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“Broken Heart Syndrome” rose during a pandemic:

 


Symptoms mimic a heart attack, said Dr James Januzzi, a trustee of the American College of Cardiology and a cardiologist at Massachusetts General Hospital in Boston.

But as the tests are done, the real cause becomes more apparent.

Januzzi explains that stress cardiomyopathy looks different from a heart attack on the electrocardiogram, which measures the electrical activity of the heart. Also, when a doctor does angiography and looks through the arteries of the heart, no obstruction is seen in patients with stress cardiomyopathy.

The good news, according to Januzzi, is that people with this condition usually have no long-term heart damage and recover quickly.

Given all the stress of a pandemic, from fear of the virus to unemployment to social isolation, it’s not hard to imagine why stress cardiomyopathy increases.

But he also warned the findings: From the beginning of the pandemic, many US hospitals saw a significant decrease in heart attack patients-probably people feared a trip to the ER, in 911. Maybe because I wasn’t calling.

That could be one of the reasons for the increased diagnosis of stress cardiomyopathy, said Cass.

“The denominator has changed,” he said. “So it’s hard to know if this is really happening a lot.”

Januzzi has agreed that this could be a factor.

Interestingly, none of the patients tested positive for COVID-19. Janusi noted that cases of stress cardiomyopathy “associated with COVID” have been reported in infected patients, but the cases associated with the pandemic itself are new.

And it is “very plausible,” he said that these stressful periods can lead to a true increase in the condition.

Januzzi believes that it is important for the general public to address chest pain and dyspnea symptoms. Go to the ER and see your doctor.

Kara agreed. He also urged people to do their best to manage stress-for example, regular exercise or using meditation to calm the mind.

Findings were published online July 9 JAMA Network Open..

WebMD News from HealthDay

Source

Source: Ankur Kalra, MD, Interventional Cardiologist, Cleveland Clinic, Ohio. Johns Hopkins University School of Medicine Baltimore, Professor of Cardiology, Doctor of Medicine David Cass. James Januzzi, MD, Trustee, American College College of College, Cardiologist, Massachusetts General Hospital, Professor of Medicine, Harvard Medical School Boston.JAMA Network Open, July 9, 2020, online



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