Broken Hearts Can Be Mended
How many of you have watched a movie or TV show where one of the characters, who has experienced a stressful situation in her life, suffers from what appears to be a classic heart attack but isn't? While this may sound a little farfetched, doctors are beginning to recognize a condition that mimics a heart attack, but after further testing there is little or no sign of cardiovascular disease. Doctors refer to this condition as stress cardiomyopathy, also known as broken heart syndrome. In all my years in nursing and reading up on health matters I have never heard of this syndrome before, until I came across an article in the Spring 2010 issue of Better Homes and Gardens Heart-Healthy Living Magazine.
After doing my own research, I discovered that broken heart syndrome can mimic a true heart attack but does not cause death or irreversible damage to the heart like a classic heart attack can. However, the two conditions can be difficult to differentiate when a patient presents to the emergency room with chest pains, shortness of breath, nausea and in some cases even heart stoppage.
In a February 2005 article published in the New England Journal of Medicine, researchers at Johns Hopkins University School of Medicine released the findings regarding the signs and symptoms of broken heart syndrome and how it varies from the common heart attack. Unlike the classic heart attack which occurs when the arteries of the heart become blocked, researchers believe broken heart syndrome occurs after the heart has been exposed to large amounts of stress hormones, such as adrenaline and norepinephrine, over a period of time that actually "stun" the heart. This usually occurs after the patient has been under an undo amount of stress, but not always.
Although broken heart syndrome is rare, when it does hit, it tends to strike older women who are quite healthy otherwise, but who have undergone a period of stress in their lives. They often arrive to the emergency room with classic heart attack symptoms, however after further testing, there appears to be no cardiac disease found. The positive side to this is there is no long term, irreversible damage to the heart itself and recurrence is rare.
So what should one do?
As always, if you experience any chest pain, shortness of breath, anxiousness, etc, call 911. Remember heart disease is the number one killer of women and ignoring symptoms can be the difference between death and recovery.
Have you ever heard of broken heart syndrome? Have you ever suffered from it yourself?
After doing my own research, I discovered that broken heart syndrome can mimic a true heart attack but does not cause death or irreversible damage to the heart like a classic heart attack can. However, the two conditions can be difficult to differentiate when a patient presents to the emergency room with chest pains, shortness of breath, nausea and in some cases even heart stoppage.
In a February 2005 article published in the New England Journal of Medicine, researchers at Johns Hopkins University School of Medicine released the findings regarding the signs and symptoms of broken heart syndrome and how it varies from the common heart attack. Unlike the classic heart attack which occurs when the arteries of the heart become blocked, researchers believe broken heart syndrome occurs after the heart has been exposed to large amounts of stress hormones, such as adrenaline and norepinephrine, over a period of time that actually "stun" the heart. This usually occurs after the patient has been under an undo amount of stress, but not always.
Although broken heart syndrome is rare, when it does hit, it tends to strike older women who are quite healthy otherwise, but who have undergone a period of stress in their lives. They often arrive to the emergency room with classic heart attack symptoms, however after further testing, there appears to be no cardiac disease found. The positive side to this is there is no long term, irreversible damage to the heart itself and recurrence is rare.
So what should one do?
As always, if you experience any chest pain, shortness of breath, anxiousness, etc, call 911. Remember heart disease is the number one killer of women and ignoring symptoms can be the difference between death and recovery.
Have you ever heard of broken heart syndrome? Have you ever suffered from it yourself?
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Comments
I think that's what's going on with this broken heart issue. It's totally normal to feel that way when you've experienced heartbreak. Why make it a bigger deal than it is? Next, they'll have medication for it (if they don't already). I can see counseling, but it is possible to completely go too far with something that is a totally normal life event. Not everything is a disease. - 5/1/2010 1:07:42 PM
I was hospitalized with this last September. Very minor chest discomfort, perfect EKG with no changes when compared to one I had a few years ago during an annual physical. I didn't even get admitted to the ER yet when I felt fine again, but my husband insisted I stay and get checked out. Lab work showed a very slight elevation in one cardiac marker (troponin) so I was rushed into the cardiac cath lab, where the doctor found my bulging and trapped left ventricle and made the diagnosis of Takotsubo Syndrome, the REAL name of what the writer is calling "broken heart" syndrome.
Yes, it can be caused by sudden and severe stress, a great shock to the system both physically and emotionally, and yes, it usually reverses itself within a few weeks with proper treatment, such as medication to strengthen the heart muscle and a few months of cardiac rehab therapy. A low sat diet is also recommended.
It was discovered and named in Japan, given the name "takotsubo", which means "octopus trap," because of the way the muscles surrounding the left ventricle of the heart spasm and trap the area, preventing the heart from pumping correctly. There's a great web site that explains it all in laymen's terms:
http://www.takotsubo.com
Most people who get this are post-menopausal females, those of us in the "sandwich generation" who are caring for not just our children but our parents and elderly relatives, too In my case, it's an adult son who graduated college with a Master's in engineering 2 years ago who still can't find a job in *any* field, even retail working a register, and a 91 year old aunt with mid-stage Alzheimer's disease who was about to be transferred from a rehab facility after a fall to assisted living but the nurses started telling her she could go home any time she wanted, that she didn't have to go to the other facility. The woman couldn't remember where she lived or what year it was but darn it, she knew she wanted to go home and live alone again. We had already started to empty out her house so we could sell it to pay for assisted living!! We now had 24 hours to get her out of there and she insisted on going home. A week later I wound up in the ER with chest pains.
It's been 6 months, and the stress has increased instead f decreased. I'm still working out the hr a day the cardiac rehab nurses said I must do, still taking the heart pill the cardiologist wants me to take, even though my primary care doc says I no longer need it. And w\although the literature - and the cardiologist - say the syndrome did reverse itself within a month, I now have to claim myself a cardiac patient whenever I get treatment for anything else, including at the dentist. Takotsubo syndrome is going to continue to be a part of my life, even though it's gone now. - 4/9/2010 1:23:47 PM
- 4/8/2010 8:42:48 PM
Mary - 4/8/2010 8:41:22 PM
Both times my ex was having an affair. I did not realize the affair was happening until months later. I guess my body knew what my mind was denying. - 4/8/2010 5:31:53 PM
- 4/8/2010 3:20:37 PM
Thanx. - 4/8/2010 12:47:59 PM
http://www.hopkinsmedicine.org/asc/
faqs.html - 4/8/2010 10:02:59 AM
it is real, and very painful physically, but also the emotion of it can be suffocating to the point of exhaustion and colapse. A person needs a strong support team in such times. Praise God I have had that. - 4/8/2010 10:00:20 AM
Let's not forget GERD while we're talking about heart and stress. On the other hand, thanks for the info about this syndrome. Far too little is known about heart disease in women, and one of the reasons we don't know what symptoms are truly indictative in women is that most of the research has been done on men with the assumption being that the results will be the same.
Thanks for the new info! - 4/8/2010 9:58:15 AM
My doctor says my heart is extremely healthy and bonus points, there is no heart disease in my family. So, I'm not too worried. but I do try to take care of myself cuz you never know.
- 4/8/2010 9:33:41 AM
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