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Doctor insights on: Broken Heart Syndrome Cardiac

Temporary weak heart: Takotsubo cardiomyopathy: a weakening of the heart often associated with emotional stress. Not resulting from a coronary problem a ballooning of the apex of the heart is seen with poor function. May be very sick at presentation but with supportive care (sometimes requiring balloon pump) usually recover. Medications that stimulate the heart (inotropes) may actually make the situation worse. ...Read more

Very rare: I am no aware of a brain or heart aneurism cause by a sepsis or bacteremia by mrsa. Can cause endocarditis, meningitis and encephalitis. Takotsubo cardiomyopathy(broken heart syndrome) is a rare cause of heart failure. Usually cause by a very intense emotional event. Severe infection, by some reference, a very rare cause. With actual evidence base data, i will answer no to your question. ...Read more

Normal : Low heart rates w/out symptoms can be nl in healthy active individuals. The fact that ur hr increases w/ movement is helpful and points towards normalcy. ...Read more

Not exactly: There is limited evidence that heart valve problems are related to JHS, however, it is a well known feature of other conditions associated with hypermobility such as Marfan syndrome, Downs syndrome or possibly EDS type IV. ...Read more

Yes: Wolff parkinson white syndrome involves abnormal electrical behavior of the heart producing spasms of palpitations and rapid heart rhythms. The cause is an abnormal electrical structure of the heart which is present at birth. ...Read more

Stressed heartache: Broken heart syndrome refers to a very stressful situation, such as loss of loved one, and may present as sudden chest pain. It is not a heart attack, but is brought on by a surge of the body's stress hormones, causing the heart to temporarily pump abnormally. Resolves in about a week. However, one cannot presume chest pain during severe stress is this, and a physician must make this determination. ...Read more

I's not sure: What you mean by broken heart syndrome. It sounds like someone being upset about the end of a relationship. I doubt that it has anything to do with panic attacks. ...Read more

Uncommon: The majority of cases of takotsubo cardiomiopathy occur in women older than 50y/o. Very uncommon diagnosis. I have seen one case in 28 years of practice. ...Read more

Continuum: Coronary disease develops from our lifestyle and as we age real blockage develops in some or all coronary vessels. One or more plaques disrupt and obstruct. If adequate collateral pathways exist may just vagus transient angina or pain. Angina is pain without damage. If not adequate flow, or collateral, acute myocardial infarction- heart attack occurs and that is "damage". Heart failure may follow. ...Read more

You have already: Undergone many of the tests to exclude any ischemia to heart muscle, but the only way to rule out any congenital coronary artery anomalies is by angiogram. Talk with your cardiologist, but chance of finding any significant anomalies seem small to me with all negative results so far. ...Read more

Maybe: Usually broken-heart syndrome is self-limited (i.e., it resolves after some time) and generally occurs in individuals with some previous cardiac problem that made them more susceptible to cardiomyopathy. Also, it's usually in individuals older than teenagers who've had a long time of stress and cardiac problems. However, a teenager could theoretically get it depending on their medical history. ...Read more

Would hope so: The only test you did not have is nuclear stress test and cardiac ct, but i would think with all these tests you covered most bases. ...Read more

Stress Hormones: Broken Heart syndrome or apical balooning as some call it results from severe stress like the loss of a loved one, during the episode which usually resolves in a wk time, the person may experience chest pain and shortness of breath, there is some disruption of the normal pumping functions of the heart. if chest pain and SOB continue, one needs to seek medical help ...Read more

With compassion: The best thing to help relieve a "broken heart syndrome" is the presence of a compassionate person. It's important to seek out a psychotherapist with expertise in grief counseling. If the problem occurred because of physical stress, counseling is still very much indicated, particularly with someone trained in mind-body medicine. ...Read more

Get seen: Some folks are born with problems with the av node and its branches ("right bundle branch block", etc.), or a tiny heart attack or a bit of amyloid or a few other things can cause troubles here as well. A cardiologist visit's probably in order, and you may end up chatting about whether you want an electronic pacemaker. ...Read more

Occasionally: Kawasaki disease can lead to most commonly a specific rash, fever, swollen lymph nodes, and specific changes to the lips/tongue and hands/feet. However, there are specific changes that can occur in the heart. Occasionally this may lead to a murmur, which is a specific sound of blood flowing through the heart. Most often, though, kawasaki disease causes heart inflammation without a murmur. ...Read more

It can: Low voltage in an EKG suggest cardiomyopathy. Which goes by the hand with Heart Failure. - In addition Electrical Alternans in the EKG is also suggestive of heart failure ...Read more

Myocarditis: Cardiac MRI could diagnose myocarditis.

Concerning: The abnormalities you have described raise concern for heart disease in a young woman like yourself. You should see a cardiology specialist soon to do further evaluations. ...Read more

Yes: At your age, the risk is not high unless you have very high blood lipid, diabetes, hypertension, and/or strong family history of heart disease. Stress echocardiogram or ekg is one of such tests. ...Read more