Friday , August 12 2022

A broken heart can also be deadly



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Life-threatening risk factors in case of a broken heart

If someone's "broken heart" is not just an excuse, it is also a medical reality. Takotsubo syndrome, also known as the "broken heart syndrome", can even become life threatening. The researchers have now identified which patients have an increased risk in the short or long term.

Most patients recover without consequences

In the early nineties, the disease Takotsubo syndrome (TTS) was first described by Japanese doctors Keigo Dote and Hikaru Sato. This disease occurs after a strong mental stress, such as sore or pain in the heart. Most women are affected after menopause. Most patients recover without the consequences of the disease. But ten percent develops a dangerous complication. The study has now identified which patients have an increased risk in the short or long term.

Most patients with Takotsubo syndrome ("broken heart syndrome") recover without the consequences of the disease. But some develop a dangerous complication. The study has now identified which patients have an increased risk in the short or long term. (Image: Di Studio / fotolia.com)

The causes are still not clearly clarified

A prominent symptom Takotsubo was a traditional Japanese octopus catcher in the form of a dentated Tonkrugs with a narrow neck.

A special form of the left ventricle at the end of the systole, which resembled that, was regarded by the medical profession as the result of a circulatory disorder of the heart muscle.

The causes of the disease are still not clear and therefore the therapy must be based on symptoms.

The loss of a loved one makes you sick

As illness often occurs as a result of severe emotional stress, such as loss of a loved one, emotional stress or sorrow, a "broken heart syndrome" is referred to as colloquially referred to as "broken heart syndrome".

Also, workplace harassment or extreme physical stress, such as surgery, stroke or stroke, can trigger Broken Heart Syndrome.

In addition, it could be shown that extremely positive events, such as a wedding or a lottery win, get Takotsubo syndrome.

Long-term risks

In the meantime, it has become known in medicine that the disease can lead to long-term heart damage and increased risk of stroke, among others.

The illness can be fatal
As the disease is sudden, often a serious disorder of the pumping function of the heart, often the first is suspected of a heart attack.

After the acute phase, most patients recover within a few weeks or months.

However, about ten per cent of patients experience cardiogenic shock associated with acute phase conditions, a deadly complicated complication in which the heart suddenly falls too low in blood through the body.

Up to five percent of patients with cardiogenic shock die from it, reports the University Hospital Zurich (USZ) in a statement.

USZ researchers have now learned who Takotsubo patients are at greater risk of cardiogenic shock and have long-term consequences for the affected.

Which patients develop cardiogenic shock

For their research, scientists could return to the data collected in the InterTAK registry.

This first global Takotsubo registry was established in 2011 at the University Center for the Heart of the USZ to improve research on Takotsub's syndrome.

More than 40 cardiovascular centers from 20 countries are now included in the registry; led by prof. dr. Med. Doctor RER. Nat. Christian Templin, an interventional cardiologist and head of acute cardiology at the USZ.

"Thanks to the research, we now know which Takotsubo patients develop cardiogenic shock in the acute phase of the disease and therefore need to be closely monitored," says Templin.

"These patients also show a long-term increased risk and therefore need to be permanently monitored," said the expert.

Little is known about these risk factors, and patients without abnormality have not been noticed after Takotsubo's disease.

"Diagnosis, treatment and patient outbreaks have again made a significant step forward in this study." (Ad)

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