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


DOI: https://dx.doi.org/10.18565/nephrology.2020.2.10-15

E.M. Zeltyn-Abramov, N.I. Belavina, N.F. Frolova, L.Yu. Artyukhina, O.L. Podkorytova, V.V. Varyasin, V.V. Parshin, I.K. Maksimov, O.Yu. Evsyukov, E.A. Shishchenko

1) Cardionephrological Laboratory, City Clinical Hospital № 52 of the Moscow Healthcare Department, Moscow, Russia; 2) City Clinical Hospital № 52 of the Moscow Healthcare Department, Moscow, Russia; 3) Pirogov Medical University, Department of Therapy, Moscow, Russia
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.

About the Autors


Evgeny M. Zeltyn-Abramov – 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. E-mail: ezeltyn@mail.ru
Natalya I. Belavina – PhD in Medical Sciences, Researcher at the Cardionephrological Laboratory, Doctor at the Functional Diagnostics Department, City Clinical Hospital № 52 of the Moscow Healthcare Department; Moscow, Russia.
Nadia F. Frolova – PhD in Medical Sciences, Deputy Chief Physician for Nephrology, City Clinical Hospital № 52 of the Moscow Healthcare Department; Moscow, Russia.
Lyudmila Yu. Artyukhina – PhD in Medical Sciences, Head of the Nephrology Department № 1 (Transplant Kidney Pathology), City Clinical Hospital № 52 of the Moscow Healthcare Department; Moscow, Russia.
Olga L. Podkorytova – PhD in Medical Sciences, Head of the Resuscitation and Intensive Care Unit №2 for nephrological patients, City Clinical Hospital № 52 of the Moscow Healthcare Department; Moscow, Russia.
Valery V. Varyasin – PhD in Medical Sciences, Head of the Pathologoanatomic Department of City Clinical Hospital № 52 of the Moscow Healthcare Department, Chief External Expert in Morbid Anatomy of Moscow North-Western Administrative District; Moscow, Russia.
Vasily V.Parshin – Head of the X-ray Department, City Clinical Hospital № 52 of the Moscow Healthcare Department; Moscow, Russia.
Ilya K. Maksimov – PhD in Medical Sciences, Head of the Department of Functional and Ultrasound Diagnostics, City Clinical Hospital № 52 of the Moscow Healthcare Department; Moscow, Russia.
Oleg Yu. Evsyukov – PhD in Medical Sciences, Doctor at the Pathologoanatomic Department, City Clinical Hospital № 52 of the Moscow Healthcare Department; Moscow, Russia.
Ekaterina A. Shishchenko – Doctor at the Department of Functional and Ultrasound Diagnostics, City Clinical Hospital № 52 of the Moscow Healthcare Department; Moscow, Russia.


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