Stress-Induced Cardiomyopathy—Considerations for Diagnosis and Management during the COVID-19 Pandemic

The novel coronavirus disease 2019 (COVID-19) is associated with several cardiovascular manifestations including myocardial injury, myocarditis, arrhythmia, and pulmonary embolism. Rare cases of stress-induced cardiomyopathy, or takotsubo syndrome have also been reported during the acute infection,...

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Main Authors: Gassan Moady, Shaul Atar
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/58/2/192
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author Gassan Moady
Shaul Atar
author_facet Gassan Moady
Shaul Atar
author_sort Gassan Moady
collection DOAJ
description The novel coronavirus disease 2019 (COVID-19) is associated with several cardiovascular manifestations including myocardial injury, myocarditis, arrhythmia, and pulmonary embolism. Rare cases of stress-induced cardiomyopathy, or takotsubo syndrome have also been reported during the acute infection, and secondary to stress following lockdown and self-isolation. Diagnosis in the setting of the acute infection is challenging since conventional imaging modalities such as transthoracic echocardiography and coronary angiography should be restricted to minimize physician-patient contact until the patients is tested negative for COVID-19. The use of point of care hand-held ultrasound is appropriate for this purpose. The overall course of the disease seems to be similar to takotsubo in the general population. Physicians should be familiar with the clinical presentation, possible complications, and management of takotsubo during COVID-19 outbreak. Here, we review the special considerations in the diagnosis and management of takotsubo syndrome during the current pandemic.
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spelling doaj.art-5392797c99424cc0b1cae168108e9b862023-11-23T20:59:26ZengMDPI AGMedicina1010-660X1648-91442022-01-0158219210.3390/medicina58020192Stress-Induced Cardiomyopathy—Considerations for Diagnosis and Management during the COVID-19 PandemicGassan Moady0Shaul Atar1Department of Cardiology, Galilee Medical Center, Nahariya 2221006, IsraelDepartment of Cardiology, Galilee Medical Center, Nahariya 2221006, IsraelThe novel coronavirus disease 2019 (COVID-19) is associated with several cardiovascular manifestations including myocardial injury, myocarditis, arrhythmia, and pulmonary embolism. Rare cases of stress-induced cardiomyopathy, or takotsubo syndrome have also been reported during the acute infection, and secondary to stress following lockdown and self-isolation. Diagnosis in the setting of the acute infection is challenging since conventional imaging modalities such as transthoracic echocardiography and coronary angiography should be restricted to minimize physician-patient contact until the patients is tested negative for COVID-19. The use of point of care hand-held ultrasound is appropriate for this purpose. The overall course of the disease seems to be similar to takotsubo in the general population. Physicians should be familiar with the clinical presentation, possible complications, and management of takotsubo during COVID-19 outbreak. Here, we review the special considerations in the diagnosis and management of takotsubo syndrome during the current pandemic.https://www.mdpi.com/1648-9144/58/2/192takotsubocardiomyopathyechocardiographycoronavirusstress
spellingShingle Gassan Moady
Shaul Atar
Stress-Induced Cardiomyopathy—Considerations for Diagnosis and Management during the COVID-19 Pandemic
Medicina
takotsubo
cardiomyopathy
echocardiography
coronavirus
stress
title Stress-Induced Cardiomyopathy—Considerations for Diagnosis and Management during the COVID-19 Pandemic
title_full Stress-Induced Cardiomyopathy—Considerations for Diagnosis and Management during the COVID-19 Pandemic
title_fullStr Stress-Induced Cardiomyopathy—Considerations for Diagnosis and Management during the COVID-19 Pandemic
title_full_unstemmed Stress-Induced Cardiomyopathy—Considerations for Diagnosis and Management during the COVID-19 Pandemic
title_short Stress-Induced Cardiomyopathy—Considerations for Diagnosis and Management during the COVID-19 Pandemic
title_sort stress induced cardiomyopathy considerations for diagnosis and management during the covid 19 pandemic
topic takotsubo
cardiomyopathy
echocardiography
coronavirus
stress
url https://www.mdpi.com/1648-9144/58/2/192
work_keys_str_mv AT gassanmoady stressinducedcardiomyopathyconsiderationsfordiagnosisandmanagementduringthecovid19pandemic
AT shaulatar stressinducedcardiomyopathyconsiderationsfordiagnosisandmanagementduringthecovid19pandemic