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Heart Failure (Acute Heart Muscle Weakness)

Heart Failure (Acute Heart Muscle Weakness)

Acute myocardial infarction syndrome associated with severe stress sometimes called Stress Cardiomyopathy

Heart Failure is an acute myocardial infarction syndrome associated with severe stress sometimes called Stress Cardiomyopathy , medically known as Takotsubo Cardiomyopathy , is a vessel used by the Japanese to catch squid. Because when myocardial infarction (partial) when cardiac catheterization and injection of contrast agents will get a picture of a heart bulging like such a vessel Therefore, this name has been used to refer to this disorder since 1990 (B.E. 2533).

The cause of this condition is unknown but is believed to be related to hormones from intense stress, such as adrenaline, which increases the need for energy and oxygen but insufficient blood flow leads to weakening of the heart muscle, aneurysm, and pumping of blood in the body. Failure Stress can be a physical stress condition such as a serious illness or accident. or severe mental stress, such as the unexpected loss of a loved one Although referred to as Broken Heart Syndrome, the condition is associated with physical stress rather than mental stress. Found in females more than males

Symptoms

The patient has chest pain, and shortness of breath due to congestive heart failure. inadequate blood flow, swelling, and inability to lie down in more severe cases, especially if there are other serious physical illnesses may be fatal

Diagnosis

In addition to a detailed history and physical examination, the patient must undergo special cardiac examinations, especially electrocardiogram ( EKG) , blood tests, heart and lung X-rays. Echocardiogram. However, patients in heart failure often have abnormal electrocardiograms. Abnormal results of blood enzymes in the heart muscle similar to patients with coronary artery embolism ( Heart attack) . Differential diagnosis often requires cardiac catheterization and injection of contrast agents to look at the coronary arteries. In a broken heart, there will be no blockage in the coronary arteries.

Treatment

Because there is no coronary artery blockage, it does not need to be treated with dilatation of the coronary arteries like in the case of coronary artery embolism ( Heart attack) . Treat physical disorders that cause severe stress. Most patients with weakened myocardium will recover gradually and return to normal in 4-8 weeks .

Your doctor may prescribe medication to reduce stress on your heart’s functioning and prevent future conditions, such as the use of antihypertensive drugs (ACE-types) or ( ARBs) , beta blockers, medications. Diuretics or blood clot-dissolving drugs in the event that the patient has a blood clot in the heart.

Surgical treatment

Guidelines for treating a heart attack, such as a balloon or stent insertion. It will not help treat myocardial infarction. Because of such treatment will focus on solving coronary artery stenosis which is not the cause of myocardial infarction

Preparation before seeing the doctor
Patients should be treated immediately. Or have someone close to you take them to the emergency room immediately if you find yourself experiencing unexplained chest pain. And it’s important to see a doctor, bring a family member with you.

Information that should be prepared before seeing a doctor

Current symptoms including the duration of such symptoms

• Personal information, such as major life changes or life stresses, such as the loss of a loved one or the loss of a job.
• Information about the medical history of one’s own and family members This will include a history of other medical conditions, such as diabetes, high cholesterol, or heart disease.
• Medicines that the patient is currently taking Both prescription and over-the-counter medications
• Chest injuries in recent times That can cause internal damage, such as broken bones or pinched nerves.

The doctor will examine the patient’s symptoms based on the results of the ECG and blood tests to determine if their symptoms are caused by the condition or a heart attack.

Here is a list of questions that may be used to consult a doctor:

• What is the cause of myocardial infarction?
• In the case of just going through major changes in life in the past Ask if such events may be the cause of the condition.
• How should it be diagnosed?
• Is it necessary to be treated as an inpatient?
• Treatment guidelines what to do
• Can myocardial infarction recur?
• Are there any restrictions or omissions that should be followed, such as diet or exercise?

A list of questions your doctor may ask about your treatment.

The doctor may ask the patient for additional information as follows:

• What are the symptoms of the patient?
• When did the patient begin to have symptoms?
• The patient had pain in only one area. or pain spreading to other parts of the body
• The patient found that the pain that occurred Is it consistent with the heart rhythm?
• How can the patient describe the pain symptoms they have?
• Does exercise make my symptoms worse?
• Does the patient have a family member with a history of heart disease?

What diseases does the patient currently receive? Or what is the history of treatment in the past?