PDF(Pubmed)
Abstract：
UNASSIGNED: Coronavirus disease 2019 (COVID-19) has a great impact on both, physical and psychological wellbeing. The COVID-19 pandemic promoted increasing digitalization of the work environment and social isolation. This psychosocial stress in turn can induce physical distress with clinical manifestation. So can the changed work and social environment in the COVID-19 pandemic trigger acute cardiovascular disease?
UNASSIGNED: Here, we present a case of a 56-year-old postmenopausal woman suffering from Takotsubo cardiomyopathy (TTC) evoked by emotional stress during a virtual work meeting. Like many others, our patient was urged to work from home (WFH) in accordance with the contact restrictions due to COVID-19. She presented at our chest pain unit with typical angina pectoris-like symptoms such as chest pain and dyspnea. Laboratory analysis confirmed increased troponin levels and evolving T wave inversion in electrocardiogram. Acute coronary syndrome management was commenced. Coronary angiography and left ventriculography revealed non-obstructive coronary arteries and apical ballooning syndrome. Due to immediate guideline-directed treatment with bisoprolol, ramipril, spironolactone and acetylsalicylic acid the patient\'s condition improved so that she could be discharged after seven days. During a 3-month follow-up the patient showed a normalized ejection fraction and reported no discomfort anymore.
UNASSIGNED: The ongoing COVID-19 pandemic has also elucidated the importance of the psychosocial health issues in acute cardiovascular care. Having in mind that the social and work environment recently has changed immensely, thus enforcing social isolation and emotional distress, doctors as well as patients must consider TTC as possible etiology of sudden chest pain.
UNASSIGNED: Here, we present a case of a 56-year-old postmenopausal woman suffering from Takotsubo cardiomyopathy (TTC) evoked by emotional stress during a virtual work meeting. Like many others, our patient was urged to work from home (WFH) in accordance with the contact restrictions due to COVID-19. She presented at our chest pain unit with typical angina pectoris-like symptoms such as chest pain and dyspnea. Laboratory analysis confirmed increased troponin levels and evolving T wave inversion in electrocardiogram. Acute coronary syndrome management was commenced. Coronary angiography and left ventriculography revealed non-obstructive coronary arteries and apical ballooning syndrome. Due to immediate guideline-directed treatment with bisoprolol, ramipril, spironolactone and acetylsalicylic acid the patient\'s condition improved so that she could be discharged after seven days. During a 3-month follow-up the patient showed a normalized ejection fraction and reported no discomfort anymore.
UNASSIGNED: The ongoing COVID-19 pandemic has also elucidated the importance of the psychosocial health issues in acute cardiovascular care. Having in mind that the social and work environment recently has changed immensely, thus enforcing social isolation and emotional distress, doctors as well as patients must consider TTC as possible etiology of sudden chest pain.
摘要：
■2019年冠状病毒病（COVID-19）对两者都有很大影响，身体和心理健康。COVID-19大流行促进了工作环境和社会隔离的日益数字化。这种社会心理压力反过来会引起临床表现的身体困扰。那么，COVID-19大流行中改变的工作和社会环境会引发急性心血管疾病吗？
■这里，我们介绍了一例56岁的绝经后妇女在虚拟工作会议期间因情绪压力引起的Takotsubo心肌病（TTC）。像许多其他人一样，根据COVID-19的接触限制，我们的患者被敦促在家工作（WFH）。她在我们的胸痛病房出现典型的心绞痛样症状，如胸痛和呼吸困难。实验室分析证实，心电图中肌钙蛋白水平升高和T波倒置。开始治疗急性冠脉综合征。冠状动脉造影和左心室造影显示非阻塞性冠状动脉和心尖气球综合征。由于比索洛尔立即指导治疗，雷米普利,螺内酯和乙酰水杨酸患者病情好转，七天后出院。在3个月的随访期间，患者显示出正常的射血分数，并报告不再有不适。
持续的COVID-19大流行也阐明了心理社会健康问题在急性心血管护理中的重要性。考虑到最近的社会和工作环境发生了巨大的变化，从而加强社会隔离和情绪困扰，医生和患者都必须将TTC视为突发胸痛的可能病因。
■这里，我们介绍了一例56岁的绝经后妇女在虚拟工作会议期间因情绪压力引起的Takotsubo心肌病（TTC）。像许多其他人一样，根据COVID-19的接触限制，我们的患者被敦促在家工作（WFH）。她在我们的胸痛病房出现典型的心绞痛样症状，如胸痛和呼吸困难。实验室分析证实，心电图中肌钙蛋白水平升高和T波倒置。开始治疗急性冠脉综合征。冠状动脉造影和左心室造影显示非阻塞性冠状动脉和心尖气球综合征。由于比索洛尔立即指导治疗，雷米普利,螺内酯和乙酰水杨酸患者病情好转，七天后出院。在3个月的随访期间，患者显示出正常的射血分数，并报告不再有不适。
持续的COVID-19大流行也阐明了心理社会健康问题在急性心血管护理中的重要性。考虑到最近的社会和工作环境发生了巨大的变化，从而加强社会隔离和情绪困扰，医生和患者都必须将TTC视为突发胸痛的可能病因。
