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Takotsubo Cardiomyopathy in a Post-COVID Case
Amanpreet S Wasir1, Ravi Kalra1, Puneet Verma2
1Cardiology, Bharati Vidyapeeth University and Medical College, Pune, IND.
Insights
Takotsubo cardiomyopathy (TTC), often seen in post-menopausal women, can mimic heart attacks. This case highlights persistent diastolic dysfunction post-COVID-19, suggesting a potential link between the virus and TTC.
Area of Science:
- Cardiology
- Infectious Diseases
- Cardiovascular Medicine
Background:
- Takotsubo cardiomyopathy (TTC) presents similarly to acute coronary syndrome, predominantly affecting post-menopausal women.
- Recent studies indicate a rise in TTC cases during the COVID-19 pandemic, potentially linked to viral-induced stress and catecholamine surges.
- While TTC typically resolves, persistent dysfunction may occur, particularly in post-COVID-19 scenarios.
Abstract:
Takotsubo cardiomyopathy (TTC) is a unique heart disease that mimics the clinical presentation of acute coronary syndrome and is seen more commonly in post-menopausal females. Here, we report a case that presents an ideal documentation of TTC depicting its characteristic clinical features and possible outcomes. TTC usually culminates in a complete reversal of both systolic and diastolic dysfunctions, however in our case of a post-COVID scenario, the persisting, rather worsening diastolic dysfunction might be a residual manifestation of COVID-19 myocarditis. Recent reports have found an increasing prevalence of TTC amidst the COVID-19 pandemic possibly as a result of the emotional and physical stress, and subsequent catecholamine surge caused by the virus in such patients. There might exist an independent association between TTC and the COVID-19 virus. Increased clinical evidence is required to establish the strength of this relationship, if any.
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