Clinical characteristics and prognosis of stress cardiomyopathy in Central Jiangsu Province
Tang Binhong
Gu Xiang
Zhu Ye
Abstract：Objective To analyze the clinical characteristics and long-term prognosis of patients with stress cardiomyopathy in Central Jiangsu Province.Methods Twenty stress cardiomyopathy patients with identified emotional/physical stress triggers admitted to Northern Jiangsu People's Hospital from October 2013 to August 2023 were enrolled in this study.All of them were followed up regularly after their clinical data were collected.Occurrence of recurrence,death and other ad-verse events were recorded.Two patients died,1 patient requested to be transferred to a superior hospital for treatment on the 3rd day.The blood biochemical indicators of the remaining 17 pa-tients were compared before discharge and admission.Results The levels of cTnI,creatine kinase isoenzymes,N-terminal B-type natriuretic peptide precursor(NT-proBNP),C-reactive protein,as-partate aminotransferase,alanine aminotransferase,alkaline phosphatase,TG,TC and LDL-C,and WBC count were obviously decreased,while HDL-C and hemoglobin levels and RBC count were significantly increased in the stress cardiomyopathy patients before discharge when compared with corresponding levels at admission(P＜0.05,P＜0.01).Before discharge,echocardiography indica-ted significant decreases were observed in left atrial diameter,left ventricular end-diastolic diame-ter,left ventricular end-systolic diameter,LVEF,and left ventricular short axis shortening rate when compared with the values at admission(P＜0.05,P＜0.01).There were 17 cases undergoing coronary angiography.During the follow-up period for 3.45±1.47 years,only 1 case relapsed and the other 16 cases improved,and echocardiography displayed that the abnormal ventricular wall motion disappeared.Conclusion Segmental wall motion abnormalities are common in the early stage of stress cardiomyopathy,accompanied by abnormal heart function.After active treatment,abnormal wall motion can disappear and heart function can be restored.Therefore,clinicians should emphasize symptomatic treatment and pay attention to surveillance for recurrence during follow-up period.
Keywords：takotsubo cardiomyopathyprognosisechocardiographyangiographytroponin ⅠJian-gsu Province
Publication Date：2024-04-15
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 364-367 )