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Case report
COVID-19-associated takotsubo cardiomyopathy
  1. Joanne Michelle Dumlao Gomez1,
  2. Gatha Nair1,
  3. Prema Nanavaty2,
  4. Anupama Rao1,
  5. Karolina Marinescu1 and
  6. Tisha Suboc1
  1. 1Cardiology, Rush University Medical Center, Chicago, Illinois, USA
  2. 2Pulmonary and Critical Care Medicine, Rush University Medical Center, Chicago, Illinois, USA
  1. Correspondence to Dr Joanne Michelle Dumlao Gomez; joannemichelle_d_gomez{at}rush.edu

Abstract

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.

  • cardiovascular medicine
  • heart failure
  • infectious diseases
  • adult intensive care

This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

https://bmj.com/coronavirus/usage

https://doi.org/10.1136/bcr-2020-236811

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    Footnotes

    • Twitter @joannegomezmd

    • Contributors JMDG is this case report’s first author, as she was in part of case report conception and design, patient data interpretation, initial article drafting and subsequent revisions, and direct patient clinical care. She has given final approval of this manuscript. GN was instrumental in manuscript writing drafting and revisions. She has given final approval of this manuscript. PN, AR, and KM are some of the attending physicians who supervised the writing of this case report. They were part of direct patient clinical care and were vital in case report design and article revisions. They have given final approval of this manuscript. TS is the main supervising attending physician of this case report. She was part of direct patient clinical care, and provided critical input in case report design and article revisions. She has given final approval of this manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.