Separation, death, existential fears or extreme happiness – emotional stress can lead to a broken heart. This literally means and describes a disease in which the heart suffers from immense dysfunction. This is called the Takotsubo syndrome and is also called the 'broken heart syndrome'.
At the beginning, everything indicates a heart attack. People with Takotsubo syndrome have typical symptoms such as tightness and pain in the chest or shortness of breath. Even the image of the blood shows an increased amount of certain enzymes – a classic hint of infarction. However, a closer examination of the muscle using a heart catheter shows that there are no significant coronary blockages, as in the case of a heart attack. Myocardial injury also does not occur in the broken heart syndrome. It is estimated that two percent of patients who have been diagnosed with a heart attack are a Broken Heart Syndrome.
The Takotsubo team is believed to be triggered by an excess of stress hormones in the body. Physicians also speak about stress syndrome in the syndrome. As a result of stress hormones, the muscles in the spasm of the heart. The main pumping chamber increases and the organ can not pump properly.
The broken heart syndrome is often hereditary
The reasons for the Takotsubo team are still unclear. However, scientists now agree that there are also genetic reasons for someone being at increased risk. For example, some people are more likely to suffer from such an event because their heart cells are more sensitive to stress hormones. In addition, pumping disorders often occur if they have already occurred in the family. For example, there are cases around the world where several family members, mainly siblings or twins, suffer from a broken heart syndrome. Five to ten percent of patients have multiple seizures, which also suggests genetic involvement.
Women especially are affected
It is striking that the disease occurs in about 90 percent of cases in postmenopausal women. At this stage of life, it is more likely that he will lose a partner, which may be the cause of the Evil Heart Syndrome. Excessive emotional reactions, for better or for worse, may be the reason for disturbing the pumping function. If, for example, winning a lottery or wedding was a trigger, it is said about the Happy Heart team. Even severe physical stress, such as surgery or accidents, can trigger the Takotsubo team.
The Takotsubo team
The clinical picture of the Takotsubo team was first described in the 90s by Japanese doctors Keigo Dote and Hikaru Sato. The namesake was a traditional Japanese octopus trap in the form of a buried clay jug with a narrowed neck. The specific form of the left ventricle at the end of the contraction that resembled it was recognized by physicians as a result of myocardial circulatory disorders.
Source: German Center for Cardiovascular Research. V.
The acute phase can be very dangerous
In the case of the Heartbreak Syndrome, persons affected by the disease must be immediately monitored in the intensive care unit, because dysfunctions in the heart can cause a so-called cardiogenic shock. In this case, the heart pumps so little blood through the body that the body is no longer adequately supplied with blood and oxygen. It can be fatal. Such a shock is also a known cause of death after severe heart attacks. Patients who survive cardiogenic shock have an increased risk of death, studies have shown. Therefore, long-term observation is necessary, especially for this group of patients.
After the acute phase, most patients return after an incident within a few weeks or months without any consequences.
In this way, the broken heart syndrome is treated
The operation is not necessary. In Takotsubo disease, doctors only care about lowering the level of the stress hormone. In addition, patients receive medications that reduce hormone levels. They also get beta blockers to calm the heart.
Bad Heart Syndrome is more common than previously thought
In recent years, it has been found that the syndrome of a broken heart is not as rare as previously thought. "Today, we assume that three to five percent of all alleged patients with myocardial infarction did not suffer from any heart attack, but stress cardiomyopathy," says prof. Ingo Eitel, cardiologist at the Heart Center in Lübeck.
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