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COVID-19-associated takotsubo cardiomyopathy

Joanne Michelle Dumlao Gomez1, Gatha Nair2, Prema Nanavaty3

  • 1Cardiology, Rush University Medical Center, Chicago, Illinois, USA joannemichelle_d_gomez@rush.edu.

BMJ Case Reports
|December 14, 2020
PubMed

Insights

COVID-19 can cause heart problems like takotsubo cardiomyopathy (TCM). This case shows a woman with COVID-19 who developed TCM and shock, highlighting critical care needs.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • The COVID-19 pandemic has led to widespread cardiovascular complications.
  • Heart failure is a significant sequela of COVID-19, associated with poorer outcomes.
  • Takotsubo cardiomyopathy (TCM), or stress-induced cardiomyopathy, is a recognized cardiac complication.

Observation:

  • A rare case of a 57-year-old female patient with COVID-19 is presented.
  • The patient experienced acute left ventricular systolic dysfunction with apical ballooning, indicative of TCM.
  • She also presented with mixed cardiogenic and septic shock.

Findings:

  • COVID-19 infection can precipitate takotsubo cardiomyopathy.
  • TCM in the context of COVID-19 can lead to severe hemodynamic compromise, including mixed shock.
  • Diagnosis of TCM involves characteristic echocardiographic findings and clinical presentation.

Implications:

  • This case underscores the diverse cardiovascular manifestations of COVID-19.
  • It emphasizes the necessity of a multidisciplinary approach for managing critically ill COVID-19 patients.
  • Effective clinical decision-making and resource allocation are crucial for optimizing outcomes in severe COVID-19 cases.

Keywords:
adult intensive carecardiovascular medicineheart failureinfectious diseases

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