Friday, September 27, 2019

Certain hearts 'unfit' for donation no more

 Many hearts are declared unfit for donation due to stress-induced heart failure. But a recent study found that this condition has no bearing on the outcome of a transplant further opening path for up to 30 per cent more heart transplants.

"Systematic utilisation of these hearts would mean a breakthrough for heart transplantation, as more patients could be accepted for transplantation," said  senior lecturer. The study, is based on particulars of 641 potential heart donors in Sweden in the years 2006-2016.

Either these people, who had been declared brain-dead, had said yes to donation during their lives or their survivors had given the go-ahead. As many as 24 per cent of potential donors had acute stress-induced cardiomyopathy, or broken heart syndrome, in which cardiac function is impaired in one part of the heart, while the other parts beat normally. This condition is caused by the massive surge in stress hormones observed in the course of brain death.

The functional impairment appears to be transient: Within a few hours or days, the heart recovers. Nevertheless, there are recommendations that these hearts should not be transplanted. The selection process, therefore, varies from one location to another. To date, the transplantation centre in Gothenburg has had the favourable clinical experience of transplanting hearts with stress-induced heart failure, and there were 42 such cases in the current study.

The results show that when the donors' hearts had been subject to stress-induced heart failure, the outcomes for recipients were no different. Neither was mortality affected; rather, it conformed to the expected 20 per cent rate in both groups after ten years.

"The impairment in cardiac function seems to be temporary and is not caused by coronary artery disease or other heart diseases. This fact fits well with stress-induced heart failure. When we repeatedly examine these hearts, we see that their function recovers quickly," says the researcher.

More studies are to follow the current one, to verify the results. Ending disqualification of donors with stress-induced heart failure is seen as especially urgent since the condition arises more often in young people, whose hearts are otherwise well suited for donation. "We estimate that the supply of donor's hearts could be increased by 20-30 per cent if these hearts are used," he concluded.  


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Thursday, October 04, 2018

Can a Broken Heart Kill You?

 If you've ever been dumped by somebody who you loved intensely, you should know the unmistakable feeling of heartbreak all too well. Sometimes the pain goes away for a while before another wave of sadness comes crashing into you just a while later. When it may feel like too much to bear, many have often wondered whether you can actually die of a broken heart. Keep reading and find out...

1. Stress-Induced Cardiomyopathy
Well, the simple answer is, unfortunately, yes. It is known by doctors as “stress-induced cardiomyopathy,” in which the stress that your suffering is placing on your heart becomes so intense that it stops beating.
According to a heart surgeon, "for some people, the stress of losing a loved one, or any kind of stressful event in your life, does precipitate a whole bunch of reactions in the physical body as well as in your mind that can cause disease and sometimes cause someone to pass away.”
The Dr. also said that it does "things like, increase your heart rate and blood pressure, makes your heart work faster, makes your blood sticky, and ruins your immune system.”
2. Takotsubo Cardiomyopathy
When professionals speak of dying from a broken heart, they are typically referring to a very rare condition known as 'takotsubo cardiomyopathy.'
According to the Dr., "what happens is in an acutely stressful event … there is a massive rush of adrenaline and it causes something similar to a heart attack," and that “when it comes to takotsubo, we do actually see all of the tests that point to a heart attack.”
3. Older Women Are Most Vulnerable
Recent studies have shown that 90% of reported takotsubo cases occur for women aged between 58 and 75. However, most physical sufferers were healed within a month, and only 5% of women who die from cardiac arrest have been diagnosed with the disorder.
This syndrome is supposedly the reason why studies have shown your risk of death increases in the first month after losing a loved one. It is also the reason why you hear so many tales of people who have been together for a very long time passing on within a very short time-frame of each other.
4. It's All in Your Head
When it comes to breakups, the root of the problem is located in your mind and not in your heart. In fact, many have often made connections between the mind of a drug addict and the mind of a person in love.
Since romantic love stimulates the brain's pleasure receptors in a similar way to a drug high, people in love will feel euphoric when in the presence of the object of their affection, while suffering from separation anxiety and intense cravings when they're apart.
This also means that a person who has been abandoned by someone they love will suffer from the same sort of terrible withdrawal symptoms that a heroin addict will go through when trying to wean themselves off of the drug.
5. Time Is the Best Healer
The best piece of news is that scientists have found that time does physically heal such wounds. In fact, they found that the more time that passes after the breakup, the less activity related to the attachment is found in the brain.
According to a biological anthropologist and author, the best thing to do while waiting for time to heal your wounds is to reflect upon the breakup instead of distracting yourself.
She says that "it seems to be healthy for the brain, to instead of just wallowing in despair, to think about the situation more actively and try to work out how you’re going to handle it,” she said. So, if ever you feel like you're never going to get better after experiencing heartbreak, remember that this too shall pass.

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