Stress-induced cardiomyopathy in a patient with a fulminant course of COVID-19 early after a kidney allotransplantation


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Abstract

The article provides a brief review of the literature on Takotsubo syndrome (TS) in a pandemic of a new coronavirus infection. A clinical case of TS development in a young patient with COVID-19 who received immunosuppressive therapy early after allotransplantation of a cadaveric kidney is described. The diagnosis of TS was established on the basis of clinical, echocardiographic and ECG data. In the present observation, the course of COVID-19 was extremely unfavorable and ended in death. An autopsy followed by histological examination of the myocardium confirmed the diagnosis of TS by eliminating other probable causes of acute myocardial injury.

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About the authors

E. M Zeltyn-Abramov

City Clinical Hospital № 52 of the Moscow Healthcare Department; Pirogov Medical University

Doctor of Medical Sciences, Professor at the Department of General Therapy, Pirogov Medical University, Head of the Cardionephrological Laboratory, City Clinical Hospital № 52 of the Moscow Healthcare Department Moscow, Russia

N. I Belavina

City Clinical Hospital № 52 of the Moscow Healthcare Department

PhD in Medical Sciences, Researcher at the Cardionephrological Laboratory, Doctor at the Functional Diagnostics Department Moscow, Russia

N. F Frolova

City Clinical Hospital № 52 of the Moscow Healthcare Department

PhD in Medical Sciences, Deputy Chief Physician for Nephrology Moscow, Russia

L. Yu Artyukhina

City Clinical Hospital № 52 of the Moscow Healthcare Department

PhD in Medical Sciences, Head of the Nephrology Department № 1 (Transplant Kidney Pathology) Moscow, Russia

O. L Podkorytova

City Clinical Hospital № 52 of the Moscow Healthcare Department

PhD in Medical Sciences, Head of the Resuscitation and Intensive Care Unit №2 for nephrological patients Moscow, Russia

V. V Varyasin

City Clinical Hospital № 52 of the Moscow Healthcare Department

PhD in Medical Sciences, Head of the Pathologoanatomic Department Moscow, Russia

V. V Parshin

City Clinical Hospital № 52 of the Moscow Healthcare Department

Head of the X-ray Department Moscow, Russia

I. K Maksimov

City Clinical Hospital № 52 of the Moscow Healthcare Department

PhD in Medical Sciences, Head of the Department of Functional and Ultrasound Diagnostics Moscow, Russia

O. Yu Evsyukov

City Clinical Hospital № 52 of the Moscow Healthcare Department

PhD in Medical Sciences, Doctor at the Pathologoanatomic Department Moscow, Russia

E. A Shishchenko

City Clinical Hospital № 52 of the Moscow Healthcare Department

Doctor at the Department of Functional and Ultrasound Diagnostics Moscow, Russia

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