Key result
COVID-19 infection was associated with the development of takotsubo cardiomyopathy and mixed cardiogenic and septic shock in a 57-year-old woman.
Why the study?
COVID-19 infection can lead to cardiovascular sequelae such as heart failure, but rare presentations like takotsubo cardiomyopathy require clinical characterization.
Case Report (n=1)
Highlights a rare case of COVID-19-associated takotsubo cardiomyopathy presenting with mixed cardiogenic and septic shock.
Answers are grounded in this paper and cite their sources.
May suggest COVID-19 as takotsubo trigger with mixed shock; case report leaves association hypothesis-generating.
The novel COVID-19 has had an unprecedented and devastating spread internationally. COVID-19 infection can lead to a number of cardiovascular sequelae, including heart failure, which may portend worse clinical outcomes. Here, we report a rare case of a 57-year-old woman who developed acute left ventricular systolic dysfunction with apical ballooning consistent with takotsubo cardiomyopathy (TCM), and mixed cardiogenic and septic shock in the setting of COVID-19 disease. We briefly review the pathophysiology and diagnosis of TCM (also described as apical ballooning syndrome and stress-induced cardiomyopathy). Additionally, this case highlights the importance of a multidisciplinary approach to clinical decision-making and resource allocation in diagnosis and management of critical illness in the setting of the ongoing international COVID-19 pandemic.
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Gomez et al. (2020) conducted a case report in COVID-19-associated takotsubo cardiomyopathy (n=1). COVID-19 infection was evaluated. COVID-19 infection was associated with the development of takotsubo cardiomyopathy and mixed cardiogenic and septic shock in a 57-year-old woman.
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