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Heart Attack Brought On By Stress

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Last Updated: 02 July 2021

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Most Heart Attacks are due to coronary arteries being blocked by blood clots that form when plaques of cholesterol rupture. Lack of blood flow through blocked arteries results in heart muscle dying, hence the name Heart attack. However, there is another form of heart attack called Takotsubo cardiomyopathy. Over the past few years, physicians have come to recognize and better understand this form of heart attack. This unusual type of heart attack does not involve rupturing plaques or blocking blood vessels. It is called Takotsubo cardiomyopathy, or Stress cardiomyopathy. Japanese doctors, who were first to describe this condition, named it Takotsubo because during this disorder, heart takes on a distinctive shape that resembles Japanese pot used to trap octopus. Takotsubo cardiomyopathy is commonly believed to be caused by sudden emotional stress, such as the death of a child, and to be far less harmful than a typical heart attack. For that reason, some have also labelled this condition broken - Heart syndrome. Study in September 3rd 2015 issue of New England Journal of Medicine reports on the work of an international collaboration of physicians from the United States and Europe that studied 1 750 patients with Takotsubo cardiomyopathy. Interestingly, 90% of these cases occur in women, and women in this study were an average of 67 years old. The most common triggers of Stress cardiomyopathy were physical, and the next most common cause was emotional shock. But in a substantial proportion of patients, there was no trigger that could be identify. Compared with people who had experienced typical heart attack, patients with Takotsubo cardiomyopathy were almost twice as likely to have psychological or psychiatric disorder. And in contrast to the commonly - held belief among doctors that Takotsubo cardiomyopathy is less serious than other forms of heart attack, rates of death in hospital from Takotsubo cardiomyopathy and more traditional heart attacks were similar. As awareness of Takotsubo cardiomyopathy increases among physicians and patients, I suspect we will be recognizing even more cases of Takotsubo cardiomyopathy in the future. Conditions certainly do not appear to be as rare as was suspect, nor as harmless as had been believe. Future research will be needed to determine the best care for patients with Takotsubo cardiomyopathy and lower their risk for future problems. Right now, we often use the same medications to treat weakened heart muscle in Takotsubo cardiomyopathy as we do with other forms of heart attack, but there really are not many good studies yet regarding optimal medication choices for people who have experienced Takotsubo cardiomyopathy. The link with neurological or psychiatric disorders is intriguing, and suggests that important heart - mind connection is relevant to some manifestations of Takotsubo cardiomyopathy, and possibly to other cardiac conditions as well. As I tell recently in my article Stress as Cause of Heart Attacks - Myogenic Theory, etiology of Takotsubo cardiomyopathy is better explained by the Myogenic Theory of Heart disease.

* 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

Stress Cardiomyopathy Symptoms and Diagnosis

Stress cardiomyopathy is a condition in which intense emotional or physical stress can cause rapid and severe heart muscle weakness. The pattern of left ventricular dysfunction was first described in Japan and has been referred to as takotsubo cardiomyopathy, 1 named after a fishing pot with a narrow neck and wide base that is used to trap octopus. Takotsubo cardiomyopathy, also know as Apical ballooning syndrome, ampulla cardiomyopathy, stress cardiomyopathy or brokenheart syndrome, is now increasingly recognise in other countries as well. 2 3 Transient leave ventricular Apical ballooning has also been used to describe similar Cardiac contractile function in patients after physical or emotional stress. 4 5 This condition can occur following a variety of emotional stressors such as grief, fear, extreme anger, and surprise. On the other hand, numerous physical stressors such as stroke, seizures or acute asthma can also trigger condition. Common presenting signs of this syndrome are chest pain, segment elevation in precordial leads, mild elevation of Cardiac enzyme and biomarker levels, and Transient Apical systolic leave ventricular dysfunction in absence of obstructive epicardial coronary disease. 4 5 figure 1 Ventriculographic assessment of Cardiac function and magnetic resonance imaging assessment of myocardial viability at admission in patients with stress cardiomyopathy. 6 Contrastenhanced ventriculography during diastole and systole demonstrates apical and midventricular akinesis, with relative sparing of base of heart. In panel C, MRI in longaxis view reveals that akinetic regions seen on ventriculography are dark and hypoenhanced, consistent with the presence of viable myocardium. Panel D, which is present for purposes of comparison, shows hyperenhancement, indicative of necrosis and decreased viability, after acute anterior myocardial infarction. Reproduce with permission from Massachusetts Medical Society. Figure 3 Serial echocardiographic assessment of ejection fraction in 19 patients with stress cardiomyopathy. 6 Echocardiography was performed on admission; on hospital day 3 4 5 6, or 7; and at outpatient followup. Gray lines illustrate values for individual patients. The black bar represents the median ejection fraction at each time; error bar shows the interquartile range. P < 0. 001 for comparison between admission and inpatient values, and p < 0. 001 for comparisons between admission and outpatient values and between inpatient and outpatient values. Reproduce with permission from Massachusetts Medical Society.

* 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

Stress and Your Heart

The real connection between stress and heart disease, and what to do if you re under too much pressure. You get stuck in traffic, late for an important appointment. Your breath quickens. Your heart races. Your muscles are tense. As your anxiety builds, you might even feel like you are on the verge of having a heart attack. What you are experiencing is a phenomenon Harvard physiologist Walter Cannon once term fight - or - flight response. In a stressful situation, your body releases a flood of chemicals such as cortisol and epinephrine, which prepare your body for action. If the car in front of you were to burst into flames, you 'd be ready to leap from your car and flee. But reaction is counterproductive when you are just waiting in traffic. Chronic stresswhether, from traffic - choke daily commute, unhappy marriage, or overbearing bosshas, been linked to a wide range of harmful health effects. It can interfere with your mood, sleep, and appetite. But can stress cause heart disease?

* 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

Mitral Valve Prolapse

Mitral Valve Prolapse, also called click murmur Syndrome and Barlow's Syndrome, is the most common type of Heart Valve abnormality. Usually, people with Mitral Valve Prolapse have no signs or symptoms; however, if the Prolapse Valve is severe, symptoms may appear. When symptoms of Severe Mitral Valve Prolapse do appear, they may include, fatigue, palpitations, chest pain, anxiety, Migraine headaches, and pulmonary edema. Echocardiography is the most useful test for Mitral Valve Prolapse. Most people with Mitral Valve need no treatment. However, if Valve Prolapse is severe, treatment medications or surgery may be necessary to repair the heart.


What are the symptoms of MVP?

Mvp may not cause any symptoms. Symptoms may vary depending on the degree of prolapse present. Presence of symptoms doesn't necessarily match severity of MVP. Fast or irregular heartbeats. This may be the result of irregular heartbeats or just a sensation of valve closing when heart rhythm is normal. Chest pain. Chest pain linked to MVP is different from chest pain associated with coronary artery disease. Usually, chest pain is not like classic angina, such as pain with exertion, but it can happen often, can be very uncomfortable, and can affect your quality of life. Anxiety Hyperventilation Exercise intolerance Dizziness depends on severity of mitral regurgitation or leak, leave atrium or left ventricle may become enlarged, leading to symptoms of heart failure. These symptoms include weakness, tiredness, dizziness, and shortness of breath. Symptoms of mitral valve prolapse may look like other medical conditions or problems. Always see healthcare provider for diagnosis.

* 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

Broken Heart Syndrome Causes

Broken heart symptoms, such as chest tightness and shortness of breath, can seem like heart attack. The problem happens when psychological distress triggers sudden weakness of heart muscle. It can be caused by sudden shockA or acute anxiety. Doctors call it astress - induce cardiomyopathy or atakotsubo myopathy. The heart has its mysteries, including the reasons why it can suddenly grow weak due to physical or emotional stress. It could be that the flood of stress hormone adrenaline is too much for it to handle. One theory is that adrenaline causes heartas arteries to narrow so much that they cut off blood flow to muscle. Unlike heart attack, Broken Heart syndrome makes part of your heart larger, temporarily. This can change how your ticker pumps, which causes symptoms.


What To Look For: Signs and Symptoms

Patients with stress - induced cardiomyopathy usually experience symptoms that are indistinguishable from acute coronary symptoms pain or pressure, shortness of breath, dizziness, low blood pressure, rapid heartbeats, or nausea. It is like a heart attack, which is why patients with these symptoms should seek medical attention and be monitor, especially during the acute phase. Patients typically spend at least 48 hours in hospital and are treated with medications to help their heart heal. Coronary angiography is required to prove diagnosis. Despite symptoms of weak heart, no blockages are seen in heart blood vessels with stress - inducing cardiomyopathy, unlike those patients who experience real heart attack.

* 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

Broken Heart Syndrome Diagnosis

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. What is fascinating is the fact that stress - induced cardiomyopathy, despite its serious presentation, is usually rapidly reversible. Ventricle typically returns to normal within 14 days, and most patients recover with no long - term heart damage. 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 left ventricle from contracting effectively. Broken - Heart syndrome occurs more often in women than in 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 known 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, 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.

* 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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