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Article ; Online: Drugs as Possible Triggers of Takotsubo Cardiomyopathy- Update 2022: Systematic Review.

Lopera, Valentina / Pereañez, Jaime Andrés / Amariles, Pedro Jose

Current vascular pharmacology

2023  Volume 21, Issue 5, Page(s) 304–315

Abstract: Background: A list of drugs that can induce takotsubo cardiomyopathy (TCM) was published in 2011 and 2016. The aim of the present review was to update this list.: Methods: Similar to the 2011 and 2016 reviews, from April 2015 to May 2022 case reports ...

Abstract Background: A list of drugs that can induce takotsubo cardiomyopathy (TCM) was published in 2011 and 2016. The aim of the present review was to update this list.
Methods: Similar to the 2011 and 2016 reviews, from April 2015 to May 2022 case reports of druginduced TCM were identified by a comprehensive search in Medline/PubMed database. The search terms were: takotsubo cardiomyopathy, tako-tsubo cardiomyopathy, stress cardiomyopathy, transientleft- ventricular ballooning syndrome, apical ballooning syndrome, ampulla cardiomyopathy OR broken heart syndrome; together with "iatrogenic", "induced by" OR "drug-induced". Registers published in English or Spanish, in humans, and with full texts were retrieved. Articles that recognized any drug associated with the development of TCM were selected.
Results: Overall, 184 manuscripts were identified by the search. A total of 39 articles were included after an exhaustive revision. Eighteen drugs as possible triggers of TCM were identified in the current update. Of them, 3 (16.7%) have been previously identified, and 15 (83.3%) are different from the previous reports. Thus, the list of drugs as possible triggers of TCM updated in 2022 includes 72 drugs.
Conclusion: There are new case reports that link drugs with the development of TCM. The current list is principally made up of drugs that generate sympathetic overstimulation. However, some of the listed drugs do not have a clear link with sympathetic activation.
MeSH term(s) Humans ; Takotsubo Cardiomyopathy/chemically induced ; Takotsubo Cardiomyopathy/diagnosis ; Takotsubo Cardiomyopathy/complications ; Heart Ventricles
Language English
Publishing date 2023-11-24
Publishing country United Arab Emirates
Document type Systematic Review ; Journal Article
ZDB-ID 2192362-0
ISSN 1875-6212 ; 1570-1611
ISSN (online) 1875-6212
ISSN 1570-1611
DOI 10.2174/1570161121666230517121037
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