Left ventricular global longitudinal strain assessment in patients with Takotsubo Cardiomyopathy: a call for an echocardiography-based classification. (Record no. 6059)

MARC details
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fixed length control field 03193nam a22004097a 4500
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fixed length control field 210217s20212021 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0026-4725
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.23736/S0026-4725.20.05386-4 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S0026-4725.20.05386-4 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 33427420
245 ## - TITLE STATEMENT
Title Left ventricular global longitudinal strain assessment in patients with Takotsubo Cardiomyopathy: a call for an echocardiography-based classification.
251 ## - Source
Source Minerva Cardioangiologica. 2021 Jan 11
252 ## - Abbreviated Source
Abbreviated source Minerva Cardioangiol. 2021 Jan 11
253 ## - Journal Name
Journal name Minerva cardioangiologica
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2021
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2021
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
266 ## - Date added to catalog
Date added to catalog 2021-02-17
520 ## - SUMMARY, ETC.
Abstract BACKGROUND: Takotsubo Cardiomyopathy (TTC) is classified into 4 types dependent on anatomical area affected identified on gross visual assessment. We have sought to understand if it is feasible and advantageous to use left ventricular global longitudinal strain (LVGLS), LV segmental longitudinal strain and right ventricle free wall strain (RVFWS) to classify TTC.
520 ## - SUMMARY, ETC.
Abstract CONCLUSIONS: A new classification of TCC based on strain analysis should be developed. The traditional model is arbitrary; it fails to recognize that in most patients the entire LV is affect, it does not have prognostic significance and the most prevalent typical variant indicates apical involvement. Our study suggests that the entire LV is affected, and strain analysis has prognostic significance.
520 ## - SUMMARY, ETC.
Abstract METHODS: We conducted a retrospective observational study on twenty-five patients who meet the Modified Mayo Clinic Criteria for TTC [1]. Two independent reviewers performed strain analysis, they were both blinded to patient's diagnosed classification and outcomes.
520 ## - SUMMARY, ETC.
Abstract RESULTS: Based on classification by traditional assessment the 92% (n=23) were diagnosed with typical TTC, indicating apical involvement. The entire LV was affected, 67% (n=16) had abnormal strain (STE>-18) in all three LV regions (base, mid ventricle and apex). 71% of patients (n=17) had abnormal LVGLS (>-18). Abnormal strain across all three LV regions was associated with higher prevalence (70%, n=8 Vs 30%, n=4 respectively) of composite cardiovascular events and longer length of hospital stay. There was a statistically significant difference in average length of hospital stay in those patients who had abnormal strain in all three region compared to those that did not have abnormal strain across all three regions (8 days compared to 3.44 days, p value 0.02).
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Heart & Vascular Institute
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
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Local Authors Asch, Federico M
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Local Authors Forrestal, Brian John
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Local Authors Garcia-Garcia, Hector M
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Local Authors Medvedofsky, Diego
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Local Authors Reddin, Gemma
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Local Authors Singh, Manavotam
790 ## - Authors
All authors Asch FM, Campos CM, Forrestal BJ, Garcia-Garcia HM, Medvedofsky D, Reddin G, Ribeiro HB, Singh M
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.23736/S0026-4725.20.05386-4">https://dx.doi.org/10.23736/S0026-4725.20.05386-4</a>
Public note https://dx.doi.org/10.23736/S0026-4725.20.05386-4
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
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          MedStar Authors Catalog MedStar Authors Catalog 02/17/2021   33427420 33427420 02/17/2021 02/17/2021 Journal Article

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