Broken-heart syndrome

From WikiMD's Wellness Encyclopedia

Broken-heart Syndrome Broken-heart syndrome, also known as Takotsubo cardiomyopathy or stress-induced cardiomyopathy, is a temporary heart condition that is often brought on by stressful situations and extreme emotions. It can mimic a heart attack, but it is usually reversible and not caused by blocked coronary arteries.

Overview[edit | edit source]

Broken-heart syndrome is characterized by a sudden weakening of the heart muscle, leading to symptoms similar to those of a heart attack, such as chest pain and shortness of breath. However, unlike a heart attack, there is no evidence of blocked coronary arteries in broken-heart syndrome.

Symptoms[edit | edit source]

The symptoms of broken-heart syndrome can include:

  • Chest pain
  • Shortness of breath
  • Irregular heartbeats (arrhythmias)
  • Fainting

These symptoms can occur suddenly and are often triggered by an intense emotional or physical event.

Causes[edit | edit source]

The exact cause of broken-heart syndrome is not fully understood, but it is believed to be related to a surge of stress hormones, such as adrenaline, that temporarily affect the heart's ability to pump blood effectively. Common triggers include:

  • The death of a loved one
  • A serious medical diagnosis
  • A significant financial loss
  • A natural disaster

Diagnosis[edit | edit source]

Diagnosis of broken-heart syndrome typically involves:

  • Electrocardiogram (ECG)
  • Blood tests
  • Echocardiogram
  • Coronary angiography

These tests help differentiate broken-heart syndrome from a heart attack and assess the heart's function.

Treatment[edit | edit source]

Treatment for broken-heart syndrome focuses on relieving symptoms and supporting heart function. This may include:

  • Medications such as beta-blockers and ACE inhibitors
  • Lifestyle modifications
  • Stress management techniques

Most patients recover fully within weeks to months, with no lasting damage to the heart.

Prognosis[edit | edit source]

The prognosis for broken-heart syndrome is generally good, with most individuals experiencing a full recovery. However, in rare cases, complications such as heart failure or arrhythmias can occur.

Epidemiology[edit | edit source]

Broken-heart syndrome is more common in women, particularly those over the age of 50. It is estimated to account for 1-2% of all cases of suspected acute coronary syndrome.

Research[edit | edit source]

Ongoing research is focused on understanding the underlying mechanisms of broken-heart syndrome and developing more effective treatments. Studies are also exploring the role of genetics and the impact of different types of stress on the condition.

See Also[edit | edit source]

External Links[edit | edit source]

NIH genetic and rare disease info[edit source]

Broken-heart syndrome is a rare disease.

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Contributors: Prab R. Tumpati, MD