Takotsubo syndrome as a complication in a critically ill COVID-19 patient.

Cardiac injury Coronavirus disease 2019 Severe acute respiratory syndrome coronavirus 2 Takotsubo syndrome

Journal

ESC heart failure
ISSN: 2055-5822
Titre abrégé: ESC Heart Fail
Pays: England
ID NLM: 101669191

Informations de publication

Date de publication:
Dec 2020
Historique:
revised: 28 06 2020
received: 23 04 2020
accepted: 08 07 2020
pubmed: 5 9 2020
medline: 5 9 2020
entrez: 5 9 2020
Statut: ppublish

Résumé

Coronavirus disease 2019 (COVID-19) patients with cardiac injury have an increased risk of mortality. It remains to be determined the mechanism of cardiac injury and the identification of specific conditions that affect the heart during COVID-19. We present the case of a 76-year-old woman with COVID-19 pneumonia that developed a takotsubo syndrome (TTS). Although the patient presented normal left ventricular ejection fraction and normal levels of troponin on admission, after 16 days in intensive care unit due to respiratory distress, she suddenly developed cardiogenic shock. Shock occurred few hours after a spontaneous breathing trial through her tracheostomy. Bed-side echocardiographic revealed apical ballooning promptly supporting the diagnosis of TTS. She was successfully treated with deep sedation and low dosage of epinephrine. The relevance of this case is that TTS can occur in the late phase of COVID-19. Awareness of late TTS and bed-side echocardiographic evaluation can lead to prompt identification and treatment.

Identifiants

pubmed: 32886428
doi: 10.1002/ehf2.12912
pmc: PMC7754970
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

4297-4300

Informations de copyright

© 2020 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology.

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Auteurs

Maurizio Bottiroli (M)

Anesthesia and Critical Care, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.

Daniele De Caria (D)

Anesthesia and Critical Care, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.

Oriana Belli (O)

Cardiology, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.

Angelo Calini (A)

Anesthesia and Critical Care, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.

Patrizia Andreoni (P)

Anesthesia and Critical Care, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.

Antonio Siragusa (A)

Anesthesia and Critical Care, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Medical School, Milan-Bicocca University, Milan, Italy.

Antonella Moreo (A)

Cardiology, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.

Enrico Ammirati (E)

Cardiology, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.

Michele Mondino (M)

Anesthesia and Critical Care, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.

Roberto Fumagalli (R)

Anesthesia and Critical Care, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Medical School, Milan-Bicocca University, Milan, Italy.

Classifications MeSH