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Biventricular Takotsubo Cardiomyopathy Secondary to COVID-19
Bradley Casey1, Gregory Chen1, Amol Bahekar2
1Internal Medicine, Cape Fear Valley Medical Center, Fayetteville, USA.
Insights
Takotsubo cardiomyopathy (TCM) is a heart condition that has increased with COVID-19. This case shows TCM can cause respiratory issues, resolving before hospital discharge.
Area of Science:
- Cardiology
- Infectious Diseases
- Critical Care Medicine
Background:
- Takotsubo cardiomyopathy (TCM) is a transient left ventricular dysfunction.
- The prevalence of TCM diagnoses has risen since the COVID-19 pandemic began.
- COVID-19, caused by SARS-CoV-2, presents with diverse clinical manifestations.
Observation:
- A patient presented with respiratory failure and was diagnosed with COVID-19.
- During hospitalization, the patient was diagnosed with biventricular TCM.
- The patient's TCM resolved completely before discharge.
Findings:
- This case highlights a potential link between COVID-19 and biventricular TCM.
- Respiratory dysfunction in COVID-19 patients may be attributable to cardiac complications like TCM.
- Complete resolution of TCM was observed in this patient.
Implications:
- Clinicians should consider TCM as a cause of respiratory distress in COVID-19 patients.
- Awareness of cardiovascular complications of COVID-19 is crucial for patient management.
- Early recognition and management of TCM may lead to favorable outcomes.
Abstract:
Takotsubo cardiomyopathy (TCM) is a heart failure syndrome characterized by acute and transient dysfunction of the apical segment of the left ventricle. Since the emergence of coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the diagnosis of TCM has increased in prevalence. Here we present an intriguing case of a patient who initially presented to the hospital with respiratory failure and received a diagnosis of COVID-19. During the patient's hospital course, he was also diagnosed with biventricular TCM and subsequently experienced complete resolution of TCM before discharge. Providers should be cognizant of the potential cardiovascular complications of COVID-19 and consider those heart failure syndromes, including TCM, could be causing some of the respiratory dysfunction in these patients.
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