Delusion, death, existential fears, or ultimate happiness – emotional stress can lead to a broken heart. This is meant literally and describes a disease in which the heart suffers from a major dysfunction. It is called Takotsub syndrome and is also called a "broken heart syndrome".
Initially it all points to a heart attack. People with Takotsubo syndrome have typical symptoms such as tightness and chest pain or difficulty breathing. Blood counts also show an increased amount of certain enzymes – a classic indication of infarction. However, a more detailed overview of the muscle with the heart catheter reveals that there are no appropriate blockages of coronary vessels, as in a case of infarction. Damage to the heart muscle does not occur in a heart failure syndrome. It is estimated that two percent of patients with heart disease diagnosis are Broken Heart syndrome.
They believe that the Takotsubo syndrome triggers excess stress hormones in the body. Therefore, doctors also talk about stress cardiomyopathy in the syndrome. As a result of stress hormones, the muscles in the heart cramp. The main pumping chamber increases and the body can no longer pump properly.
Common cardiac syndrome is often hereditary
The causes of Takotsub's syndrome are still not clear. However, researchers now agree that there are also genetic reasons that someone has a greater risk. For example, some people are more likely to experience such an event because their heart cells are more sensitive to stress hormones. In addition, there has often been a pumping disorder if it has already happened in the family. For example, there are cases around the world where a number of family members, mostly brothers or siblings, have experienced a broken heart syndrome. In five to ten percent of patients, such seizures occur several times, which also indicates genetic involvement.
Especially affecting women
It is surprising that the disease occurs in about 90% of cases in women who are out of the menopause. At this stage of life, it is more likely to lose a partner, which could trigger a cracked heart syndrome. Excessive emotional reactions may be a better or even worse cause of jamming the pumping function. If, for example, a lottery winner or a wedge is a trigger, Happy Syndrome is spoken. Severe physical stress, such as surgery or accidents, can trigger Takotsub's syndrome.
For the first time in the 1990s, Japanese physicians Keigo Dote and Hikaru Sato described the clinical picture of Takotsub's syndrome. The names were traditional Japanese octopus octopus in the form of a dent clay jug with a compressed neck. The special form of the left ventricle at the end of the syllable, which she recalled, considered the medical profession as a consequence of a bleeding disorder of the heart muscle.
Source: German Center for Cardiovascular Research e. В.
The acute phase can be very dangerous
If the syndrome breaks down, the affected persons should be monitored intensively with immediate care, as cardiac shock can be caused by a heart disorder. In this case, the heart pumps so little blood through the body that the organism is no longer adequately supplied with blood and oxygen. This can be fatal. Such a shock is also a known cause of death after severe heart attacks. However, patients who survive cardiogenic shock have an increased risk of dying, as studies have shown. Therefore, long-term observations are needed for this group of patients.
When the acute phase is complete, most patients get cured of the incident within a few weeks or months without consequences.
So Broken Heart syndrome is healthy
Operation is not needed. In Takotsub's disease, doctors only ensure that the body's value of stress hormone is reduced. In addition, patients are given hormone-lowering drugs. They also get beta-blockers to calm the heart.
The broken heart syndrome is more common than we already thought
In recent years, it has been found that chipped heart syndrome is not as rare as we already thought. "Today, we assume that three to five percent of all suspected heart attacks have not suffered any infarction, but stress cardiomyopathy," says prof. Dr. Med. Ingo Eitel, a cardiologist at the heart of the Lübeck Center.
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