Broken Heart Syndrome Essay

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Broken Heart Syndrome or Takotsubo Cardiomyopathy is a unique disease of the cardiovascular system. It is a reversible form of Cardiomyopathy. This disease got its name from the look of the left ventricular wall following changes when the disease takes place. The changes of the wall are called apical akinesis and basal hyperkansis. It is reported that the left ventricle resembles a round bottomed, narrow-necked Japanese pot that was used to catch octopi. Tako- meaning octopus and tsubo- meaning trap. This disease is generally caused by emotional stress or physical stress. Broken Heart Syndrome is noted to be more prevalent in women who are sixty years of age or older. Most often it presents following the loss of a spouse or loved one, but this disease has been known to occur after vigorous exercise, accidents or excessive alcohol intake.
Characteristics of Broke Heart Syndrome include transient left ventricular wall motion abnormalities, reversible ST segment abnormalities and cardiac enzyme elevation. The cardiac enzymes are only mildly elevated in most cases. These enzymes include Troponin levels, with a normal value of less than 0.02 and Myoglobin
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The patient had no medical history or family history of any coronary risk factors or coronary artery disease. There was no evidence of alcohol or drug use. An assessment of the patient was preformed on arrival and she was noted to be tachycardic and tachypneic. The young lady was crying and reported she had a fight with her boyfriend two hours prior to the chest pain starting. Vital signs were stable with a blood pressure of 135/75 mmHg and heart rate of 92 beats per minute. An electrocardiogram was obtained revealing ST elevation and depression. The physician ordered for 300mg of aspirin and 5,000 U of Heparin to be given and admitted the patient to the coronary intensive care unit
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