5 symptoms of “broken heart” syndrome .. most notably chest pain and difficulty breathing

Doctors have warned of the risks of “broken heart” syndrome, a temporary heart condition that may affect some individuals as a result of exposure to severe psychological or emotional situations or work stress, or physical tension resulting from injuries or major surgeries, and may cause heart attack -like symptoms, and require urgent medical intervention, warning that delayed treatment may lead to death.

They told «Emirates Today» that there are five signs that indicate the syndrome of the “broken heart”, and when they appear immediately to the emergency department, they include: “sudden pain in the chest, difficulty breathing, acceleration of heartbeat, and an average heart enzymes, in addition to a sudden disorder in awareness or feeling dizzy and anxiety.” They pointed out that women and those who suffer from psychological disorders such as anxiety or depression are the most vulnerable to this syndrome.

And they indicated that psychological tension creates chemical reactions inside the body, leading to excessive secretion of the adrenaline and cortisol, which causes an increase in heartbeat, blurry thinking, bouts of anxiety or panic, which constitutes additional pressure on the heart muscle, and they recommended to support people who were subjected to psychological trauma by listening to them without giving judgments, calming them, and removing them from a source Stress, with vital signs monitoring, and seeking medical help immediately when any of the previous symptoms appear.

The doctors stressed the importance of family awareness and containment, especially when noticing sudden behavioral changes in a family member, such as isolation, loss of attention, or avoiding sitting with the family as usual, and advised to resort to specialized psychological care when the symptoms continue, stressing that psychotherapy is no less important than organic therapy, and that adopting relaxation methods, such as meditation and yoga, contributes to prevention and promotion Heart health.

They suggested supporting preventive initiatives in schools, by launching a “student cooperation charter”, which enhances the values of support, gratitude and encouragement instead of bullying, and reward positive behaviors with practical steps such as granting additional signs, in order to create a healthy school environment that encourages positive thinking, and reduces psychological stress that may reflect negatively on the physical and psychological health of emerging generations.

In detail, a consultant family medicine and occupational health, Dr. Mansour Habib, said that there is a close correlation between the psychological state and the health of the body’s vital organs, indicating that the heart, brain, lungs and other organs are directly affected by psychological stress, which may lead in some cases to severe physical symptoms or even sudden heart attacks.

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He explained that psychological pressures arise when daily requirements exceed the individual’s mental ability to deal with, similar to the psychological response method with traffic lights, while some see the requirements in a green color, others seen in orange or red, according to endurance, which leads to a chemical interaction inside the body, which is the secretion of hormonal adrenaline and cortisol excessively.

He added that this excess secretion causes an increase in the heartbeat, blood flow, sweating, blurry thinking, disruption of perception, and entry into panic attacks or anxiety, which raises pressure on the heart muscle similarly to a person who escapes from a real danger on a daily basis.

He pointed out that some individuals may have a genetic or healthy willingness that makes them more vulnerable to responding to this influence “broken heart syndrome”, such as the presence of fatty sessions in the arteries or the weakness of the efficiency of the heart muscle or its valves, which increases the possibilities of sudden palaces or heart electricity disorder in light of continuous stress.

Regarding the role of the family, Dr. Habib stressed that family containment is the first line of defense when noting that a family member was affected psychologically as a result of sadness, bullying or any emotional shock, saying: “Humility begins by providing a safe space for dialogue, moving away from reprimanding, and listening to the injured person without issuing judgments, stressing the importance of effective dialogue as a way to empty feelings and evaluate the situation.

On the timing of resorting to specialized psychological care, he pointed out the necessity of monitoring behavioral changes, such as sudden social withdrawal or isolation, stressing: “If we notice that the problem is not solved by family dialogue and support, then you must go to seek medical support without hesitation, because psychotherapy is not a defect, but rather a way to acquire tools that help the person face the challenges surrounding him.”

In the context of protecting children from the effects of psychological problems such as bullying, school administrations called for adopting a “cooperation or praise charter” among students, giving additional points for students who show positive behaviors, such as cooperation and respect, stressing that promoting praise and gratitude gradually reduces bullying behaviors, and the child’s thinking is restored towards appreciation, not ridicule, stressing the importance of continuous psychological awareness to protect new generations, and promoting the concept of mental health As an integral part of public health.

The interventional cardiologist, Dr. Hisham Tayel, explained that the medical syndrome known medically as “Takotsubo Cardiomyopathy” is a rare condition that we can call a “false stroke” that affects the heart muscle, as a result of the person being exposed to severe psychological or emotional pressure, as this leads to a sudden and temporary weakness in part of the heart muscle, without a blockage I have in the coronary arteries, stressing that this weakness may cause death if it is ignored and the patient is not assisted.

He indicated that the most prominent causes of this syndrome ranged from psychological and emotional tension, such as losing a dear person or passing through violent psychological trauma, and physical tension such as severe injuries or major surgeries.

On the symptoms, he made it clear that the broken heart syndrome often appears with chest pain similar to heart attack, difficulty breathing, and general fatigue, with average heart enzymes, but without a permanent blockage in the arteries, which appear healthy when examining, but in traditional heart attack cases, symptoms are more severe, and are represented in compressive and continuous chest pain, nausea and dizziness, and pain extends to the arm Or jaw or back, along with a sharp rise in enzymes, obstruction or actual narrowing of the coronary arteries.

He added that the changes in the heart muscle during the injury include the expansion of the upper part of the left ventricle, which weakens the ability of the heart to pump the blood naturally, and causes the patient to feel crazy, and this may be accompanied by a heart rhythm disorder, such as irregular heart rate It is vulnerable to the repetition of the infection in the future.

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He pointed out that women, especially in the post -menopause stage, are more likely to develop this syndrome compared to men, and the possibility of infection in those with chronic psychological disorders, such as anxiety or depression, increases.

Regarding the prevention, he stressed the importance of proper dealing with stress and daily pressure, through attention to mental, emotional and spiritual health, stressing the importance of adopting effective methods of managing tension such as meditation or yoga, because of its role in calming the nervous system and reducing the effect of pressure on the heart.

He called for the necessity of seeking psychological assistance when feeling repeated negative or disturbing feelings such as anxiety or depression, stressing that psychotherapy is no less important than organic therapy, and it can have a significant effect in improving the quality of the patient’s life, and preventing the recurrence of syndrome.

The head of the emergency department, Dr. Nashaat Hindawi, stressed that the broken heart syndrome is an emergency that requires an immediate response within the emergency room, stressing the need to deal with it at its beginning as if it is a severe heart attack until the opposite is proven.

He explained that the preliminary steps to deal with the syndrome include rapid identification of the patient’s pathological story, taking vital signs, making electrical heart planning (ECG) immediately, along with blood analyzes, including heart enzymes (Troponin), dealing with any deficiency of oxygen immediately, in addition to installing an venous line and giving fluids as needed.

He added that the patient should be ready for the possibility of being transferred to the concentrated cardiac care unit to perform more tests, such as the cardiac catheterization, if necessary.

He indicated that there are clinical signs that distinguish the heart syndrome that is broken from the traditional heart attack, the most prominent of which is that the heart planning may show changes similar to the heart attack, but the catheter shows that the coronary arteries are not clogged, and the high heart enzymes are slight to medium compared to the major strokes, and the patient has in many cases a modern date of severe psychological pressure as a dear person losing a person or exposure to a shocking event, and a shocking event, and a shocking event, This is an important indication of the diagnosis.

He also pointed out that the ECO depicting the heart helps to detect the weakness of a temporary contraction in certain walls of the ventricle without a blockage in the arteries.

Regarding the risk of death, he pointed out that the syndrome is often considered treatment, and most cases improve within a short period, but a small percentage (estimated at 1 and 5%) may be exposed to serious complications, such as severe heart failure, heart rhythm disorders, or heart attack, especially if early diagnosis or intervention is not done.

He stressed that the patient’s support in the first moments is very important, as immediate transfer to concentrated heart care requires signs of heart failure or blood circulation instability, while giving appropriate medications to improve heart function such as ACE InHibitors and beta blockers, as well as accurate monitoring of vital indicators, and in cases of anxiety or severe tension, light sedatives can be given under the supervision medical.

With regard to dealing with people who were subjected to a sudden psychological trauma, he recommended to provide immediate psychological support by listening without the launch of judgments, calming the person and keeping him away from the source of the trauma, and encouraging him to breathe slowly and deep And its negative effects on the heart and general health.

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Career pressures and combustion

The psychological specialist, the president’s share, confirmed that chronic work pressures may leave dangerous psychological and physical effects, noting that the accumulation of tasks, a toxic work environment, and continuous tension may lead to psychological disorders, such as depression and functional combustion, in addition to organic problems such as high blood pressure and colon disorders, and in some cases it may extend to the emergence of symptoms similar to heart attack, as a result of what is known With broken heart syndrome.

She said: «In the event that such symptoms appear, you must go to the nearest emergency department immediately, because the time is a decisive factor, and every minute is a delay in obtaining medical care increases the risk of complications.

She stressed that the broken heart syndrome, despite being temporary in some cases, and can be recovered with treatment and support, it may be dangerous if not diagnosed and treated in time, as it may lead to heart rhythm disorders or complications similar to a heart attack, calling for dealing with any emergency symptoms after a serious emotional shock, to avoid any complications that threaten the health and life of the individual.