Yu fil se yu at dɔn brok bak? Lɛ wi tɔk bɔt dis "Broken Heart Syndrome"!

Yu dɔn ɛva fil se yu at de bit, yu chɛst de tayt, ɔ yu de blo tranga wan we yu de fil sɔri, shɔk, ɔ gladi pasmak? Pan ɔl we wi ɔl de tɔk bɔt fɔ gɛt "at we brok," na tru tru mɛrɛsin rizin de fɔ dis. Dɔktɔ dɛn kin kɔl dis sik "Broken Heart Syndrome" ɔ "Takotsubo Cardiomyopathy." Nɔr wɔri, dis na sik wae kin wɛl ɔl if dɛn trit am fayn.

Wetin rili na "Broken Heart Syndrome"?

Fɔ tɔk am simpul wan, dis na sik we wan pat pan di at mɔsul kin wik wantɛm wantɛm ɛn fɔ sɔm tɛm. Tink bɔt am dis we: we wan say na yu at "lɛs" smɔl, di ɔda pat dɛn fɔ wok tranga wan fɔ pɔmp blɔd ɔlsay na yu bɔdi. Dis wik kin apin afta yu gɛt siriɔs strɛs na yu bɔdi ɔr filin.

We di at mɔsul wik, di at nɔ kin gɛt di blɔd we i nid, ɛn i nɔ kin pɔmp blɔd fayn fayn wan. Yu no, ɔl di sɛl dɛn na wi bɔdi nid ɔksijɛn, ɛn na dat di blɔd kin gɛt. So if di at nɔ de wok fayn, i kin afɛkt di wan ol bɔdi.

Bɔku ɔda nem dɛn de fɔ dis sik:

• Takotsubo Kadiomayopati we pɔsin kin gɛt
• Apikal Balɔnin Kadiɔmayopati ɔ Transiɛnt Apikal Balɔnin Sindrom
• Stress Cardiomyopathy ɔ Stress-Induced Kadiomayopati we kin mek pɔsin gɛt strɛs
• Gebrochenes-Herz Syndrome (Dis na Jaman wɔd, we min "at we brok")

Wae na de men kayn dis sik?

Fo men kayn "Broken Heart Syndrome" de. Dɛn kin sheb dɛn tin ya bay di pat pan di at we di sik afɛkt:

1. Apical type: Dis na di mכst kכmכn tכp , we de mek pas 80% pan di sik pipul dεm. Dis kin afɛkt di ɔnda pat pan di at. Imajin di pat we de dɔŋ na di at de bɔl lɛk balɔ.

2. di mid vεntrikul tכp: dis tכp de afekt di midul pat pan di lכw chεmba dεm na di at, di vεntrikul dεm. Di say we di sik afɛkt tan lɛk wan band rawnd di at. di pat dεm we de oba εn dכn dis bכnd de wok nכmal wan.

3. di basal tכp: dis lεk di mid-vεntrikul tכp, bכt di "bεlt" we afekt de sכmtεm hכy כp na di at. If na so i bi, na di pat nɔmɔ we de dɔŋ di bɛlt de wok nɔmal wan. Dis nɔ kin apin so ɔltɛm , i kin apin pan lɛk 2% pan pipul dɛn nɔmɔ.

4. Fכkal tכp: Dis na di tכp we rεs rεst , we de apin insay lεk 1% pan di kεys dεm. pan dis kayn we, na wan rili sכm pat na di at nכmכ de afekt. Di say we di sik afɛkt de sho lɛk smɔl bulge.

Aw dis sik kin kɔmɔn?

Dɛn dɔn si se lɛk 2% pan di pipul dɛm wae kin kam to dɔktɔ wae kin tink se dɛn gɛt hat atak kin gɛt dis "Broken Heart Syndrome." Bɔt bikɔs sɔntɛnde dɔktɔ dɛn nɔ kin ebul fɔ no am kɔrɛkt wan, di wan dɛn we de stɔdi bɔt dis biliv se di rial nɔmba fɔ di wan dɛn we sik kin bɔku.

Dis sik we dɛn kɔl Takotsubo Cardiomyopathy, kin afɛkt uman dɛn mɔ . 89% pan di kes dɛm we dɛn ripɔt na uman dɛm. di risk kin hכy spεshal afta di mεnopos (bכku tεm bitwin di ej dεm we de bitwin 58 εn 77 ia).

wan rizin fכ dis dεn tink se na biכs wan כmon we dεn kכl ``εstrojen'' na uman in bכdi de protεkt di at frכm di bad bad כmon dεm we di bכdi de mek we i strεs. as wi de ol, dis ``εstrojen'' lεvεl de dכn, we de mek i izi fכ di at go afekt bay strεs we de kam wan tεm.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

Yu kin gɛt sayn dɛm fɔ "Broken Heart Syndrome" insay sɔm minit to awa afta yu dɔn gɛt wan traumatik tin. di כmon dεm we strεs de kכmכt de "stupefy" di at mכsul fכ sכm tεm. Di sayn dɛm wae de kam pan pɔrsin wae gɛt nɔrmal at atak .

Di men sayn dɛm wae de sho se yu gɛt dis sik na:

• Wantɛm wantɛm, bad bad pen na yu chɛst (angina).
• I nɔ kin izi fɔ yu fɔ blo.
• di wik we di lεft vεntrikl na di at wik (dis na sayn we dכkta kin no tru tεst).
• At ritm irɛgyulariti (ari ritmia).
• Lɔw blɔd prɛshɔn (haypɔtɛnshɔn).
• Fɔ fil lɛk se yu at de bit fast (palpitations).
• Nɔr kin bɔrku, yu kin lɔs yu kɔnshɛns (syncope).

Wetin na di difrɛns bitwin "Broken Heart Syndrome" ɛn at atak?

Bikɔs di sayn dɛm fɔ dɛn tu tin ya rili fiba (chɛst pen, shɔt briz), yu kin tink se yu gɛt at atak. bכt di mכst imכtant difrεns na dat insay "Broken Heart Syndrome" nכ de blok di korona at dεm we de gi bכdi to di at. Dɔn bak, bɔku tɛm, i nɔ kin pwɛl di at fɔ ɔltɛm. Bɔrku tɛm, i kin wɛl kwik ɛn i kin kɔmplit.

Wetin kin mek dis apin?

Pan ɔl we di wan dɛn we de stɔdi bɔt dis stil nɔ ebul fɔ no wan wan tin we kin mek i gɛt dis sik, dɛn biliv se na bikɔs i kin gɛt strɛs we pɔsin kin gɛt wantɛm wantɛm, we i kin gɛt siriɔs prɔblɛm wit in maynd ɔ in bɔdi. Tink bɔt aw yu kin fil bad we yu lɔs pɔsin we yu lɛk, we yu gɛt aksidɛnt, ɔ we yu lɔs yu wok. We yu gɛt bɔku strɛs, ilɛksɛf na yu bɔdi ɔ yu maynd, yu bɔdi kin pul strɛs ɔmon dɛn na yu blɔd. Masta sabi bukman dɛn biliv se dɛn ɔmon ya kin ambɔg di at fɔ wok fɔ sɔm tɛm.

Bɔt, smɔl nɔmba pan pipul dɛm (fɔ di wan dɛm wae gɛt Takotsubo Cardiomyopathy) nɔr kin ebul fɔ fɛn ɛni klia strɛsful tin.

Nɔr pruf nɔr de yet fɔ se dis sik kin pas dεn jεnεtik frכm mama εn papa to pikin dεm.

Us strɛs na yu maynd ɛn bɔdi we go mek yu gɛt dis?

Ɛgzampul dɛn bɔt tin dɛn we kin mek pɔsin strɛs na in maynd wantɛm wantɛm:

• Bɔrku pwɛl hat wae pɔrsin wae yu lɛk day, ɔr big tin wae yu lɔs (we yu padi biznɛs brok, yu lɔs yu os, yu gɛt mɔni, ɔr yu animal wae yu lɛk).
• Sɔntɛnde, ivin gud nyuz kin mek wi gɛt dis! (Fɔ ɛgzampul, sɔprayz pati na tɛm we yu nɔ bin de ɛkspɛkt, big lɔtri dro).
• Fɔ gɛt bad nyuz.
• Traumatik tin dɛm lɛk aksidɛnt ɛn atkwek.
• Intense fear (go tɔk bifo grup, fes wan arm robbery).
• Fɔ vɛks pasmak.

Ɛgzampul dɛn bɔt tin dɛn we kin mek yu bɔdi strɛs wantɛm wantɛm:

• I kin fil pen bad bad wan.
• Wan tin we kin mek pɔsin taya pasmak.
• Wɛlbɔdi prɔblɛm: asma atak, siriɔs prɔblɛm fɔ blo, siz, strok, ay fiva, haypoglycemia, blɔd bad bad wan, ɔ ɔpreshɔn.

Udat dɛn kin gɛt dis sik mɔ?

Yu kin gɛt "Broken Heart Syndrome" if :

• If yu na uman .
• If yu dɔn pas 50 ia .
• If yu bin dɔn gɛt maynd sik bifo (lɛk fɔ wɔri ɔr pwɛl hat).
• If yu bin dɔn gɛt wan sik na yu nervɔs sistɛm bifo tɛm (lɛk fɔ sik ɔr strok).

Us prɔblɛm dɛn dis kin mek?

Kɔmplikɛshɔn dɛm wae kin kam wit "Broken Heart Syndrome" nɔr kin bɔrku , bɔt sɔmtɛm kin bi siriɔs. Sɔm pan dɛn na:

• Ɛdima we de na di pulmonari.
• di lεft vεntrikl rupchכ (rili rεr).
• di blכd fכ fכlכ frכm di lεft vεntrikl de blok.
• At we nɔ de wok fayn.
• Wan blɔd klɔt bin stɔp na di wɔl na di lɛft ventricle.
• Lɔw blɔd prɛshɔn (Hypotension).
• di at ritm pat dεm we nכ nכmal (arithmia).
• Cardiogenic shock na wan sik wae kin kam wae di at nɔr kin woke fayn.
• At blɔk.
• Na smɔl tɛm nɔmɔ, ivin day kin apin.

Impɔtant: Pan ɔl we dɛn prɔblɛm ya nɔ kin apin so ɔltɛm, i impɔtant fɔ go to dɔktɔ jɔs afta yu si di sayn dɛn.

Aw dɔktɔ dɛn kin no dis?

Dɔktɔ go fɔs chɛk yu bɔdi ɛn aks yu bɔt yu mɛdikal istri. Dɔn, dɛn kin du sɔm tɛst fɔ no if pɔsin gɛt di sik:

• Blɔd tɛst: I de chɛk fɔ sɔm patikyula ɛnzaym dɛn we di at mɔsul sɛl dɛn we dɔn pwɛl na di blɔd de pul.
• EKG (ECG - Electrocardiogram): na tεst we de rεkכd di ilektrikal aktiviti na di at.
• Koronari angiografi: Na spɛshal ɛkstrem rayt tɛst fɔ chɛk fɔ si if di korona at dɛn na di at dɔn blok. Dis go ɛp fɔ no if dis na at atak ɔ nɔto so.I rili impɔtant .
• Echocardiography: Na ɔltra saund skan fɔ luk aw di at de wok, aw i saiz, ɛn aw i shep.
• X-ray na di chɛst.
• Hat MRI (Magnetic Resonance Imaging): Na tɛst we kin mek pɔsin gɛt ditayli pikchɔ dɛn bɔt di at.
• Ventrikulogram: Dɛn kin put day insay di lɛft ventrikul na di at, ɛn dɛn kin tek ɛkstrem rayt fɔ si di sayz fɔ da chɛmba de ɛn di we aw i de pɔmp blɔd fayn fayn wan.

Pan ɔl we tɛst kin sho say dɛn we di at dɔn pwɛl, korona angiografi impɔtant fɔ kɔnfirm se nɔto at atak. dis na biכs, difrεnt lεk at atak, insay "Broken Heart Syndrome" di at dεm na di at nכ de blכk.

Wetin na di tritmɛnt dɛn?

Pan ɔl we nɔr patikyula "kyu" nɔr de fɔ "Broken Heart Syndrome" ɔr "Takotsubo Cardiomyopathy", bɔrku pipul dɛn kin mek dɛn wɛl ful wan wit mɛrɛsin.

Di kayn mɛrɛsin dɛn we dɛn kin yuz fɔ trit:

• Aspirin: I de mek di blɔd go fayn ɛn i de mek blɔd nɔ klɔt.
• ACE inhibitors (Angiotensin-Converting Enzyme inhibitors) ɔ ARBs (Angiotensin Receptor Blockers): I de mek di blɔd prɛshɔn dɔŋ ɛn i de ridyus di inflamɛns na di at.
• Beta-blockers: Slow down di hat rit.
• Diuretics: I de ridyus di wata we pasmak na di bɔdi.

na sכm tεm, if di at nid εp fכ pכmp bכdi, i kin nid fכ yuz divays lεk ``intra-aortic balloon pump'' כ ``left ventricular assist device''.

Ɛni kɔmplikeshɔn ɔ sayd ɛfɛkt de fɔ di tritmɛnt?

in jεnarכl, sכm pan di sayd ifekt dεm we kin apin we dεn de trit dis `(Takotsubo Cardiomyopathy)` na:

• Alɛji ɔr bad bad tin wae de kam pan mɛrɛsin, ɔr prɔblɛm wit ɔda mɛrɛsin wae yu de tek.
• sכm risk de fכ blɔd, infεkshכn, bכdi kכlכt, strכk, כ at atak bikoz fכ di ``lεft vεntrikul εsist divays'' כ ``intra-aortic balloon pump'' we dεn nכ kin yus.

Aw kwik a go wɛl afta dɛn dɔn trit mi?

Bɔrku pipul kin bigin fɔ fil fayn wae dɛn de gɛt tritmɛnt fɔ "Broken Heart Syndrome." Dis kin apin wae dɛn de na ɔspitul, ɔr e kin apun insay sɔm awa ɔr sɔm dez afta dɛn dɔn bigin fɔ trit dɛn.

We dɛn de fɔ mek dis nɔ apin?

No patikyula we nɔ de fɔ mek i nɔ gɛt "Broken Heart Syndrome". Bɔt,We yu lan aw fɔ kɔntrol strɛs ɛn aw fɔ sɔlv prɔblɛm, dat kin ɛp yu fɔ stɔp fɔ strɛs na yu bɔdi ɛn yu maynd.

Di we aw pɔsin kin rilaks kin rili ɛp. Na sɔm ɛgzampul dɛn ya:

• Praktis yoga, meditashɔn, jɔnal, ɔ mayndfulnɛs.
• Fɔ was insay wata we wam.
• Fɔ bɔn insɛns stik dɛn.
• Tek lɔng, dip briz ɛn pul di briz sloslo.

Dipen pan de tin wae de mek yu strɛs, yu kin want fɔ jɔyn sɔpɔt grup fɔ tɔk bɔt am ɛn sheb aw fɔ bia wit dis prɔblɛm. Yu kin want fɔ aks fɔ ɛp bak frɔm pɔsin we sabi advays yu.

Apat frɔm dat, fɔ adopt wɛlbɔdi abit kin ɛp bak fɔ kɔntrol strɛs na yu bɔdi ɛn maynd. Dɛn abit ya na:

• Fɔ it tin we gɛt fayn fayn tin dɛn fɔ it (fɔ ɛgzampul, di it we de na di Mɛditarenian).
• Ɛksesaiz ɔltɛm (at le 30 minit fayv dez insay di wik).
• Fɔ slip bitwin sɛvin ɛn nayn awa ɛvride.
• Fɔ spɛn tɛm wit ɔda pipul dɛn.
• Fɔ atɛnd mɛdikal ɛgzam ɛn wɛlbɔdi chɛk-ap di rayt tɛm.
• Nɔ tek tin dɛn we dɛn kin yuz fɔ smok, fɔ tek drɔgs, ɛn fɔ drink rɔm pasmak. (If yu nid ɛp fɔ lɛf fɔ du am, yu dɔktɔ kin gayd yu).

Yu tink se dis tin go kɔntinyu fɔ afɛkt wi? Wetin na di tin dɛn we wi go si?

"Broken Heart Syndrome" ɔ ``Takotsubo Cardiomyopathy'' na wan tɛmporari kɔndishɔn fɔ bɔku pipul dɛm . I go mɔs bi se yu go wɛl we yu nɔ gɛt ɛni prɔblɛm wit yu at fɔ lɔng tɛm.

If yu gɛt "Broken Heart Syndrome" bikɔs ɔf yu wɛl bɔdi prɔblɛm we dɔn te (lɛk strok, asma, ɔr yu kin gɛt sik), go to yu dɔktɔ fɔ ɛp fɔ mɛn dɛn wɛl bɔdi prɔblɛm dɛn de.

Sɔntɛnde, yu dɔktɔ kin se yu fɔ ripit ɛkokadiogram 4 to siks wik afta di tin we apin fɔ mek shɔ se yu nɔ gɛt ɛni ɔda at wɛlbɔdi prɔblɛm ɛn yu lɛft ventricle de wok nɔmal wan bak.

Aw lɔng dis tin go las?

Bɔrku tɛm, pipul dɛn kin wɛl frɔm wan tin wae kin mek dɛn strɛs insay sɔm dez to sɔm wiks. Bɔt bɔrku pipul dɛn kin gɛt prɔblɛm wit dɛn trɛnk fɔ sɔm mɔnt afta dɛn dɔn gɛt "Broken Heart Syndrome." Sɔntɛnde, dis kin mek yu gɛt pwɛl hat. If dis apin to yu, mek shɔ se yu go to dɔktɔ fɔ ɛp yu.

Outlook fɔ "Brɔk at Sindrɔm".

Pipul dɛm wae gɛt "Broken Heart Syndrome" bikɔs ɔf wan mɛdikal kɔndishɔn (lɛk sik ɔr ɔpreshɔn) kin gɛt smɔl wɔs autkam pas di wan dɛm wae gɛt dis sik bikɔs ɔf wan saykilɔjik ivin.

Pan ɔl we man dɛn nɔ kin gɛt dis sik, dɛn kin gɛt mɔ bad bad tin dɛn we kin apin to dɛn. Dis kin bi bikɔs dɛn gɛt ɔda siriɔs sik dɛn we dɛn kin gɛt.

Risach pipul dɛn dɔn si se if pɔsin tek drɔgs we dɛn kɔl ACE inhibitors ɔ ARBs, dat kin mek pɔsin liv lɔng.

Di rεt wae de mכtalman frכm "Broken Heart Syndrome" rili lכw . I de bitwin 0% ɛn 8%. Bɔrku tɛm, dis na sɔm kayn sik wae kin kam bak fɔ sɔm tɛm.

Aw a kin kia fɔ misɛf?

Yu kin nid fɔ kɔntinyu fɔ tek di mɛrɛsin we dɛn dɔn tɛl yu fɔ tri to siks mɔnt. If yu gɛt Broken Heart Syndrome, di bɛst tin we yu go du fɔ tek kia ɔf yusɛf na fɔ tek yu mɛrɛsin lɛk aw dɛn tɛl yu ɛn go to yu dɔktɔ lɛk aw dɛn tɛl yu. Dɛn tu tin ya rili impɔtant bikɔs ɔf di lɔng tɛm risk dɛm wae kin kam wit Takotsubo Cardiomyopathy.

Dis sik kin kam bak, ɔr ɔda wɛl bɔdi prɔblɛm kin kam sɔm wik to ia afta di fɔs tɛm. I kin kam bak bitwin 4% ɛn 10% pan pipul dɛm wae dɔn gɛt am.

Ustɛm yu fɔ go to dɔktɔ?

If yu gɛt nyu sik ɔ yu notis chenj na yu sik wae dɔn de (especially if dɛn afɛkt yu nɔrmal tin wae yu kin du ɛvride), go to yu dɔktɔ wantɛm wantɛm. If nɔto dat, yu dɔktɔ go gi yu fɔl-ap apɔntinmɛnt as nid de.

Ustɛm yu fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

Bikɔs di sayn dɛm fɔ "Broken Heart Syndrome" tan lɛk di wan dɛm wae gɛt hat atak, yu fɔ rili go na ɔspitul if yu gɛt ɛni wan pan di sayn dɛm fɔ hat atak. Dɛn sayn ya na:

• Chɛst pen (angina).
• I nɔ kin izi fɔ yu fɔ blo.
• If yu gɛt prɔblɛm wit yu kɔnshɛns we yu nɔ ebul fɔ ɛksplen, ɔ if yu fil lɛk yu ed de tɔn ɛn i dɔn lɛf smɔl fɔ lɛ yu pas bɔku tɛm.
• Fɔ fil lɛk se yu at de bit fast (palpitations).
• If yu gɛt at bit slo ɔ fast we nɔ kɔmɔn, ɔ if yu fil lɛk se yu at de skip bit ɔ gɛt ɛkstra bit.

If yu gɛt ɛni wan pan di sayn dɛm fɔ "Broken Heart Syndrome" ɔ "Takotsubo Cardiomyopathy", go to dɔktɔ kwik kwik wan. Di onli we fɔ no fɔ tru if yu gɛt "Broken Heart Syndrome", at atak, ɔr ɔda mɛrɛsin prɔblɛm na fɔ gɛt tɛst.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Aw lɔng a nid fɔ tek di mɛrɛsin we dɛn tɛl mi fɔ tek?
• A nid fɔ gɛt ɛni ɔda tɛst (fɔl-ap tɛst)?
• Aw ɔltɛm a fɔ kam si yu?

Di nɔmal strɛs na ɛvride layf kin mek yu gɛt "Broken Heart Syndrome"?

I go mɔs bi se, nɔto so. Di sayn dɛm kin bigin afta wan tin we apin wantɛm wantɛm ɔ we kin mek pɔsin strɛs bad bad wan.If yu de fil pen na yu chɛst ɔltɛm ɔ yu nɔ de blo fayn ivin we yu de gɛt smɔl strɛs ɛvride, go to dɔktɔ.

Di sayn dɛm wae de kɔntinyu fɔ de nɔr kin bi sayn fɔ "Broken Heart Syndrome." Yu dɔktɔ kin ɛp yu fɔ lan aw fɔ kɔntrol yu strɛs, gi yu mɛrɛsin if yu de wɔri, ɔ ɔda fɔ du tɛst if dɛn tink se yu gɛt wɛlbɔdi prɔblɛm we dɛn nɔ no.

"Broken Heart Syndrome" na siriɔs sik?

Na smɔl tɛm nɔmɔ, yes. Dɛn wan wae gɛt siriɔs ɔr nɔr stebul kɔndishɔn kin nid fɔ wach dɛn gud gud wan ɛn dɛn kin nid fɔ gɛt mɔ advans tritmɛnt, lɛk mɛkanikal sɔpɔt divays.

Dipen pan aw yu at mɔsul wik, yu dɔktɔ kin tɛl yu bak fɔ mek yu at pwɛl.

Di tin dɛn we impɔtant pas ɔl we yu nid fɔ mɛmba

Wi ɔl dɔn yɛri pipul dɛn de tɔk bɔt di filin fɔ bi "broken hearted." Bɔt "Broken Heart Syndrome," ɔ Takotsubo Cardiomyopathy, na rial mɛrɛsin we kin apin afta yu dɔn gɛt strɛs we yu de fil ɔ yu bɔdi wantɛm wantɛm.

Di gud nyus na dat dis na tin wae kin apun fɔ sɔm tɛm ɛn bɔrku tɛm nɔr kin pwɛl di at fɔ ɔltɛm. Bɔt bikɔs di sayn dɛm tan lɛk di wan dɛm wae gɛt hat atak, nɔr ɛva no yusɛf ɛn tek am se yu gɛt "Broken Heart Syndrome." Ɔltɛm, na imejensi rum fɔ chɛk yu. Na tɛst nɔmɔ go ebul fɔ no if yu at sik na at atak, "Broken Heart Syndrome," ɔ ɔda wɛl bɔdi prɔblɛm.

` brok hat sindrom, takotsubo kadiomayopathy, hat atak, strɛs, chɛst pen, shɔt briz, uman dɛn wɛlbɔdi