Can I read Severe Takotsubo Cardiomyopathy In A Patient With Covid-19 on EtoBox?

Severe Takotsubo Cardiomyopathy In A Patient With Covid-19 by Vaibhav Satija; Mithun George Jacob; Qiying Dai; Mark Kranis is a Medicine article available to read on EtoBox.

What is Severe Takotsubo Cardiomyopathy In A Patient With Covid-19 about?

Background: Takotsubo cardiomyopathy is a curious clinical entity of acute, mostly reversible ventricular dysfunction. We describe a patient with COVID-19 who presented reasonably healthy but rapidly decompensated to develop severe cardiomyopathy. Case: An 85 year old male presented with fatigue. His examination was unremarkable. A chest CT showed patchy opacities (figure ,A). SARS-CoV-2019 rt-PCR was positive. On day 4 he developed cardiogenic shock. EKG showed inferior ST elevations. Coronary angiography revealed no atherosclerotic disease (figures C, D). A ventriculogram demonstrated apical akinesia with a hyperkinetic base (figure ,B). He died within hours of his diagnosis. Decision-making: Our patient had mild symptoms at presentation. In the setting of cytokine release syndrome (CRS), he developed cardiogenic shock, with ST elevations on electrocardiogram. Differentials included ST elevation myocardial infarction, myo-pericarditis and stress cardiomyopathy. Our patient met the InterTak diagnostic criteria of Takotsubo's cardiomyopathy. There are reports of stress cardiomyopathies in COVID-19 which improved with IL-6 antagonists or plasmapheresis, suggesting acute inflammation

Who reads Severe Takotsubo Cardiomyopathy In A Patient With Covid-19?

Author

Vaibhav Satija; Mithun George Jacob; Qiying Dai; Mark Kranis

Publisher

Elsevier BV

Published

2021

Language

EN

Field

Medicine (Health Sciences)