Friday , October 22 2021

A broken heart can also be fatal



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Life threatening threats in the case of a broken heart

The fact that someone is a "broken heart" is not only a saying, but also a medical reality. The Takotsubo team, also known as the "broken heart syndrome", may even be life-threatening. Researchers have now determined which patients are at increased risk in the short or long term.

Most patients recover without consequences

In the early 1990s, Takotsubo disease (TTS) was first described by Japanese doctors Keigo Dote and Hikaru Sato. This disease occurs after severe mental stress, such as sadness or heartache. Most women suffer from menopause. Most patients recover without the effects of the disease. But ten percent develops a dangerous complication. The study determined which patients in the short or long term are at increased risk.

Most patients with Takotsubo syndrome ("broken heart syndrome") recover without the effects of the disease. But some develop a dangerous complication. The study determined which patients in the short or long term are at increased risk. (Photo: Di Studio / fotolia.com)

The reasons are still not clearly explained

The namesake of the Takotsubo team was the traditional Japanese octopus trap in the form of a dented Tonkrugs with a narrow neck.

The specific form of the left ventricle at the end of the contraction that resembled it was recognized by physicians as a result of myocardial circulatory disorders.

The causes of the disease are still not clear and the treatment must be based on symptoms.

Losing a loved one makes you sick

Because the disease often occurs as a result of severe emotional stress, such as loss of a loved one, emotional stress or regret, colloquially referred to as a "broken heart syndrome" ("broken heart syndrome").

Intimidation in the workplace or extreme physical stress, such as surgery, collapse or stroke, can also trigger Evil Heart Syndrome.

In addition, you can show that extremely positive events, such as a wedding or winning a lottery, are won by the Takotsubo team.

Long-term risk

In the meantime, it has become known in medicine that the disease can lead to prolonged damage to the heart and increased risk of strokes, among others.

The disease can be fatal
Because the disease is an early onset, often a serious disorder of the heart pump function, it is often first suspected to have a heart attack.

After the acute phase, most patients recover in a few weeks or months.

However, about ten percent of patients experience a cardiogenic shock associated with an acute phase condition, a life-threatening complication in which the heart suddenly pumps too little blood through the body.

Up to five percent of patients with cardiogenic shock die because of this, according to University Hospital Zurich (USZ) in a statement.

Researchers at the USZ have now discovered which patients are more likely to have cardiogenic shock and have long-term consequences for patients.

Which patients develop cardiogenic shock

As part of their research, scientists were able to return to the data collected in the InterTAK registry.

This first global Takotsubo registry was created in 2011 at the University Cardiovascular Center to accelerate research on the Takotsubo team.

Currently, over 40 cardiovascular centers from 20 countries are involved in the register; is headed by prof. dr. med. RER. nat. Christian Templin, interventional cardiologist and director of acute cardiology in CVT.

"Thanks to our research, we now know which patients such as Takotsubo develop cardiogenic shock in the acute phase of the disease and therefore should be intensively monitored," says Templin.

"These patients also show an increased risk in the long term and therefore they should be constantly monitored" – says the expert.

Little was known about these risk factors, and patients without abnormalities were not observed after Takotsubo's disease.

"The diagnosis, treatment and prognosis of patients have again made a significant step forward in this study." (Ad)

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