IMR Press / RCM / Volume 23 / Issue 9 / DOI: 10.31083/j.rcm2309298
Open Access Review
Coronavirus Disease 2019 and Takotsubo Syndrome
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1 Department of Anesthesiology and Perioperative Medicine, The First Affiliated Hospital of Nanjing Medical University, 210029 Nanjing, Jiangsu, China
2 Department of Cardiology, The Third Affiliated Hospital of Soochow University, 213003 Changzhou, Jiangsu, China
3 Department of Ultrasound Imaging, Renmin Hospital, Wuhan University, 430060 Wuhan, Hubei, China
4 Department of Anesthesiology, The Second Affiliated Changzhou People's Hospital of Nanjing Medical University, 213000 Changzhou, Jiangsu, China
5 Department of Critical Care Medicine, The Third Affiliated Hospital of Soochow University, 213003 Changzhou, Jiangsu, China
*Correspondence: chunyang@njmu.edu.cn (Chun Yang); linda_yl@sina.com (Ling Yang); cunmingliu@njmu.edu.cn (Cunming Liu)
These authors contributed equally.
Academic Editor: Giuseppe Biondi-Zoccai
Rev. Cardiovasc. Med. 2022, 23(9), 298; https://doi.org/10.31083/j.rcm2309298
Submitted: 20 May 2022 | Revised: 12 June 2022 | Accepted: 21 June 2022 | Published: 5 September 2022
Copyright: © 2022 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

The novel coronavirus disease 2019 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has become a global public health emergency. As the number of confirmed cases increases, cardiovascular complications, such as myocardial injury and cardiac dysfunction, are evidenced. Takotsubo syndrome (TTS), which is common in the intensive care unit, is diagnosed among COVID-19 patients. There have been 68 more cases reports with over 119 patients since a COVID-19 patient with TTS was first reported on April 14, 2020. Angiotensin-converting enzyme 2 (ACE2), which is widely expressed in the lungs and heart, is the virus receptor. Nevertheless, randomized studies on COVID-19 related TTS are lacking, and the pathogenesis and pathophysiology are still unclear. Therefore, this review provides an overview of the potential pathogenesis, pathophysiology, clinical manifestations, diagnosis, and treatment strategy for TTS in the COVID-19 era based on current practices.

Keywords
COVID-19
diagnosis
pathogenesis
Takotsubo syndrome
treatment
Funding
81703482/National Natural Science Foundation of China
81974171/National Natural Science Foundation of China
82070405/National Natural Science Foundation of China
JSSCTD202144/Innovative and Entrepreneurial Team of Jiangsu Province
CE20195044/Science and Technology Support (Social Development) Project of Bureau of Science and Technology of Changzhou
BK20211382/Natural Science Foundation of Jiuangsu Province
Figures
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