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Hearts Actually Can Break

DesScorp writes "It seems that there's a grain of truth to one old wives' tale; it turns out that you really can die of a broken heart, especially if you're a post-menopausal woman. The Wall Street Journal reports on a phenomena called 'broken-heart syndrome,' which often occurs after great emotional distress. Quoting: 'In a conventional heart attack, an obstructed artery starves the heart muscle of oxygenated blood, quickly resulting in the death of tissue and potentially permanently compromising heart function. In contrast, the heart muscle in broken-heart-syndrome patients is stunned in the adrenaline surge and appears to go into hibernation. Little tissue is lost.' In the article a doctor notes, 'The cells are alive, but mechanically or electrically disabled.' Documented cases track heart attacks in people with seemingly healthy hearts after the grief of the death of a loved one. Intense feelings can cause the heart actually to change shape. Doctors call this 'tako-tsubo,' after the Japanese phrase for 'octopus trap,' so called because the syndrome was first identified by a Japanese doctor who noticed the strange shape in the left ventricle. Doctors note that while strong emotions like grief are usually associated with the syndrome, stress or a migraine can also trigger such heart attacks."

136 comments

  1. In 2005, according to Dr. Ilan Wittstein by ls671 · · Score: 4, Informative

    Hmm... According to this 2005 article, Dr. Ilan Wittstein came to the same conclusion after conducting a study:

    http://findarticles.com/p/articles/mi_m1355/is_11_107/ai_n13452973/

    Some might have conducted similar studies prior to his.

    --
    Everything I write is lies, read between the lines.
    1. Re:In 2005, according to Dr. Ilan Wittstein by santax · · Score: 2, Insightful

      Interesting. I have seen this more than once in my life. Especially with the elder indeed. One dies, not long after the other goes. Just like they just seem to give up. Makes one wonder if you can actually chose to stop living by giving up alone or really wanting to be with that other.

    2. Re:In 2005, according to Dr. Ilan Wittstein by jhoegl · · Score: 1

      So, is this a form of suicide? Seems weird the body would be able to "kill" itself.

    3. Re:In 2005, according to Dr. Ilan Wittstein by ConceptJunkie · · Score: 5, Insightful

      My grandmother was diagnosed with cancer around 1980 or so. They gave her 6 months to live, but she soldiered on for 5 years, with an indomitable attitude and relentless good cheer and a wicked sense of humor. Eventually, she made it her dream to get her and my grandfather and their two sons and their families together for a big beach trip to Florida. We had that beach trip in the summer of 1985 and it was a wonderful vacation we all cherish in our memories. She finally passed away a couple months later.

      While not a "broken heart" situation, I always believed that her will to see this plan through gave her much strength, and once it was over, she could accept the inevitable. Our minds can't completely control our bodies, but I'm convinced they do much more than we tend to believe. Either that or someone needs to patent "placebo" because it's potent stuff.

      --
      You are in a maze of twisty little passages, all alike.
    4. Re:In 2005, according to Dr. Ilan Wittstein by nitehawk214 · · Score: 1

      Actually you on to something here. I read a report a while back that January is the highest month for elderly to pass away. Originally this was thought as a consequence of the weather however this holds up in warmer climates too. New thinking is that people hold on to survive through the holiday season to see family, and finally cant hold on any more once the holidays are over. I was not able to find the report I read about this, but my own anecdotal evidence supports what you found.

      --
      I'm a good cook. I'm a fantastic eater. - Steven Brust
    5. Re:In 2005, according to Dr. Ilan Wittstein by Cylix · · Score: 1

      One of the interesting experiences I had during a visit to the ER was such a similar question. They wanted to evaluate my stress levels and determine if I was in emotional turmoil.

      I eventually posed the question regarding how precisely being "sad" would manifest in physical pain and suffering.

      I don't recall his precise wording, but I remember what I said after his statement.

      "Ting, tang, walla, walla, bing bang. Ooo eee ooo ah ah. I told the witch doctor you didn't love me true."

      I'm pretty sure I pissed him off after that comment, but I can always say that even in the most dire circumstances I will never lose my sense of humor.

      Also, it turns out I developed a new allergy that was controllable by diet. No worries after that.

      --
      "You should always go to other people's funerals; otherwise, they won't come to yours." -- Yogi Berra
    6. Re:In 2005, according to Dr. Ilan Wittstein by Amorymeltzer · · Score: 3, Insightful

      Not particularly. Apoptosis is available on the cellular level, and while this isn't an analogous situation there is a certain similarity. Sometimes it's a cell that made a serious DNA replication error, or sometimes it's a man or woman so overcome with grief that his or her heart fails. In both cases, continued survival (of the cell or heart) is perceived as "not worth it" by some underlying process.

      --
      I live in constant fear of the Coming of the Red Spiders.
    7. Re:In 2005, according to Dr. Ilan Wittstein by Schadrach · · Score: 1

      My great grandmother passed away within 30 days of her 100th birthday party. Huge affair with literally every living descendant of hers present except for one (my father). 4 generations of people crammed into a relatively small room just to see her. Just another anecdote for the anecdote pile. =p

    8. Re:In 2005, according to Dr. Ilan Wittstein by Chris+Burke · · Score: 1

      Our minds can't completely control our bodies, but I'm convinced they do much more than we tend to believe. Either that or someone needs to patent "placebo" because it's potent stuff.

      Indeed it is. There's a reason the effectiveness of drugs is always compared to placebo, and not just because you have to administer placebos to have a valid double-blind study. It's because the placebo group often receives a measurable benefit. So even outside of study design, to have an effective drug it can't just be better than nothing. It has to be better than what the mind will do on its own.

      What the mind can do when its not simply being tricked into thinking you should be getting better, but is actually exerting willpower, is an interesting area for research.

      --

      The enemies of Democracy are
  2. You know, Jasper... by Anonymous Coward · · Score: 1, Funny

    ...they may say she died from a burst ventricle, but I know she died of a broken heart.

  3. I think everybody knew this. by santax · · Score: 1, Informative

    I am 31, had my heart broken 2 times. Really really broken. When my mom died and when I lost a girl I thought would become ms. Santax. I think everyone already knew this. It really hurts and it hurts where your heart is. Big time.

    1. Re:I think everybody knew this. by Anonymous Coward · · Score: 2, Funny

      I misread your note and thought I understood why your girl decided she didn't want to become Ms. Tampax.

    2. Re:I think everybody knew this. by mcgrew · · Score: 4, Interesting

      Try being married for 27 years to a serial adulteress. That's REAL pain.

      A man can hit me, punch me, kick me, stab me, cut me, shoot me, but only a woman can hurt me.

    3. Re:I think everybody knew this. by skgrey · · Score: 4, Insightful

      Perhaps you shouldn't make it 28? Life is too short to deal with someone who is terrible to you. It is a hard road to go down, but my life would have been hell without it and now I'm happier than I ever thought I could have been. Broken hearts heal.

    4. Re:I think everybody knew this. by santax · · Score: 1

      Please see my previous comment to the other adolescent.

    5. Re:I think everybody knew this. by Anonymous Coward · · Score: 0

      Hey man, it's an article about heartbreak. Santax's story is totally relevant here. If you don't want to read about broken hearts, there are other articles.

    6. Re:I think everybody knew this. by santax · · Score: 1

      Aye, sorry to hear that mate. I tend to agree with the other comment, but that is easy to say for someone who is not in your shoes.

    7. Re:I think everybody knew this. by Yamata+no+Orochi · · Score: 1

      The fact that you keep responding to trolls is why they keep coming. And why they're partially right.

    8. Re:I think everybody knew this. by ls671 · · Score: 4, Funny

      > Try being married for 27 years to a serial adulteress

      Can you please tell me where your house is located ? ;-))

      --
      Everything I write is lies, read between the lines.
    9. Re:I think everybody knew this. by sznupi · · Score: 1

      And at the same time that fabulous feeling there, showing up in connection to the loved one...is essentially identical. Yet somehow interpreted as pleasent.

      Perhaps so we can't have it too easy, perhaps just because both are putting the brain and the body in overdrive.

      --
      One that hath name thou can not otter
    10. Re:I think everybody knew this. by santax · · Score: 1

      Understood now. But it just ticks me off when someones says something stupid like that. Always on the internet, never in person. But you are right. I'll just ignore them.

    11. Re:I think everybody knew this. by Anonymous Coward · · Score: 0

      She really sucks, eh?

    12. Re:I think everybody knew this. by tjstork · · Score: 1

      Try being married for 27 years to a serial adulteress. That's REAL pain.

      I'm working on 10 here.

      --
      This is my sig.
    13. Re:I think everybody knew this. by Anonymous Coward · · Score: 0

      Hi Dear, I won't be home tonight until very late.

    14. Re:I think everybody knew this. by Anonymous Coward · · Score: 0

      >> Ms. Tampax

      That stuck up *unt!

    15. Re:I think everybody knew this. by Anonymous Coward · · Score: 0

      Aunt? Who said anything about his aunt?

    16. Re:I think everybody knew this. by mcgrew · · Score: 1

      Perhaps you shouldn't make it 28?

      I divorced Evil-X in 2003. Yes, it was hard, but worth it.

    17. Re:I think everybody knew this. by mcgrew · · Score: 1

      Can you please tell me where your house is located ? ;-))

      First, she doesn't live there any more; I divorced her in 2003. Best of all I saw her a few months ago, she got really fat and ugly and has diabetes now, having to shoot insulin daily. Trust me, you don't want her; you're better off with a twenty dollar crack whore.

    18. Re:I think everybody knew this. by Cornelius+the+Great · · Score: 2, Informative

      You may want to read up on Greater Internet Fuckwad Theory. Generally, a having both an audience and anonymity brings out the worst in people.

      Don't try to reason or argue with trolls, especially AC ones. They thrive on the attention.

      --
      Sigs are for losers
    19. Re:I think everybody knew this. by PopeRatzo · · Score: 1

      And why they're partially right.

      Thank you. "Partially" is the best any of us can really expect in life.

      Note that I only chimed in with my "bigpussy.com" remark after he whined about the initial troll.

      And syntax, son, you will find that time puts these heartbreaks into perspective. I promise you will come to see those events as quintessential human experiences and this provides more than just comfort. This perspective also gives you a measure of what's known as "soul". You don't forget them, but they make you the person you will become. They chisel lines of definition into your character.

      That is, if you're not a big pussy.

      --
      You are welcome on my lawn.
    20. Re:I think everybody knew this. by Anonymous Coward · · Score: 0

      "Please see my previous comment to the other adolescent."

      You're the one who needs to grow up. You sound like a girl.

    21. Re:I think everybody knew this. by Yamata+no+Orochi · · Score: 1, Insightful

      Don't try to reason or argue with trolls, especially AC ones. They thrive on the attention.

      I actually contest that most people posting AC probably never even see your responses and subsequent attention. I know I usually don't wade through hundreds of comments again to see what new posts people have made since I first read the thread, unless I get an e-mail notification that someone has replied specifically to me.

      AC posting offers no such notification.

    22. Re:I think everybody knew this. by Anonymous Coward · · Score: 0

      Try being married for 27 years to a serial adulteress. That's REAL pain.

      Hey, this is about broken hearts, not about broken prefrontal cortices.

    23. Re:I think everybody knew this. by Anonymous Coward · · Score: 0

      Best of all I saw her a few months ago, she got really fat and ugly and has diabetes now, having to shoot insulin daily.

      And then she installed Linux and started posting on Slash...OH SNAP!

    24. Re:I think everybody knew this. by Arancaytar · · Score: 1

      Mrs.

      The point of the whole thing is to turn Misses into Mistresses. :P

    25. Re:I think everybody knew this. by santax · · Score: 1

      Aye, thank you, English isn't my first language so I am happy to have learned something today ;) Won't make that mistake again! Thanks.

    26. Re:I think everybody knew this. by dunezone · · Score: 1

      Broken hearts heal but the scars remain forever.

    27. Re:I think everybody knew this. by LateArthurDent · · Score: 1

      Try being married for 27 years to a serial adulteress. That's REAL pain.

      I'm working on 10 here.

      Gotta ask...why?

    28. Re:I think everybody knew this. by Cornelius+the+Great · · Score: 1

      I've posted AC on occasion- usually on issues where my employer may vehemently disagree with my statements. When I do, I make a conscious effort to find my post a day later and see if it's been modded to oblivion or received replies. After that, I forget about it.

      I imagine many trolls probably bookmark their best work and favorite "lulz".

      --
      Sigs are for losers
    29. Re:I think everybody knew this. by Miseph · · Score: 1

      No, I think he meant bunt... still not sure what a strategic baseball maneuver has to do with anything, though.

      --
      Try not to take me more seriously than I take myself.
    30. Re:I think everybody knew this. by tjstork · · Score: 1

      Gotta ask...why?

      She's a wonderful mother, to my son, her faults are more side effects of a mental illness, and, she does her best to take care of me.

      --
      This is my sig.
  4. Octopus? by zepo1a · · Score: 5, Funny

    Leave it to the Japanese to somehow work tentacles into the ailment!

    :)

    1. Re:Octopus? by AdamThor · · Score: 4, Funny

      Doctors call this 'tako-tsubo,' after the Japanese phrase for 'octopus trap,' so called because the syndrome was first identified by a Japanese doctor who noticed the strange shape in the left ventricle.

      Can you imagine the patter in the ER / OR if we were to adopt more Japanese names for common ailments?

      Doctor, the patient is suffering from the Octopus Trap!
      What? He's fibulating! Set us up the bomb!
      The Bomb is ready!
      Activate! *WHUMP*
      GASP... Beep... beep... beep...
      Doctor, he's stabilizing!
      Good! Keep an eye on him... There's a case of Giant Robot I need to address, and after that room 223's Frozen Devil Injury seems to be getting worse...

      --
      -- "Oh. This guy again."
    2. Re:Octopus? by Anonymous Coward · · Score: 0

      Already pre-ordered my copy of Trauma Center 3: Octopus Trap on the Nintendo DS.

  5. first Samuel Taylor Coleridge post by Trepidity · · Score: 1

    Over hill, over dale, did the black Raven go.
    Many autumns, many springs
    Travelled he with wandering wings:
    Many summers, many winters---
    I can't tell half his adventures.

    At length he came back, and with him a She,
    And the acorn was grown to a tall oak tree.
    They built them a nest in the topmost bough,
    And young ones they had, and were happy enow.
    But soon came a woodman in leathern guise,
    His brow, like a pent-house, hung over his eyes.
    He'd an axe in his hand, not a word he spoke,
    But with many a hem! and a sturdy stroke,
    At length he brought down the poor Raven's own oak.
    His young ones were killed; for they could not depart,
    And their mother did die of a broken heart.

  6. Oblig. Simpsons quote: by benwiggy · · Score: 1

    "You may say she died from a ruptured ventricle. But I know she died of a broken heart."

  7. This was an episode of House by HomerJ · · Score: 1

    The ended up frying his brain so he would forget the woman--and all sorts of other stuff like his job. I think in the end it was actually something different and they fried his brain for nothing.

    1. Re:This was an episode of House by santax · · Score: 1

      Yes that House looks a lot smarter than he actually is. I have seen him make many mistakes before and only in the end - when the patient is almost dead - the insensitive clod decides to really look into it and finds the textbook-solution. Bit of a prick that fellow.

    2. Re:This was an episode of House by hey! · · Score: 2, Funny

      You want to know what a *real* prick acts like?

      Well, once years ago I had a job that included administering the company's minicomputer system. I screwed up a routine OS update, which was easy to do back in the closed source days when package Unix was up to each hardware vendor. The vendor gave us this crappy utility to run and I answered one of the questions wrong and before I knew it the company's databases were hosed.

      Fortunately I had backups. Lots and lots of backups. Daily backups going back two weeks, weekly backups going back three months, and quarterly backups going back several years. Unfortunately they'd been taken on a flaky 9-track drive that I'd been begging to have replaced. The people I worked for were fine, but the folks who approved the capital budget just didn't believe that computer hardware could fail, I guess. I'd started the update at 6PM, after the end of the work day, so nobody would be inconvenienced. It took all night to restore the system, and then all the next day to find readable versions of all the data. I ended up going through the last ten days' backups before I'd stitched everything back together. I was finished the following day when people started coming in to work. I went home, after working forty eight hours straight. Everything was back, or within spitting distance.

      Now my boss wasn't a computer guy, but he was a mensch, a good guy, and a few months later on my boss cited this incident on may annual review as an example of extraordinary dedication. When I sat down for my review and he handed me that evaluation, I read it, and then I threw it in his face.

      *That* is the way a real prick acts.

      --
      Post may contain irony: discontinue use if experiencing mood swings, nausea or elevated blood pressure.
    3. Re:This was an episode of House by Anonymous Coward · · Score: 0

      I'm missing something I'm sure... is this a reference to something?

    4. Re:This was an episode of House by SpaceCadets · · Score: 1

      Ep of Scrubs too. Woman's husband had died, and the good doctors couldn't work out what was wrong, until the hospital shrink came by. I found that interesting given (paraphrased quote from Bill, the creator of Scrubs) "everything you see on Scrubs are situations our consultants experianced in thier work as doctors". I can't remember the exact quote, sorry if it's horribly wrong, but it gets the point across.

  8. liquid nitrogen by Anonymous Coward · · Score: 5, Funny

    Liquid N2 can also break your heart. Shatter it actually

    1. Re:liquid nitrogen by L4t3r4lu5 · · Score: 1

      Actually, the N2 doesn't break the heart, the hammer does.

      Some would argue that the N2 is actually superfluous in that situation.

      --
      Finally had enough. Come see us over at https://soylentnews.org/
    2. Re:liquid nitrogen by Shrike82 · · Score: 1

      It really depends on what you define as breaking it. I'm fairly sure that immersion in liquid nitrogen would stop it functioning. The hammer would, presumably, be for comedic effect, or possibly for reducing the heart into little pieces that could, more easily, be turned into jerky.

      --
      You can advertise in this sig from as little as £99.99 a month!
    3. Re:liquid nitrogen by Anonymous Coward · · Score: 0

      You can shatter human flesh frozen in any reasonable way. citation plox

    4. Re:liquid nitrogen by Anne_Nonymous · · Score: 3, Informative

      Or perhaps not.

    5. Re:liquid nitrogen by noidentity · · Score: 1

      Liquid N2 can also break your heart. Shatter it actually

      Yeah, I hate it when that happens. Wait, what were we talking about again?

    6. Re:liquid nitrogen by hey! · · Score: 1

      However it does allow you to drive a nail with your banana.

      --
      Post may contain irony: discontinue use if experiencing mood swings, nausea or elevated blood pressure.
    7. Re:liquid nitrogen by L4t3r4lu5 · · Score: 1

      It really depends on what you define as breaking it.

      If it's still beating, it's not broken.

      Further, you probably shouldn't be "applying" a hammer to a beating heart. The owner might become irritated.

      --
      Finally had enough. Come see us over at https://soylentnews.org/
    8. Re:liquid nitrogen by Anonymous Coward · · Score: 0

      However it does allow you to drive a nail with your banana.

      Is that anything like Driving Miss Daisy?

    9. Re:liquid nitrogen by sorak · · Score: 1

      They may say she died from a burst ventricle, but I know she died of a broken heart.

  9. Comment removed by account_deleted · · Score: 1

    Comment removed based on user account deletion

  10. Hmm... by fuzzyfuzzyfungus · · Score: 1

    " the heart muscle in broken-heart-syndrome patients is stunned in the adrenaline surge and appears to go into hibernation. Little tissue is lost."

    I am not (as is probably abundantly obvious) a doctor; but that sounds substantially more treatable than the normal kind, albeit with all the same caveats about how serious each minute without a heartbeat will be for all your other systems, particularly the brain. It sounds like you wouldn't need to deal with the stents and shunts and bypasses and things, just come up with the right combination of drugs and electrical stimulation to get a basically functional piece of muscle tissue twitching again.

    That is still no comfort at all if you are an hour away from medical attention, but it seems like it could be quite valuable for the cases that do make it to hospital before their brains are irrecoverable mush.

    1. Re:Hmm... by Dunbal · · Score: 4, Informative

      I am a doctor.

      The problem is recognizing that there actually is a problem. So many patients come in complaining of chest pain. However medicine is never about what the patient "says" is the problem (subjective data) but rather what we can objectively observe to be the problem. That's because medicine is about science, not speculation. The clinical history orients us to a range of possibilities (chest pain can be anything from muscular to pulmonary to digestive to cardiac/great vessel to neurological problems). We then ask further questions and perform tests to exclude/include certain conditions.

      Because chest pain is so vague and also so common, we rely on EKGs and cardiac enzyme tests to confirm a diagnosis. Now there's a whole argument that the consequences of a heart attack are so severe that if there is doubt, we will treat it as a heart attack solely on strong clinical findings even when tests are inconclusive. However what usually happens is that the clinical history (heart disease in the family, patient age, blood pressure, cholesterol, diabetes, obesity, smoking, previous heart attacks) doesn't point to a heart attack, nor is the type of pain consistent with angina, and therefore the pain is "written off" as Treitze syndrome, either correctly or incorrectly. The patient is sent home. And usually NOTHING HAPPENS. It's very rare that patients are sent home to die of a heart attack.

      However a study like this (provided it receives more supporting studies) opens up a few more possible diagnoses. However I would argue that the actual "mortality" (how many people die) or "morbidity" (how many people are permanently damaged) of this "broken heart" syndrome is very very low. So now do we treat anyone with chest pain as a heart attack "for the benefit of the doubt"? How much will this cost both the patient and the tax-payer in public health systems? Hell, if we're going to treat everyone, we don't even need doctors anymore, right?

      No - medicine is still about evaluating a patient and the risks and benefits of treating versus telling them "take 2 tylenol and call back in the morning". As far as I am concerned this type of information changes nothing as there is no significant evidence that people actually die this way. While this so called "broken heart" syndrome can degenerate into dysrhythmias and/or plaque rupture and heart attacks, well, we already know about those.

      --
      Seven puppies were harmed during the making of this post.
    2. Re:Hmm... by MMC+Monster · · Score: 3, Interesting

      I am an interventional cardiologist, and I see a new case of Takotsubo cardiomyopathy about once every 3-4 months.

      It really is strongly associated with high levels of stress, and most individuals (who reach the hospital) recover within a month.

      Unfortunately, when they present to the hospital, they appear as a very large heart attack, with chest pain, shortness of breath, congestive heart failure (fluid in the lungs due to a weak heart), low blood pressure and EKG changes consistent with a heart attack. The coronary arteries are normal, and the heart muscle has a pathonemonic shape. The nice thing is that if you can support them over the first couple days in the hospital, they do recover and go back to normal.

      The wikipedia article on the topic is quite good, by the way.

      --
      Help! I'm a slashdot refugee.
    3. Re:Hmm... by Dunbal · · Score: 3, Interesting

      when they present to the hospital, they appear as a very large heart attack, with chest pain, shortness of breath, congestive heart failure (fluid in the lungs due to a weak heart), low blood pressure and EKG changes consistent with a heart attack.

      GP here. Perhaps I didn't express my point clearly enough:

            With such presenting signs, there is NO WAY such a patient is going to be "sent home" anyway. So frankly the original article is just a bunch of sensationalist writing trying to imply something new about things that we already know. OK, it's nice to have a name for it. Yes, there's probably a constellation of signs that differentiate it from the "non-Takotsubo" AMI which you as a specialist know all about. The prognosis is probably different, from what you imply. However my point is we've known that stress is one of many risk factors for AMI for years. What's new?

      The nice thing is that if you can support them over the first couple days in the hospital, they do recover and go back to normal.

            I should hope that any patient presenting dyspnea and left side heart failure gets all the support (s)he needs anyway, with or without elevated troponin levels and ST alterations...

            Me I'm thinking of the hordes of people who love to clog up emergency rooms because they've "discovered" a new disease and they think they have it. Kind of like the recent H1N1 epidemic. I bet more people died in the hallways of packed emergency rooms of (name your favorite common pathology) than H1N1 last year while medical staff screened everyone who claimed to be sick. I think some medical information should stay within the medical community. Like pilots are told on obtaining their license: "congratulations, now you know just enough to kill yourself".

      --
      Seven puppies were harmed during the making of this post.
    4. Re:Hmm... by Frank+T.+Lofaro+Jr. · · Score: 2, Funny

      That is still no comfort at all if you are an hour away from medical attention, but it seems like it could be quite valuable for the cases that do make it to hospital before their brains are irrecoverable mush.

      And for those whose brains are mush, they can get a job as a Windows admin.

      --
      Just because it CAN be done, doesn't mean it should!
    5. Re:Hmm... by Anonymous Coward · · Score: 0

      I am a Mac and if anything gets broken at all, my owners will replace me as if I had no feelings at all :'(

    6. Re:Hmm... by MMC+Monster · · Score: 3, Informative

      With such presenting signs, there is NO WAY such a patient is going to be "sent home" anyway. So frankly the original article is just a bunch of sensationalist writing trying to imply something new about things that we already know. OK, it's nice to have a name for it. Yes, there's probably a constellation of signs that differentiate it from the "non-Takotsubo" AMI which you as a specialist know all about. The prognosis is probably different, from what you imply. However my point is we've known that stress is one of many risk factors for AMI for years. What's new?

      What's different is that this isn't an AMI at all. Myocardial infarction quite literally means death of the myocytes (heart muscle). In this cardiomyopathy, there is little if any dead muscle. There's a lot of stunned muscle. The difference is that if the muscle dies, there's nothing that can be done to make it move again. If it is stunned, it will move again on it's own, given enough time to recover.

      The other thing is that the stress that causes Takotsubo cardiomyopathy causes a very different effect on the heart than the stress that causes an acute myocardial infarction. In AMI, the stress causes plaque rupture in one of the coronary arteries, leading to thrombus formation within the coronary artery and obstruction to the flow of blood. In Takotsubo, it's unclear what the stress actually did, but it certainly isn't causing a demonstrable plaque rupture. It's possible that it's causing transient spasm of the left main coronary artery, or possibly spasm of the entire capillary bed.

      Also, Takotsubo cardiomyopathy has been known about for more than a decade. It just gets in the news every Valentine's day or so. :-)

      --
      Help! I'm a slashdot refugee.
    7. Re:Hmm... by Anonymous Coward · · Score: 0

      However medicine is never about what the patient "says" is the problem (subjective data) but rather what we can objectively observe to be the problem. That's because medicine is about science, not speculation.

      Clearly you have never watched House MD.

    8. Re:Hmm... by BikeHelmet · · Score: 1

      However medicine is never about what the patient "says" is the problem (subjective data) but rather what we can objectively observe to be the problem. That's because medicine is about science, not speculation.

      It's fallacy to ignore the mental state of a patient. What they say and believe is very much relevant, though should probably be weighted lower than actual observable symptoms. To call such info speculation rather than science is an insult to those that that deal with mental health in a scientific manner. Just because you can't glean useful info from it doesn't mean another person can't, and doesn't mean it isn't science.

      Handwriting analysis... micro expressions... fiction is now being proved as science almost daily. But unlike those, psychology and psychiatry are very well known.

      Hey, did you see that recent episode of House where some Soldier had his foot amputated to avoid being sent back to Iraq? It illustrates the importance of paying attention to what the patient says, and how they say it.

    9. Re:Hmm... by Anonymous Coward · · Score: 0

      As far as I am concerned this type of information changes nothing as there is no significant evidence that people actually die this way. While this so called "broken heart" syndrome can degenerate into dysrhythmias and/or plaque rupture and heart attacks, well, we already know about those.

      How about referring them to a psychologist or grief counselor?

    10. Re:Hmm... by sjames · · Score: 1

      It's actually quite the opposite. It is condition that can look a LOT like a heart attack including abnormal EKG but calls for a less aggressive treatment if it can be distinguished.

      Of course, since it appears to be quite rare, it may not be at all significant in practice.

    11. Re:Hmm... by sjames · · Score: 1

      I think I see the disconnect here. The concern is not that a patient who needs care will be sent home, the concern is that a patient who needs only supportive care will be aggressively treated for a heart attack unless the correct diagnosis is made.

    12. Re:Hmm... by Velex · · Score: 1

      That's because medicine is about science, not speculation.

      I have a bone to pick. Explain the treatment of transgenderism. Why is it that hard evidence such as brian scans are discarded in favor of armchair pontifications such as autogynephilia? Why is electroconvulsive therapy being added to the DSM again when it clearly doesn't work in treatment of homosexuality and transgenderism?

      I have another bone to pick. Explain routine male genital mutilation. Why is evidence that it is merely a cosmetic operation (if you can call a procedure performed by a nurse without administering at least a local anesthetic a surgery) discarded? Why is there no statistically significant evidence showing that circumcising prevents the propagation of HIV, yet it's touted as a cure for HIV? Why are the inherent risks and complications of removing a body part ignored, and moreover, why is this procedure performed without the victim's consent (sometimes even without the parents' consent)? Why can't I even find a general anatomical drawing of a male with intact genitals?

      Ok, last bone to pick. How on earth can you prescribe an SSRI class drug without establishing abnormally low levels of serotonin through some test or another? If my other two complaints above aren't good enough for the moderators, I hope they can at least appreciate that this is ipso facto evidence of speculation in medicine.

      Sorry, but the older I get I find more and more that medicine is based on making money in any way possible, not on science.

      --
      Join the Slashcott! Stay away entirely Feb 10 thru Feb 17! Close all tabs to prevent autorefresh!
    13. Re:Hmm... by ct_parrothead · · Score: 1

      Not a doc of any type but 5 years ago I took my mother to the ER the night of my father's funeral. She presented symptoms of a heart attack, the staff called a code and did their thing. Tests showed no blockage and no damage to the heart which puzzled the cardiologists. Fortunately one of the cardiologists knew of, what was then, a recent study from Japan and recognized that the symptoms fit the profile of the recently name "broken heart syndrome". As the parent poster described, she spent a few days in the hospital and then recovered within a month as with most patients. That said, no one should ever think heart attack symptoms are really the lesser "broken heart syndrome", regardless of the emotional or stressful circumstances. It it walks like a duck, quacks like a duck, go to the ER and let the doctors decide if it's a duck. On an OT note, dying of a broken heart should have been recognized years earlier. This Wikipedia entry gives the full story.

  11. Re:Oh boo hoo by santax · · Score: 3, Funny

    I'll let the people with mod-points take care of you. After that, please ask your parents to lock your pc. You are not ready for it yet.

  12. Re:Just use EFT by santax · · Score: 1

    Thanks for the link and information. I have dealt with it in the more usual way though. Just giving it time and learn to deal with it. Thanks though.

  13. Why is this news? by cyberjock1980 · · Score: 2, Funny

    This is slashdot. You think any of us have women in our lives that can break our hearts? Pfft!

    No, Mom doesn't count.. and if she did... eeewww!

    1. Re:Why is this news? by Anonymous Coward · · Score: 0

      What? Who doesn't like a milf...

  14. new pre existing condition a bad relationship righ by Joe+The+Dragon · · Score: 2, Insightful

    new pre existing condition a bad relationship right next to rape on the list.

  15. Re:Oh boo hoo by Anonymous Coward · · Score: 0

    Funny? Not really.

  16. Is this new? by lattyware · · Score: 1

    I'm sure I saw this in an episode of Scrubs or something.

    --
    -- Lattyware (www.lattyware.co.uk)
  17. xkcd... by kj_kabaje · · Score: 1

    ...told us all this a long time ago.

    1. Re:xkcd... by jgtg32a · · Score: 1

      And you loose out on your +5 funny by not linking it

  18. Re:Just use EFT by n1hilist · · Score: 3, Funny

    EFT eh? Yes I find a strong, steady dose of Electronic Funds Transfer usually fixes a broken heart.

  19. Happened in my family by bytor4232 · · Score: 3, Interesting

    My great great grandmother went out that way. They immigrated from Scotland together, ran away to america as teenagers since her father wouldn't let them marry. Two days after my great great grandfather died, she passed away. They couldn't find a reason.

    --
    -- 4 8 15 16 23 42
    1. Re:Happened in my family by KevInSweden · · Score: 1

      Similar story, my Grandad died 3 days after my Grandmother - no cause found, said most likely pneumonia.

  20. Re:Oh boo hoo by Anonymous Coward · · Score: 0

    Viol8, go away. There's no reason to hide behind AC.

  21. Lucas is vindicated! by thegsusfreek · · Score: 1

    Padme really did die of a broken heart!

  22. Padmé death finally explained by Anonimouse · · Score: 0

    Thank god for that. It was driving me absolutely nuts. Closure at last.

  23. Scrubs by iB1 · · Score: 1

    There was an episode of Scrubs which featured something like this. A woman who had broken up with her fiancé was admitted to hospital after fainting and other symptoms of a heart attack. Tests didn't reveal any heart abnormalities, but Dr. Cox diagnosed her as having a broken heart due to the stressful breakup.

  24. What's next? by supersloshy · · Score: 1

    First we're told that we actually can be bored to death, and now we're being told that hearts can actually break. What's next, that a watched pot actually never boils? That you really do attract more flies with honey than vinegar? That you really can be up on cloud 9? That video games really do make you fat? That a spoonful of sugar actually helps the medicine go down?

    After a year, we'll find out that pigs can actually fly, and that Hell can actually freeze over! ;)

    --
    "Our country is not nearly so overrun with the bigoted as it is overrun with the broadminded." -Archbishop Fulton Sheen
    1. Re:What's next? by Nidi62 · · Score: 1

      After a year, we'll find out that pigs can actually fly, and that Hell can actually freeze over! ;)

      Im sure there's a bad H1N1 joke in there somewhere, but I cant find it.

      --
      The only thing necessary for evil to triumph is for it to be pitted against a slightly greater evil
    2. Re:What's next? by Arthur+Grumbine · · Score: 1

      After a year, we'll find out that pigs can actually fly, and that Hell can actually freeze over! ;)

      Well, last year swine flu - it was all over the news. Also, I'm pretty sure Hell freezes over every winter.

      --
      Now that I think about it, I'm pretty sure everything I just said is completely wrong.
    3. Re:What's next? by Mikkeles · · Score: 1

      'That you really do attract more flies with honey than vinegar?'

      No, you don't (e.g.)

      --
      Great minds think alike; fools seldom differ.
    4. Re:What's next? by supersloshy · · Score: 1

      'That you really do attract more flies with honey than vinegar?'

      No, you don't (e.g.)

      I knew that, actually. I was waiting to see how many replies it'd take before someone posted that exact link.

      --
      "Our country is not nearly so overrun with the bigoted as it is overrun with the broadminded." -Archbishop Fulton Sheen
    5. Re:What's next? by Anonymous Coward · · Score: 0

      Well, London police have UAVs mounted with cameras and from what I hear Washington DC is buried under 2 stories of snow...

  25. Bad pickup line by GaryOlson · · Score: 5, Funny

    "You are so beautiful, if you don't talk to me I could die of stress-induced cardiomyopathy"

    --
    Every mans' island needs an ocean; choose your ocean carefully.
    1. Re:Bad pickup line by K.+S.+Kyosuke · · Score: 4, Funny

      What if she's a cardiology student?

      --
      Ezekiel 23:20
    2. Re:Bad pickup line by Anonymous Coward · · Score: 0

      "You are so beautiful, if you don't talk to me I could die falling into the Octopus Trap"

      There fixed it for you.

  26. Old folk song by mcgrew · · Score: 1

    On top of old Smokey
    All covered with snow
    I lost my true lover
    For courting too slow.

    Courting's a pleasure
    And parting is grief
    A false hearted lover
    Is worse than a thief.

    A thief will just rob you
    And take what you have
    But a false hearted lover
    Will lead you to the grave.

    -------

    On top of Old Smokey
    All covered with hair
    Of course I'm referring
    To Smokey the Bear!

  27. Oblig. Gilbert and Sullivan Quote by hey! · · Score: 1

    "Hearts do not break / They sting and ache."

    --
    Post may contain irony: discontinue use if experiencing mood swings, nausea or elevated blood pressure.
  28. Re:Just use EFT by jeffasselin · · Score: 1

    My bullshit detector just went haywire.

    --
    If he explores all forms and substances Straight homeward to their symbol-essences; He shall not die.
  29. Re:Just use EFT by digitalchinky · · Score: 1

    Or, you know, you could just harden the fuck up as Chopper Reid might say :-)

    http://www.youtube.com/watch?v=1EY7lYRneHc

  30. Re:Just use EFT by Anonymous Coward · · Score: 0

    ... or you can just grow up and deal with it without whinging.

  31. Happened to me by b0ttle · · Score: 1

    When this girl I was seeing in Wow left me, I became sick and was hospitalized for 3 weeks... I was hoping we would marry in real life.

    I still think of her sometimes...

    Oh, life sucks.

  32. Reversed Knowledge by DynaSoar · · Score: 2, Informative

    "...while strong emotions like grief are usually associated with the syndrome, stress or a migraine can also trigger such heart attacks."

    Could someone please educate the author, and if necessary the researchers (though I doubt it necessary) that strong emotions like grief are stressors, as are physiological disorders like migraines? Stress is the set, grief a subset. TFA seems to imply otherwise.

    Any pressures to the system are stressors, and the system requires stress in order to function. Problems are due to poor handling of stress, which is called dis-stress. Turning stress to motivation is called eustress. Too much of the former (or too poor a job at handling it) can cause damage.

    --
    "I may be synthetic, but I'm not stupid." -- Bishop 341-B
  33. I think a video game saw this coming. by Orbijx · · Score: 1

    So, instead of G.U.I.L.T., it's G.R.I.E.F.?

    --
    One of these days, I am going to flip out. When I flip out, I'll be back in five minutes.
  34. Takotsubo in my wife by mollog · · Score: 1

    My wife had another heart attack like this three weeks ago. It was her third. She was out of the hospital the next day. She's recovering rapidly. Previously she had been diagnosed as having 'Cardiac Syndrome X'. Sheesh.

    I often think that medicine still hasn't progressed very far. People in the future will look back on the days when Americans spent 16% of GDP on health and still suffered in ignorance of what ails them.

    --
    Best regards.
    1. Re:Takotsubo in my wife by ConceptJunkie · · Score: 1

      I often think the same way and I hope you're right. Nonetheless, there are many advances being made. Even something so relatively mundane as laparoscopic surgery. I had my appendix removed about 12 years ago and came out of the hospital after two days with a couple of band-aids. To this day it still amazes me what they can accomplish without cutting huge holes in people.

      I am very optimistic that mankind on the verge of major revolutions in medicine, particularly in the areas of the immune system. This isn't based on any expertise or anything, just a gut feeling from seeing the advances that are being made. I am hopeful that many terrible diseases will be conquered or brought under control in the next few decades, just like there were in the mid-20th century with the advent of antibiotics. But this is just a general sense of optimism and not something I would count on or plan for.

      But I also believe we have a long way to go in many ways. So many medical claims are frequently contradicted by further studies which are themselves contradicted shortly thereafter. Tell me again, is coffee good for you this week or not? Half the world thinks thimerisol causes autism and half the world thinks it's benign. And let's not get started on the health effects of EM radiation...

      Oh, and I'm glad to hear your wife is recovering and I sincerely hope she remains OK.

      --
      You are in a maze of twisty little passages, all alike.
  35. So 2007 by obliv!on · · Score: 1

    This was the diagnosis in episode 121 of Scrubs "My House"

    Which was a parody of Dr. House by Dr. Cox in general but borrowed the following week's House diagnosis, episode 311 of the House MD "Words and Deeds"

    back in good ole January 2007. WSJ is so behind the times. ;)

    1. Re:So 2007 by obliv!on · · Score: 1

      As did ER "Heart of the Matter" (Season 6 Episode 273) http://en.wikipedia.org/wiki/List_of_ER_episodes

      Which predates the others since its from 2006. The wikipedia article for broken heart syndrome also mentions it was referenced as a diagnosis in Grey's Anatomy, but I can't find that episode.

  36. phenomenon by migloo · · Score: 1

    'broken heart syndrome' is a phenomenon, not a phenomena.

  37. One Thing by Anonymous Coward · · Score: 0

    Hi I am too lazy to make an account just to Say:

    I already saw this on CSI

  38. emotions are hazardous to your health by 5plicer · · Score: 1

    It's best just not to feel anything.

    --
    The bits on the bus go on and off... on and off... on and off...
  39. All the more reason... by Anonymous Coward · · Score: 1, Insightful

    ...to never fall in love.

    You think you need to be in love to be happy? This limiting belief was probably programmed into you early in your childhood. Remember that every emotional experience you have ever had was created by your own brain. Your lover didn't inject neurotransmitters into your skull...you created them.

    True fulfillment always comes from within.

    Also, if a pill existed that did to the brain what falling in love does to the brain, it would be illegal.

    1. Re:All the more reason... by Frank+T.+Lofaro+Jr. · · Score: 2, Insightful

      Also, if a pill existed that did to the brain what falling in love does to the brain, it would be illegal.

      It's called Ecstasy.

      Makes you happy and warm and fuzzy, then you crash and are left depressed and stupid (which doesn't totally wear off).

      --
      Just because it CAN be done, doesn't mean it should!
    2. Re:All the more reason... by TheCarp · · Score: 2, Informative

      > It's called Ecstasy.
      >
      > Makes you happy and warm and fuzzy, then you crash and are left depressed and stupid (which doesn't totally wear off).

      Actually, thats not always the case. I, and several others, have experienced "ecstasy afterglow" where the next 2-3 days after the experience were actually quite pleasant. In fact, I was in a much happier mood than normal, and less depressed for that period.

      Now, when you say ecstasy do you mean MDMA or do you mean "pills called ecstasy". I have had it offered to me, and taken it, about 4 times (and not in several years at this point). Twice it was almost certainly MDMA, based on effect and duration, once it was almost certainly MDA, and once just speed. The time that I was most sure that it was real MDMA is the only time that I got the afterglow effect, but its been reported to me by a few other people.

      -Steve

      --
      "I opened my eyes, and everything went dark again"
    3. Re:All the more reason... by kdemetter · · Score: 2, Insightful

      Well , you don't need to be in love , but you certainly need someone to talk to (intimately) every now and then.
      But a good friend may be sufficient for that.

      Note : if that good friend breaks contact with you , I'm pretty that will also break your heart.

      In other words : you need some sort of commitment to be happy , and that commitment leaves you vulnerable.

    4. Re:All the more reason... by tftp · · Score: 3, Insightful

      you need some sort of commitment to be happy

      That is not true. There are plenty of unmarried people out there. If they weren't happy they are free to marry. They don't. Therefore they are happy.

      that commitment leaves you vulnerable

      Very true.

    5. Re:All the more reason... by Anonymous Coward · · Score: 0

      I think it's even earlier than childhood. It's probably in your DNA and "switched on" after puberty. Culture just helps reinforce it.

      I agree. True happiness only comes from within. Perhaps that sounds like a sappy cliche, but it seems to be the truth. That doesn't mean you can't live in a happy, loving relationship, though.

    6. Re:All the more reason... by Anonymous Coward · · Score: 0

      No you don't. It may be very hard to do without and rarely done successfully, but there's no reason it's not possible.

    7. Re:All the more reason... by kdemetter · · Score: 1

      You have a point, i guess it depends on the type of person you are ( extroverted or introverted).

      An extroverted person will probably have a lot of shallow friendships , and then it won't matter if some of them break contact.

      Introverted people tend to have fewer friends, but which deeper relationships. In that case, it will surely hurt if they break contact.

  40. Yeah, I saw that episode of House, too by glwtta · · Score: 1

    Looking forward to liver-stealing lesbians coming to slashdot.

    Also, "a phenomena" - seriously?

    --
    sic transit gloria mundi
  41. Re:Waaa , waaa , my gf left me , waaaaa!!! by Anonymous Coward · · Score: 0

    A woman can do a lot worse to a man than just leave him.

  42. Looking after themselves by MattBD · · Score: 1

    Having worked on death claims on life insurance in the past I've seen plenty of cases of elderly couples where the wife dies first and the husband dies soon after, but I'm pretty sure that they don't die of a broken heart. Instead my theory is that they don't look after themselves properly, since if all of a sudden you have to cook for yourself all the time it's a bit of a struggle, and it may be that many of them are still used to the traditional roles of wife as homemaker, husband as breadwinner, so it's hard for the husband to look after himself once he's on his own.

  43. come on!!! by Anonymous Coward · · Score: 0

    yesterday it's "BOERDOM KILLS SCIENTISTS SAY"...

    Now today it's "HEART BREAK KILLS"

  44. Re:Just use EFT by RockWolf · · Score: 1

    EFT eh? Yes I find a strong, steady dose of Electronic Funds Transfer usually fixes a broken heart.

    Depends which way it's going...

    ./Rockwolf

    --
    February 9th, 2009 8:55pm: Slashdot becomes self-aware.