Healing: 95% of Broken Hearts Find Closure
Title: Understanding Broken Heart Syndrome: A Cardiologist’s Insight
Date: October 8, 2023
Cardiology Specialist Dr. Çağdaş Arslan sheds light on the rare heart condition known as ‘broken heart syndrome’. According to Dr. Arslan, the primary cause of this syndrome is excessive emotional load and stress. The symptoms mimic those of a heart attack, including sudden chest pain and similar electrocardiogram (ECG) findings. However, broken heart syndrome is distinguished from a heart attack as no blockages in the heart vessels are observed during angiography.
The name ‘broken heart’ itself holds significance, as Dr. Arslan explains. He states that love, especially the feeling of falling in love, leads to an increase in hormones such as oxytocin, dopamine, serotonin, and endorphins. These hormones promote vitality and peace while reducing stress hormones such as cortisol and adrenaline, which have negative effects on the body. Consequently, blood flow is enhanced, and the inflammatory response that increases arteriosclerosis is suppressed. In addition, the average heart rate and blood pressure decrease. Dr. Arslan emphasizes that these changes ultimately reduce the risk of heart attacks and contribute to the longevity of the heart.
During the course of the syndrome, the heart experiences a ballooning effect, resembling the container used by Japanese fishermen to catch octopuses, which is referred to as “Takotsubo”. Although the exact cause of this syndrome remains unknown, it is believed to occur due to fluctuations in stress response hormones, particularly adrenaline and noradrenaline, which are released during periods of stress. Severe trauma, major surgeries, and serious physical illnesses may also trigger the syndrome.
Dr. Arslan points out that there is no specific treatment for broken heart syndrome. Instead, patients receive supportive care to aid their recovery. In mild cases, no treatment may be necessary, while aggressive treatments may be employed to support heart functions in severe cases. However, Dr. Arslan assures that 95 percent of patients show improvement and achieve full recovery. Nevertheless, in some cases, permanent damage to the heart can occur, requiring lifelong monitoring for potential heart failure. Consequently, routine check-ups are recommended for patients following the diagnosis phase.
In conclusion, broken heart syndrome, also known as ‘Takotsubo’, is a rare condition triggered by excessive emotional load and stress. While mimicking a heart attack, it is differentiated by the absence of blockages in the heart vessels. Understanding the physiological changes that occur during this syndrome will aid in its diagnosis, treatment, and ensuring better long-term outcomes for patients.
