A Broken Heart Mirrors Signs Of A Heart Attack Doctors Calls The Condition Broken Heart Syndrome
WATERBURY, Conn. — Doctors call it the broken heart syndrome. A patient suffering from severe emotional stress has all the signs of a conventional heart attack. While rare, the syndrome, which is seen predominately in women, is brought on by severe emotional distress and physically alters the beating of a heart. “It is, by every measure, a heart attack. Patients come to the emergency room with chest pain. They do have EKG changes. They do have evidence in their blood that the heart muscle has been injured,” said Paul Kelly, a cardiologist at St. Mary’s Hospital in Waterbury. Kelly said when a patient found out that her mother had died 48 hours before her wedding, she was rushed to the hospital with what doctors thought was a heart attack. The severe emotional distress the patient experienced caused a surge of adrenaline in her body. “The heart is squeezing very vigorously from the front and on the underside. You can see it’s contracting. It’s almost super contracting, pushing very, very vigorously, “ Kelly said Unlike a heart attack, the symptoms of a broken heart come on very rapidly, within minutes of hearing bad news, and go back to normal almost as fast. Less than 1 percent of patients who go to the hospital with chest pains actually have broken heart syndrome, Kelly said. Therapy for a broken heart syndrome are beta blockers, medication that can shield some of the adrenaline and give the heart a chance to recover. The heart usually recovers within two days, Kelly said.. Kelly said chocolate also mends a broken heart. “Dark chocolate, and pounds of it,” he said.
- neurogenic myocardial stunning,
- stress cardiomyopathy
- stress-induced cardiomyopathy,
- transient left ventricular apical ballooning,
- “ampulla” cardiomyopathy
- “broken heart syndrome”.
If this syndrome is recognized, over 95% of patients pull through that fairly easily (with most of the time complete recovery of the electrocardiographic changes and recovery of the cardiac shape and function. This may take a few weeks).
Suggestion: patients should be send to cardiac rehabilitation and if possible to a stress reduction clinic if the syndrome is complicated by continued stress or by a syndrome similar to “post-traumatic stress syndrome”.
The idea is to prevent recurrence (which is low but still exists) by indentifying and trying to eliminate or deflect stressors while educating patients how to counter and how to develop resilience to stress
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>Maybe we can pass this on to logistics and start carring lots of dark chocolate on our trucks!? It is really a win-win for me and the patient…
>LOL yeah lets get to work on that!!
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Regular junctional escape rhythms with rate of 50/min. RBBB and LPHB. there are diffuse ST elevation:I,II,III,aVF,V2,V3,V4,V5,V5.
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