Publications by authors named "J Enriquez de Salamanca"

Unlabelled: Introduction y objectives: Tako-tsubo syndrome (TTS) is a cardiac condition that mimics acute coronary syndrome, characterized by transient left ventricular dysfunction in the absence of culprit coronary artery stenosis. Although its etiology remains unknown, reversible microvascular dysfunction secondary to an adrenergic surge is thought to play a role. Treatment is empirical, although most patients receive beta-blockers (BB) in clinical practice.

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Article Synopsis
  • A study analyzed 412 patients with Takotsubo syndrome who experienced cardiogenic shock, revealing that 17.2% of these patients were men.
  • Men were generally older, had higher smoking rates, and showed worse heart function and longer hospital stays compared to women.
  • Despite differences in health conditions during hospitalization, sex did not significantly affect short- or long-term mortality rates in these patients.
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Background: Cardiogenic shock (CS) complicates Takotsubo syndrome (TTS), significantly affecting patient outcomes. Since avoiding catecholamines, particularly inotropic agents, is recommended in TTS, temporary mechanical circulatory support (MCS) shows promise as a bridge to recovery. However, there is no prospective data on its use in TTS.

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  • Differentiating tachycardia-induced cardiomyopathy (TIC) from dilated cardiomyopathy (DCM) is difficult for patients with heart failure (HF) and left ventricular dysfunction caused by supraventricular tachyarrhythmia (SVT).
  • A study analyzed 43 patients admitted for HF due to SVT; those whose left ventricular ejection fraction (LVEF) improved were classified as TIC, while those with persistent low LVEF were classified as DCM.
  • Key findings showed that diabetes, late gadolinium enhancement (LGE), low left ventricular peak systolic velocity, and specific right ventricular displacement measurements could help predict LVEF recovery and distinguish between TIC
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