Stress cardiomyopathy

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Stress Cardiomyopathy

Stress cardiomyopathy, also known as Takotsubo cardiomyopathy or broken heart syndrome, is a temporary heart condition that is often triggered by stressful situations and emotional distress. Unlike a heart attack, stress cardiomyopathy typically does not involve blocked heart arteries. The symptoms of stress cardiomyopathy are similar to those of a heart attack, including chest pain, shortness of breath, and dizziness.

Causes and Risk Factors[edit | edit source]

The exact cause of stress cardiomyopathy is not fully understood, but it is believed to be related to a surge of stress hormones, such as adrenaline, that temporarily damage the heart. This condition is most common in postmenopausal women, although it can occur in men and women of any age. Factors that may increase the risk of developing stress cardiomyopathy include a history of neurological conditions, such as seizures, or a history of psychiatric conditions, such as anxiety or depression.

Symptoms[edit | edit source]

Symptoms of stress cardiomyopathy are similar to those of a heart attack and may include:

  • Chest pain
  • Shortness of breath
  • Sweating
  • Nausea
  • Dizziness
  • Palpitations

Diagnosis[edit | edit source]

Diagnosis of stress cardiomyopathy involves ruling out a heart attack. Tests that may be used include:

Treatment[edit | edit source]

Treatment for stress cardiomyopathy typically involves medications to manage symptoms and reduce the heart's workload. Common medications include beta-blockers, angiotensin-converting enzyme (ACE) inhibitors, and diuretics. Emotional support and stress management are also important aspects of treatment. Most people recover fully within weeks.

Prevention[edit | edit source]

Preventing stress cardiomyopathy involves managing stress and emotional health. Techniques such as meditation, exercise, and counseling can be beneficial. It is also important for individuals with a history of stress cardiomyopathy to avoid known triggers.

Prognosis[edit | edit source]

The prognosis for stress cardiomyopathy is generally good, with most individuals recovering fully with appropriate treatment. However, in rare cases, complications such as heart failure or arrhythmias can occur.


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Contributors: Prab R. Tumpati, MD