Broken-heart syndrome mimics heart attack

Q. I have been diagnosed with Takotsubo cardiomyopathy. Can you tell me anything about this condition and what I might expect in the future? My doctor has put me on two medications, Coumadin and Coreg.

A. Takotsubo cardiomyopathy, also known as stress cardiomyopathy, broken-heart syndrome, apical ballooning syndrome and stress-induced cardiomyopathy, is a fairly complex condition.

It mimics a heart attack or acute coronary syndrome (ACS). It is frequently brought on by medical illness or intense physical or emotional stress (such as that caused by the death of a loved one, hence the name broken-heart syndrome). It is more common in women than in men.

It is not currently known how prevalent this condition is because little is known about it. It was initially thought to be uncommon, but recent studies suggest it may account for up to 2 percent of ACS-like events.

It is a transient disorder, meaning that it comes and goes. It is managed primarily with supportive therapy, such as stress reduction. Treatment during the acute phase of the attack usually lasts one to four weeks and consists of ACE inhibitors, beta blockers, diuretics and/or aspirin. Because Takotsubo can recur, long-term treatment with beta- or alpha- and beta-blockers may be continued.

Speak with your cardiologist about any further questions. He or she is your best resource for information. It may also be in your best interest to be under the care of a cardiologist who is familiar with the disorder or to have your doctor initiate regular communication with such a physician. This will provide you with any new information or treatment options.

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After applying the peel once in the morning and again at night, we both noticed remarkable improvement. It only took three or four days. Now, my rough, bleeding elbows are clear and soft. For maintenance, my sister and I continue to apply the peel every three or so days.

A. I have received many letters from patients whose psoriasis or eczema either disappeared or improved with the banana-peel therapy. The treatment is safe, inexpensive and easily available.

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