Predictive value of QRS duration at admission for in-hospital clinical outcome of Takotsubo cardiomyopathy

Tetsuo Yamaguchi, Tsutomu Yoshikawa, Toshiaki Isogai, Takamichi Miyamoto, Yuichiro Maekawa, Tetsuro Ueda, Konomi Sakata, Tsutomu Murakami, Takeshi Yamamoto, Ken Nagao, Morimasa Takayama

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6 Citations (Scopus)

Abstract

Background: Prolonged QRS duration (pQRSd) on electrocardiogram (ECG) is a strong predictor of poor outcome in heart failure, myocardial infarction, and myocarditis, but it is unclear whether pQRSd also predicts poor outcomes of takotsubo cardiomyopathy (TC). Methods and Results: Between 1 January 2010 and 31 December 2012, we retrospectively enrolled 299 patients with TC (mean age, 73.5± 11.7 years; 21.4% male) from the Tokyo CCU Network database, which consists of 71 cardiovascular centers in the metropolitan area. In-hospital clinical outcomes were compared between patients with pQRSd on admission ECG (QRS ≥120 ms; n=34) and those with normal QRS duration (<120 ms; n=265). The in-hospital mortality rate for pQRSd was significantly higher than that for normal QRS duration (23.5% vs. 3.8%, P<0.001). Similarly, prevalence of ventilator use (38.2% vs. 11.4%, P<0.001), ventricular tachycardia or fibrillation (14.7% vs. 1.5%, P<0.001), and circulatory failure requiring catecholamine or cardiopulmonary supportive devices (41.2% vs. 14.0%, P<0.001) was significantly higher in the pQRSd group. On multivariate logistic regression analysis, pQRSd was an independent predictor for both in-hospital mortality (OR, 5.06; 95% CI: 1.79–14.30, P=0.002) and cardiac death (OR, 7.34; 95% CI: 1.33–40.51, P=0.02). Conclusions: TC with pQRSd is associated with poor in-hospital clinical outcome. Aggressive intervention may be required to prevent severe complications in these patients.

Original languageEnglish
Pages (from-to)62-68
Number of pages7
JournalCirculation Journal
Volume81
Issue number1
DOIs
Publication statusPublished - 2017
Externally publishedYes

Keywords

  • Electrocardiography
  • Prolonged QRS duration
  • Takotsubo cardiomyopathy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Yamaguchi, T., Yoshikawa, T., Isogai, T., Miyamoto, T., Maekawa, Y., Ueda, T., Sakata, K., Murakami, T., Yamamoto, T., Nagao, K., & Takayama, M. (2017). Predictive value of QRS duration at admission for in-hospital clinical outcome of Takotsubo cardiomyopathy. Circulation Journal, 81(1), 62-68. https://doi.org/10.1253/circj.CJ-16-0912