Saturday , August 20 2022

Broken heart syndrome Can die of broken heart



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Separation, death, existential fears, or extreme happiness – emotional stress can lead to a broken heart. This is said literally and describes a disease in which the heart suffers mass dysfunction. It's called Takotsubo syndrome and it's also called "broken heart syndrome".

Initially everything points to a heart attack. People with Takotsubo syndrome have typical symptoms such as tightness, chest pain or shortness of breath. Even a blood picture shows an increased amount of certain enzymes – the classic indication of infarction. However, a more detailed examination of the muscle by the heart catheter reveals that there are no relevant blood vessel blockages, such as a case of a heart attack. Heart muscle damage also does not occur in Broken Heart syndrome. It is estimated that two percent of patients with a diagnosed heart attack have a heartbroken syndrome.

Takotsubo's syndrome is thought to be caused by an excess of stress hormones in the body. Therefore doctors talk about stress cardiomyopathy in the syndrome. As a result of stress hormones, the muscles in the heart are cramps. The main pumping chamber increases and the body can no longer pump properly.

The broken heart syndrome is often hereditary

Causes of Takotsubo syndrome are still not clear. However, researchers now agree that there are genetic reasons for whether someone carries an increased risk. For example, certain people will likely experience such an event because their cell cells are susceptible to stress hormones. In addition, frequent pumping disorders often occur if they have already happened in the family. For example, there are cases around the world, where several family members, mainly brothers or siblings, suffered Broken Heart Syndrome. In five to ten percent of patients, such attacks occur several times, which also indicates genetic inclusion.

Especially women are affected

It is astonishing that the disease occurs in about 90 per cent of cases in women who have no menopause. At this stage of life, it is more likely to lose a partner, which can be the trigger for the broken heart syndrome. Excessive emotional reactions, for better or worse, can be a reason for interfering with the pump function. If, for example, winning a lottery or a wedding was a trigger, the Happi Syndrome is spoken. Even severe physical attacks such as surgery or accidents can trigger Takotsub's syndrome.

Takotsubo syndrome

The clinical picture of Takotsub's syndrome was first described in 1990 by Japanese doctors Keigo Dote and Hikaru Sato. The name was a traditional Japanese octopus catcher in the form of a scented clay of clay with a squeezed 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.

Source: German Center for Cardiovascular Research e. V

The acute phase can be very dangerous

If there is a broken heart syndrome, those who are affected must immediately follow an intensive care, as dysfunction in the heart can cause the so-called. Cardiogenic shock. In this case, the heart pumps so little blood through the body that the body is no longer supplied with adequate blood and oxygen. This can be deadly. Such a shock is also known for the cause of death after severe heart attacks. However, patients suffering from cardiogenic shock increase the risk of dying, as studies have shown. Therefore, long-term observation is especially needed for this group of patients.

When the acute phase ends, most patients recover from the incident within a few weeks or months without any consequences.

This is how Broken Heart syndrome is treated

Operation is not needed. In Takotsub's disease, doctors are only convinced that the level of physical stress hormone is decreasing. In addition, patients are given a drug that reduces hormones. They also get beta-blockers to calm their heart.

The broken heart syndrome is more common than previously thought

In recent years, it has been discovered that the broken heart syndrome is far so rare as it used to be. "Today we assume that 3-5 percent of all presumed cardiac patients have not suffered any infarction, but stress cardiomyopathy," says prof. Dr. Med. Ingo Eitel, a cardiologist at the center of the heart of Lubeck.

The topics of cholesterol and cardiovascular health were presented in cooperation with Amgen GmbH (Riesstraße 24, 80992 Munich). Amgen GmbH has no impact on content, this is solely in editors t-online.de.

Important Notice: Information does not replace professional advice or treatment of trained and recognized physicians. The content of t-online.de can not and should not be used for self-diagnosis or for the initiation of treatment.

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