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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
Driving down a dirt logging road in rural Maine, paramedic Nathan Yerxa can’t help but take in the view most days. Looking out over the landscape here, it’s as if the sky and the land seem to merge.Yerxa is a paramedic for North East Mobile Health Services and stationed in Jackman, Maine, a small town in the northern part of this state home to about 700 people. From the edge of town, you can see the Canadian border in the distance, and on any given day, paramedics here are responsible for covering an area that’s approximately the size of the state of Rhode Island.“The remote landscape and difficult terrain make it difficult to bring resources to the area,” Yerxa said, as he drove through town in a Ford pickup truck that’s been converted to an all-terrain ambulance.Like rural communities across the country, getting patients to an emergency room in this area is a difficult, often time-consuming task. The closest ER is about 70 miles away, a trip that can sometimes take close to two hours. While Jackman does have a community health center, the facility can’t perform many emergency procedures most larger hospitals can.So, in an effort to save time and lives, the emergency room is being brought to Jackman in an innovative new way, harnessing technology and the expertise of paramedics likes Yerxa.“I think it’s one of those situations where what’s old is new again,” he said.The idea is a Critical Access Integrated Paramedic program. Paramedics here are receiving more training in critical care. While at the same time, that pickup truck Yerxa relies on is being outfitted with tools like satellite internet and a satellite phone. First responders even have heart rate monitors that can send data wirelessly to a doctor anywhere.The concept is simple. Using technology, paramedics can instantly connect to a doctor no matter where they take a call. From stitches to ultrasounds, paramedics in this region are bridging the rural healthcare gap by instantly connecting via video chat to a doctor who may be hours away.“It is in many ways like a high-tech home visit that you might have seen 60 years ago, but we’re also bringing urgent care services with us,” Yerxa explained.Finding new ways for rural communities to connect is a key component to the program's success.Nationwide 25 million people don't have access to broadband.The COVID-19 pandemic has only magnified the issue. In Maine alone, 36,000 telehealth calls were made last month up from 650 the same time last year. Many times, though, patients and doctors have trouble connecting because of poor internet connections.Town manager Victoria Forkus pushed hard for the program.“We were in a way forced to implement this new program early because of COVID,” she said while sitting inside Jackman’s town offices.The whole program is costing Jackman and surrounding communities about 0,000 a year to implement. Some of the money will come from a tax increase, which is no small feat in a town where the median income is just ,000.But out here, the program has overwhelming support.“What’s the dollar amount on one of my neighbors’ lives? What’s the cost of saving a community member? It’s priceless,” Forkus added.The concept of the program is gaining attention across the state.Jim Rogers, with Health Connect Networks based in Maine, is lobbying Congress hard to expand rural broadband connectivity. It’s something he says is now more imperative than ever given the pandemic.“People in these rural communities just don’t have adequate internet to support a telehealth consult,” he said.As for Yerxa, he sees the program as something other rural communities across the country can emulate.“Hopefully, we can now provide 24-hour coverage to patients in any of these rural locations.” 3770
Due to a coin shortage at the Federal Reserve, Kroger will no longer return coin change to customers. Instead, the remainders from cash transactions can either be donated to charity or applied to the customers' loyalty cards to be used on the next purchase.The change in giving change also applies to subsidiaries of Kroger, including Ralphs, Food 4 Less, King Soopers, Smith's and more. Kroger officials said, "at Kroger, we are implementing several creative solutions to minimize the impact to our customers. We know this is an inconvenience for our customers and we appreciate their patience. The Treasury Department expects the shortage to diminish as more regions of the country reopen."Customers have the following options if coins are not available:Round up to support Zero Hunger, Zero Waste FoundationPay with a form of payment other than cashHave their coin change loaded as credit toward their next purchase directly to their loyalty cardCustomers using self-checkout will still be able to receive coins.There are multiple reasons leading to the current coin shortage. The U.S. Mint has slowed production to keep employees safe from the coronavirus. With stay-at-home orders and business shut-downs, fewer people are spending coins at stores, laundromats, vending machines and other places. Walmart and CVS locations have also made changes to encourage customers to use exact change or plastic to pay for their items when possible. The Federal Reserve rationed coins in June and gathered a task force to look into the shortage to come up with possible solutions. This story was originally published by Rebekah Pewitt at WTVF. 1644
EL CAJON, Calif. (KGTV) - A news helicopter had what County of San Diego officials called a “troubled” landing in El Cajon Tuesday. The incident with the Bell 206B helicopter was reported about 2:15 p.m. in the parking area of Gillespie Field at 681 Kenney St., Santee Fire reported. Video recorded by the news helicopter appears that it was a normal landing in which the helicopter skids land on a movable platform called a dolly. The dolly can then be pulled into a hangar. It seems from the last seconds of the video clip that one of the helicopter skids may have missed the platform and the chopper then tipped over.When emergency crews arrived, the helicopter was on its side.The pilot was not hurt but the passenger was taken to the hospital with minor injuries, officials said. Hazardous Materials teams were notified of a small fire and fuel spill, according to the County."The aircraft rolled over while landing, caught fire and sustained substantial damage. The degree of damage means this will be classified as an accident," said FAA spokesperson Ian McGregor.The FAA and NTSB will investigate the landing.The news helicopter is operated by a third party and shared by five San Diego media outlets, including 10News. 1235
Dramatic video was recorded of deputies in Martin County, Florida chasing a suspected teen carjacker this past weekend. According to a post on the sheriff's office Facebook page, a 17-year-old boy from Boynton Beach was traveling northbound at speeds of 100 mph on Interstate 95 in a stolen car.Over the weekend, deputies said they received a call about a suspected armed and dangerous carjacker moving through Martin County. 464