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May 14, 2026European Heart Journal Acute Cardiovascular Care

Prognostic impact of initial left ventricular dysfunction in takotsubo syndrome: comparative analysis according to LVEF at admission

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Why the study?

The prognostic value of a reduced LVEF at admission in patients with takotsubo syndrome is not fully established.

Does LVEF <40% at admission predict worse in-hospital outcomes in patients with Takotsubo Syndrome?

Population

100 patients with TTS admitted to a CICU between 2012 and 2024

Comparison

LVEF <40% vs LVEF ≥40% at admission

Design

Retrospective observational study

Key result

LVEF <40% at admission in Takotsubo Syndrome was associated with greater need for dobutamine (21.2% vs 0%; p<0.0001) and norepinephrine (19.2% vs 2.1%; p=0.0035), but not higher in-hospital mortality.

Authors

JSJ Pinana SendraEGE Minguez De La GuiaLZL Laguia Zarco

Discussion

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Overview

Reduced LVEF on admission in TTS does not worsen in-hospital mortality or recovery; leaves open longer-term prognostic value.

Key Points

  • The study aims to investigate the prognostic significance of left ventricular ejection fraction (LVEF) at admission for patients with Takotsubo syndrome (TTS).
  • Conducted a retrospective observational study involving 100 patients with TTS admitted to cardiac intensive care between 2012 and 2024.
  • Divided into two groups based on LVEF at admission: LVEF <40% (n=52) and LVEF ≥40% (n=48).
  • Analyzed clinical, analytical, hemodynamic, and therapeutic variables using statistical methods.
  • Higher presence of dyslipidemia in LVEF <40% group (53.8% vs 35.4%, p=0.009).
  • Elevated creatinine (1.06 mg/dL vs 0.84 mg/dL; p=0.0005) and troponine levels (762.7 ng/L vs 524.5 ng/L; p=0.0148) in LVEF <40% group at admission.
  • Inotropic and vasopressor support was significantly higher in the LVEF <40% group.

Study Design

Type

Observational (n=100)

Structured PICO

Does LVEF <40% at admission predict worse in-hospital outcomes in patients with Takotsubo Syndrome?

P
Population
100 patients with Takotsubo Syndrome (TTS) admitted to a cardiac intensive care unit (CICU) between 2012 and 2024.
I
Intervention
LVEF <40% at admission
C
Comparator
LVEF ≥40% at admission
O
Outcome
In-hospital outcomes including LVEF at discharge and in-hospital mortalityhard clinical

In patients with Takotsubo Syndrome, an initial LVEF <40% is a marker of acute severity requiring more hemodynamic support, but does not predict worse in-hospital mortality or poorer LVEF recovery at discharge.

Cite This Study

Sendra et al. (2026) conducted an observational in Takotsubo Syndrome (n=100). LVEF <40% at admission vs. LVEF ≥40% at admission was evaluated on In-hospital mortality and LVEF at discharge. LVEF <40% at admission in Takotsubo Syndrome was associated with greater need for dobutamine (21.2% vs 0%; p<0.0001) and norepinephrine (19.2% vs 2.1%; p=0.0035), but not higher in-hospital mortality.

synapsesocial.com/papers/6a056795a550a87e60a1fae2https://doi.org/10.1093/ehjacc/zuag046.159
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