Bibliographic Details
| Title: |
Emergency cardiac imaging for coronavirus disease 2019 (COVID-19) in practice: a case of takotsubo stress cardiomyopathy |
| Authors: |
Oriana Belli, Maddalena Ardissino, Maurizio Bottiroli, Francesco Soriano, Calogero Blanda, Jacopo Oreglia, Michele Mondino, Antonella Moreo |
| Source: |
Cardiovascular Ultrasound, Vol 19, Iss 1, Pp 1-4 (2021) |
| Publisher Information: |
BMC, 2021. |
| Publication Year: |
2021 |
| Collection: |
LCC:Diseases of the circulatory (Cardiovascular) system |
| Subject Terms: |
Tako-tsubo, Coronavirus, COVID-19, Cardiomyopathy, Stress, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| More Details: |
Abstract Background Cardiovascular complications of severe acute respiratory distress syndrome coronavirus 2 (SARS-CoV2) are known to be associated with poor outcome. A small number of case series and reports have described cases of myocarditis and ischaemic events, however, knowledge on the aetiology of acute cardiac failure in SARS-CoV2 remains limited. We describe the occurrence and risk stratification imaging correlates of ‘takotsubo’ stress cardiomyopathy presenting in a patient with Coronavirus Disease 2019 (COVID-19) in the intensive care unit. Case summary An intubated 53-year old patient with COVID19 suffered acute haemodynamic collapse in the intensive care unit, and was thus investigated with transthoracic echocardiography (TTE), 12-lead electrocardiograms (ECG) and serial troponins and blood tests, and eventually coronary angiography due to clinical suspicion of ischaemic aetiology. Echocardiography revealed a reduced ejection fraction, with evident extensive apical akinesia spanning multiple coronary territories. Troponins and NT-proBNP were elevated, and ECG revealed ST elevation: coronary angiography was thus performed. This revealed no significant coronary stenosis. Repeat echocardiography performed within the following week revealed a substantial recovery of ejection fraction and wall motion abnormalities. Despite requirement of a prolonged ICU stay, the patient now remains clinically stable, and is on spontaneous breathing. Conclusion This case report presents a case of takotsubo stress cardiomyopathy occurring in a critically unwell patient with COVID19 in the intensive care setting. Stress cardiomyopathy may be an acute cardiovascular complication of COVID-19 infection. In the COVID19 critical care setting, urgent bedside echocardiography is an important tool for initial clinical assessment of patients suffering haemodynamic compromise. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1476-7120 |
| Relation: |
https://doaj.org/toc/1476-7120 |
| DOI: |
10.1186/s12947-021-00251-4 |
| Access URL: |
https://doaj.org/article/c40a30acd5044c0189c8783b83359334 |
| Accession Number: |
edsdoj.40a30acd5044c0189c8783b83359334 |
| Database: |
Directory of Open Access Journals |
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