The Broken Heart: The Role of Life Events in Takotsubo Syndrome

The onset of Takotsubo syndrome (TTS), also known as stress cardiomyopathy, is thought to be associated with some life events. This study focuses on clarifying life event characteristics and the role of triggers in the onset of TTS. Participants with TTS (<i>n</i> = 54) were compared to...

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Autores principales:	Maria Casagrande, Giuseppe Forte, Francesca Favieri, Francesca Agostini, Jasmine Giovannoli, Luca Arcari, Ilaria Passaseo, Raffaella Semeraro, Giovanni Camastra, Viviana Langher, Mariella Pazzaglia, Luca Cacciotti
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	acute myocardial infarction life events stress Takotsubo cardiomyopathy trigger Medicine R
Acceso en línea:	https://doaj.org/article/f78a1923356c4436ba2472e5e70a4647
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spelling	oai:doaj.org-article:f78a1923356c4436ba2472e5e70a46472021-11-11T17:34:37ZThe Broken Heart: The Role of Life Events in Takotsubo Syndrome10.3390/jcm102149402077-0383https://doaj.org/article/f78a1923356c4436ba2472e5e70a46472021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/4940https://doaj.org/toc/2077-0383The onset of Takotsubo syndrome (TTS), also known as stress cardiomyopathy, is thought to be associated with some life events. This study focuses on clarifying life event characteristics and the role of triggers in the onset of TTS. Participants with TTS (<i>n</i> = 54) were compared to those with acute myocardial infarction (AMI; <i>n</i> = 52) and healthy individuals (<i>n</i> = 54). Using a modified version of the Interview for Recent Life Events, information about general life events perceived as stressful and triggers preceding the onset of a cardiac syndrome was collected. The assessment included the impact of these events as indicated by the participants and estimated by the interviewer; finally, the objective impact was considered. Although the number of events and the objective impact did not differ among the groups, patients with TTS reported a more negative perceived impact. Moreover, 61% of these patients objectively and subjectively reported a more stressful trigger before the onset of the disease (in the 24 h preceding the cardiac event) than those reported by patients with AMI. The dynamic between life events and individual responses could help differentiate TTS from other cardiovascular events, such as AMI. This study suggests that patients’ perception of some life events (whether triggers or general life events) could represent a possible marker of TTS.Maria CasagrandeGiuseppe ForteFrancesca FavieriFrancesca AgostiniJasmine GiovannoliLuca ArcariIlaria PassaseoRaffaella SemeraroGiovanni CamastraViviana LangherMariella PazzagliaLuca CacciottiMDPI AGarticleacute myocardial infarctionlife eventsstressTakotsubo cardiomyopathytriggerMedicineRENJournal of Clinical Medicine, Vol 10, Iss 4940, p 4940 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	acute myocardial infarction life events stress Takotsubo cardiomyopathy trigger Medicine R
spellingShingle	acute myocardial infarction life events stress Takotsubo cardiomyopathy trigger Medicine R Maria Casagrande Giuseppe Forte Francesca Favieri Francesca Agostini Jasmine Giovannoli Luca Arcari Ilaria Passaseo Raffaella Semeraro Giovanni Camastra Viviana Langher Mariella Pazzaglia Luca Cacciotti The Broken Heart: The Role of Life Events in Takotsubo Syndrome
description	The onset of Takotsubo syndrome (TTS), also known as stress cardiomyopathy, is thought to be associated with some life events. This study focuses on clarifying life event characteristics and the role of triggers in the onset of TTS. Participants with TTS (<i>n</i> = 54) were compared to those with acute myocardial infarction (AMI; <i>n</i> = 52) and healthy individuals (<i>n</i> = 54). Using a modified version of the Interview for Recent Life Events, information about general life events perceived as stressful and triggers preceding the onset of a cardiac syndrome was collected. The assessment included the impact of these events as indicated by the participants and estimated by the interviewer; finally, the objective impact was considered. Although the number of events and the objective impact did not differ among the groups, patients with TTS reported a more negative perceived impact. Moreover, 61% of these patients objectively and subjectively reported a more stressful trigger before the onset of the disease (in the 24 h preceding the cardiac event) than those reported by patients with AMI. The dynamic between life events and individual responses could help differentiate TTS from other cardiovascular events, such as AMI. This study suggests that patients’ perception of some life events (whether triggers or general life events) could represent a possible marker of TTS.
format	article
author	Maria Casagrande Giuseppe Forte Francesca Favieri Francesca Agostini Jasmine Giovannoli Luca Arcari Ilaria Passaseo Raffaella Semeraro Giovanni Camastra Viviana Langher Mariella Pazzaglia Luca Cacciotti
author_facet	Maria Casagrande Giuseppe Forte Francesca Favieri Francesca Agostini Jasmine Giovannoli Luca Arcari Ilaria Passaseo Raffaella Semeraro Giovanni Camastra Viviana Langher Mariella Pazzaglia Luca Cacciotti
author_sort	Maria Casagrande
title	The Broken Heart: The Role of Life Events in Takotsubo Syndrome
title_short	The Broken Heart: The Role of Life Events in Takotsubo Syndrome
title_full	The Broken Heart: The Role of Life Events in Takotsubo Syndrome
title_fullStr	The Broken Heart: The Role of Life Events in Takotsubo Syndrome
title_full_unstemmed	The Broken Heart: The Role of Life Events in Takotsubo Syndrome
title_sort	broken heart: the role of life events in takotsubo syndrome
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/f78a1923356c4436ba2472e5e70a4647
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The Broken Heart: The Role of Life Events in Takotsubo Syndrome

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