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Men are more likely to die of 'broken heart syndrome’!, study says

Though women are more commonly diagnosed, new research shows men face significantly higher risks of complications and death from Takotsubo cardiomyopathy

By MahmudPublished 9 months ago 4 min read

Men are more likely to die of 'broken heart syndrome’!, study says

Men Are More Susceptible to Dying of Broken Heart Syndrome: The Increasing Gap Between the Gender in Takotsubo Cardiomyopathy

"Broken heart" is a term often thrown around without much thought, but as it turns out, a "broken heart" has some serious medical risks. The phrase “broken heart syndrome” literally refers to stress-induced cardiomyopathy which is a temporary heart condition triggered by severe emotional or physical stress. In simpler terms, Takotsubo cardiomyopathy, a more clinical term for it, is one of the heart conditions that have a name as beautiful as the phrase describes. And here’s the kicker: men, while less susceptible to the syndrome, are more likely to die from it.

Understanding “Broken Heart Syndrome”

The condition was first reported about in the 90s in Japan and it does have some similarities with actual heart attacks: the feel of pain in the chest area, extreme difficulty in breathing, and changes in the Electrocardiogram (ECG). However, it lacks one very crucial element: occluded coronary arteries which are a hallmark of true myocardial infarction.

The syndrome derives its name from the Japanese word 'takotsubo,' which translates to an octopus trap like an old fishing device resembling the shape of a heart’s left ventricle during an episode. The condition causes the main chamber of the heart to pump blood to temporarily balloon and weaken, often following some kind of shock like the death of a loved one, an illness, loss of finances or, in some cases, a positive shock such as a surprise party.

Gendered Differences in Prevalence and Aged Specific Mortality-

Women, particularly postmenopausal women, make up approximately 90% of all diagnosed cases of broken heart syndrome. Their primary reproductive hormone, estrogen is believed to have a protective effect on the woman’s cardiovascular system and declines subsequently after menopause which may increase vulnerability.

Regardless, men constitute only about 10% of the cases, but research has consistently shown that this group has a disproportionately higher mortality or serious complication hazard from the condition. An article published in the Journal of the American Heart Association noted that male hospital patients with Takotsubo cardiomyopathy are at least 2 times more likely to die in hospital as compared to female patients. More men also suffer from cardiogenic shock than women do. The term 'shock' is used to refer to a pathological condition in which the heart fails to supply enough blood to sustain the life of the body.

Why do men die more easily?

This gap in men and women mortality rate is not well understood, but there are several factors that might explain it.

Existing Health Issues: Men suffering from broken heart syndrome tend to have more advanced comorbid conditions like cancer or chronic infections which can worsen the syndrome.

Underestimation of Severity: Because it’s a woman’s disease, doctors may not assume a male patient to have Takotsubo, leading to underestimated severity and thus delayed treatment.

Different Types of Stress: While emotional stress for women is more common, in men it's physical stress which includes but is not limited to, surgery, trauma, or acute illness. These tend to trigger more severe cardiac involvement.

Men are more likely to suffer from complications due to lacking adaptive ability “cardiac reserve” in the case of sudden cardiac dysfunction compared to women.

Implications Pertaining to Health Care

Men and women are not treated the same way like in regard to public health meetings and participants of the meeting do not prepare health campaign materials based on brochures for all. Acute heart syndrome is more than an emotional problem. It is a medical emergency that requires immediate action. There is rapid recognition and treatment of heart role failure which subserves to enhance the heart performance. Out of despair, patients will recover from the stroke, but only if something is done to support them and shield the strain they endure. Treatment greatly enhances the outcome.

Providers are not to be lax or assume that the disease might be rare because men suffer more than women. More care bearing acute coronary syndrome need to have the attention of physician regardless of outcome difference. More attention bearing male worshippers of the church also need to be cared for to understand how come men fair worse heavily need investigation. Differences still require and reporting structure need streamlined, tested gaps and protocols changed adapted for these specific risks.

Final Thoughts

The idea of dying of a broken heart may feel like a romantic notion, but science has confirmed that emotional or physical stress can be very serious — and cause — a broken heart. Women are at higher risk, but men have more to fear once it arrives. This paradox highlights the importance of improving education and of earlier recognition and more individualized treatment approaches in this fascinating and mysterious field of cardiology.

When it comes to affairs of the heart, both literal and figurative, it’s obvious that heartbreak may actually be deadly — and that some men may need more protection than we ever knew.

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