Key result
A 42-year-old woman with COVID-19 developed rapid-onset Takotsubo cardiomyopathy and cardiogenic shock within 2 hours of pericardiocentesis for cardiac tamponade, resulting in death.
Why the study?
To review the clinical course of a young COVID-19 patient who developed Takotsubo cardiomyopathy following cardiac tamponade.
Case Report (n=1)
Highlights a severe cardiovascular complication of COVID-19 involving cardiac tamponade followed by rapid-onset Takotsubo cardiomyopathy and fatal cardiogenic shock.
Alerts clinicians to possible post-pericardiocentesis deterioration in COVID-19 tamponade; single case leaves open causality and incidence.
Introduction: Takotsubo is often described as stress-induced cardiomyopathy and is a known cause of heart failure. Objective: Review the clinical course of a young coronavirus disease 2019 (COVID-19) patient who developed Takotsubo following cardiac tamponade. Case presentation: A 42-year-old woman presented to the emergency department with fever, altered mental status and hypoxia. She was ultimately found to be in cardiac tamponade and within 2 hours of a pericardiocentesis she developed Takotsubo and was in cardiogenic shock. Her family decided to place her on comfort measures and she died the same day. Discussion: This case illustrates the increasing number of cardiovascular complications being reported in COVID-19 and highlights the importance of clinicians to be aware of these challenges. Conclusion: Here, we report a distinct presentation of cardiogenic shock in a young COVID-19 patient. The rapid onset of her suspected Takotsubo and the severity of her disease were striking features in this case.
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Torabi et al. (2020) conducted a case report in COVID-19, cardiac tamponade, Takotsubo cardiomyopathy (n=1). COVID-19 infection and pericardiocentesis was evaluated. A 42-year-old woman with COVID-19 developed rapid-onset Takotsubo cardiomyopathy and cardiogenic shock within 2 hours of pericardiocentesis for cardiac tamponade, resulting in death.
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