Takotsubo Syndrome in the Setting of COVID-19

Anum S Minhas; Paul Scheel; Brian Garibaldi; Gigi Liu; Maureen Horton; Mark Jennings; Steven R Jones; Erin D Michos; Allison G Hays

doi:10.1016/j.jaccas.2020.04.023

Takotsubo Syndrome in the Setting of COVID-19

JACC Case Rep. 2020 Jul 15;2(9):1321-1325. doi: 10.1016/j.jaccas.2020.04.023. Epub 2020 May 1.

Authors

Anum S Minhas^{1

2}, Paul Scheel¹, Brian Garibaldi³, Gigi Liu⁴, Maureen Horton³, Mark Jennings³, Steven R Jones¹, Erin D Michos^{1

2}, Allison G Hays¹

Affiliations

¹ Division of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, Maryland.
² Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.
³ Division of Pulmonary and Critical Care Medicine, Department of Medicine, Johns Hopkins University, Baltimore, Maryland.
⁴ Department of Medicine, Johns Hopkins University, Baltimore, Maryland.

Abstract

A 58-year-old woman was admitted with symptoms of coronavirus disease-2019. She subsequently developed mixed shock, and an echocardiogram showed mid-distal left ventricular hypokinesis and apical ballooning, findings typical of stress, or takotsubo, cardiomyopathy. Over the next few days her left ventricular function improved, the further supporting the reversibility of acute stress cardiomyopathy. (Level of Difficulty: Beginner.).

Keywords: COVID-19; COVID-19, coronavirus disease-2019; ECG, electrocardiogram; LV, left ventricular; RV, right ventricular; STEMI, ST-segment elevation myocardial infarction; acute cardiac dysfunction; stress cardiomyopathy; takotsubo.

Publication types

Case Reports

Grants and funding

T32 HL007024/HL/NHLBI NIH HHS/United States