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Cleveland Clinic Researchers Find Increased Heartbreak Syndrome During COVID-19 Pandemic

 


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Human heart. Credit: copyright American Heart Association

Researchers at the Cleveland Clinic discovered a large increase in patients experiencing stress cardiomyopathy (also known as Broken Heart Syndrome) during the COVID-19 outbreak.

stress Occurs in response to physical or emotional distress, causing dysfunction or disability .. Patients usually , Chest pain, shortness of breath, etc. usually do not acutely block the coronary arteries. Left ventricle However, it may expand. Other symptoms include arrhythmia, syncope, Cardiogenic shock (the inability of the heart to pump enough blood to meet the body’s needs due to the effects of stress hormones on the cells of the heart).

“The COVID-19 pandemic has brought different levels of stress to the lives of people around the world and around the world. People are not only worried about getting sick themselves or their families, but also economically. Addresses emotional, social, and potential loneliness. Isolation,” said Ankur, a cardiologist at the Cleveland Clinic in the section on invasive and interventional heart disease and community cardiovascular medicine that led the study. Dr. Kalra said. “Stress is To our bodies and minds, as evidenced by the increasing diagnosis of We are experiencing “

The cause of stress-type cardiomyopathy, also known as Takotsubo cardiomyopathy, has not been fully elucidated. However, doctors say that a person’s response to a physically or emotionally stressful event causes the release of stress hormones, which temporarily reduces the pumping capacity of the heart, resulting in inefficient or inefficient patterns. I think it will shrink irregularly.

In this study, a cardiologist examined 258 patients admitted to the Cleveland Clinic and Cronbrand Cron Akron General with a cardiac condition known as acute coronary syndrome (ACS) between March 1 and April 30. , Compared with four control groups of ACS patients before the pandemic. They found a significant increase in the number of patients diagnosed with stress cardiomyopathy, reaching 7.8% compared to a prepandemic incidence of 1.7%. Patients with stress cardiomyopathy during the COVID-19 pandemic had a longer hospital stay compared to those hospitalized during the pre-pandemic period. However, there was no significant difference in mortality between groups. All patients diagnosed with stress cardiomyopathy were negative for COVID-19.

The study was announced today JAMA Network Open..

“Pandemics are evolving, but self-care during this difficult time is important to our heart health and overall health,” said Grant, director of STEMI (ST-elevation myocardial infarction) at Cleveland Clinic. Reed Medical Doctor says. ) Senior author of programs and studies. “For those who feel overwhelmed by stress, it’s important to contact a health care provider. Exercise, meditation, and connections with family and friends keep physical distance and safety measures in place. It also helps relieve anxiety.”

Patients with stress cardiomyopathy generally recover heart function and recover within days or weeks, but they can also cause serious adverse events in the heart and cerebrovasculature and, in rare cases, can be fatal. Stress cardiomyopathy is usually treated with heart medication to lower blood pressure and slow your heart rate. Other medications may be prescribed to help manage ..

Researchers say more research is justified in this area, especially to see if this trend exists in other parts of the country.


Cancer is associated with poor prognosis in patients with broken heart syndrome


For more information:
JAMA Network Open (2020). DOI: 10.1001 / jamanetworkopen.2020.14780

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Cleveland clinic

Quote: Researchers at the Cleveland Clinic, COVID-19 Pandemic (July 2020 During March 9th), I found an increase in broken heart syndrome. html

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