Title PageTitle: An Atypical Case of Takotsubo Cardiomyopathy in a Middle-Aged Male Triggered by Work-Related Stress Keywords: takotsubo cardiomyopathy; stress-induced cardiomyopathy; atypical presentation; work-related stress; transient left ventricular dysfunction; NSTEMI mimic; normal coronary angiography Authors: Dr. Bassim Albizreh,MD. Hamad Medical Corporation, Qatar Corresponding Author: Dr. Gagan Manoher, MD. ORCID#0009-0000-2229-6285 Email: Gmanoher@hamad.qa Dr. Fahmi Othman, MD. ORCID#0000-0002-4724-8850 Email: Fothman@hamad.qa All authors are affiliated with Hamad medical corporation

A document by Fahmi Othman. Click on the document to view its contents.

This is a case of an elderly female with comorbidities and a history of cardiac transplant 13 years back, presented with diarrhea and diagnosed with COVID-19. She was hospitalized and found to have a cardiac injury and urinary tract infection, treated with antibiotics, antivirals, immunosuppressives, and required non-invasive ventilatory support.

Lipomatous hypertrophy of the interatrial septum (LHIAS) is a benign cardiac tumor. Differential diagnosis of LHIAS consists of atrial masses such as myxomas or lipomas. Herein, we report a 66-year-old male, admitted as a case of severe COVID-19 and was found to have a LHIAS extending to the crista terminalis.

The effect of COVID-19 is not limited to the respiratory system. Patients who are at risk to develop cardiac arrhythmias might be affected especially when unmasked with fever. A 41-year-old Bangladeshi male patient presented with frequent palpitations and dizziness. His ECG revealed Brugada pattern while being diagnosed with COVID-19.