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During the COVID-19 pandemic, researchers at the Cleveland Clinic have found a significant increase in patients experiencing stress cardiomyopathy, also known as "broken heart syndrome," which has symptoms similar to a heart attack, according to a new study from the clinic.“Especially when it comes to the loss of a job and economic stressors, those are things that the COVID pandemic is affecting in many people,” said Dr. Grant Reed. “So it’s not just the virus itself that’s causing illness in patients.”Heartbreak is a common thread in movies, pop culture, and music but Cleveland Clinic cardiologists are warning patients about the serious effects of a broken heart and the possible connection with the COVID-19 pandemic.“No one really expected to be in this situation and the pandemic has put dramatic, unprecedented stressors on our life,” Reed said. “These are patients that are coming in presenting very similar to how patients come in with a heart attack. They have EKG changes consistent with a heart attack and they have chest discomfort.”Researchers said stress cardiomyopathy happens in response to physical or emotional stress, which causes dysfunction or failure in the heart muscle.“The COVID-19 pandemic has brought about multiple levels of stress in people’s lives across the country and world. People are not only worried about themselves or their families becoming ill, but they are also dealing with economic and emotional issues, societal problems and potential loneliness and isolation,” said Ankur Kalra, M.D., a Cleveland Clinic cardiologist in the Sections of Invasive and Interventional Cardiology and Regional Cardiovascular Medicine, who led the study.Patients with this condition have experienced symptoms similar to a heart attack, such as chest pain, shortness of breath, but usually don’t have acutely blocked coronary arteries.“The stress can have physical effects on our bodies and our hearts, as evidenced by the increasing diagnoses of stress cardiomyopathy we are experiencing,” said Kalra.Patients can also experience irregular heartbeat, fainting, low blood pressure, and cardiogenic shock, which happens when the heart can’t pump enough blood to meet the body’s demand due to stress hormones.Researchers have admitted the causes of stress cardiomyopathy are not fully understood.Between March 1 and April 30, cardiologists looked at 258 patients with heart symptoms coming into Cleveland Clinic and Cleveland Clinic Akron General. Researchers compared them with four control groups and found a “significant increase” in patients diagnosed with cardiomyopathy, reaching 7.8% compared with a pre-pandemic incidence of 1.7%, the release states.All patients diagnosed with stress cardiomyopathy tested negative for COVID-19. Those with the condition since the COVID-19 outbreak had a longer hospital stay compared to those pre-pandemic. Doctors said patients with stress cardiomyopathy patients generally recover in a matter of days or weeks, although the condition can occasionally cause major adverse cardiac and cerebrovascular events.“For those who feel overwhelmed by stress, it’s important to reach out to your healthcare provider. Exercise, meditation, and connecting with family and friends, while maintaining physical distance and safety measures, can also help relieve anxiety," said Grant Reed, director of Cleveland Clinic’s STEMI program and senior author for the study.Reed said a number of factors can cause heart function to deteriorate, which include loneliness, financial stress, or overwhelming feelings of uncertainty brought on by stay-at-home orders.“You have to recognize when you need to seek help and say, ‘Okay I need to take a step back.’ Maybe disconnect from social media and not read so much because that can stress us all out,” Reed said.Researchers noted that additional research is needed in this area, especially if this trend in cases is present in other regions of the country.WEWS' Kaylyn Hlavaty and Emily Hamilton first reported this story. 4026

Doctors at Henry Ford Health System penned an opened letter on the hospital's study of hydroxychloroquine being used to treat COVID-19.It comes just days after Dr. Anthony Fauci called the study "flawed" while testifying in front of a House subcommittee."As an early hotspot for the COVID-19 pandemic, we have seen and lived its devastating effects alongside our patients and families. Perhaps that’s what makes us even more determined to rally our researchers, front-line care team members and leaders together in boldness, participating in scientific research, including clinical trials, to find the safest care and most effective treatments. While feeling the same sense of urgency everyone else does to recognize a simple, single remedy for COVID-19, we need to be realistic in the time it takes to fully understand the optimal therapy or combination of therapies required of a new virus we are all trying to contain," Dr. Adnan Munkarah and Dr. Steven Kalkanis said in the letter.The study has been among a handful to show positive results of using hydroxychloroquine as a coronavirus medicine. But the FDA has recommended against using the drug outside of a hospital or clinical setting after a number of studies showed the drug was ineffective at treating coronavirus patients. On Friday, Fauci said the study, which has been touted by President Donald Trump and other Republicans, contradicts other studies that found the drug does not effectively treat COVID-19."That study is a flawed study, and I think anyone who examines it carefully is that it is not a randomized placebo-controlled trial," Fauci said. "The most well-accepted and definitive method to determine the efficacy of a treatment is a double-blind, randomized clinical trial. However, this type of study takes a long time to design, execute and analyze," the doctors wrote.You can read the entire letter below. 1893

Dr. Anthony Fauci said during a Congressional hearing Tuesday that President Donald Trump has never directed him to "slow down" the amount of coronavirus testing being conducted in the U.S. in order to prevent new cases from being reported.Fauci added that to his knowledge, Trump had not issued such a direction to anyone else on the coronavirus task force.In addition, Fauci said that the U.S. would be conducting more testing in the coming months and increasing contact tracing abilities.Dr. Robert Redfield, the director of the Centers for Disease Control and Prevention, also denied that he had been told by Trump to limit the number of tests.On Saturday, at a rally in Oklahoma, Trump said that he asked officials in his administration to "slow down" testing capacity in order to keep the number of confirmed cases steady. During a briefing on Monday press secretary, Kayleigh McEnany said that Trump's comments were made "in jest."However, in an interview with Scripps national politics editor Joe St. George, Trump did not specifically say if he asked officials to slow down testing, but added that "if it did slow down, frankly, I think we're way ahead of ourselves." 1184

EL CAJON, Calif. (KGTV) - A possible vehicle break-in led to a deadly shooting in the East County early Sunday.El Cajon Police received a report of shots fired just after 1 a.m. near West Chase Avenue in El Cajon. Police said a homeowner was woken up by the sound of his dogs barking in the 1100 block of Mona Place and looked outside to see someone trying to break into his vehicle.The homeowner retrieved his handgun and went outside to confront the 32-year-old suspect, police said.A confrontation between the two occurred and the homeowner shot at the suspect multiple times, police said, striking him at least once.The suspect then took off in his own vehicle and crashed into the driveway of a nearby home in the 1000 block of West Chase Ave. Officers arrived to find him dead of a gunshot wound.Police have not released the identity of the homeowner or suspect. The homeowner is cooperating with officers. It's not yet clear if that person will face any criminal charges as a result of the shooting. 1054

EL CAJON (CNS) - One person was shot and another stabbed at a house party in El Cajon late Saturday night, police say. Several 911 calls came in to police at about 11:50 p.m. Saturday reporting a fight at a party on Andover Road just east of South Second Street, El Cajon Police Lt. Eric Taylor said.Callers reported that multiple people had been kicked out and drove off in a silver car before turning around and firing shots at partygoers who were still outside, Taylor said. One person, a woman in her 20s, was shot in the abdomen.She was taken to a local hospital and was undergoing surgery in stable condition, Taylor said.No one else was hit by gunfire, but when police arrived at the home, they found a man in his 50s had also been stabbed in the buttocks, according to Taylor.The suspects had already left by the time officers arrived, and no one was in custody as of Sunday afternoon. 902