Diagnosis and Clinical manifestations of Stress Cardiomyopathy


 A sudden temporary weakening of the muscular portion of the heart leads to stress cardiomyopathy, which is one common type of non-ischemic cardiomyopathy. This weakening may be triggered by emotional stress, such as the death of a loved one. 
Stress cardiomyopathy leads to one of the common names, broken heart syndrome.  Ventricular rupture, lethal ventricular arrhythmias, and acute heart failure are caused by Stress cardiomyopathy.

Clinical Manifestations:
The clinical presentation of stress cardiomyopathy is similar to that of an acute coronary syndrome. Symptoms and signs: acute chest pain, dyspnea, and syncope are the most common symptoms of stress cardiomyopathy. Other symptoms include heart failure, tachyarrhythmias, sudden cardiac arrest and bradyarrhythmias.

Diagnosis:
Stress cardiomyopathy most commonly seen in postmenopausal women who present with a suspected acute coronary syndrome, particularly when the clinical manifestations and electrocardiographic abnormalities are out of proportion to the degree of elevation in cardiac biomarkers. A physical or emotional trigger is often but not always present.
Electrocardiogram:Patients suffering from stress cardiomyopathy shows electrocardiographic abnormalities.
Cardiac biomarkers: Serum cardiac troponin levels are elevated in most patients with stress cardiomyopathy.


Treatment:
Treatment is mostly depends on whether patients experience heart failure or acute hypotension and shock. To address the acute symptoms of takotsubo cardiomyopathy, medical treatments are important, further treatment includes lifestyle changes. It is important that the individual stay physically healthy while learning and maintaining methods to manage stress. Treatment is necessary in case of serious complications. These most commonly include very low blood pressure, congestive heart failure, less commonly include blood clotting in the apex of the left ventricle, irregular heartbeat, and tearing of the heart wall.

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