.\"},{\"Person.name\":\"Ukena, Christian\"},{\"Person.name\":\"Böhm, Michael\"},{\"Person.name\":\"Bax, Jeroen J.\"},{\"Person.name\":\"Prasad, Abhiram\"},{\"Person.name\":\"Rihal, Charanjit S.\"},{\"Person.name\":\"Saito, Shigeru\"},{\"Person.name\":\"Kobayashi, Yoshio\"},{\"Person.name\":\"Lüscher, Thomas F.\"},{\"Person.name\":\"Gili, Sebastiano\"},{\"Person.name\":\"Ruschitzka, Frank\"},{\"Person.name\":\"Shimizu, Wataru\"},{\"Person.name\":\"Ghadri, Jelena R.\"},{\"Person.name\":\"Templin, Christian\"},{\"Person.name\":\"Seifert, Burkhardt\"},{\"Person.name\":\"Wakita, Masaki\"},{\"Person.name\":\"Suzuki, Noriko\"},{\"Person.name\":\"Citro, Rodolfo\"},{\"Person.name\":\"Bossone, Eduardo\"},{\"Person.name\":\"Heiner, Susanne\"},{\"Person.name\":\"Knorr, Maike\"},{\"Person.name\":\"Jansen, Thomas\"},{\"Person.name\":\"Münzel, Thomas\"},{\"Person.name\":\"D’Ascenzo, Fabrizio\"},{\"Person.name\":\"Franke, Jennifer\"},{\"Person.name\":\"Sorici-Barb, Ioana\"},{\"Person.name\":\"Katus, Hugo A.\"},{\"Person.name\":\"Sarcon, Annahita\"},{\"Person.name\":\"Shinbane, Jerold\"},{\"Person.name\":\"Napp, L. Christian\"},{\"Person.name\":\"Bauersachs, Johann\"},{\"Person.name\":\"Jaguszewski, Milosz\"},{\"Person.name\":\"Shiomura, Reiko\"},{\"Person.name\":\"Nakamura, Shunichi\"},{\"Person.name\":\"Takano, Hitoshi\"},{\"Person.name\":\"Noutsias, Michel\"},{\"Person.name\":\"Burgdorf, Christof\"},{\"Person.name\":\"Ishibashi, Iwao\"},{\"Person.name\":\"Himi, Toshiharu\"},{\"Person.name\":\"Koenig, Wolfgang\"},{\"Person.name\":\"Schunkert, Heribert\"},{\"Person.name\":\"Thiele, Holger\"},{\"Person.name\":\"Kherad, Behrouz\"},{\"Person.name\":\"Tschöpe, Carsten\"},{\"Person.name\":\"Pieske, Burkert M.\"},{\"Person.name\":\"Rajan, Lawrence\"},{\"Person.name\":\"Michels, Guido\"},{\"Person.name\":\"Pfister, Roman\"},{\"Person.name\":\"Mizuno, Shingo\"},{\"Person.name\":\"Cuneo, Alessandro\"},{\"Person.name\":\"Jacobshagen, Claudius\"},{\"Person.name\":\"Hasenfuß, Gerd\"},{\"Person.name\":\"Karakas, Mahir\"},{\"Person.name\":\"Mochizuki, Hiroki\"},{\"Person.name\":\"Pott, Alexander\"},{\"Person.name\":\"Rottbauer, Wolfgang\"},{\"Person.name\":\"Said, Samir M.\"},{\"Person.name\":\"Braun-Dullaeus, Ruediger C.\"},{\"Person.name\":\"Banning, Adrian\"},{\"Person.name\":\"Isogai, Toshiaki\"},{\"Person.name\":\"Kimura, Akihisa\"},{\"Person.name\":\"Cuculi, Florim\"},{\"Person.name\":\"Kobza, Richard\"},{\"Person.name\":\"Fischer, Thomas A.\"},{\"Person.name\":\"Vasankari, Tuija\"},{\"Person.name\":\"Airaksinen, K. E. Juhani\"},{\"Person.name\":\"Tomita, Yasuhiro\"},{\"Person.name\":\"Budnik, Monika\"},{\"Person.name\":\"Opolski, Grzegorz\"},{\"Person.name\":\"Dworakowski, Rafal\"},{\"Person.name\":\"MacCarthy, Philip\"},{\"Person.name\":\"Kaiser, Christoph\"},{\"Person.name\":\"Osswald, Stefan\"},{\"Person.name\":\"Galiuto, Leonarda\"},{\"Person.name\":\"Crea, Filippo\"},{\"Person.name\":\"Dichtl, Wolfgang\"},{\"Person.name\":\"Murakami, Tsutomu\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| datacite.creators.creator.creatorName.fl_str_mv | Imori, Yoichi Kato, Ken Cammann, Victoria L. Szawan, Konrad A. Wischnewsky, Manfred Dreiding, Sara Würdinger, Michael Schönberger, Maximilian Petkova, Vanya Niederseer, David Levinson, Rena A. Ikari, Yuji Empen, Klaus Beug, Daniel Felix, Stephan B. Delmas, Clément Lairez, Olivier Yamaguchi, Tetsuo El-Battrawy, Ibrahim Akin, Ibrahim Borggrefe, Martin Carrilho-Ferreira, Pedro Horowitz, John D. Kozel, Martin Tousek, Petr Widimský, Petr Gilyarova, Ekaterina Shilova, Alexandra Gilyarov, Mikhail Neuhaus, Michael Meyer, Philippe Arroja, Jose David Pinto, Fausto J. Chan, Christina Bridgman, Paul Galuszka, Jan Poglajen, Gregor Hauck, Christian Maier, Lars S. Liu, Kan Di Mario, Carlo Paolini, Carla Bilato, Claudio Bianco, Matteo Jörg, Lucas Di Vece, Davide Rickli, Hans Winchester, David E. Ukena, Christian Böhm, Michael Bax, Jeroen J. Prasad, Abhiram Rihal, Charanjit S. Saito, Shigeru Kobayashi, Yoshio Lüscher, Thomas F. Gili, Sebastiano Ruschitzka, Frank Shimizu, Wataru Ghadri, Jelena R. Templin, Christian Seifert, Burkhardt Wakita, Masaki Suzuki, Noriko Citro, Rodolfo Bossone, Eduardo Heiner, Susanne Knorr, Maike Jansen, Thomas Münzel, Thomas D’Ascenzo, Fabrizio Franke, Jennifer Sorici-Barb, Ioana Katus, Hugo A. Sarcon, Annahita Shinbane, Jerold Napp, L. Christian Bauersachs, Johann Jaguszewski, Milosz Shiomura, Reiko Nakamura, Shunichi Takano, Hitoshi Noutsias, Michel Burgdorf, Christof Ishibashi, Iwao Himi, Toshiharu Koenig, Wolfgang Schunkert, Heribert Thiele, Holger Kherad, Behrouz Tschöpe, Carsten Pieske, Burkert M. Rajan, Lawrence Michels, Guido Pfister, Roman Mizuno, Shingo Cuneo, Alessandro Jacobshagen, Claudius Hasenfuß, Gerd Karakas, Mahir Mochizuki, Hiroki Pott, Alexander Rottbauer, Wolfgang Said, Samir M. Braun-Dullaeus, Ruediger C. Banning, Adrian Isogai, Toshiaki Kimura, Akihisa Cuculi, Florim Kobza, Richard Fischer, Thomas A. Vasankari, Tuija Airaksinen, K. E. Juhani Tomita, Yasuhiro Budnik, Monika Opolski, Grzegorz Dworakowski, Rafal MacCarthy, Philip Kaiser, Christoph Osswald, Stefan Galiuto, Leonarda Crea, Filippo Dichtl, Wolfgang Murakami, Tsutomu |
| datacite.date.Accepted.fl_str_mv | 2021-01-01T00:00:00Z |
| datacite.date.available.fl_str_mv | 2021-05-26T10:26:48Z |
| datacite.date.embargoed.fl_str_mv | 2021-05-26T10:26:48Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Broken heart syndrome Ethnicity Race Takotsubo syndrome. |
| datacite.titles.title.fl_str_mv | Ethnic comparison in takotsubo syndrome : novel insights from the International Takotsubo Registry |
| dc.contributor.none.fl_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| dc.creator.none.fl_str_mv | Imori, Yoichi Kato, Ken Cammann, Victoria L. Szawan, Konrad A. Wischnewsky, Manfred Dreiding, Sara Würdinger, Michael Schönberger, Maximilian Petkova, Vanya Niederseer, David Levinson, Rena A. Ikari, Yuji Empen, Klaus Beug, Daniel Felix, Stephan B. Delmas, Clément Lairez, Olivier Yamaguchi, Tetsuo El-Battrawy, Ibrahim Akin, Ibrahim Borggrefe, Martin Carrilho-Ferreira, Pedro Horowitz, John D. Kozel, Martin Tousek, Petr Widimský, Petr Gilyarova, Ekaterina Shilova, Alexandra Gilyarov, Mikhail Neuhaus, Michael Meyer, Philippe Arroja, Jose David Pinto, Fausto J. Chan, Christina Bridgman, Paul Galuszka, Jan Poglajen, Gregor Hauck, Christian Maier, Lars S. Liu, Kan Di Mario, Carlo Paolini, Carla Bilato, Claudio Bianco, Matteo Jörg, Lucas Di Vece, Davide Rickli, Hans Winchester, David E. Ukena, Christian Böhm, Michael Bax, Jeroen J. Prasad, Abhiram Rihal, Charanjit S. Saito, Shigeru Kobayashi, Yoshio Lüscher, Thomas F. Gili, Sebastiano Ruschitzka, Frank Shimizu, Wataru Ghadri, Jelena R. Templin, Christian Seifert, Burkhardt Wakita, Masaki Suzuki, Noriko Citro, Rodolfo Bossone, Eduardo Heiner, Susanne Knorr, Maike Jansen, Thomas Münzel, Thomas D’Ascenzo, Fabrizio Franke, Jennifer Sorici-Barb, Ioana Katus, Hugo A. Sarcon, Annahita Shinbane, Jerold Napp, L. Christian Bauersachs, Johann Jaguszewski, Milosz Shiomura, Reiko Nakamura, Shunichi Takano, Hitoshi Noutsias, Michel Burgdorf, Christof Ishibashi, Iwao Himi, Toshiharu Koenig, Wolfgang Schunkert, Heribert Thiele, Holger Kherad, Behrouz Tschöpe, Carsten Pieske, Burkert M. Rajan, Lawrence Michels, Guido Pfister, Roman Mizuno, Shingo Cuneo, Alessandro Jacobshagen, Claudius Hasenfuß, Gerd Karakas, Mahir Mochizuki, Hiroki Pott, Alexander Rottbauer, Wolfgang Said, Samir M. Braun-Dullaeus, Ruediger C. Banning, Adrian Isogai, Toshiaki Kimura, Akihisa Cuculi, Florim Kobza, Richard Fischer, Thomas A. Vasankari, Tuija Airaksinen, K. E. Juhani Tomita, Yasuhiro Budnik, Monika Opolski, Grzegorz Dworakowski, Rafal MacCarthy, Philip Kaiser, Christoph Osswald, Stefan Galiuto, Leonarda Crea, Filippo Dichtl, Wolfgang Murakami, Tsutomu |
| dc.date.Accepted.fl_str_mv | 2021-01-01T00:00:00Z |
| dc.date.available.fl_str_mv | 2021-05-26T10:26:48Z |
| dc.date.embargoed.fl_str_mv | 2021-05-26T10:26:48Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10451/48178 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Springer Nature |
| dc.rights.cclincense.fl_str_mv | http://creativecommons.org/licenses/by/4.0/ |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | Broken heart syndrome Ethnicity Race Takotsubo syndrome. |
| dc.title.fl_str_mv | Ethnic comparison in takotsubo syndrome : novel insights from the International Takotsubo Registry |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| 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. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | article |
| fulltext.url.fl_str_mv | https://repositorio.ulisboa.pt/bitstreams/c187646c-12d2-454f-be2c-381e32bbe555/download |
| id | ul_de9a945aef24840e5d64656d3b756f6e |
| identifier.url.fl_str_mv | http://hdl.handle.net/10451/48178 |
| instacron_str | ul |
| institution | Universidade de Lisboa |
| instname_str | Universidade de Lisboa |
| language | eng |
| network_acronym_str | ul |
| network_name_str | Repositório da Universidade de Lisboa |
| oai_identifier_str | oai:repositorio.ulisboa.pt:10451/48178 |
| organization_str_mv | urn:organizationAcronym:ul |
| person_str_mv | Imori, Yoichi Kato, Ken Cammann, Victoria L. Szawan, Konrad A. Wischnewsky, Manfred Dreiding, Sara Würdinger, Michael Schönberger, Maximilian Petkova, Vanya Niederseer, David Levinson, Rena A. Ikari, Yuji Empen, Klaus Beug, Daniel Felix, Stephan B. Delmas, Clément Lairez, Olivier Yamaguchi, Tetsuo El-Battrawy, Ibrahim Akin, Ibrahim Borggrefe, Martin Carrilho-Ferreira, Pedro Carrilho-Ferreira, Pedro http://orcid.org/0000-0003-2008-1496 0000-0003-2008-1496 Horowitz, John D. Kozel, Martin Tousek, Petr Widimský, Petr Gilyarova, Ekaterina Shilova, Alexandra Gilyarov, Mikhail Neuhaus, Michael Meyer, Philippe Arroja, Jose David Pinto, Fausto J. Pinto, Fausto J. https://www.ciencia-id.pt/C311-AEDD-6DBB C311-AEDD-6DBB http://orcid.org/0000-0002-8034-4529 0000-0002-8034-4529 Chan, Christina Bridgman, Paul Galuszka, Jan Poglajen, Gregor Hauck, Christian Maier, Lars S. Liu, Kan Di Mario, Carlo Paolini, Carla Bilato, Claudio Bianco, Matteo Jörg, Lucas Di Vece, Davide Rickli, Hans Winchester, David E. Ukena, Christian Böhm, Michael Bax, Jeroen J. Prasad, Abhiram Rihal, Charanjit S. Saito, Shigeru Kobayashi, Yoshio Lüscher, Thomas F. Gili, Sebastiano Ruschitzka, Frank Shimizu, Wataru Ghadri, Jelena R. Templin, Christian Seifert, Burkhardt Wakita, Masaki Suzuki, Noriko Citro, Rodolfo Bossone, Eduardo Heiner, Susanne Knorr, Maike Jansen, Thomas Münzel, Thomas D’Ascenzo, Fabrizio Franke, Jennifer Sorici-Barb, Ioana Katus, Hugo A. Sarcon, Annahita Shinbane, Jerold Napp, L. Christian Bauersachs, Johann Jaguszewski, Milosz Shiomura, Reiko Nakamura, Shunichi Takano, Hitoshi Noutsias, Michel Burgdorf, Christof Ishibashi, Iwao Himi, Toshiharu Koenig, Wolfgang Schunkert, Heribert Thiele, Holger Kherad, Behrouz Tschöpe, Carsten Pieske, Burkert M. Rajan, Lawrence Michels, Guido Pfister, Roman Mizuno, Shingo Cuneo, Alessandro Jacobshagen, Claudius Hasenfuß, Gerd Karakas, Mahir Mochizuki, Hiroki Pott, Alexander Rottbauer, Wolfgang Said, Samir M. Braun-Dullaeus, Ruediger C. Banning, Adrian Isogai, Toshiaki Kimura, Akihisa Cuculi, Florim Kobza, Richard Fischer, Thomas A. Vasankari, Tuija Airaksinen, K. E. Juhani Tomita, Yasuhiro Budnik, Monika Opolski, Grzegorz Dworakowski, Rafal MacCarthy, Philip Kaiser, Christoph Osswald, Stefan Galiuto, Leonarda Crea, Filippo Dichtl, Wolfgang Murakami, Tsutomu |
| publishDate | 2021 |
| publisher.none.fl_str_mv | Springer Nature |
| reponame_str | Repositório da Universidade de Lisboa |
| repository_id_str | urn:repositoryAcronym:ul |
| service_str_mv | urn:repositoryAcronym:ul |
| spelling | engSpringer Naturept_PTBackground: 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.application/pdfpt_PTEthnic comparison in takotsubo syndrome : novel insights from the International Takotsubo RegistryImori, YoichiKato, KenCammann, Victoria L.Szawan, Konrad A.Wischnewsky, ManfredDreiding, SaraWürdinger, MichaelSchönberger, MaximilianPetkova, VanyaNiederseer, DavidLevinson, Rena A.Ikari, YujiEmpen, KlausBeug, DanielFelix, Stephan B.Delmas, ClémentLairez, OlivierYamaguchi, TetsuoEl-Battrawy, IbrahimAkin, IbrahimBorggrefe, MartinPersonalCarrilho-Ferreira, PedroDSpacehttp://dspace.org/items/add7664c-b062-4d11-be74-e8802d7c4258DSpacehttp://dspace.org/items/add7664c-b062-4d11-be74-e8802d7c4258Carrilho-FerreiraPedroORCIDhttp://orcid.org0000-0003-2008-1496Horowitz, John D.Kozel, MartinTousek, PetrWidimský, PetrGilyarova, EkaterinaShilova, AlexandraGilyarov, MikhailNeuhaus, MichaelMeyer, PhilippeArroja, Jose DavidPersonalPinto, Fausto J.DSpacehttp://dspace.org/items/5f44176f-69f5-482c-83cd-ab94425a6ec3DSpacehttp://dspace.org/items/5f44176f-69f5-482c-83cd-ab94425a6ec3PintoFausto J.Ciência IDhttps://www.ciencia-id.ptC311-AEDD-6DBBORCIDhttp://orcid.org0000-0002-8034-4529Researcher IDhttps://www.researcherid.comG-9363-2015Researcher IDhttps://www.researcherid.comGQA-4584-2022Scopus Author IDhttps://www.scopus.com7102740158Chan, ChristinaBridgman, PaulGaluszka, JanPoglajen, GregorHauck, ChristianMaier, Lars S.Liu, KanDi Mario, CarloPaolini, CarlaBilato, ClaudioBianco, MatteoJörg, LucasDi Vece, DavideRickli, HansWinchester, David E.Ukena, ChristianBöhm, MichaelBax, Jeroen J.Prasad, AbhiramRihal, Charanjit S.Saito, ShigeruKobayashi, YoshioLüscher, Thomas F.Gili, SebastianoRuschitzka, FrankShimizu, WataruGhadri, Jelena R.Templin, ChristianSeifert, BurkhardtWakita, MasakiSuzuki, NorikoCitro, RodolfoBossone, EduardoHeiner, SusanneKnorr, MaikeJansen, ThomasMünzel, ThomasD’Ascenzo, FabrizioFranke, JenniferSorici-Barb, IoanaKatus, Hugo A.Sarcon, AnnahitaShinbane, JeroldNapp, L. ChristianBauersachs, JohannJaguszewski, MiloszShiomura, ReikoNakamura, ShunichiTakano, HitoshiNoutsias, MichelBurgdorf, ChristofIshibashi, IwaoHimi, ToshiharuKoenig, WolfgangSchunkert, HeribertThiele, HolgerKherad, BehrouzTschöpe, CarstenPieske, Burkert M.Rajan, LawrenceMichels, GuidoPfister, RomanMizuno, ShingoCuneo, AlessandroJacobshagen, ClaudiusHasenfuß, GerdKarakas, MahirMochizuki, HirokiPott, AlexanderRottbauer, WolfgangSaid, Samir M.Braun-Dullaeus, Ruediger C.Banning, AdrianIsogai, ToshiakiKimura, AkihisaCuculi, FlorimKobza, RichardFischer, Thomas A.Vasankari, TuijaAiraksinen, K. E. JuhaniTomita, YasuhiroBudnik, MonikaOpolski, GrzegorzDworakowski, RafalMacCarthy, PhilipKaiser, ChristophOsswald, StefanGaliuto, LeonardaCrea, FilippoDichtl, WolfgangMurakami, TsutomuHostingInstitutionOrganizationalRepositório Científico de Acesso Aberto da ULisboae-mailmailto:repositorio@reitoria.ulisboa.ptrepositorio@reitoria.ulisboa.ptISSNIsPartOf1861-0684DOIIsPartOf10.1007/s00392-021-01857-42021-05-26T10:26:48Z20212021-01-01T00:00:00ZHandlehttp://hdl.handle.net/10451/48178http://purl.org/coar/access_right/c_abf2open accessBroken heart syndromeEthnicityRaceTakotsubo syndrome.1388675 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal article2021http://creativecommons.org/licenses/by/4.0/http://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://repositorio.ulisboa.pt/bitstreams/c187646c-12d2-454f-be2c-381e32bbe555/downloadClinical Research in Cardiology |
| spellingShingle | Ethnic comparison in takotsubo syndrome : novel insights from the International Takotsubo Registry Ethnic comparison in takotsubo syndrome : novel insights from the International Takotsubo Registry Imori, Yoichi Broken heart syndrome Ethnicity Race Takotsubo syndrome. Imori, Yoichi Broken heart syndrome Ethnicity Race Takotsubo syndrome. |
| status | SINGLETON |
| subject.fl_str_mv | Broken heart syndrome Ethnicity Race Takotsubo syndrome. |
| title | Ethnic comparison in takotsubo syndrome : novel insights from the International Takotsubo Registry |
| title_full | Ethnic comparison in takotsubo syndrome : novel insights from the International Takotsubo Registry |
| title_fullStr | Ethnic comparison in takotsubo syndrome : novel insights from the International Takotsubo Registry Ethnic comparison in takotsubo syndrome : novel insights from the International Takotsubo Registry |
| title_full_unstemmed | Ethnic comparison in takotsubo syndrome : novel insights from the International Takotsubo Registry Ethnic comparison in takotsubo syndrome : novel insights from the International Takotsubo Registry |
| title_short | Ethnic comparison in takotsubo syndrome : novel insights from the International Takotsubo Registry |
| title_sort | Ethnic comparison in takotsubo syndrome : novel insights from the International Takotsubo Registry |
| topic | Broken heart syndrome Ethnicity Race Takotsubo syndrome. |
| topic_facet | Broken heart syndrome Ethnicity Race Takotsubo syndrome. |
| url | http://hdl.handle.net/10451/48178 |
| visible | 1 |