ABSTRACT
Methods and results: A 79-year-old woman, with a history of subclinical hypothyroidism, obesity and smoke presented to the Emergency Room with dyspnoea and cold sweating. She had undergone her first dose of COVID-19 Moderna mRna vaccination just four days prior to her admission. She showed elevated HS troponin and elevated BNP at her laboratory exams. Her 12-lead ECG showed T wave inversion in the antero-lateral leads and prolongued QTc. Her transthoracic echocardiogram showed severe ejection fraction reduction due to hypokinesia of the mid-apical segments of the anterior and lateral walls of the heart. The patient was then admitted to the Cardiology ward in order to perform a coronary angiography which sowed no significant coronary stenosis. She was started on appropriate medication and discharged after a six day in-hospital stay. At discharge she showed partial recovery of her ejection fraction (EF 44%). A cardiac magnetic resonance was performed after discharge which showed no late gadolinium enhancement. Such finding allowed us to rule out the diagnosis of myocarditis. Moreover at her 3-month follow-up her ejection fraction had recovered completely. We concluded for the diagnosis of Takotsubo Syndrome secondary to vaccination. Conclusions: We presented a case of Takotsubo syndrome after vaccination with the Moderna vaccine for COVID-19. Two other similar case reports can be found in current medical literature. Female sex, post-menopausal age and the inevitable psychological stress derived by the pandemic and the vaccination may have triggered the condition.
ABSTRACT
The COVID-19 pandemic has restricted traditional delivery of Extension programs. Our group of Rutgers agricultural agents responded by developing a weekly webinar series to remotely continue agricultural consultations and provide an open forum for farmers. Pandemic-related topics included farm labor, compliance with state executive orders, supply-chain disruptions, livestock processing, farmer assistance programs, and other issues. Participation from 258 farmers, agricultural agencies, and other groups resulted in effective networking and timely delivery of information to the agriculture industry. By using available online tools, we were able to efficiently deliver Extension programming and resources to agricultural producers and industry partners. Our efforts may be informative for others as needs related to the pandemic evolve.