Brokenheart

When someone makes you disappointed and broke your heart, do you feels like your chest (on a left side) is hurt?

Why?

The name is Takotsubo Cardiomyopathy or Broken Heart Syndrome..

Takotsubo is a transient cardiac syndrome that involves left ventricular apical akinesis and mimics acute coronary syndrome (ACS).

MIMICS ACS?

Yes!

The sign and symptoms are similar, that’s why Takotsubo Cardiomyopathy may be misdiagnosed as a heart attack (especially ACS)

But as a medical doctor we must consider the worst possible (ACS)

The most common presenting symptoms are chest pain and dyspnea, though palpitations, nausea, vomiting, syncope, and, rarely, cardiogenic shock have been reported…

The difference Takotsubo and ACS is its association with a preceding emotionally or physically stressful trigger event, occurring in approximately two thirds of patients…

Unlike ACS, for which the peak occurrence is during the morning hours, TCM events are most prevalent in the afternoon, when stressful triggers are more likely to take place..

The explanation above explain why Takotsubo Cardiomyopathy knows as Broken Heart Syndrome…

Another difference between Takotsubo and ACS is a lot of patients with Takotsubo didn’t have traditional cardiac risk factors (Hypertension, Dislipidemia, Diabetes, Smoking, etc.)

In 90% patients with Takotsubo, cardiac markers (specifically Troponin I & Troponin T) are elevated and on ECG patients with Takotsubo performing ST-Segment elevation, makes Takotsubo really similar with ACS..

The diagnosis of TCM is typically confirmed in the cardiac catheterization laboratory. In a review of 240 patients diagnosed with TCM, 211 were found to have completely normal coronary arteries, whereas the remainder had noncritical stenoses…

Women are more likely than men to experience the sudden, intense chest pain — the reaction to a surge of stress hormones — that can be caused by an emotionally stressful event. It could be the death of a loved one or even a divorce, breakup or physical separation, BETRAYAL OR ROMANTIC REJECTION. It could even happen after a good shock (like winning the lottery)…

The exact etiology of TCM is still unknown, but several theories have been proposed and are being investigated. These include the following:

• Multivessel coronary artery spasm

• Impaired cardiac microvascular function

• Impaired myocardial fatty acid metabolism

• ACS with reperfusion injury

• Endogenous catecholamine-induced myocardial stunning and microinfarction

Even the etiology still unknown the bad news is broken heart syndrome can lead to severe, short-term heart muscle failure..

But the good news is broken heart syndrome is usually treatable. Most people who experience it make a full recovery within weeks, and they’re at low risk for it happening again (although in rare cases in can be fatal)…

Takotsubo is a transient cardiac syndrome that involves left ventricular apical akinesis and mimics acute coronary syndrome (ACS).

MIMICS ACS?

Yes!

The sign and symptoms are similar, that’s why Takotsubo Cardiomyopathy may be misdiagnosed as a heart attack (especially ACS)

But as a medical doctor we must consider the worst possible (ACS)

The most common presenting symptoms are chest pain and dyspnea, though palpitations, nausea, vomiting, syncope, and, rarely, cardiogenic shock have been reported…

The difference Takotsubo and ACS is its association with a preceding emotionally or physically stressful trigger event, occurring in approximately two thirds of patients…

Unlike ACS, for which the peak occurrence is during the morning hours, TCM events are most prevalent in the afternoon, when stressful triggers are more likely to take place..

The explanation above explain why Takotsubo Cardiomyopathy knows as Broken Heart Syndrome…

Another difference between Takotsubo and ACS is a lot of patients with Takotsubo didn’t have traditional cardiac risk factors (Hypertension, Dislipidemia, Diabetes, Smoking, etc.)

In 90% patients with Takotsubo, cardiac markers (specifically Troponin I & Troponin T) are elevated and on ECG patients with Takotsubo performing ST-Segment elevation, makes Takotsubo really similar with ACS..

The diagnosis of TCM is typically confirmed in the cardiac catheterization laboratory. In a review of 240 patients diagnosed with TCM, 211 were found to have completely normal coronary arteries, whereas the remainder had noncritical stenoses…

Women are more likely than men to experience the sudden, intense chest pain — the reaction to a surge of stress hormones — that can be caused by an emotionally stressful event. It could be the death of a loved one or even a divorce, breakup or physical separation, BETRAYAL OR ROMANTIC REJECTION. It could even happen after a good shock (like winning the lottery)…

The exact etiology of TCM is still unknown, but several theories have been proposed and are being investigated. These include the following:

• Multivessel coronary artery spasm

• Impaired cardiac microvascular function

• Impaired myocardial fatty acid metabolism

• ACS with reperfusion injury

• Endogenous catecholamine-induced myocardial stunning and microinfarction

Even the etiology still unknown the bad news is broken heart syndrome can lead to severe, short-term heart muscle failure..

But the good news is broken heart syndrome is usually treatable. Most people who experience it make a full recovery within weeks, and they’re at low risk for it happening again (although in rare cases in can be fatal)…

Comments

Post a Comment

Popular posts from this blog

Fighting Dragons With You (How You Can Survive in Medical Jungle)

Image
"Long live Steroid'09" Fakultas kedokteran, suatu fakultas yang bagi orang awam semua selain biayanya yang mahal terkenal dengan program pendidikannya yang sulit. Berisi orang-orang yang pintar. Orang-orang yang selalu berpikiran kritis dan logis. Apakah benar? Mungkin benar, tapi tidak semengerikan itu.. Kembali ketahun 2009 ketika pertama kali saya menginjakan kaki saya di fakultas kedokteran, apa yang saya pikirkan sama seperti orang-orang awam lainnya (karena tidak ada keluarga dekat saya yang menjadi dokter, i’m first). Sudah terbayang tiga setengah tahun saya akan menjadi robot, terasing serta memiliki teman-teman yang seperti robot juga. Padahal saat itu, saya sedang berada di fase main main dan main. Bagaimana saya tidak stress? Tidak selesai sampai disitu, saya pun harus mengikuti ospek yang terbagi menjadi dua, universitas dan fakultas. Di ospek universitas saja saya sudah merasa malas luar biasa, kenapa? Karena menurut saya banyak hal-hal di ospe
Read more

Special Goodbye

Image
"Goodbyes are not forever, goodbyes are not the end, they simply mean I’ll miss you. Until we meet again in the heaven.."   Adakalanya kebersamaan tidak bisa dinilai dengan seberapa lama kebersamaan itu terjalin? Tidak perlu tujuh tahun untuk membuat hal tersebut berharga atau kurang dari satu bulan untuk merindu.. Terkadang hanya dibutuhkan angka enam sejak keduanya dipertemukan hingga keduanya kembali terpisah dalam dunia dan dimensi berbeda.. Suatu senja dengan sebuah bangunan bernama Paris Van Java, sangat jauh dari sebuah romansa, namun cukup dapat menemukan dua buah manusia hingga satu diantara keduanya harus tiada dan yang lainnya hanya dapat merela.. Terkadang tidak perlu melihat usia untuk menetukan seseorang yang lebih dewasa, walau dengan canda berani membuka suatu percakapan pertama sudah dapat memperlihatkan siapa yang berperan sebagai dewasa dan sebaliknya.. Bulan berganti, janji terucap. Dua manusia berjanji untuk bersama. Bersama dalam banyak p
Read more

Forgive But Never Forget

Image
“Bullying builds character like nuclear waste creates superheroes”   “Hahaha mau ngapain si Andyka? Jadi badut baby huey?!” Salah satu kalimat (dari banyak kalimat) yang mungkin sudah saya maafkan tapi tidak akan pernah saya lupakan… As u all know that, saya bukan berasal dari kota Bandung. Ketika sekolah dasar saya sekolah di daerah (Namun jangan salah sekolah dasar yang saya masuki di daerah persaingannya cukup sulit). Ketika masuk ke SMP, orang tua saya memutuskan untuk mengirim saya ke Bandung. Tujuannya tentu untuk mendapatkan pendidikan yang lebih baik. Tentu bagi anak daerah seperti saya, pindah ke kota itu mengerikan. Yang terbayang oleh saya pasti otaknya pintar-pintar. FYI selama saya sekolah dasar di daerah, saya belum pernah sekalipun mencicipi yang namanya juara 1 kelas. Mentok-mentok juara 2 cuma 2 kali dalam 6 tahun saya sekolah. Berhubung saya dibandung tinggal di daerah bandung selatan, dan saya sekeluarga masih belum tau tentang sekolah-sekolah dibandung
Read more