COVID-19: A double threat to takotsubo cardiomyopathy and spontaneous coronary artery dissection?

COVID-19/takotsubo/spontaneous coronary artery dissection: Lost in the Bermuda triangle

“…There is no doubt that we will soon witness a frequent occurrence of patients with the COVID-19/TTS, or COVID-19/SCAD; indeed, the TTS/SCAD combination, independent of the currently ravaging COVID-19, has been repeatedly reported recently, as the authors discuss [1] . Under the subtitle of “Interplay between TTC, SCAD, and COVID-19” the authors state [1] “In the setting of TTC, vigorous contraction of the left ventricular base in conjunction with adjacent dyskinetic segments could form a prerequisite anatomical substrate for the causation of SCAD. The coronary dissection plane may develop as a result of excessive movement of the epicardial vessels and increased shear stress on the vessel wall at the hinge point between the hyperdynamic and akinetic myocardium [2] .…”

“…I truly enjoyed reading the comprehensive report by Shojaei et al [1] , about the interplay between 3 distinct cardiovascular pathologies i.e., COVID-19, takotsubo syndrome (TTS), and spontaneous coronary artery dissection (SCAD). There is no doubt that we will soon witness a frequent occurrence of patients with the COVID-19/TTS, or COVID-19/SCAD; indeed, the TTS/SCAD combination, independent of the currently ravaging COVID-19, has been repeatedly reported recently, as the authors discuss [1] .…”

“…I truly enjoyed reading the comprehensive report by Shojaei et al [1] , about the interplay between 3 distinct cardiovascular pathologies i.e., COVID-19, takotsubo syndrome (TTS), and spontaneous coronary artery dissection (SCAD). There is no doubt that we will soon witness a frequent occurrence of patients with the COVID-19/TTS, or COVID-19/SCAD; indeed, the TTS/SCAD combination, independent of the currently ravaging COVID-19, has been repeatedly reported recently, as the authors discuss [1] . Under the subtitle of “Interplay between TTC, SCAD, and COVID-19” the authors state [1] “In the setting of TTC, vigorous contraction of the left ventricular base in conjunction with adjacent dyskinetic segments could form a prerequisite anatomical substrate for the causation of SCAD.…”

Post COVID Cardiovascular Care - A Review

“…18 The impact of this delayed treatment increased the rate of out of hospital cardiac arrest in Lombardy, Italy. 19 The number of elective procedures were also deferred worldwide. This is also true for the COVID positive patients along with the general population.…”

“…COVID-19 is associated with greater mortality and the potential risk of both SCAD and TTC, it is advisable to screen for SCAD in the presence of TTC in order to improve patient outcomes. 40 Whether these COVID induced SCAD needs any special treatment or it can be managed as like the traditional SCAD is not known. But at the moment, they can be managed conservatively by dual antiplatelet therapy as well as beta-blockers and anti-arrhythmic medications to prevent the dysrhythmia.…”