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The GRACE Scale in the Prognosis of Patients with Takotsubo Syndrome
المؤلفون المشاركون
Bachorzewska-Gajewska, Hanna
Dobrzycki, Slawomir
Zalewska-Adamiec, Malgorzata
Kuzma, Lukasz
المصدر
Journal of Interventional Cardiology
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-04-25
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background.
The prognosis of Takotsubo syndrome (TTS) is comparable to that of the non-ST-elevation myocardial infarction (NSTEMI).
The GRACE scale is used to assess the risk of premature and long-term mortality in patients with NSTEMI in order to select the most favorable treatment strategy.
Methods.
101 patients with TTS hospitalized in four centers of invasive cardiology in Podlaskie Voivodeship during the period 2008–2012 were included in the study.
The patients were divided into two groups: I—52 patients (GRACE ≤ 140 points) and II—49 patients (GRACE > 140 points).
Results.
The mean GRACE score in the study group was 138.66.
The in-hospital stay of Takotsubo in the patients with higher GRACE scores was associated with higher incidence of pneumonia (36.7% vs 7.69%, p=0.0004), rhythm abnormalities (17.3% vs 3.85%, p=0.026), and serious complications (cardiogenic shock, pulmonary edema, and sudden cardiac arrest) (30.6% vs 5.77%, p=0.001).
The mean observation period was 7.2 years.
A significantly higher risk of 6-month (18.37% vs 3.85%, p=0.019), 1-year (22.45 vs 3.85%, p=0.005), 3-year (40.82 vs 3.85%, p<0.0001), 5-year (42.86% vs 3.85%, p<0.0001), and 7-year mortalities (53.06% vs 9.62%, p<0.0001) was observed in the group of patients with a GRACE score ≥140.
At multivariate analysis including low BMI, low eGFR, and a higher GRACE score, all these factors were independent predictor of death (p=0.042; p=0.010; p=0.041).
The ROC curve presents the discriminatory scores of the GRACE scale for the follow-up prognostication.
The area under ROC curve (AUC) for the GRACE scale was 0.805 (95% CI: 0.718–0.892, p<0.0001), with a cut-off value of 153 points, sensitivity of 74%, and specificity of 77% for TTS.
Conclusion.
The GRACE scale is highly valuable for the prognostication of death risk in patients with TTS in the early and long-term observation.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Zalewska-Adamiec, Malgorzata& Kuzma, Lukasz& Dobrzycki, Slawomir& Bachorzewska-Gajewska, Hanna. 2020. The GRACE Scale in the Prognosis of Patients with Takotsubo Syndrome. Journal of Interventional Cardiology،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1187778
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Zalewska-Adamiec, Malgorzata…[et al.]. The GRACE Scale in the Prognosis of Patients with Takotsubo Syndrome. Journal of Interventional Cardiology No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1187778
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Zalewska-Adamiec, Malgorzata& Kuzma, Lukasz& Dobrzycki, Slawomir& Bachorzewska-Gajewska, Hanna. The GRACE Scale in the Prognosis of Patients with Takotsubo Syndrome. Journal of Interventional Cardiology. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1187778
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1187778
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
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