Drugs as Possible Triggers of Takotsubo Cardiomyopathy- Update 2022: Systematic Review.

Curr Vasc Pharmacol

Grupo de Investigación, Promoción y Prevención Farmacéutica, Departamento de Farmacia, Facultad de Ciencias Farmacéuticas y Alimentarias, Universidad de Antioquia, Medellín, Colombia.

Published: November 2023

AI Article Synopsis

  • A review was conducted to update the list of drugs that can cause takotsubo cardiomyopathy (TCM), a condition often linked to stress and emotional triggers.
  • From April 2015 to May 2022, 184 manuscripts were reviewed, leading to the identification of 39 articles that recognized drugs associated with TCM, revealing a total of 72 drugs in this updated list.
  • While some of the identified drugs are known to cause sympathetic overstimulation, others in the list do not clearly correlate with this mechanism, indicating a need for further research.

Article Abstract

Background: A list of drugs that can induce takotsubo cardiomyopathy (TCM) was published in 2011 and 2016. The aim of the present review was to update this list.

Methods: Similar to the 2011 and 2016 reviews, from April 2015 to May 2022 case reports of druginduced TCM were identified by a comprehensive search in Medline/PubMed database. The search terms were: takotsubo cardiomyopathy, tako-tsubo cardiomyopathy, stress cardiomyopathy, transientleft- ventricular ballooning syndrome, apical ballooning syndrome, ampulla cardiomyopathy OR broken heart syndrome; together with "iatrogenic", "induced by" OR "drug-induced". Registers published in English or Spanish, in humans, and with full texts were retrieved. Articles that recognized any drug associated with the development of TCM were selected.

Results: Overall, 184 manuscripts were identified by the search. A total of 39 articles were included after an exhaustive revision. Eighteen drugs as possible triggers of TCM were identified in the current update. Of them, 3 (16.7%) have been previously identified, and 15 (83.3%) are different from the previous reports. Thus, the list of drugs as possible triggers of TCM updated in 2022 includes 72 drugs.

Conclusion: There are new case reports that link drugs with the development of TCM. The current list is principally made up of drugs that generate sympathetic overstimulation. However, some of the listed drugs do not have a clear link with sympathetic activation.

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Source
http://dx.doi.org/10.2174/1570161121666230517121037DOI Listing

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