Emotions and stress can literally ruin the heart. This is called stress Takotsubo cardiomyopathy. Takotsubo - not a name, and the name of the Japanese traps for octopuses. This clay pot with a narrow neck and a spherical bottom. Looks like this when the heart Takotsubo cardiomyopathy.
For the first time such a cardiomyopathy found in Japan in 1990. This disease begins suddenly and unexpectedly. After some stress or emotional distress appears chest pain and shortness of breath. Most often this happens with women after 50 years.
Patients usually arrive by ambulance with suspected myocardial infarction. But unlike angina or myocardial coronary artery they are passable. Even experienced cardiologists in the first hours after admission of patients may not understand the diagnosis.
According to recent data, Takotsubo cardiomyopathy - a reflex reaction of the heart to stress. Heart swells like a balloon and can not pump blood normally. From this it can develop a true heart failure: lower blood pressure and blood stasis is in the lungs.
IN 85% of cases Takotsubo cardiomyopathy triggered by emotions. It may be the loss of a loved one, fear, anger, financial problems. Sometimes stress becomes some kind of disease. For example, an exacerbation of asthma with suffocation, surgery, chemotherapy, or stroke. More likely it is going to happen with people who are not okay with the psyche or of the nervous system.
Conventional risk factors like smoking, diabetes, high blood pressure or cholesterol do not matter here.
It is believed that all the fault of adrenaline. This was proved when they are similar cardiomyopathy in people with adrenal tumor. They had a very high level of adrenaline.
Sometimes, the typical stress cardiomyopathy started in people who are in hospital with the purpose of treatment were administered high doses of adrenaline or a special pacemaker. Crank provoking coronary artery spasm, failure begins at the microscopic blood vessels in the heart, and the heart muscle becomes stannirovannoy (stunned). It is called - "stunned myocardium".
It turns out, as it were poisoned adrenaline. That part of the heart, which is inflated ball, actually has a most receptors for adrenaline. Therefore, this is where everything happens.
A classic example of stress cardiomyopathy - is the story of a passenger who spent the night in a hotel near the airport. aircraft noise because it took that in the morning he was taken to hospital with a heart attack.
Fortunately, if the time to notice and properly treat the symptoms are rapidly disappearing. Usually a few days, everything comes back to normal.
In 95% of patients with recurrent attacks do not happen. The heart is reduced and does not completely different from the healthy.
People are afraid that they may regularly occur such attacks, but usually limited to a single hospitalization. Then, even if there are new stressful situations, cardiomyopathy is not repeated.
If you suspect that you had a heart attack, you do not need to wait and think. Be sure to call an ambulance.
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