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Takotsubo cardiomyopathy in orthotopic liver transplant recipients: A cohort study using multi-center pooled electronic health record data

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World Journal of Hepatology 2022年第2期14卷 400-410页

作者： Mohammad Zmaili Jafar Alzubi Motasem Alkhayyat Joshua Cohen saqer alkharabsheh Mariam Rana Paulino A Alvarez Emad Mansoor Bo Xu Robert and Suzanne Tomsich Department of Cardiovascular Medicine Sydell and Arnold Miller Family HeartVascular and Thoracic InstituteCleveland Clinic FoundationClevelandOH 44195United States Department of Medicine Division of CardiologyEinstein Medical CenterPhiladelphiaPA 19141United States Department of Gastroenterology Hepatology and NutritionDigestive Disease and Surgery InstituteCleveland Clinic FoundationClevelandOH 44195United States Department of Medicine University Hospitals Cleveland Medical CenterCase Western Reserve UniversityClevelandOH 44106United States Department of Gastroenterology University Hospitals Cleveland Medical CenterCase Western Reserve UniversityClevelandOH 44106United States

BACKGROUND Takotsubo cardiomyopathy(TCM),or stress-induced cardiomyopathy,is associated with adverse *** data suggest that TCM occurring in orthotopic liver transplant(OLT)recipients is associated with elevated perioperative *** To characterize the predictors of TCM in OLT recipients,using a large,multicenter pooled electronic health *** A multi-institutional database(Explorys Inc,Cleveland,OH,USA),an aggregate of de-identified electronic health record data from 26 United States healthcare systems was surveyed.A cohort of patients with a Systematized Nomenclature of Medicine-Clinical Terms of“liver transplant”between 09/2015 and 09/2020 was ***,individuals who developed a new diagnosis of TCM following OLT were ***,the risk associations with TCM among this patient population were characterized using linear *** Between 09/2015 and 09/2020,of 37718540 patients in the database,38740(0.10%)had a history of OLT(60.6%had an age between 18-65 years,58.1%female).A new diagnosis of TCM was identified in 0.3%of OLT recipients(45.5%had an age between 18-65 years,72.7%female),compared to 0.04%in non-OLT patients[odds ratio(OR):7.98,95%confidence intervals:6.62-9.63,(P<0.0001)].OLT recipients who developed TCM,compared to those who did not,were more likely to be greater than 65 years of age,Caucasian,and female(P<0.05).There was also a significant association with cardiac arrhythmias,especially ventricular arrhythmias(P<0.0001).CONCLUSION TCM was significantly more likely to occur in LT recipients vs *** age,Caucasian ethnicity,female gender,and presence of arrhythmias were significantly associated with TCM in LT recipients.

关键词： Takotsubo cardiomyopathy Orthotopic liver transplant Stress-induced cardiomyopathy Clinical outcomes

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