Life-threatening risk factors in the case of a broken heart
That someone is "broken heart" is not only a proverb, but also a medical reality. Takotsubo syndrome, also known as "broken heart syndrome," can even become life-threatening. Researchers have now identified which patients are at increased risk in the short or long term.
Most patients recover without consequences
In the early nineties, the Takotsubo syndrome (TTS) disease was first described by Japanese doctors Keigo Dote and Hikaru Sato. This disease occurs after a strong mental stress, such as sadness or heartache. Most women are affected after the menopause. The majority of patients recover without consequences of the disease. But ten percent develops a dangerous complication. A study has now established which patients are at increased risk in the short or long term.
Causes are still not clearly clarified
The namesake of Takotsubo syndrome was a traditional Japanese octopus trap in the form of a dented tonkrug with a narrow neck.
The peculiar form of the left ventricle at the end of the systole, which recalled it, was regarded by the medical profession as the result of a disturbance in the circulatory system of the heart muscle.
The causes of the disease are still not clear and the treatment must therefore be based on the symptoms.
Loss of a loved one makes you sick
Because the disease often occurs as a result of severe emotional stress, such as the loss of a loved one, emotional stress or sadness, the broken heart syndrome is called & # 39; (Broken heart syndrome & # 39;).
Bullying in the workplace or extreme physical stress such as surgery, a fall or a stroke can lead to the Broken Heart Syndrome.
In addition, it can be shown that extremely positive events such as a wedding or winning a lottery win the Takotsubo syndrome.
Long-term risk & # 39; s
In the meantime, it has become known in medicine that the disease can lead to long-lasting heart damage and an increased risk of strokes, among others.
Illness can be deadly
Because the disease is a sudden start, often serious disruption of the pump function of the heart, it is often first suspected a heart attack.
After the acute phase, most patients recover within weeks or months.
However, approximately ten percent of patients experience cardiogenic shock associated with the acute phase disorder, 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, reports University Hospital Zurich (USZ) in a statement.
Researchers from the USZ have now discovered which Takotsubo patients are at an increased risk of cardiogenic shock and have long-term consequences for those affected.
Which patients develop cardiogenic shock
For their research, the scientists were able to fall back on the data collected in the InterTAK register.
This first global Takotsubo registry was established in 2011 at the USZ University Heart Center to promote research into Takotsubo syndrome.
More than 40 cardiovascular centers from 20 countries are now involved in the registry; it is led by Prof. dr. med. Dr. rer. wet. Christian Templin, interventionist cardiologist and head of acute cardiology at the USZ.
"Thanks to the study, we now know which Takotsubo patients develop cardiogenic shock in the acute phase of the disease and therefore need to be intensively monitored", says Templin.
"These patients also have a long-term increased risk and therefore need to be monitored permanently," 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 the patients has again taken an important step forward with this study." (Ad)