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Clinical features and prognosis analysis of patients with stress cardiomyopathy
Received:August 16, 2023  Revised:December 16, 2023  Click here to download the full text
Citation of this paper:QI Zhanru,XU Fang,CHEN Hui,YAO Jing,FANG Aijuan.Clinical features and prognosis analysis of patients with stress cardiomyopathy[J].Chinese Journal of Clinical Medicine,2024,31(1):106-112
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Author NameAffiliationE-mail
QI Zhanru Department of Ultrasound Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, Jiangsu, China
Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, Jiangsu, China 
 
XU Fang Department of Ultrasound Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, Jiangsu, China
Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, Jiangsu, China 
 
CHEN Hui Department of Ultrasound Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, Jiangsu, China
Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, Jiangsu, China 
 
YAO Jing Department of Ultrasound Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, Jiangsu, China
Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, Jiangsu, China 
 
FANG Aijuan Department of Ultrasound Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, Jiangsu, China
Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, Jiangsu, China 
xingfujiayuan605@163.com 
Abstract:Objective To analyze the clinical characteristics, in-hospital complications, and long-term prognosis of patients with stress cardiomyopathy. Methods The clinical data from patients diagnosed with stress cardiomyopathy in Nanjing Drum Tower Hospital between January 2014 and December 2022 were retrospectively analyzed. Follow-up was performed through telephone interviews or outpatient visits. The patients were divided into the survival group (n=18) and the death group (n=5) based on the follow-up outcomes, and clinical features and prognosis were compared between the two groups. Results Among the patients, 76% were female, 38-97 years old, the average age was (68.6±13.1) years. 7 (28%) patients presented with cardiac and pulmonary-related complications at admission. The median follow-up time was 42 months. During the follow-up period, 2 patients were not available for further follow-up, 5 patients died, and 1 remained in a vegetative state. Of the deaths, 2 occurred during hospitalization caused by cardiac events, while the other 3 deaths occurred after discharge and were associated with COVID-19 infection, malignancy, and severe infection, respectively. Compared to the survival group, patients in the death group had a higher mean age and total ST-segment elevation (P<0.05). Conclusions In-hospital adverse cardiovascular events are primary complications of patients with stress cardiomyopathy. However, the main causes of death in the long term are determined to be other clinical factors.
keywords:stress cardiomyopathy  clinical features  in-hospital complications  long-term prognosis
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