Restrictions caused an increase in ‘broken heart syndrome’ cardiologist prof. dr. alpay turan sezgin: “exercise should be continued as much as possible”

Restrictions applied due to the corona virus pandemic caused an increase in broken heart syndromes. Cardiology Specialist Prof. Dr. Alpay Turan Sezgin said, “This disease usually occurs in people who are overly stressed, do not make effort, and are locked at home. Exercise should be continued as much as possible, ”he said.
The restrictions applied for more than a year due to the corona virus have brought many diseases. Acıbadem Adana Hospital Cardiology Specialist Prof. Dr. Alpay Turan Sezgin stated that there has been an increase in “takotsubo cardiomyopathy”, which develops due to inactivity and known as “broken heart syndrome”.

“Mortality rate due to heart diseases increased”
Sezgin said that people who did not go to the hospital during the pandemic process also got serious diseases and said, “There have been serious changes in heart diseases due to the corona virus. When patients who have previously had heart failure and hypertension are infected with Covid19, the process is much more severe. Advanced age also increases the risk, ”he said.
Reminding that in the early days of the pandemic, the discontinuation of high blood pressure medications came to the fore with the thought that the receptors to which the Covid19 virus attaches to the cell are in interaction with the heart medications used. Dr. Sezgin later said the following:
“Studies have shown that these drugs are absolutely harmless and we should continue with the drugs. In the months when the Covid19 pandemic was first seen, coronary angiographies were postponed, except for a heart attack, in order to use hospital beds and resources in corona patients. There was a serious decrease in the number of heart attacks and heart failure cases coming to the hospital. But the death rate due to heart disease has increased. Many patients died because they did not want to come to the hospital. “

“Serious psychological distress occurred”
Stating that the restrictions also cause an increase in heart disease known as “broken heart syndrome” by the public, Prof. Dr. Alpay Turan Sezgin said, “As the length of stay at home, serious psychological problems started to occur. “The increase in broken heart syndrome is one of them,” he said.
Explaining that the syndrome, which was first described in Japan in 1990 and also known as “takotsubo cardiomyopathy”, is caused by sudden changes in mood after intense physical and psychological stress. Dr. Sezgin said, “The increase in stress hormone causes loss of movement in the left ventricle of the heart, deterioration in the heart muscle cell and the ends of the coronary vascular bed. “Heart failure with a heart attack can occur in these patients,” he said.
Stating that this syndrome occurs with symptoms similar to a heart attack, Prof. Dr. Sezgin said, “After intense stress, there is chest pain and shortness of breath. In addition, nausea, sweating, feeling of badness, pain in the left arm and stomach area, numbness and burning sensation are among the symptoms, ”he said.

Complete treatment is possible with correct diagnosis
Warning that the syndrome can lead to death if the correct diagnosis and treatment is not applied, Prof. Dr. Alpay Turan Sezgin said, “In the treatment, ACE inhibitors, beta blockers and diuretic drugs are used, which increase the pumping power of the heart and reduce stress hormone levels. According to psychiatric evaluation, antidepressants and stress-reducing drugs can be added to the treatment. With the right treatment, 80 percent of patients can recover without heart damage. However, permanent heart failure, severe cardiac irregularity and death can be seen in the 20 percent group, ”he said.



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