Broken heart syndrome, which we often hear about in recent years, is the body’s response to intense stress. This disease, which manifests itself in signs similar to a heart attack, was discovered by Hiraru Sato in 1990 and named Takotsubo Cardiomyopathy. The name comes from the fact that the left side of the heart resembles the octopus fishing boat used by Japanese fishermen when the syndrome developed. Broken heart syndrome is also called stress cardiomyopathy and apical balloon syndrome. The disease develops like a heart attack and the patient feels as if he is having a seizure. Meanwhile, the patient’s ECG measurements and blood value parameters are similar to the results of a heart attack. This disease, more common in people under extreme stress, can have serious consequences, which can go as far as cardiac arrest.
What are the symptoms of broken heart syndrome?
The symptoms of broken heart syndrome are almost the same as those of a heart attack. For this reason, broken heart syndrome can be confused with a heart attack in the period from the moment of hospitalization to the examination of the person. The two most prominent symptoms of the disease are chest pain and shortness of breath. Long-term mild or severe pain in the chest can be a sign of a heart attack or broken heart syndrome. For this reason, it should be taken seriously and a health facility should be consulted. In cases such as very fast or irregular heartbeat, shortness of breath after an event that deeply affects the person and causes great stress, it is necessary to go to the hospital without wasting time. Apart from these, other symptoms that indicate broken heart syndrome can be listed as follows:
- Pain in the left arm and lower part
- Constant feeling of tightness in the heart
- Fatigue, restlessness and stress
- Uncontrolled and unbalanced body movements
- Difficulty concentrating
What causes broken heart syndrome?
Although the exact cause of broken heart syndrome is not known, it is known that the factors that trigger the development of the disease can cause temporary damage to the functioning of the heart. Although the mechanism by which this hormone damages the heart has not been fully elucidated, it is known that situations such as sadness, stress, bad news and excitement which increase the level of adrenaline, a hormone, are the main causes of the development of broken heart syndrome. . Apart from this, other potential causes that trigger the emergence of broken ear syndrome can be listed as follows:
- Receiving news of the unexpected death of a loved one
- Being diagnosed with a terrible disease
- Winning or losing large sums of money at once domestic violence
- Separation, divorce, cheating or abandonment
- Having to make a statement to a large audience
- Job Loss
- Unexpected surprises
- Don’t go into an asthma attack
- Theft incidents
- Accidents and trauma
- Serious surgeries
- Depression and other psychological illnesses
- Advanced age
- epilepsy disease
What are the treatments for broken heart syndrome?
It is estimated that about 1-2% of patients admitted to hospitals with a picture of heart attack called acute coronary syndrome are cases of broken heart syndrome. If the diagnosis of broken heart syndrome is made after blood tests, ECG, echocardiography, and angiography in patients who present through this, treatment usually takes the form of supportive therapy. Although it may vary depending on the patient’s condition, doctors usually prescribe medications containing beta-blockers, ACE inhibitors, and diuretics to relieve acute symptoms and protect against a possible recurrence of the syndrome. It is generally recommended to use an aspirin-type anticoagulant in patients with atherosclerosis. There is no recommended long-term treatment plan for the disease with fully proven therapeutic power; However, since the probability of recurrence of the disease is very low, beta-blockers can be used continuously in a certain dose. In this way, adrenaline levels in the blood can be controlled. In the same possibility, patients should take precautions to avoid physical and emotional stress.
During the acute treatment period, the systolic function of the heart and the movement disorders of the ventricular wall are completely recovered within one to four weeks. Since the risk of heart failure is higher in patients with broken heart syndrome, patients should be evaluated for this and agents that improve heart contractions should be used if necessary. After the symptoms completely disappear, patients should undergo regular health checks at the intervals recommended by the doctor. If you have suffered from broken heart syndrome in an earlier period of your life, you should not neglect your regular checkups. You can protect your heart health by paying attention to the treatment principles recommended by your doctor.
Editor’s Note: Take care of your heart, don’t let anyone break your heart.
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