Takotsubo Cardiomyopathy in a Post-COVID Case

Cureus. 2023 Sep 18;15(9):e45514. doi: 10.7759/cureus.45514. eCollection 2023 Sep.

Abstract

Takotsubo cardiomyopathy (TTC) is a unique heart disease that mimics the clinical presentation of acute coronary syndrome and is seen more commonly in post-menopausal females. Here, we report a case that presents an ideal documentation of TTC depicting its characteristic clinical features and possible outcomes. TTC usually culminates in a complete reversal of both systolic and diastolic dysfunctions, however in our case of a post-COVID scenario, the persisting, rather worsening diastolic dysfunction might be a residual manifestation of COVID-19 myocarditis. Recent reports have found an increasing prevalence of TTC amidst the COVID-19 pandemic possibly as a result of the emotional and physical stress, and subsequent catecholamine surge caused by the virus in such patients. There might exist an independent association between TTC and the COVID-19 virus. Increased clinical evidence is required to establish the strength of this relationship, if any.

Keywords: covid-19; diastolic dysfunction; left ventricle; regional wall motion abnormality; takotsubo cardiomyopathy.

Publication types

  • Case Reports