AI Article Synopsis

  • COVID-19 has been linked to heart issues, but Takotsubo cardiomyopathy (TCM) with QT prolongation and Torsade de pointes is quite rare.
  • A 58-year-old woman hospitalized for COVID-19 pneumonia experienced sudden loss of consciousness due to Torsade de pointes and prolonged QT interval a week later.
  • She was diagnosed with TCM through emergency cardiac catheterization and treated with favipiravir and steroids, leading to improvement, suggesting routine ECG screening for COVID-19 patients might be beneficial for early detection of asymptomatic TCM.

Article Abstract

Coronavirus disease 2019 (COVID-19) is associated with cardiovascular complications; however, Takotsubo cardiomyopathy (TCM) with QT prolongation and Torsade de pointes has been reported only rarely. We present a case of TCM after QT prolongation and Torsade de pointes. A 58-year-old woman was admitted because of COVID-19-related pneumonia. Seven days after admission, she developed sudden loss of consciousness without any indication of cardiovascular disease. A monitoring electrocardiogram indicated Torsade de pointes and a prolonged QT interval. Emergency cardiac catheterization revealed TCM. She was treated with favipiravir and steroids, followed by rehabilitation, and her condition improved. To detect asymptomatic TCM, routine electrocardiography screening should be considered for patients with COVID-19.

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Source
http://dx.doi.org/10.1272/jnms.JNMS.2023_90-607DOI Listing

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