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Ailmemts & Remedies

Takotsubo cardiomyopathy

  1. Other Names: Broken-heart syndrome, Transient apical ballooning syndrome, Apical ballooning cardiomyopathy,Stress-induced cardiomyopathy, Gebrochenes-Herz-Syndrom, and Stress cardiomyopathy.
    Definition:
    Takotsubo cardiomyopathy is a type of non-ischaemic cardiomyopathy in which there is a sudden temporary weakening of the myocardium. Because this weakening can be triggered by emotional stress, It occurs as the response of the heart to sudden, intense emotional stress such as the death of a spouse; rejection at the workplace; acute fear; or uncontrolled anger. These intense emotions can cause immediate breathlessness or strokes. The broken heart can occur simultaneously or a few minutes later. Stress cardiomyopathy is a well-recognized cause of acute heart failure, lethal ventricular arrhythmias, and ventricular rupture.

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Around ten years ago, there were a few high profile deaths in young people. They were diagnosed as having died from a “broken heart”. Now, a broken heart or stunned myocardium syndrome is a documented condition.
Symptoms:
Takotsubo cardiomyopathy or Broken heart syndrome symptoms can mimic a heart attack.The symptoms are similar to a heart attack – chest pain, sweating, giddiness or dizziness, nausea, vomiting, weakness and palpitations. Blood pressure may drop. Heart failure may develop.

Any long-lasting or persistent chest pain could be a sign of a heart attack, so it’s important to take it seriously and call your doctor if you experience chest pain.

Causes:
The exact cause of Takotsubo cardiomyopathy is not very clear. It is thought that a surge of stress hormones, such as adrenaline, might temporarily damage the hearts of some people. How these hormones might hurt the heart or whether something else is responsible isn’t completely clear. A temporary constriction of the large or small arteries of the heart may play a role.

Takotsubo cardiomyopathy is often preceded by an intense physical or emotional event. Some potential triggers are:

*News of an unexpected death of a loved one
*A frightening medical diagnosis
*Domestic abuse
*Losing a lot of money
*Natural disasters
*A surprise party
*Having to perform publicly
*Job loss
*Divorce
*Physical stressors, such as an asthma attack, a car accident or major surgery

It’s also possible that some drugs, rarely, may cause broken heart syndrome by causing a surge of stress hormones. Drugs that may contribute to broken heart syndrome include:

*Epinephrine (EpiPen, EpiPen Jr), which is used to treat severe allergic reactions or a severe asthma attack
*Duloxetine (Cymbalta), a medication given to treat nerve problems in people with diabetes, or as a treatment for depression
*Venlafaxine (Effexor XR), which is a treatment for depression
*Levothyroxine (Synthroid, Levoxyl), a drug given to people whose thyroid glands don’t work properly
Differances between Takotsubo cardiomyopathy and hear attack are:

Heart attacks are generally caused by a complete or near complete blockage of a heart artery. This blockage is due to a blood clot forming at the site of narrowing from fatty buildup (atherosclerosis) in the wall of the artery. In Takotsubo cardiomyopathy, the heart arteries are not blocked, although blood flow in the arteries of the heart may be reduced.
Diagnosis:
Takotsubo cardiomyopathy or Transient apical ballooning syndrome is found in 1.7–2.2% of patients presenting with acute coronary syndrome. While the original case studies reported on individuals in Japan, Takotsubo cardiomyopathy has been noted more recently in the United States and Western Europe. It is likely that the syndrome went previously undiagnosed before it was described in detail in the Japanese literature.

The diagnosis of Takotsubo cardiomyopathy may be difficult upon presentation. The ECG findings are often confused with those found during an acute anterior wall myocardial infarction. It classically mimics ST-segment elevation myocardial infarction, and is characterised by acute onset of transient ventricular apical wall motion abnormalities (ballooning) accompanied by chest pain, dyspnea, ST-segment elevation, T-wave inversion or QT-interval prolongation on ECG. Elevation of myocardial enzymes is moderate at worst and there is absence of significant coronary artery disease.

The diagnosis is made by the pathognomonic wall motion abnormalities, in which the base of the left ventricle is contracting normally or is hyperkinetic while the remainder of the left ventricle is akinetic or dyskinetic. This is accompanied by the lack of significant coronary artery disease that would explain the wall motion abnormalities. Although apical ballooning has been classically described as the angiographic manifestation of takotsubo, it has been shown that left ventricular dysfunction in this syndrome includes not only the classic apical ballooning, but also different angiographic morphologies such as mid-ventricular ballooning and rarely local ballooning of other segments.

The ballooning patterns were classified by Shimizu et al. as takotsubo type for apical akinesia and basal hyperkinesia, reverse takotsubo for basal akinesia and apical hyperkinesia, mid-ventricular type for mid-ventricular ballooning accompanied by basal and apical hyperkinesia and localised type for any other segmental left ventricular ballooning with clinical characteristics of takotsubo-like left ventricular dysfunction.

The ECG changes are atypical, with imprecise changes in the ST segment and T waves. They are “suspicious of but non conclusive” of myocardial infraction. Blood tests for the enzyme creatine kinase and proteins troponin should be done. These are elevated in a heart attack. In a stunned heart, these results too are inconclusive. The echocardiogram is the clincher. The heart is ballooned out. This change occurs typically at the apex of the heart. It is important to make a distinction between heart attack and takotsubo as the medication is different.

Treatment:
The treatment for takotsubo is mainly supportive. Medication is given to remove fluid from the lungs and prevent clots. Recovery occurs within a few days.

About two per cent of people who were thought to have a heart attack actually had broken hearts. In the case of women, this increases to seven per cent. Women, mainly menopausal ones (60-75 years), have “broken hearts” eight to nine times more often than men. Some people are genetically prone to “broken hearts.” Depression plays a role in susceptibility to this condition. Recurrences can occur in 10 per cent of people.

People who are in poor physical condition do not need severe emotional stress to suffer a broken heart. An episode may be precipitated by a minor event like rejection, or even a lecture or talk before an audience.

In order to never develop this condition; it is important to develop metal and physical toughness. Walking for 40-60 minutes a day at a brisk pace exposes the heart to small doses of adrenaline and nor adrenaline in a controlled manner. The heart gets conditioned and is immune to sudden chemical surges. Meditation and yoga provide calmness and the mental strength to cope with good days and bad.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose.

Resources:
http://en.wikipedia.org/wiki/Takotsubo_cardiomyopathy
http://www.mayoclinic.org/diseases-conditions/broken-heart-syndrome/basics/causes/con-20034635
http://www.telegraphindia.com/1141208/jsp/knowhow/story_2612.jsp

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Categories
Positive thinking

Discovering True Selves

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Soul Seeing
When we want to see deeply into the heart and mind of another person, soul seeing, also called soul gazing, allows us to see their soul. The soul is the purest expression of an individual and is not bound by physical forms or fleeting emotions. Through a simple art that involves looking deeply into a partner’s eyes, soul seeing can show you a person’s inner beauty that you might otherwise miss. It is possible for someone who appears cold to have a warm, giving, nurturing soul or someone of average appearance to have a beautiful soul. Soul seeing is a way of looking past shapes, sizes, attitudes, and behavior to see the real individual that lies beneath the surface. It allows you to see the true essence of another person, the radiance of their being, and their spirit within.

Soul seeing is accomplished by sitting face to face with another person. It is helpful to first state your intention before you begin. As you stare softly into each other’s eyes without stopping to look away, each of your souls is revealed to the other. Try not to look for anything in particular or seek traits you’re hoping to find. Simply let the other person’s soul reveal itself to you. After twenty minutes have passed, stay where you are and share a period of silent reflection with your partner for two minutes. You may have suddenly seen your partner’s inner nature as clearly as a bright day, or you may need to meditate on your experience before you feel comfortable with your impressions. Either way, soul seeing can be a wonderfully intimate and shared experience.

So little of who each of us is can be captured by our appearance or personality. The thoughts, fears, desires, and longings that are part of what makes us whole are not always written across our faces. Often, the most surprising thing you may learn while soul seeing is that while you and the other person may appear on the surface to be quite different, you actually share many of the same inner qualities. And then there is the unique beauty that resides within that is longing to be revealed to another who is willing to see. Soul seeing can help you experience the people in your life as they truly are, beyond any mental barriers or physical limitations.

Sources: Daily Om

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Categories
Featured

Stop Anger from Taking Over

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Anger is the emotion that seems to get people into the most trouble with teachers, parents, family, friends and police.
Too much anger fuels huge problems. Ever see someone having “road rage?” It’s scary to watch or experience and it’s very dangerous. Someone who gets that angry is out of control, is showing terrible judgment and is placing his own and other’s lives in great jeopardy.

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Anger occurs when frustration is high. In moderation it is fine. It warns us that something is wrong and needs to be addressed. It often arises from a sense of injustice, a feeling that something is very unfair. It is a great motivator: sometimes for the good, as when a person uses anger to take constructive action and does not lose control; and sometimes it’s bad, as when a driver loses control and acts with reckless hostility.

We all live in a frustrating world. We all need to learn how to control or direct the frustration, which can quickly turn into anger. Temper tantrums are only for very young children. When you feel yourself becoming too angry, or on the brink of acting on your anger, you might:
1. Try the old “count to ten” technique: it often works by delaying action.

2. Think about the fear or frustration that caused the other person to act in a way that upset you.

3 Try to feel empathy for the person rather than anger. Sometimes compassion calms hostility.

4. If you or someone (or something) you care about is being treated unfairly, try to offer a solution that makes the situation more fair.

Sometimes simply walking away is a great alternative to acting out your anger.
That takes a lot of poise and maturity—and it shows a lot of poise and maturity, too.
Anger doesn’t have to be a bad emotion. When kept in check, anger can inspire great writing, great athletic performance or great social progress. But restraint and good sense are the keys to having anger be constructive rather than destructive. It can be either.

Source:www.teengrowth.com