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Broken Heart Strings

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Last Updated: 02 July 2021

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It is possible to die of a broken heart. Traumatic life events such as the death of a loved one, physical injury, or even emotional memory can cause broken Heart syndrome. The Syndrome occurs when a surge of stress hormones causes short-term heart muscle failure. The condition is usually treatable, but it can be fatal. The idea that you can die from a broken heart might seem far-fetch, but according to the National Heart, Lung, and Blood Institute, b roken Heart syndrome, is a real, life-threatening condition. Also know as stress-induce cardiomyopathy or takotsubo cardiomyopathy, broken Heart syndrome has been speculated among celebrities such as actress Debbie Reynolds, who died one day after her daughter Carrie Fisher, and Johnny Cash, who died within months of his wife, June Carter Cash, as Guardian report. It's also been romanticized in movies such as Notebook, in which Allie and Noah die together while holding hands in their sleep. Although broken heart syndrome isn't always fatal, it is a serious condition that can happen to anyone. Here's how to distinguish emotional heartbreak from literal heartbreak.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

When Your Heart Breaks (Literally).

When you picture a broken heart, your mind may conjure up melancholy poem pen to lost lover, or, image of a jagged edge cartoon heart split in two. But, real-life broken heart can actually lead to cardiac consequences. Texas & M Health Science Center College of Medicine cardiologist explain science behind broken heart syndrome. There is still much to be discovered about broken heart syndrome, says Gregory Dehmer, MD, cardiologist and professor at Texas & M College of Medicine. What we do know, is it appears in individuals experiencing extreme stress triggered by substantial emotional responselike death of loved one, intense argument or after exposure to shocking situation.


Breaking down a broken heart

When experiencing any sort of cardiac symptoms, our first instinct is to automatically assume heart attack is imminent. Since both broken heart syndrome and heart attack present suddenly, have similar changes on electrocardiogram and can have abnormal blood tests indicating heart damagethey can be confuse. Additional testing, often on an urgent basis, is usually needed to distinguish two conditions. People with broken heart syndrome typically wont have severe blockages in their coronary arteries like heart attack patients, Dehmer say. That main distinguishing factor. The good news is that the chance of fatal encounter with broken heart syndrome is extremely low. The actual mortality rate associated with stress-induce cardiomyopathy is quite small, Dehmer say. It is a reversible, treatable condition and the majority of people recover fully. However, I always encourage anyone who experiences worrisome cardiovascular symptoms to seek counsel from their health care provider.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

The Heart Responds

We still do n't fully understand the mechanism of this specific type of acute heart failure syndrome. Evidence points to strong brain-heart interplay. We believe that within a few hours of extreme emotional or physical trauma, stress hormones cause transient stunning of the left ventricle, which is the main heart chamber that pumps blood out to the rest of the body. As a result, heart becomes temporarily frozen and cannot pump enough blood forward. This causes poor circulation and even shock, or death, in more extreme cases. Whats fascinating is the fact that stress-induce cardiomyopathy, despite its serious presentation, is usually rapidly reversible. Ventricle typically return to normal within 14 days, and most patients recover with no long-term heart damage.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Treatment

You may need medicine to manage your blood pressure and lighten some of the strain on your heart. These drugs include awater pillsa or diuretics, ACE inhibitors, and beta blockers. Talk with your doctor about how youall need to take these medications. Because your heart has become weaker physically, you may be more likely to get heart failure or to have heart rhythm problems. Your doctor should talk about that with you and tell you what follow-up care youall need. Counseling can also help you with grief or anxiety that bring on your symptoms. Ask your doctor to recommend a therapist who can help you talk through your feelings and find ways to manage them as you face your new situation.


How is broken heart syndrome treated?

If your doctor thinks you might have it, several tests can help figure things out: physical exam and history. Your doctor will examine you and ask about your symptoms. They'll want to know about any major events or stress you've had lately. Electrocardiogram. Your doctor will do one of these to look for any problems with your heart's rhythm and structure. Results will let them know if your symptoms are from heart attack. Blood tests. Many of them can show damage to the heart. Coronary angiogram. This test looks at coronary artery disease. Dye is injected into your chest and your coronary arteries to help your doctor see any blockages. People with heart attacks usually have them. Folks with broken heart symptoms typically don't. Echocardiogram. This ultrasound shows your doctor if you have an enlarge heart or if your heart has abnormal shape while it pump. That last one can be a sign of broken heart syndrome. Radionuclide perfusion imaging. A Similar to echocardiogram, this helps show which areas of heart muscles get blood normally through coronary arteries. It also lets your doctor know where you could have heart damage. Chest X-ray. This can show if you have an enlarge heart or if it has an abnormal shape. It can also help to see if lung problems are the cause of your symptoms.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Takotsubo cardiomyopathy (broken-heart syndrome)

Years of gender-base research have shown that in matters of heart, sex differences abound. One striking example is temporary heart condition know as Takotsubo cardiomyopathy, also know as broken-Heart syndrome, first described in 1990 in Japan. More than 90 % of Report cases are in women ages 58 to 75. Research suggests that up to 5 % of women suspected of having a heart attack actually have this disorder. Most people recover with no long-term heart damage. Takotsubo cardiomyopathy is weakening of the left ventricle, heart's main pumping chamber, usually as result of severe emotional or physical stress, such as sudden illness, loss of loved one, serious accident, or natural disaster such as an earthquake. That's why the condition is also called stress-induce cardiomyopathy, or broken-Heart syndrome. The main symptoms are chest pain and shortness of breath. The precise cause isn't know, but experts think that surging stress hormones essentially stun the heart, triggering changes in heart muscle cells or Coronary Blood vessels that prevent the leave ventricle from contracting effectively. Broken-Heart syndrome occur more often in women than men, especially after menopause. Takotsubo's symptoms are indistinguishable from those of heart attack. And electrocardiogram may show abnormalities similar to those found in some heart attacks in particular, changes know as-segment elevation. Consequently, imaging studies and other measures are needed to rule out heart attack. To get definitive diagnosis, clinicians look for the following: no evidence on angiogram of blockages in coronary arteries, the most common cause of heart attacks. Rapid but small rise in cardiac biomarkers. In heart attack, cardiac biomarkers take longer to rise but peak higher. Echocardiogram or other imaging technique that show abnormal movements in walls of the left ventricle. The most common abnormality in Takotsubo cardiomyopathy one that gives the disorder its name, is ballooning of the lower part of the left ventricle. During contraction, this bulging ventricle resembles tako-tsubo, pot used by Japanese fishermen to trap octopuses. Another term for disorder is apical ballooning syndrome. There is no standard treatment for broken-Heart syndrome. It depends on the severity of symptoms, and whether person has low blood pressure or evidence of fluid backing up into the lungs. Clinicians often recommend standard Heart Failure medications such as beta blockers, ACE inhibitors, and diuretics. They may give aspirin to patients who also have atherosclerosis. Although there's little evidence on long-term therapy, beta blockers may be continue indefinitely to help prevent recurrence by reducing the effects of adrenaline and other stress hormones. It's also important to alleviate any physical or emotional stress that may have played a role in triggering the disorder. Most abnormalities in systolic function and ventricle wall movement clear up in one to four weeks, and most patients recover fully within two months. Death is rare, but Heart Failure occurs in about 20 % of patients.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Tako-tsubo-like left ventricular dysfunction

Takotsubo cardiomyopathy mimics acute coronary syndrome. It is accompanied by reversible left ventricular apical ballooning in the absence of angiographically significant coronary artery stenosis. In Japanese, tako-tsubo means fishing pot for trapping octopus, because LV of patients diagnosed with this condition resemble that shape. Transient entity typically precipitated by acute emotional stress, Takotsubo cardiomyopathy is also called stress cardiomyopathy or break-Heart syndrome. Several cases of this interesting cardiomyopathy have been reported in Japan, 1-8 and more recently in the United States 9-13 and Belgium. 14 Herein, we describe clinical and angiographic characteristics of 4 patients diagnosed with Takotsubo cardiomyopathy, and we review existing literature.


Takotsubo Cardiomyopathy

Symptoms of Takotsubo cardiomyopathy can mimic those of myocardial infarction, which can make diagnosis difficult. On admission, many patients have ECG changes with elevated segment or T wave inversion similar to patient having myocardial infarction. In addition, patient will frequently have slightly elevated levels of cardiac biomarkers, such as troponin, which point to acute myocardial infarction. ECG changes and cardiac biomarker elevations due to Takotsubo cardiomyopathy are generally temporary and will return to normal. In our case study, Judy does have slight elevation of her cardiac biomarkers and her ECG show segment elevation, yet all return to normal as her condition resolve. It is important to note that normal ECG is unusual and occurs in only 2 % of patients. Echocardiogram may show hypokinesis or akinesis of walls of the left ventricle. The most common finding on Echocardiogram is ballooning or bulging out of the apex of the left ventricle. Patients will often have to reduced ejection fraction, which may lead to heart failure. Coronary angiography or heart catheterization is an important test in making differential diagnosis. Patient with myocardial infarction will frequently have blockages in coronary arteries. Patients with Takotsubo cardiomyopathy will not have any blockages of coronary arteries.


Stress Cardiomyopathy Symptoms and Diagnosis

Stress cardiomyopathy, also referred to as broken heart syndrome, takotsubo cardiomyopathy, and apical ballooning syndrome, is a condition in which intense emotional or physical stress can cause rapid and severe heart muscle weakness. This potentially life-threatening condition can occur following a variety of emotional stressors such as grief, fear, extreme anger, and surprise. It can also occur following numerous physical stressors to the body, such as stroke, seizure, difficulty breathing, or significant bleeding. While the causes of conditions are different, symptoms of stress cardiomyopathy are often similar to those of heart attack: chest pain, Shortness of breath, Sweating Dizziness Nausea and vomiting Weakness Palpitations similar to heart attack, Patients with stress cardiomyopathy can present with low blood pressure, congestive heart failure, and even shock. But unlike heart attack, which kill heart cells, it is believed that stress cardiomyopathy uses adrenaline and other hormones to temporarily stun heart cells. Fortunately, this stunning gets better very quickly, often within just a few days to a few weeks. So, even though person with stress cardiomyopathy can have severe heart muscle weakness at time of admission to hospital, heart completely recovers within a couple of weeks in most cases and there is no permanent damage.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

To end the affaire

Blindside by one you love, one you marry. Learning about your spouses ' infidelity can be emotionally and physically devastating. Emotional damage is reflected in what some Mental Health professionals call Post-Infidelity Stress Disorder for Stress and emotional turmoil experience afterward. Psychologist Dennis Ortman, author of Transcending Post-Infidelity Stress Disorder, describes the term as not suggesting a new diagnostic category but to suggest parallel with Post-Traumatic Stress Disorder, which has been well documented and research. In Post-Traumatic Stress Disorder, re-experiencing trauma repeatedly is the first of three categories of symptoms describe. Disorder is marked by flashbacks of war for veterans, nightmares of accidents for car wreck survivors, and painful memories of abuse for survivors of intra-familial trauma. So, too, in PISD, husbands and wives will replay the painful realization of betrayal. Even after initial fall-out, people will have recurring thoughts of their partner with another. Psychologist and certify Sex therapist, Barry Bass, add, Like trauma victims, it is not unusual for betrayed spouses to replay in their minds previously assumed benign events, those times when their spouse becomes defensive when asking simple question, or late nights at work, or text messages from unnamed friends, all of these become view as possible deceitful acts. The second category of symptoms for PTSD, avoidance and emotional numbing, is seen in PISD as well. Rage or despair that comes after the initial shock of discovering infidelity can be followed by a state of emotional hollowness. Formerly pleasurable activities lose their appeal. Those who were cheated on sometimes withdraw from friends and family and describe feelings of emptiness. The last category of PTSD symptoms, hyper-vigilance and insomnia, can also arise for those dealing with Infidelity. Sleep patterns become erratic and concentration becomes a challenge, affecting work performance and family life. PISD can have physical consequences as well as emotional ones. The stress of discovering infidelity can lead to what has been called broken Heart syndrome, also termed Stress cardiomyopathy. The American Heart Association describes symptoms such as sudden chest pain, leading to the sense that one is having a heart attack. Physical or emotional stressors, such as a loved one passing or major surgery, trigger a surge of stress hormones that temporarily affect the heart. Condition typically reverse within a week. Despite stress, there is life after affair. Due to symptomatic similarities, therapists are now beginning to use PTSD counseling techniques to help couples either stay together or move on. Exposure and cognitive restructuring are techniques used when dealing with traumatic memories. In exposure, spouses are asked to gradually imagine those heart-wrenching moments and to cope with them gradually, whereas cognitive restructuring substitutes irrational thoughts, feelings, and behaviours induced by Trauma, with adaptive ones. Counselors use these Trauma-focus explorations with clients, sifting through distressing memories and aversive feelings, to help build clients ' self-esteem and confidence in dealing with betrayal or loss of relationship.


What is takotsubo cardiomyopathy?

For many people with takotsubo, your heart will begin to return to normal and youll start to recover within a couple of days, although it may take longer. Youll be asked to come back to hospital for regular echocardiograms to monitor your heart function. Youll also see a cardiologist to make sure your heart is recovering. Some people's hearts will permanently change shape and they may continue to experience symptoms such as tiredness, chest pain and lack of energy. About 10 to 15 per cent of people who had takotsubo cardiomyopathy develop it again after theyve recover. Read Dawn's experience of recovering from takotsubo. As takotsubo is usually caused by distressing trigger, you might find it helpful to talk to a counsellor or clinical psychologist. If you're registered with a GP, you can access psychological therapy through the NHS or find your nearest counsellor. You can also find information about topics like counselling and depression on our emotional support page.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Sources

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

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