00:00Now, let's talk about a different condition of the heart called Broken Heart Syndrome.
00:08How did a broken hearted person find out about this disease, Meiji?
00:14Profi has an idea.
00:16Let's find out the answer with the cardiologist, Dr. Cristina Anson-Sombrero.
00:22Good morning and welcome back to Rise and Shine Philippines.
00:29Yes, good morning, Rise and Shine Philippines.
00:31Dr. Cristina, good morning. This is Profi together with Meiji.
00:35Doc, we want to know, Meiji, what is this?
00:37What is this Broken Heart Syndrome and why is it called Broken Heart Syndrome?
00:44Yes, yes, correct.
00:46Broken Heart Syndrome is also called Stress Cardiomyopathy, Optical Ballooning Syndrome,
00:51Subocardiomyopathy, or Stress Induced Cardiomyopathy.
00:55This is a type of heart disease where there is a temporary increase and decrease of the left side of the heart.
01:02That is why this is called Broken Heart Syndrome.
01:05This is usually caused by a heart attack at first.
01:09So, doc, is there a need for a broken hearted person to have this Broken Heart Syndrome?
01:18Yes, yes, this is related to severe stress.
01:21So, this can be due to physical, such as illness, infection, after surgery, or any acute medical condition.
01:31It can also be due to severe emotional stress, such as problems in love life,
01:36loss of loved ones in life, especially if this is sudden,
01:40severe anger, related problems, financial or employment, problems in love life.
01:46So, this is a big factor, especially for young people.
01:49It can be due to natural disaster, or even extreme happiness when we are very happy.
01:55So, basically, any event that gives emotional stress can induce this type of condition.
02:01Doc Tina, I want to know, is this Broken Heart Syndrome also a psychosomatic disorder?
02:09Does it start in your mind that I am broken hearted until the symptoms manifest physically?
02:17Is it like that, doc?
02:20Yes, yes, this is related to our thinking, especially this predisposing factor,
02:27which means that when we have anxiety or affective disorder,
02:31this also has a relationship when we have headaches or migraine disorder.
02:37So, our feelings manifest in our body.
02:42But in this type of disease, our patient can feel a tingling sensation, like a heart attack.
02:50Doc, how is Broken Heart Syndrome different from other types of heart diseases,
02:56like you mentioned, like a heart attack?
02:59Yes, the patient can feel a tingling sensation.
03:03So, our patient will arrive in the emergency room with a heavy heart.
03:08Then, on work-up, we can see that there are changes in ECG,
03:11like ST elevation or depression, or an increase in troponin I or proBNP in the blood.
03:17And there is an increase and decrease in heart pump.
03:21But in this type of heart problem, there is an abnormal movement in the left side of the heart,
03:27which can be seen in ultrasound or 2DFO.
03:31And this is very specific, which we call systolic apical ballooning appearance.
03:36And when the patient goes under an angiogram or PCI,
03:40to look at the roots of the heart, there is no actual significant medicine for the roots.
03:45Usually, this is related to what is called coronary vascular dysfunction or microvascular spasm.
03:52So, the roots of the heart tighten.
03:54There is no medicine inside the roots.
03:57But the roots tighten.
03:59It reduces the flow of blood.
04:02So, the oxygen supply is reduced.
04:04It becomes a habit of having a heavy heart.
04:07And eventually, the heart weakens.
04:10Doc, what are the risk factors that can cause this broken heart syndrome,
04:16aside from the ones you mentioned?
04:19Okay.
04:20So, aside from the major emotional and physical stress I mentioned,
04:24being female is one of the risk factors.
04:28Usually, this occurs when we are in the postmenopausal period.
04:33This is related to the change of estrogen levels during menopause.
04:38So, we also have this type of disease when we have, like I said earlier,
04:43anxiety disorders, migraine, hyperthyroidism, or pulmonary hypertension.
04:49This also has a relationship when a patient uses prohibited drugs,
04:54like cocaine or amphetamine uses.
04:57So, another thing is when we have relatives who have this type of disease,
05:03it gives us very strong family history, right?
05:07So, we also have this.
05:09Especially, when a patient has this condition,
05:13this can happen again if their stress continues.
05:18All right, Doc.
05:19We want to know also, although we already mentioned who can have this broken heart syndrome,
05:24based on the risk factors,
05:29we want to know how many people can have this?
05:35Actually, it is considered rare.
05:38It is usually 1 to 2 percent of those who have chest pain who have this.
05:45So, it is still a big thing that we really have to consult,
05:48to make a consultation so that we can rule out,
05:51because it is still more important to know if there is really a problem
05:55or if there is really a physical problem in the heart itself.
05:59So, Doc, if a person has chest pain, that is the primary symptom, is that right?
06:05Yes, yes.
06:06This chest pain…
06:07It is like a heart attack.
06:09Go on, Doc.
06:11Yes, it is like a heavy heart attack.
06:13There is a pain.
06:14It is like a pain in the chest or in the arms.
06:18It is also associated with difficulty in breathing.
06:22Or sometimes, we also have irregular heartbeats.
06:25So, it can be detected when we consult in the emergency room.
06:30Doc, what kind of advice do you have for patients or people who have broken heart syndrome?
06:37Okay.
06:38First is to seek immediate medical attention.
06:40Because this is the same as the symptoms of a heart attack,
06:43always go to the emergency room if we experience heavy heartbeats or difficulty in breathing.
06:49Second, let us know what are the potential stress triggers so that we can avoid future episodes.
06:55So, we suggest stress management.
06:58So, how is that?
06:59Be mindful for meditation, yoga, exercise, eating healthy,
07:04getting enough sleep, and have a healthy social relationship or support system.
07:10So, we also need to learn how to rest and relax.
07:14Third, we have to follow up with your specialist, with your cardiologist.
07:20Once we are diagnosed with this type of disease, it can recur.
07:24So, once it is stabilized, we have to have a regular follow-up with your cardiologist.
07:30It is essential to monitor your recovery and manage any other concerns.
07:35So, Meiji, if you have a broken heart, you need to support yourself.
07:40And maybe it will manifest in your body.
07:42Yes, stress management.
07:44Thank you so much for your time.
07:46Again, we are here with the adult cardiologist, Dr. Christina Anson-Sombra.
07:51Thank you so much, Doc.
07:52Thank you, Doc.
07:53Thank you, thank you.
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