Evaluation of the intertak diagnostic score in differentiating takotsubo syndrome from acute coronary syndrome. A single center experience

Abstract

Background: The aim of this study was to evaluate the usefulness of a novel clinical score — the InterTAK Diagnostic Score in differentiating Takotsubo syndrome (TTS) from acute coronary syndrome (ACS). Methods: Medical records of 40 consecutive patients with ACS and 20 patients with TTS were man-aged and retrospectively analyzed at the documented center. Each patient was evaluated using the Inter-TAK Diagnostic Score. To illustrate the diagnostic ability of the score, a receiver operating characteristic (ROC) curve was performed. Results: Takotsube syndrome patients were more often female compared to the ACS group (70% vs. 27.5%, p = 0.002), an emotional trigger was more prevalent among the TTS group (65% vs. 7.5%, p < 0.001). The area under the curve (AUC) for the score was 0.885 (95% confidence interval [CI] 0.78–0.97). Using a cut-off value of 45 points, the sum of sensitivity and specificity was the highest. However, when patients with a score of ≥ 50 were diagnosed as TTS, 85% were diagnosed correctly. When patients with score ≤ 31 were diagnosed as ACS, 92% were diagnosed correctly. Conclusions: The InterTAK Diagnostic Score might help in differentiating TTS from ACSs with high sensitivity and specificity. This finding requires further investigation to confirm its clinical utility. (Cardiol J 2021; 28, 3: 416–422).