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Tuesday, November 10, 2009 @ 7:01 pm

Broken heart..........


no this is not a post lamenting on broken heart, this is an educational post on :

Broken Heart Syndrome

also known as Takotsubo Cardiomyopathy / Stress Cardiomyopathy

Its is a condition commonly mistaken as Myocardial Infarction ( heart attacks) as it is presented with the typical symptoms of chest pain that radiates to the left arm, ST elevation on ECG, and mildly elevated troponin. ( ie all signs for MI)

Upon emergency cardiac catherisation ( where a cathether is inserted into the patient's groin ( femoral artery) into the coronary arteries ( blood vessels that supplies the heart), no significant narrowing of the coronary arteries is found ( heart attacks are usually caused by a blockage of coronary arteries)

Ventriculogram ( where dye is squirted into the heart chambers shows that the apex of the heart is not pumping, wherelse the basal part of the ventricle is hypercontracting to compensate. The pumping action causes ballooning of the basal left ventricular. This resembles takotsubo, which in japanese means 'fishing pot for trapping octopus'

The symptoms are usually precipitated by emotional stress ( eg death of close ones ) and once the stress is relieved, the symptoms will resolve without any signs of cardiac damage.


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