RT Journal Article SR Electronic T1 Characteristics and outcome of patients with COVID-19 complicated by Takotsubo cardiomyopathy: case series with literature review JF Open Heart JO Open Heart FD British Cardiovascular Society SP e001360 DO 10.1136/openhrt-2020-001360 VO 7 IS 2 A1 Hegde, Shruti A1 Khan, Rizwan A1 Zordok, Magdi A1 Maysky, Michael YR 2020 UL http://openheart.bmj.com/content/7/2/e001360.abstract AB Background Cardiac involvement with COVID-19 is increasingly being recognised. Clinical characteristics and outcomes of patients with COVID-19 complicated by secondary Takotsubo cardiomyopathy (TC) is poorly understood.Methods This retrospective case series was conducted between March and April 2020 at four hospitals of Steward Health Care Network of Massachusetts, USA. Seven patients out of 169 who had echocardiogram were identified to have features of TC. Demographic, clinical, laboratory, management and outcome were gathered from their electronic medical records. We also reviewed all the published cases of COVID-19 and TC in the literature to recognise their common clinical characteristics, risk factors and outcomes.Results In our series of seven patients, three typical, two inverted, one biventricular and one global TC were recognised. Three were females and four were males. The mean age was 71±11 years. In-hospital death was observed in 57% of patients. Patients who belonged to the high-risk group and had high-risk echocardiographic features in our series had a 100% mortality rate.Conclusions COVID-19 complicated by TC has a high mortality rate. Early identification of patients with COVID-19 who are at higher risk for developing secondary TC is important for the prevention of complications, and thus improved outcomes.