Síndrome del corazón roto en la nueva realidad pos-COVID-19
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dic 17, 2021
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https://doi.org/10.30878/ces.v28n4a5
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Se lleva a cabo una revisión bibliográfica de los artículos científicos donde se relacionan la COVID-19 y la cardiopatía de takotsubo (CT). Se encontraron 69 artículos, donde se puede observar una intensa discusión acerca de si la CT se manifiesta por el miedo a contraer la enfermedad, por el estrés asociado al encierro o si es una afectación directa al miocardio. Dado que este síndrome es poco estudiado, es necesario diferenciar la CT de otras afectaciones cardiacas como el síndrome coronario agudo, la enfermedad de las arterias coronarios o la miocarditis. Diversos estudios describieron patologías extrapulmonares durante la pandemia por COVID-19, algunas de ellas mencionaban la aparición de CT, que es un síndrome clínico relacionado a factores estresantes.
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FAJARDO GUADARRAMA, Victor Manuel; ASTUDILLO, Jose Manuel Fajardo; LÓPEZ, Meily Castro.
Síndrome del corazón roto en la nueva realidad pos-COVID-19.
CIENCIA ergo-sum, [S.l.], v. 28, n. 4, dic. 2021.
ISSN 2395-8782.
Disponible en: <https://cienciaergosum.uaemex.mx/article/view/17002>. Fecha de acceso: 27 abr. 2025
doi: https://doi.org/10.30878/ces.v28n4a5.
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Esta obra está bajo licencia internacional Creative Commons Reconocimiento-NoComercial-SinObrasDerivadas 4.0.
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Almas, T., Khedro, T., Haadi, A., Ahmed, R., Alshaikh, L., Al-Awaid, A. H., Panhwar, M. S., & Virk HUH. (2021). COVID-19-induced takotsubo cardiomyopathy: Venturing beyondthe obvious. Annals of Medicine and Surgery, 65, 102291. https://doi.org/10.1016/j.amsu.2021.102291
Barbieri, L., Galli, F., Conconi, B., Gregorini, T., Lucreziotti, S., Mafrici, A., Pravettoni, G., Sommaruga, M., & Carugo, S. (2021). Takotsubo syndrome in COVID-19 era: Is psychological distress the key? Journal of Psychosomatic Research, 140, 110297. https://doi.org/10.1016/j.jpsychores.2020.110297
Buzon, J., Roignot, O., Lemoine, S., Perez, P., Kimmoun, A., Levy, B., & Novy, E. (2015). Takotsubo cardiomyopathy triggered by influenza A virus. Internal Medicine, 54, 2017-9. https://doi.org/10.2169/internalmedicine.54.3606
Cairns, L., Abed El Khaleq, Y., Storrar, W., & Scheuermann, M. (2021). COVID-19 myopericarditis with cardiac tamponade in the absence of respiratory symptoms: A case report. BMC Cardiovascular Disorders, 15, 31-34. https://doi.org/10.1186/s13256-020-02618-z
Elikowski, W., Małek-Elikowska, M., Lisiecka, M., Trypuć, Z., Iwona Mozer-Lisewska, & I. (2018). Takotsubocardiomyopathy triggered by influenza B. Polski Merkuriusz Lekarski, 45, 67-70.
Faqihi, F., Alharthy, A., Alshaya, R., Papanikolaou, J., Kutsogiannis, D. J., Brindley, P. G., & Karakitsos, D. (2020). Reverse takotsubo cardiomyopathy in fulminant COVID-19 associated with cytokine release syndrome and resolution followingtherapeutic plasma exchange: A case-report. BMC Cardiovascular Disorders, 20, 389. https://doi.org/10.1186/s12872-020-01665-0
Finsterer, J., & Stollberger, C. (2021). SARS-CoV-2 associated polyradiculitis and myocarditis may favour Takotsubo síndrome. Medical Hypotheses, 148, 110509. https://doi.org/10.1016/j.mehy.2021.110509
Fujisaki, T., Kassim, F., Kassim, G., Bandyopadhyay, D., Singh, V., & Kim, B. (2020). Biventricular takotsubo syndrome with COVID-19 in an Asian male. Journal of Cardiology Cases, 12, 52. https://doi.org/10.1016/j.jccase.2020.11.017
Ghadri, J.-R., Wittstein, I. S., Prasad, A., Sharkey, S., Dote, K., Akashi, Y. J., Cammann, V. L., Crea, F.,… & Templin, C. (2018a). International Expert Consensus Document on Takotsubo Syndrome (Part I): Clinical Characteristics, Diagnostic Criteria, and Pathophysiology. European Heart Journal, 39(22), 2032-2046. https://doi.org/10.1093/eurheartj/ehy077.
Ghadri, J.-R., Wittstein, I. S., Prasad, A., Sharkey, S., Dote, K., Akashi, Y. J., Cammann, V. L., Crea, F.,… & Templin, C. (2018b). International Expert Consensus Document on Takotsubo Syndrome (Part II): Diagnostic Workup, Outcome, and Management. European Heart Journal, 39(22), 2047-2062. https://doi.org/10.1093/eurheartj/ehy077
Giannitsi, S., Tsinivizov, P., Poulimenos, L. E., Kallistratos, M. S., Varvarousis, D., Manolis, A. J., Tsamakis, K., Rizos, E., Spandidos, D. A., Tsiptsios Siptsios, D., & Triantafyllis, A. S. (2020). Stress induced (Takotsubo) cardiomyopathy triggered by the COVID19 pandemic. Experimental and Therapeutic Medicine, 20, 2812-2814. https://10.3892/etm.2020.8968
Giustino, G., Croft, L. B., Oates, C. P., Rahman, K., Lerakis, S., Reddy, V. Y., & Goldman, M. (2020). TakotsuboCardiomyopathy in COVID-19. Journal of the American College of Cardiology, 76(5), 628-635.
Golfeyz, S., Kobayashi, T., Aoi, S., & Harrington, M. (2018). Possible association of influenza A infection and reverse Takotsubo syndrome. BMJ Case Reports, 11, e226289. https://doi.org/10.1136/bcr-2018-226289
Guo, T., Fan, Y., Chen, M., Wu, Xiaoyan, Zhang, L., He, T., Wang, H., Wan, J., Wang, X., Lu, Z. Cardiovascular Implications of Fataloutcomes of Patients with Coronavirus Disease 2019 (COVID-19). JAMA Cardiology, 5, 811. https://doi.org/10.1001/jamacardio.2020.1017
Habedank, D., Thieme, R., Bublak, A., Heinemann, F., Spencker, S., & Atmowihardjo, I. (2020). Ventricular fibrillation and Takotsubo cardiomyopathy triggeredby media panic on COVID-19: A case report. Clinical Case Reports, 9, 72-76. https://doi.org/10.1002/ccr3.3423
Hegde, S., Khan, R., Zordok, M., & Mysky, M. (2020). Characteristics and outcome of patients with COVID-19 complicated by Takotsubo cardiomyopathy: Case series with literature review. Open Heart, 7, e001360. https://doi.org/10.1136/openhrt-2020-001360
Jabri, A., Kalra, A., Kumar, A., Alameh, A., Adroja, S., Bashir, H., Nowacki, A. S., Shah, R.,… Reed, G. W. (2020). Incidence of stress cardiomyopathy during the coronavirus disease 2019 pandemic. JAMA Network Open, 3(7), e2014780. https://doi:10.1001/jamanetworkopen.2020.14780.
John, K., Lal, A., & Mishra, A. J. (2021). A review of the presentation and outcome of takotsubo cardiomyopathy in COVID-19. Monaldi Archives for Chest Disease, 91, 1710.
Kariyanna, P. T., Chandrakumar, H. P., Jayarangaiah, A., Khan, A., Vulkanov, V., Ashamall, M., Salifu, M. O. y McFarlane, S. I. (2020). Apical takotsubo cardiomyopathy in a COVID-19 patient presenting with stroke: A case report and pathophysiologicinsights. American Journal of Clinical Case Reports, 8(10), 350-357.
Kir, D., Beer, N., & De Marchena, E. J. (2020). Takotsubo cardiomyopathy caused by emotional stressors in the coronavirus disease 2019 (COVID-19) pandemic era. Journal of Cardiac Surgery, 36, 764-769. https://10.1111/jocs.15251.
Koutroumpakis, E., Taylora, T., Damarajua, S. y Mawji, S. B. (2020). “Covidsubo”: Stress-induced cardiomyopathy by novel coronavirus disease 2019. Cardiology. https://10.1159/000511450.
Medina de Chazal, H., Del Buono, M. G.,… & Keyser-Marcus, L. (2018). Stress cardiomyopathy diagnosis and treatment: JACC state-of-the-art review. Journals of the American College of Cardiology, 72, 1955-71.
Meyer, P., Degrauwe, S., Van Delden, C., Ghadri, J. R., & Templin, C. (2020). Typical takotsubo syndrome triggered by SARS-CoV-2 infection. Cardiovascular Flashligth. https://doi:10.1093/eurheartj/ehaa306.
Moady, G., & Atar, S. (2020). Quarantine-induced stress cardiomyopathy (takotsubo syndrome) during COVID-19 pandemic. Israel Medical Association Jornal, 23, 149-152.
Mohammed, M., Zakhour, S., Devgun, J., Lee, J., Keimig, T., & Wang, D. D. (2020). Takotsubo cardiomyopathy in a healthcare worker during the COVID-19 pandemic: Caused by the virus or the demands of the many being placed on the few? The European Journal of Case Reports in Internal Medicine, 7. https://doi:10.12890/2020_002088
O’Keefe, E. L., Torres-Acosta, N., O’Keefe, J. H., Sturgess, J. E., Lavie, C. J., & Bybee, K. A. (2020). Takotsubo syndrome: Cardiotoxic Stress in the COVID Era. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 4(6), 775-785. https://doi.org/10.1016/j.mayocpiqo.2020.08.008
Ortuno, S., Jozwiak, M., Mira, J. P., & Nguyen, L. S. 2021. Case Report: Takotsubo Syndrome Associated With Novel Coronavirus Disease 2019. Frontiers in Cardiovascular Medicine, 8, 614562. https://10.3389/fcvm.2021.614562.
Pasqualetto, M. C., Secco, E., Nizzetto, M., Scevola, M., Altafini, L., Cester, A., & Rigo, F. (2020). Stress cardiomiopathy in COVID-19 disease. European Journal of Case Reports in Internal Medicine, 7. https://doi:10.12890/2020_001718
Prasad, A., Lerman, A., & Rihal, C. S. (2008). Apical ballooning syndrome (Tako-Tsubo or stresscardiomyopathy): A mimic of acute myocardial infarction. American Heart Journal, 155, 408-17.
Roca, E., Lombardi, C., Campana, M., Vivaldi, O., Bigni, B., Bertozzi, B., Passalacqua, G. (2020). Takotsubo syndrome associated with COVID-19. European Journal of Case Reports in Internal Medicine, 7. https://10.12890/2020_001665.
Rojas-Jiménez, S., & Lopera-Valle, J. S. (2012). Cardiomiopatía de Takotsubo, el gran imitador del infarto agudo del miocardio. Revista CES Medicina, 26(1), 107-120.
Sakamoto, T., M. D., Endo, A., Yoshitomi, H., & Tanabe, K. (2020). Takotsubo cardiomyopathy caused by intense emotional stress induced by voluntary quarantine duringthe coronavirus disease crisis. Circulation Reports, 2, 382-383. https://10.1253/circrep.CR-20-0048.
Sattar, Y., Connerney, M., Ullah, W., Philippou, A., Slack, D., McCarthy, B., Kroll, S., Luddington, S., Ruiz-Maya, T., & Chadi Alraies, M. (2020). COVID-19 Presenting as takotsubo cardiomyopathy complicated with atrial fibrillation. IJC Heart & Vasculature, 29, 1-4
Sato, M., Fujita, S., Saito, A., Ikeda, Y., Kitazawa, H., Takahashi, M., Ishiguro, J., Okabe, M., Nakamura, Y., Nagai, T., Watanabe, H., Kodama, M., Aizawa, Y. (2006). Increased incidence of transient left ventricular apicalballooning (so-called ‘Takotsubo’ cardiomyopathy) after the mid-niigata prefectureearthquake. Circulation Journal, 70(8), 947-53. https://doi.org/10.1253/circj.70.947
Sato, H., Tateishi, H., & Uchida, T. (1990). Takotsubo-type cardiomyopathy due to multivessel spasm. In: K. Kodama, K. Haze, M. Hon (eds). Clinical aspect of myocardial injury: from ischemia to heart failure (pp. 56-64). Tokyo: Kagakuhyouronsha.
Shi, S., Qin, M., Shen, B., Cai, Y., Liu, T., Yang, F., Gong, W., Liu, X., Liang, J., Zhao, Q., Huang, H., Yang, B., & Huang, C. (2020). Association of cardiac injury withmortality in hospitalized patients with COVID-19 in Wuhan, China. JAMA Cardiology, 5, 802. https://doi.org/10.1001/jamacardio.2020.0950
Barbieri, L., Galli, F., Conconi, B., Gregorini, T., Lucreziotti, S., Mafrici, A., Pravettoni, G., Sommaruga, M., & Carugo, S. (2021). Takotsubo syndrome in COVID-19 era: Is psychological distress the key? Journal of Psychosomatic Research, 140, 110297. https://doi.org/10.1016/j.jpsychores.2020.110297
Buzon, J., Roignot, O., Lemoine, S., Perez, P., Kimmoun, A., Levy, B., & Novy, E. (2015). Takotsubo cardiomyopathy triggered by influenza A virus. Internal Medicine, 54, 2017-9. https://doi.org/10.2169/internalmedicine.54.3606
Cairns, L., Abed El Khaleq, Y., Storrar, W., & Scheuermann, M. (2021). COVID-19 myopericarditis with cardiac tamponade in the absence of respiratory symptoms: A case report. BMC Cardiovascular Disorders, 15, 31-34. https://doi.org/10.1186/s13256-020-02618-z
Elikowski, W., Małek-Elikowska, M., Lisiecka, M., Trypuć, Z., Iwona Mozer-Lisewska, & I. (2018). Takotsubocardiomyopathy triggered by influenza B. Polski Merkuriusz Lekarski, 45, 67-70.
Faqihi, F., Alharthy, A., Alshaya, R., Papanikolaou, J., Kutsogiannis, D. J., Brindley, P. G., & Karakitsos, D. (2020). Reverse takotsubo cardiomyopathy in fulminant COVID-19 associated with cytokine release syndrome and resolution followingtherapeutic plasma exchange: A case-report. BMC Cardiovascular Disorders, 20, 389. https://doi.org/10.1186/s12872-020-01665-0
Finsterer, J., & Stollberger, C. (2021). SARS-CoV-2 associated polyradiculitis and myocarditis may favour Takotsubo síndrome. Medical Hypotheses, 148, 110509. https://doi.org/10.1016/j.mehy.2021.110509
Fujisaki, T., Kassim, F., Kassim, G., Bandyopadhyay, D., Singh, V., & Kim, B. (2020). Biventricular takotsubo syndrome with COVID-19 in an Asian male. Journal of Cardiology Cases, 12, 52. https://doi.org/10.1016/j.jccase.2020.11.017
Ghadri, J.-R., Wittstein, I. S., Prasad, A., Sharkey, S., Dote, K., Akashi, Y. J., Cammann, V. L., Crea, F.,… & Templin, C. (2018a). International Expert Consensus Document on Takotsubo Syndrome (Part I): Clinical Characteristics, Diagnostic Criteria, and Pathophysiology. European Heart Journal, 39(22), 2032-2046. https://doi.org/10.1093/eurheartj/ehy077.
Ghadri, J.-R., Wittstein, I. S., Prasad, A., Sharkey, S., Dote, K., Akashi, Y. J., Cammann, V. L., Crea, F.,… & Templin, C. (2018b). International Expert Consensus Document on Takotsubo Syndrome (Part II): Diagnostic Workup, Outcome, and Management. European Heart Journal, 39(22), 2047-2062. https://doi.org/10.1093/eurheartj/ehy077
Giannitsi, S., Tsinivizov, P., Poulimenos, L. E., Kallistratos, M. S., Varvarousis, D., Manolis, A. J., Tsamakis, K., Rizos, E., Spandidos, D. A., Tsiptsios Siptsios, D., & Triantafyllis, A. S. (2020). Stress induced (Takotsubo) cardiomyopathy triggered by the COVID19 pandemic. Experimental and Therapeutic Medicine, 20, 2812-2814. https://10.3892/etm.2020.8968
Giustino, G., Croft, L. B., Oates, C. P., Rahman, K., Lerakis, S., Reddy, V. Y., & Goldman, M. (2020). TakotsuboCardiomyopathy in COVID-19. Journal of the American College of Cardiology, 76(5), 628-635.
Golfeyz, S., Kobayashi, T., Aoi, S., & Harrington, M. (2018). Possible association of influenza A infection and reverse Takotsubo syndrome. BMJ Case Reports, 11, e226289. https://doi.org/10.1136/bcr-2018-226289
Guo, T., Fan, Y., Chen, M., Wu, Xiaoyan, Zhang, L., He, T., Wang, H., Wan, J., Wang, X., Lu, Z. Cardiovascular Implications of Fataloutcomes of Patients with Coronavirus Disease 2019 (COVID-19). JAMA Cardiology, 5, 811. https://doi.org/10.1001/jamacardio.2020.1017
Habedank, D., Thieme, R., Bublak, A., Heinemann, F., Spencker, S., & Atmowihardjo, I. (2020). Ventricular fibrillation and Takotsubo cardiomyopathy triggeredby media panic on COVID-19: A case report. Clinical Case Reports, 9, 72-76. https://doi.org/10.1002/ccr3.3423
Hegde, S., Khan, R., Zordok, M., & Mysky, M. (2020). Characteristics and outcome of patients with COVID-19 complicated by Takotsubo cardiomyopathy: Case series with literature review. Open Heart, 7, e001360. https://doi.org/10.1136/openhrt-2020-001360
Jabri, A., Kalra, A., Kumar, A., Alameh, A., Adroja, S., Bashir, H., Nowacki, A. S., Shah, R.,… Reed, G. W. (2020). Incidence of stress cardiomyopathy during the coronavirus disease 2019 pandemic. JAMA Network Open, 3(7), e2014780. https://doi:10.1001/jamanetworkopen.2020.14780.
John, K., Lal, A., & Mishra, A. J. (2021). A review of the presentation and outcome of takotsubo cardiomyopathy in COVID-19. Monaldi Archives for Chest Disease, 91, 1710.
Kariyanna, P. T., Chandrakumar, H. P., Jayarangaiah, A., Khan, A., Vulkanov, V., Ashamall, M., Salifu, M. O. y McFarlane, S. I. (2020). Apical takotsubo cardiomyopathy in a COVID-19 patient presenting with stroke: A case report and pathophysiologicinsights. American Journal of Clinical Case Reports, 8(10), 350-357.
Kir, D., Beer, N., & De Marchena, E. J. (2020). Takotsubo cardiomyopathy caused by emotional stressors in the coronavirus disease 2019 (COVID-19) pandemic era. Journal of Cardiac Surgery, 36, 764-769. https://10.1111/jocs.15251.
Koutroumpakis, E., Taylora, T., Damarajua, S. y Mawji, S. B. (2020). “Covidsubo”: Stress-induced cardiomyopathy by novel coronavirus disease 2019. Cardiology. https://10.1159/000511450.
Medina de Chazal, H., Del Buono, M. G.,… & Keyser-Marcus, L. (2018). Stress cardiomyopathy diagnosis and treatment: JACC state-of-the-art review. Journals of the American College of Cardiology, 72, 1955-71.
Meyer, P., Degrauwe, S., Van Delden, C., Ghadri, J. R., & Templin, C. (2020). Typical takotsubo syndrome triggered by SARS-CoV-2 infection. Cardiovascular Flashligth. https://doi:10.1093/eurheartj/ehaa306.
Moady, G., & Atar, S. (2020). Quarantine-induced stress cardiomyopathy (takotsubo syndrome) during COVID-19 pandemic. Israel Medical Association Jornal, 23, 149-152.
Mohammed, M., Zakhour, S., Devgun, J., Lee, J., Keimig, T., & Wang, D. D. (2020). Takotsubo cardiomyopathy in a healthcare worker during the COVID-19 pandemic: Caused by the virus or the demands of the many being placed on the few? The European Journal of Case Reports in Internal Medicine, 7. https://doi:10.12890/2020_002088
O’Keefe, E. L., Torres-Acosta, N., O’Keefe, J. H., Sturgess, J. E., Lavie, C. J., & Bybee, K. A. (2020). Takotsubo syndrome: Cardiotoxic Stress in the COVID Era. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 4(6), 775-785. https://doi.org/10.1016/j.mayocpiqo.2020.08.008
Ortuno, S., Jozwiak, M., Mira, J. P., & Nguyen, L. S. 2021. Case Report: Takotsubo Syndrome Associated With Novel Coronavirus Disease 2019. Frontiers in Cardiovascular Medicine, 8, 614562. https://10.3389/fcvm.2021.614562.
Pasqualetto, M. C., Secco, E., Nizzetto, M., Scevola, M., Altafini, L., Cester, A., & Rigo, F. (2020). Stress cardiomiopathy in COVID-19 disease. European Journal of Case Reports in Internal Medicine, 7. https://doi:10.12890/2020_001718
Prasad, A., Lerman, A., & Rihal, C. S. (2008). Apical ballooning syndrome (Tako-Tsubo or stresscardiomyopathy): A mimic of acute myocardial infarction. American Heart Journal, 155, 408-17.
Roca, E., Lombardi, C., Campana, M., Vivaldi, O., Bigni, B., Bertozzi, B., Passalacqua, G. (2020). Takotsubo syndrome associated with COVID-19. European Journal of Case Reports in Internal Medicine, 7. https://10.12890/2020_001665.
Rojas-Jiménez, S., & Lopera-Valle, J. S. (2012). Cardiomiopatía de Takotsubo, el gran imitador del infarto agudo del miocardio. Revista CES Medicina, 26(1), 107-120.
Sakamoto, T., M. D., Endo, A., Yoshitomi, H., & Tanabe, K. (2020). Takotsubo cardiomyopathy caused by intense emotional stress induced by voluntary quarantine duringthe coronavirus disease crisis. Circulation Reports, 2, 382-383. https://10.1253/circrep.CR-20-0048.
Sattar, Y., Connerney, M., Ullah, W., Philippou, A., Slack, D., McCarthy, B., Kroll, S., Luddington, S., Ruiz-Maya, T., & Chadi Alraies, M. (2020). COVID-19 Presenting as takotsubo cardiomyopathy complicated with atrial fibrillation. IJC Heart & Vasculature, 29, 1-4
Sato, M., Fujita, S., Saito, A., Ikeda, Y., Kitazawa, H., Takahashi, M., Ishiguro, J., Okabe, M., Nakamura, Y., Nagai, T., Watanabe, H., Kodama, M., Aizawa, Y. (2006). Increased incidence of transient left ventricular apicalballooning (so-called ‘Takotsubo’ cardiomyopathy) after the mid-niigata prefectureearthquake. Circulation Journal, 70(8), 947-53. https://doi.org/10.1253/circj.70.947
Sato, H., Tateishi, H., & Uchida, T. (1990). Takotsubo-type cardiomyopathy due to multivessel spasm. In: K. Kodama, K. Haze, M. Hon (eds). Clinical aspect of myocardial injury: from ischemia to heart failure (pp. 56-64). Tokyo: Kagakuhyouronsha.
Shi, S., Qin, M., Shen, B., Cai, Y., Liu, T., Yang, F., Gong, W., Liu, X., Liang, J., Zhao, Q., Huang, H., Yang, B., & Huang, C. (2020). Association of cardiac injury withmortality in hospitalized patients with COVID-19 in Wuhan, China. JAMA Cardiology, 5, 802. https://doi.org/10.1001/jamacardio.2020.0950