Department of Cardiovascular Medicine, Shizuoka Medical Center.
Department of Emergency Medicine, Shizuoka Medical Center.
J Nippon Med Sch. 2024 Mar 9;91(1):124-128. doi: 10.1272/jnms.JNMS.2023_90-607. Epub 2023 Feb 21.
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.
新型冠状病毒病 2019（COVID-19）与心血管并发症相关；然而，Takotsubo 心肌病（TCM）伴 QT 延长和尖端扭转型室性心动过速的报道却很少见。我们报告了一例 QT 延长和尖端扭转型室性心动过速后发生 TCM 的病例。一名 58 岁女性因 COVID-19 相关肺炎入院。入院后 7 天，她突发意识丧失，无心血管疾病迹象。监测心电图显示尖端扭转型室性心动过速和 QT 间期延长。紧急心脏导管检查显示 TCM。她接受了法匹拉韦和类固醇治疗，随后进行康复治疗，病情有所改善。为了发现无症状 TCM，应考虑对 COVID-19 患者进行常规心电图筛查。
