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COVID-19-Induced Takotsubo Cardiomyopathy With Concomitant Pulmonary Embolism
Lalith Namburu1, Sukhdeep S Bhogal2, Vijay K Ramu2
1Internal Medicine, East Tennessee State University Quillen College of Medicine, Johnson City, USA.
Insights
This case report details a COVID-19 patient experiencing ST-elevation myocardial infarction and Takotsubo cardiomyopathy. The illness also led to serious complications like pulmonary embolism and atrial thrombus.
Area of Science:
- Cardiology
- Infectious Diseases
- Pulmonology
Background:
- COVID-19 (caused by SARS-CoV-2) is a global pandemic primarily affecting the respiratory system.
- Cardiovascular complications are significant in COVID-19 patients, increasing morbidity and mortality, especially with pre-existing risk factors.
Observation:
- A 69-year-old male with COVID-19 presented with ST-elevation myocardial infarction (STEMI).
- The patient subsequently developed Takotsubo cardiomyopathy (TTC).
Findings:
- The patient's COVID-19 course was complicated by the formation of a right atrial thrombus.
- A pulmonary embolism (PE) also occurred during the patient's illness.
Implications:
- This case highlights the diverse and severe cardiovascular manifestations of COVID-19.
- It underscores the importance of monitoring cardiac function in COVID-19 patients, particularly those with cardiovascular risk factors.
Abstract:
Coronavirus disease 2019 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has emerged as a global pandemic with an unprecedented death toll worldwide. Although it primarily affects the respiratory tract presenting as pneumonia or acute respiratory failure, it is also known to cause significant cardiovascular complications, including acute coronary syndrome (ACS), arrhythmia, myopericarditis, cardiomyopathy, venous thromboembolism, heart failure, and cardiogenic shock. Morbidity and mortality secondary to cardiovascular complications are higher in patients with preexisting cardiovascular risk factors. Here, we present a case report of a 69-year-old male who was recently diagnosed with COVID-19 illness presenting with ST-elevation myocardial infarction (STEMI) and eventually with Takotsubo cardiomyopathy (TTC), and the course was complicated by right atrial thrombus and a pulmonary embolism (PE).
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