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  2. Palavra-chave: Coronavirus Infections
IJCS
Case Report

Takotsubo Syndrome as a Complication of Mild COVID-19: A Case Report

Jéssica Mayara Oséas et al. William Santos de Oliveira Bruna Aparecida Oliveira Jayson Marcus Miranda … Raissa Gabriela Vieira Barros Nestor Rodrigues de Oliveira Neto

Introduction

As the number of cases of coronavirus disease 2019 (COVID-19) has reached tens of millions worldwide, the understanding of its clinical manifestations has grown. These have been described as a range of systemic repercussions resulting from an interplay between direct organ damage and exaggerated host immune response. , In a descriptive case series study of COVID-19 patients in Wuhan, 44% of patients had either elevated cardiac biomarkers or new changes in electrocardiogram (ECG) and imaging exams, and 34% of all cases had acute heart failure. Systemic diseases with increased adrenergic response may lead to stress cardiomyopathy, or Takotsubo syndrome, which is a rare condition with challenging diagnosis in the course of COVID-19. Herein we present a case of an elderly woman with mild COVID-19 who presented classical features of takotsubo syndrome on the 5th day of illness.

[…]

  • Coronavirus Infections
  • Left Ventricular Dysfunction
  • Stress Cardiomyopathy
  • Takotsubo Cardiomyopathy
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Creative Commons Attribution (CC BY) Creative Commons license
20/09/2021 DOI: 10.36660/ijcs.20200398 Visualizações 1
IJCS
Review Article

Cardiac Arrhythmias and Covid-19

Alexsandro Alves Fagundes et al. Sissy Lara de Melo Luciana Armaganijan Ricardo Kuniyoshi … Luis Gustavo Belo de Moraes Vanessa Alves Guimarães Borges Mauricio Scanavacca Martino Martinelli Filho Ricardo Alkmim Teixeira

Abstract

Cardiovascular manifestations of COVID-19 include cardiac rhythm disturbances, whose mechanisms, incidence, and most common types are not well established in this population. Intense inflammatory response and metabolic activity contribute to recurrence of pre-existing arrhythmias, and other arrhythmias can occur due to myocardial injury, acute coronary insufficiency, and electrolyte disturbances. Brady- and tachyarrhythmias, as well as conduction disorders have been described. QT interval prolongation and fatal ventricular arrhythmias ( Torsades de Pointes ) may result from the pathological process or adverse effect of drugs (antiarrhythmics, chloroquine / hydroxychloroquine, azithromycin and antivirals). Patients with congenital heart disease and hemodynamic repercussions, patients with signs of heart failure, pulmonary hypertension, cyanosis, hypoxemia, and those who underwent heart transplantation and immunosuppression are at greater risk. In patients with implantable cardioverter-defibrillators (ICDs), the risk depends on the presence of structural heart disease. In the course of COVID-19, in-person assessment of these patients should be limited to high-risk situations, including syncope, worsening of heart failure and shock delivery by ICDs. Likewise, cardiac implantable electronic device implantation or replacement surgery should be limited to emergency and urgent cases, including symptomatic high-degree atrioventricular block, ICD for secondary prevention and pulse generator replacement due to battery drain.

  • Artificial Pacemaker
  • Cardiac Arrhythmias
  • Coronavirus Infections
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Creative Commons Attribution (CC BY) Creative Commons license
03/09/2021 DOI: 10.36660/ijcs.20200123 Visualizações 1

Como citar este artigo

EndNote RIS

Formato de Documento Eletrônico (Vancouver)

Oséas JM, Oliveira WS, Oliveira BA, Miranda JM, Barros RGV, Oliveira Neto NR. Takotsubo Syndrome as a Complication of Mild COVID-19: A Case Report. International Journal of Cardiovascular Sciences 2021;35(6):816-9.

Formato de Documento Eletrônico (ABNT)

Oséas, Jéssica Mayara; Oliveira, William Santos de; Oliveira, Bruna Aparecida; Miranda, Jayson Marcus; Barros, Raissa Gabriela Vieira; Oliveira Neto, Nestor Rodrigues de. Takotsubo Syndrome as a Complication of Mild COVID-19: A Case Report. International Journal of Cardiovascular Sciences, v. 35, n. 6, p. 816-819, set. 2021.

Formato de Documento Eletrônico (APA)

Oséas, J. M., Oliveira, W. S. , Oliveira, B. A., Miranda, J. M., Barros, R. G. V., & Oliveira Neto, N. R. (2021). Takotsubo Syndrome as a Complication of Mild COVID-19: A Case Report. International Journal of Cardiovascular Sciences, 35(6), 816-819.

Formato de Documento Eletrônico (ISO)

Oséas, Jéssica Mayara and Oliveira, William Santos de and Oliveira, Bruna Aparecida and Miranda, Jayson Marcus and Barros, Raissa Gabriela Vieira and Oliveira Neto, Nestor Rodrigues de. Takotsubo Syndrome as a Complication of Mild COVID-19: A Case Report. International Journal of Cardiovascular Sciences [online]. 2021, vol. 35, n. 6, [citado 2026-10-14], pp. 816-819. Disponível em: <https://journals.cardiol.br/article/takotsubo-syndrome-as-a-complication-of-mild-covid-19-a-case-report-2/>. ISSN 2359-4802

EndNote RIS

Formato de Documento Eletrônico (Vancouver)

Fagundes AA, Melo SL, Armaganijan L, Kuniyoshi R, Moraes LGB, Borges VAG, Scanavacca M, et al. Cardiac Arrhythmias and Covid-19. International Journal of Cardiovascular Sciences 2021;34(6):717-2.

Formato de Documento Eletrônico (ABNT)

Fagundes, Alexsandro Alves; Melo, Sissy Lara de; Armaganijan, Luciana; Kuniyoshi, Ricardo; Moraes, Luis Gustavo Belo de; Borges, Vanessa Alves Guimarães; Scanavacca, Mauricio; Martinelli Filho, Martino; Teixeira, Ricardo Alkmim. Cardiac Arrhythmias and Covid-19. International Journal of Cardiovascular Sciences, v. 34, n. 6, p. 717-727, set. 2021.

Formato de Documento Eletrônico (APA)

Fagundes, A. A., Melo, S. L. , Armaganijan, L., Kuniyoshi, R., Moraes, L. G. B. , Borges, V. A. G., Scanavacca, M., Martinelli Filho, M., & Teixeira, R. A. (2021). Cardiac Arrhythmias and Covid-19. International Journal of Cardiovascular Sciences, 34(6), 717-727.

Formato de Documento Eletrônico (ISO)

Fagundes, Alexsandro Alves and Melo, Sissy Lara de and Armaganijan, Luciana and Kuniyoshi, Ricardo and Moraes, Luis Gustavo Belo de and Borges, Vanessa Alves Guimarães and Scanavacca, Mauricio and Martinelli Filho, Martino and Teixeira, Ricardo Alkmim. Cardiac Arrhythmias and Covid-19. International Journal of Cardiovascular Sciences [online]. 2021, vol. 34, n. 6, [citado 2026-10-14], pp. 717-727. Disponível em: <https://journals.cardiol.br/article/cardiac-arrhythmias-and-covid-19-2/>. ISSN 2359-4802

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