The recurrence rate of takotsubo syndrome may be higher than currently reported

John E. Madias

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations


Various rates of the short- and long-term recurrence of takotsubo syndrome (TTS) (RTTS) have been reported, but the absence, or the short length of the follow-up implemented is such, that the true rate of RTTS continues to be unknown. Experience has shown that a sizeable proportion of patients with an index TTS suffer a RTTS episode beyond 5 years, and even 20 years later. In a cohort of 215 patients with RTTS from the world literature, a mean of 30.2 and 37.2 months separated the index TTS from the 1st and last RTTS episodes, respectively, with 21.9 % of patients suffering more than 1 RTTS episode, over a course of maximum of 20 years. Also, 39.5 % and 19.5 % of patients had their only or last RTTS episode(s), at or beyond the 3rd and 5th year of follow-up, respectively. The true rate of RTTS is unknown, probably is higher that currently reported, and it is hoped that existing registries may provide the answer, if they implement an open-ending long-term follow-up of their registered patients.

Original languageEnglish
Article number102413
JournalCurrent Problems in Cardiology
Issue number3
StatePublished - Mar 2024
Externally publishedYes


  • Data bases of takotsubo syndrome
  • Recurrence of takotsubo syndrome
  • Registries of takotsubo syndrome
  • Takotsubo syndrome
  • World literature


Dive into the research topics of 'The recurrence rate of takotsubo syndrome may be higher than currently reported'. Together they form a unique fingerprint.

Cite this