Takotsubo cardiomyopathy in the setting of COVID-19

Summary. It is anticipated that as the number of COVID-19 cases rises worldwide, there will be an increase in the number of associated cardiovascular complications, and Takotsubo syndrome is one of them. Clinicians should be aware of the diversity of cardiovascular complications and should strategize appropriately for diagnosing and mana­ging them. The aim of the study – to analyze the literature on the features of Takotsubo syndrome in COVID-19 pandemic. Materials and Methods. The study looked at scientific publications over the last decade that  are available on the Internet, with the keywords “Stress cardiomyopathy”, “Takotsubo syndrome”,  “COVID-19″. Results. As COVID-19 pandemic progresses globally, a clear picture of cardiovascular manifestation and associated complications is emerging. The reports in the literature illustrate various cardiovascular complications of COVID-19 infection, including acute myocardial infarction, myocarditis, cardiomyopathy, arrhythmias and venous thromboembolism. Information on Takotsubo cardiomyopathy as a complication of COVID-19 is based on the results of studies with relatively limited number of case reports and case series. Patients with COVID-19 have  been shown to have elevated levels of  proinflammatory cytokines. The cytokine storm brought about by overwhelming systemic COVID-19 disease can be the physical and chemical stressor. Furthermore, studies also reported an increased incidence of development of stress cardiomyopathy due to COVID-19 pandemic in COVID-19-negative patients suggesting a key role for psychological distress in its development. Conclusions. The correlation between the  SARS-CoV-2 virus pandemic and the development of stress cardiomyopathy is undeniable. In some cases, it is a cardiac manifestation of infectious disease is triggered by Coronavirus SARS-CoV-2, in other situations it is the result of increased anxiety and stress due to COVID-19 pandemic

stress cardiomyopathy, Takotsubo syndrome, COVID-19, SARS-COV-2

https://doi.org/10.11603/bmbr.2706-6290.2021.1.12099

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