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Cardiogenic shock following cardiac tamponade and Takotsubo in COVID-19

Asad J Torabi1, Josue Villegas-Galaviz2, Maya Guglin1

  • 1Division of Cardiology, Krannert Institute of Cardiology at Indiana University School of Medicine, 1800 N Capital Avenue, Indianapolis, IN 46202, USA.

Future Cardiology
|October 20, 2020
PubMed

Insights

A young COVID-19 patient developed severe Takotsubo cardiomyopathy and cardiogenic shock following cardiac tamponade. This case highlights the critical cardiovascular complications associated with coronavirus disease 2019.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Takotsubo cardiomyopathy, or stress-induced cardiomyopathy, is a recognized cause of heart failure.
  • Cardiovascular complications are increasingly reported in patients with coronavirus disease 2019 (COVID-19).

Observation:

  • A 42-year-old woman with COVID-19 presented with fever, altered mental status, and hypoxia.
  • She was diagnosed with cardiac tamponade and underwent pericardiocentesis.
  • Within two hours, she developed Takotsubo cardiomyopathy and cardiogenic shock.

Findings:

  • This case presents a rare and severe manifestation of Takotsubo cardiomyopathy in a young COVID-19 patient.
  • The rapid progression from cardiac tamponade to cardiogenic shock was a notable feature.
  • The patient's condition rapidly deteriorated, leading to death on the same day.

Implications:

  • Clinicians must be aware of the diverse and severe cardiovascular complications of COVID-19.
  • Early recognition and management of cardiac events in COVID-19 patients are crucial.
  • This case underscores the potential for Takotsubo cardiomyopathy as a critical complication of severe COVID-19 infection.

Keywords:
COVID-19Takotsubocardiac tamponadecardiogenic shockheart failure

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