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Future Cardiol . Cardiogenic shock following cardiac tamponade and Takotsubo in COVID-19

tetano

Editor, Senior Moderator
Future Cardiol


. 2020 Oct 20.
doi: 10.2217/fca-2020-0115. Online ahead of print.
Cardiogenic shock following cardiac tamponade and Takotsubo in COVID-19


Asad J Torabi[SUP] 1 [/SUP], Josue Villegas-Galaviz[SUP] 2 [/SUP], Maya Guglin[SUP] 1 [/SUP], Kyle Frick[SUP] 1 [/SUP], Roopa Rao[SUP] 1 [/SUP]



Affiliations

Abstract

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.

Keywords: COVID-19; Takotsubo; cardiac tamponade; cardiogenic shock; heart failure.
 
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