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
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
4297-4300Informations 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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