Takotsubo Cardiomyopathy and Autoimmune Disorders: A Systematic Scoping Review of Published Cases

Introduction. Takotsubo cardiomyopathy (TCM) features transient left ventricular apical dysfunction or ballooning. The underlying mechanism remains elusive; however, evidence suggests the role of different physical and psychological stressors. We systematically reviewed patients presenting with TCM...

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Main Authors: Mohsen Farjoud Kouhanjani, Seyed Ali Hosseini, Seyedeh Maryam Mousavi, Zahra Noroozi, Paniz Sadeghi, Armita Jokar-Derisi, Mohammad Saleh Jamshidi Mouselou, Meysam Ahmadi, Armin Attar
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:International Journal of Clinical Practice
Online Access:http://dx.doi.org/10.1155/2024/7259200
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author Mohsen Farjoud Kouhanjani
Seyed Ali Hosseini
Seyedeh Maryam Mousavi
Zahra Noroozi
Paniz Sadeghi
Armita Jokar-Derisi
Mohammad Saleh Jamshidi Mouselou
Meysam Ahmadi
Armin Attar
author_facet Mohsen Farjoud Kouhanjani
Seyed Ali Hosseini
Seyedeh Maryam Mousavi
Zahra Noroozi
Paniz Sadeghi
Armita Jokar-Derisi
Mohammad Saleh Jamshidi Mouselou
Meysam Ahmadi
Armin Attar
author_sort Mohsen Farjoud Kouhanjani
collection DOAJ
description Introduction. Takotsubo cardiomyopathy (TCM) features transient left ventricular apical dysfunction or ballooning. The underlying mechanism remains elusive; however, evidence suggests the role of different physical and psychological stressors. We systematically reviewed patients presenting with TCM and autoimmunity to explore the link between the two conditions. Methods. We applied the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) to report this review. Using keywords related to autoimmune/immune-mediated diseases and TCM, we searched PubMed, Scopus, and WOS in March 2022. The final results were added to a data extraction sheet. Data were analyzed by SPSS version 26.0. Results. Our search yielded 121 studies, including 155 patients. Females were considerably predominant. Most patients had a history of autoimmune disease, and almost a third had a history of cardiovascular disease. Dyspnea and chest pain were the most common chief complaints. More than 70% of patients had experienced physical stress. Myasthenia gravis, systemic lupus erythematosus, and multiple sclerosis were the most frequently reported autoimmune diseases. Conclusion. There were similarities in age and sex compared to classic TCM. TCM should be considered as a differential diagnosis for ACS, especially in patients with a positive background of autoimmunity. A precise reporting system is required for further studies.
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spelling doaj-art-40e2322d83ac4106b1fb2dbb4a20b7fa2025-02-03T05:55:28ZengWileyInternational Journal of Clinical Practice1742-12412024-01-01202410.1155/2024/7259200Takotsubo Cardiomyopathy and Autoimmune Disorders: A Systematic Scoping Review of Published CasesMohsen Farjoud Kouhanjani0Seyed Ali Hosseini1Seyedeh Maryam Mousavi2Zahra Noroozi3Paniz Sadeghi4Armita Jokar-Derisi5Mohammad Saleh Jamshidi Mouselou6Meysam Ahmadi7Armin Attar8Clinical Microbiology Research CenterSchool of MedicineSchool of MedicineSchool of MedicineSchool of MedicineStudent Research CommitteeStudent Research CommitteeSchool of MedicineDepartment of CardiologyIntroduction. Takotsubo cardiomyopathy (TCM) features transient left ventricular apical dysfunction or ballooning. The underlying mechanism remains elusive; however, evidence suggests the role of different physical and psychological stressors. We systematically reviewed patients presenting with TCM and autoimmunity to explore the link between the two conditions. Methods. We applied the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) to report this review. Using keywords related to autoimmune/immune-mediated diseases and TCM, we searched PubMed, Scopus, and WOS in March 2022. The final results were added to a data extraction sheet. Data were analyzed by SPSS version 26.0. Results. Our search yielded 121 studies, including 155 patients. Females were considerably predominant. Most patients had a history of autoimmune disease, and almost a third had a history of cardiovascular disease. Dyspnea and chest pain were the most common chief complaints. More than 70% of patients had experienced physical stress. Myasthenia gravis, systemic lupus erythematosus, and multiple sclerosis were the most frequently reported autoimmune diseases. Conclusion. There were similarities in age and sex compared to classic TCM. TCM should be considered as a differential diagnosis for ACS, especially in patients with a positive background of autoimmunity. A precise reporting system is required for further studies.http://dx.doi.org/10.1155/2024/7259200
spellingShingle Mohsen Farjoud Kouhanjani
Seyed Ali Hosseini
Seyedeh Maryam Mousavi
Zahra Noroozi
Paniz Sadeghi
Armita Jokar-Derisi
Mohammad Saleh Jamshidi Mouselou
Meysam Ahmadi
Armin Attar
Takotsubo Cardiomyopathy and Autoimmune Disorders: A Systematic Scoping Review of Published Cases
International Journal of Clinical Practice
title Takotsubo Cardiomyopathy and Autoimmune Disorders: A Systematic Scoping Review of Published Cases
title_full Takotsubo Cardiomyopathy and Autoimmune Disorders: A Systematic Scoping Review of Published Cases
title_fullStr Takotsubo Cardiomyopathy and Autoimmune Disorders: A Systematic Scoping Review of Published Cases
title_full_unstemmed Takotsubo Cardiomyopathy and Autoimmune Disorders: A Systematic Scoping Review of Published Cases
title_short Takotsubo Cardiomyopathy and Autoimmune Disorders: A Systematic Scoping Review of Published Cases
title_sort takotsubo cardiomyopathy and autoimmune disorders a systematic scoping review of published cases
url http://dx.doi.org/10.1155/2024/7259200
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