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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

Disputing President Donald Trump’s persistent, baseless claims, Attorney General William Barr declared the U.S. Justice Department has uncovered no evidence of widespread voter fraud that could change the outcome of the 2020 election.Barr’s comments, in an interview Tuesday with the The Associated Press, contradict the concerted effort by Trump, his boss, to subvert the results of last month’s voting and block President-elect Joe Biden from taking his place in the White House.Barr told the AP that U.S. attorneys and FBI agents have been working to follow up specific complaints and information they’ve received, but “to date, we have not seen fraud on a scale that could have effected a different outcome in the election.”The comments, which drew immediate criticism from Trump attorneys, were especially notable coming from Barr, who has been one of the president’s most ardent allies. Before the election, he had repeatedly raised the notion that mail-in voting could be especially vulnerable to fraud during the coronavirus pandemic as Americans feared going to polls and instead chose to vote by mail.More to Trump’s liking, Barr revealed in the AP interview that in October he had appointed U.S. Attorney John Durham as a special counsel, giving the prosecutor the authority to continue to investigate the origins of the Trump-Russia probe after Biden takes over and making it difficult to fire him. Biden hasn’t said what he might do with the investigation, and his transition team didn’t comment Tuesday.Trump has long railed against the investigation into whether his 2016 campaign was coordinating with Russia, but he and Republican allies had hoped the results would be delivered before the 2020 election and would help sway voters. So far, there has been only one criminal case, a guilty plea from a former FBI lawyer to a single false statement charge.Under federal regulations, a special counsel can be fired only by the attorney general and for specific reasons such as misconduct, dereliction of duty or conflict of interest. An attorney general must document such reasons in writing.Barr went to the White House Tuesday for a previously scheduled meeting that lasted about three hours.Trump didn’t directly comment on the attorney general’s remarks on the election. But his personal attorney Rudy Giuliani and his political campaign issued a scathing statement claiming that, “with all due respect to the Attorney General, there hasn’t been any semblance” of an investigation into the president’s complaints.Other administration officials who have come out forcefully against Trump’s allegations of voter-fraud evidence have been fired. But it’s not clear whether Barr might suffer the same fate. He maintains a lofty position with Trump, and despite their differences the two see eye-to-eye on quite a lot.Still, Senate Democratic leader Chuck Schumer quipped: “I guess he’s the next one to be fired.”Last month, Barr issued a directive to U.S. attorneys across the country allowing them to pursue any “substantial allegations” of voting irregularities before the 2020 presidential election was certified, despite no evidence at that time of widespread fraud.That memorandum gave prosecutors the ability to go around longstanding Justice Department policy that normally would prohibit such overt actions before the election was certified. Soon after it was issued, the department’s top elections crime official announced he would step aside from that position because of the memo.The Trump campaign team led by Giuliani has been alleging a widespread conspiracy by Democrats to dump millions of illegal votes into the system with no evidence. They have filed multiple lawsuits in battleground states alleging that partisan poll watchers didn’t have a clear enough view at polling sites in some locations and therefore something illegal must have happened. The claims have been repeatedly dismissed including by Republican judges who have ruled the suits lacked evidence.But local Republicans in some battleground states have followed Trump in making unsupported claims, prompting grave concerns over potential damage to American democracy.Trump himself continues to rail against the election in tweets and in interviews though his own administration has said the 2020 election was the most secure ever. He recently allowed his administration to begin the transition over to Biden, but he still refuses to admit he lost.The issues they’ve have pointed to are typical in every election: Problems with signatures, secrecy envelopes and postal marks on mail-in ballots, as well as the potential for a small number of ballots miscast or lost.But they’ve gone further. Attorney Sidney Powell has spun fictional tales of election systems flipping votes, German servers storing U.S. voting information and election software created in Venezuela “at the direction of Hugo Chavez,” – the late Venezuelan president who died in 2013. Powell has since been removed from the legal team after an interview she gave where she threatened to “blow up” Georgia with a “biblical” court filing.Barr didn’t name Powell specifically but said: “There’s been one assertion that would be systemic fraud and that would be the claim that machines were programmed essentially to skew the election results. And the DHS and DOJ have looked into that, and so far, we haven’t seen anything to substantiate that.”In the campaign statement, Giuliani claimed there was “ample evidence of illegal voting in at least six states, which they have not examined.”“We have many witnesses swearing under oath they saw crimes being committed in connection with voter fraud. As far as we know, not a single one has been interviewed by the DOJ. The Justice Department also hasn’t audited any voting machines or used their subpoena powers to determine the truth,” he said.However, Barr said earlier that people were confusing the use of the federal criminal justice system with allegations that should be made in civil lawsuits. He said a remedy for many complaints would be a top-down audit by state or local officials, not the U.S. Justice Department.“There’s a growing tendency to use the criminal justice system as sort of a default fix-all,” he said, but first there must be a basis to believe there is a crime to investigate.“Most claims of fraud are very particularized to a particular set of circumstances or actors or conduct. ... And those have been run down; they are being run down,” Barr said. “Some have been broad and potentially cover a few thousand votes. They have been followed up on.”___Associated Press writers Lisa Mascaro and Eric Tucker contributed to this report. 6671

EL CAJON, Calif. (KGTV) - Renovations are underway at the East County Performing Arts Center to turn the nearly 50-year-old performance hall into a rock and roll concert venue."We have to change the vibe, the feel of what this building is," said Dirk Epperson, El Cajon's Director of Public Works.The venue closed in 2009 when the recession forced cuts in the city budget. Now, the renovations come as tour promoter Live Nation prepares to take over the venue. The City of El Cajon entered into a five year deal with the concert company to manage the building. As part of the agreement, Live Nation will bring 50 events to the venue in 2019, and as many as 70 events by 2023. Live Nation also manages the House of Blues in San Diego and Mattress Firm Amphitheater in Chula Vista."We're not sure what it will be like," said Mayor Bill Wells.  "We've never had this regular, steady diet of top name acts that are coming in. So nobody's quite sure how much this is going to have a ripple effect around El Cajon. But everybody thinks it will be positive."The city is now spending .3 million to upgrade the facility. Improvements include new amenities like modern concessions, a more open entrance, and lobby area and new plush seating in the first few rows. The seating capacity for the main hall will also increase to 1,300. Part of the plan also calls for a brand new VIP Lounge at the back of the venue. The money for the project comes from the sale of the old police headquarters.As for what kind of acts will fill the venue, Epperson said it's entirely up to Live Nation."It can pretty much be any type of act or band," he said, adding the city will let the experts decide. "But you can imagine the ones that are on their way up or on their way down will be coming to this size venue."Smaller, local performances like school concerts and recitals will still be held at the venue, which Wells says is part of the community. With the upgrades, he said it should stay that way for a long time."We're in it to win it," said Wells. "We'll be successful with this." 2120

EL CAJON (KGTV) – An El Cajon property owner said a police pursuit in March that ended at her property has led to questions over repairs.Jenny Wu has owned the property in the Villa Madera condominium complex on Mollison Avenue for more than a decade. On March 19, a vehicle crashed into her home, causing extensive damage.According to Wu, she had two elderly renters living there at the time of the crash, with one ending up in the hospital. She said she gave the information about what happened to her homeowner’s association immediately following the incident.More than five months after the crash, her property is still boarded up.Through her translator, she said the HOA wanted to investigate. Wu and her son said communication from the HOA and the property management company on the process to fix the condo has been spotty.Dan Zimberoff is an attorney who specializes in HOA matters.He is not involved in the case, but said the association typically insures common area.“When you have a singular affected homeowner like you do here, many times I see the association allows that homeowner have direct access with the adjuster. It just streamlines the processes and allows that direct communication,” Zimberoff said.Wu was one of the many temporarily laid off from her job at a local casino because of the pandemic. She still pays HOA fees at her condo, which adds up to roughly 0 per month.The president of Property Management Consultants said Team 10 has “been told many inconstancies [sic].” President Hugh Maynard said the insurance company would be contacting Team 10 with information, but the company never reached out. Maynard said the owner did not carry their own insurance and the HOA is paying the deductible.He added that they have kept the “family up on every turn of events” and showed Team 10 emails as proof. Wu’s son, who has been helping his mother with communication, admitted there have been emails exchanged with the property management company, but it has not been consistent.Maynard said the insurance company was controlling the rebuild, adding that the City of El Cajon condemned the unit.A spokesperson for the City of El Cajon confirmed the unit was tagged as structurally unsafe and permits will be required to repair it. As of this week, no permits have been applied for, said spokesperson David Richards.“I want them to fix the problem as soon as possible,” Wu said through her translator. No timeline has been given for when repairs on the unit will begin. 2503

During a quarterly call with shareholders Wednesday, Papa John's CEO John Schnatter cited national anthem protests in the NFL as one of the reasons for the company's falling stock price.According to ESPN, Schnatter also took veiled shots at NFL commissioner Roger Goodell for not putting a stop to the anthem protests."Leadership starts at the top and this is an example of poor leadership," Schnatter said. ESPN also reports that Schnatter felt the issue should have been "nipped in the bud" when the protests first began. Papa John's stock price has fallen 5 percent since August. Business Insider reports that in-game pizza sales have dropped this season, especially since President Trump encouraged Americans to boycott the NFL in September.Papa John's advertises heavily during NFL games, and is the official pizza of the NFL. ESPN also reports that the company has pulled much of its NFL TV advertisements, and that the NFL has responded by offering additional future spots.Alex Hider is a writer for the E.W. Scripps National Desk. Follow him on Twitter @alexhider. 1098

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