Severe stress mimic hearth disease during the covid-19 pandemic

• Main Authors: Abdullah, Fa’iza, Mohd Razib, Mohd Zhafri, Mat Nor, Mohd Basri
• Format: Conference or Workshop Item
• Language: English; English
• Published: 2021
• Subjects: R Medicine (General); RA Public aspects of medicine; RB Pathology
• Online Access: http://irep.iium.edu.my/95421/1/Programe%20Book%20MRS%20Datin.pdf; http://irep.iium.edu.my/95421/6/95421_IMRS2021%20Posters%20Clinical%202.pdf; http://irep.iium.edu.my/95421/

1. The COVID-19 pandemic resulting in economic recession has negatively affected many people's mental health due to isolation, burnout, or financial crisis resulting in job loss linked to poor mental health outcomes (Panchal et al., 2021). 2. This case described a young working adult man who suffered from severe stress during pandemic COVID�19 presented with heart disease symptoms. He was referred to a cardiologist, and all investigations related to cardiovascular disease were normal. He came back with worsening symptoms. Depression Anxiety Stress Scales 21-item (DASS-21) (Lovibond et al., 1995) revealed a very high score for stress and anxiety. 3. Stress management counselling includes detecting the underlying stress, mainly contributed by the impact of the COVID-19 pandemic, behavioural changes, stress coping skills and spiritual empowerment. A twelve-week follow-up reassessment of stress level has shown a significant improvement in DASS score