Cardiologist: "This is what a stress cardioreaction looks like"\u00ab<\/h2>\n
When a patient complains of chest pain and the angiogram is normal, I think about autonomic dysfunction, transient ischemia, or stress-induced cardiomyopathy<\/strong>. The heart can function without organic disorders, but react to excess cortisol, adrenaline, hypersympathetic activation<\/strong>.<\/p>\n Vasoconstriction<\/strong> \u2192 increased blood pressure<\/p>\n<\/li>\n Increased heart rate<\/strong> \u2192 tachycardia, arrhythmia<\/p>\n<\/li>\n Release of glucose and fats into the blood<\/strong> \u2192 accelerated aging of blood vessels<\/p>\n<\/li>\n Decreased insulin sensitivity<\/strong> \u2192 metabolic load<\/p>\n<\/li>\n Hypercoagulation<\/strong> \u2192 risk of thrombosis<\/p>\n<\/li>\n<\/ul>\n Chronic stress keeps the heart in good condition readiness to "escape"\u00ab<\/strong>, even when the body is asleep.<\/p>\n It was a normal trip to work. My heart was pounding, I felt scared, my hands were clammy. \u00abThis is a heart attack,\u00bb thought Alexey. He was taken to the hospital. Diagnosis: Takotsubo cardiomyopathy<\/strong>, or broken heart syndrome<\/strong>.<\/p>\n This syndrome occurs more often after a strong emotional shock<\/strong>. Physically, there is a transient violation of the contraction of the left ventricle. On the ECG, there are changes similar to a heart attack. But the arteries are clean. The heart seems to be \u00abtired\u00bb from the release of hormones.<\/p>\n Appointed \u03b2-blockers<\/strong>, that reduce the response to adrenaline<\/p>\n<\/li>\n Offered psychotherapy with a CBT component<\/strong><\/p>\n<\/li>\n Taught to use breathing techniques<\/strong><\/p>\n<\/li>\n Heart rhythm was monitored for 14 days (Holter)<\/p>\n<\/li>\n Moderate physical activity was introduced, caffeine was eliminated<\/p>\n<\/li>\n Added magnesium and cortisol control in dynamics<\/p>\n<\/li>\n<\/ul>\n After 3 months, Alexey regained his sleep, his heart rate stabilized. He continued to work, but learned to notice body signals earlier<\/strong>.<\/p>\n Not all heart symptoms are heart attacks. But cannot be ignored<\/strong><\/p>\n<\/li>\n Stress has physiological effect<\/strong>: changes hormones, metabolism, rhythm<\/p>\n<\/li>\n If the examination is \u00abnormal\u00bb but the heart is \u00abscreaming\u00bb \u2013 it\u2019s not imagination<\/p>\n<\/li>\n Hormone cortisol, adrenaline, insulin \u2014 tests that should be done<\/strong><\/p>\n<\/li>\n Depression and anxiety can have somatic manifestations, including cardio<\/strong><\/p>\n<\/li>\n Lifestyle changes are not an alternative to therapy, but a part of it.<\/p>\n<\/li>\n<\/ul>\n ECG at rest and under stress<\/p>\n<\/li>\n 24\/48 hour Holter monitoring<\/p>\n<\/li>\n Heart ultrasound (echocardiography)<\/p>\n<\/li>\n Tests: cortisol (morning and evening), lipid profile<\/a>, glucose, HOMA-IR<\/a><\/p>\n<\/li>\n Heart rate variability (HRV) is an indicator of autonomic balance<\/p>\n<\/li>\n Cardiologist consultation due to psycho-emotional stress<\/strong><\/p>\n<\/li>\n<\/ul>\n This experience is not unique. And it is not about a sick heart, but about sensitive heart<\/strong>, which reacts when a person ignores their own needs for too long.<\/p>","protected":false},"excerpt":{"rendered":" \u00abI\u2019m 38, my heart is healthy, but something is wrong\u00bb Alexey, a middle manager. All my life without diagnoses, without sick leave. But a few<\/p>","protected":false},"author":627,"featured_media":9528,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-9527","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/posts\/9527","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/users\/627"}],"replies":[{"embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/comments?post=9527"}],"version-history":[{"count":0,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/posts\/9527\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/media\/9528"}],"wp:attachment":[{"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/media?parent=9527"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/categories?post=9527"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/tags?post=9527"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}What exactly happens in the heart during stress?<\/h2>\n
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The story continues: "In the third month I had an attack"\u00ab<\/h2>\n
Doctor's comment:<\/h3>\n
What did they do for Alexei?<\/h2>\n
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What everyone who experiences "emotions in the chest" should know\u00ab<\/h2>\n
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![\"Echocardiogram](\"https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/145.jpg\")
<\/p>\nDiagnostic checklist for suspected stress-induced cardiac stress<\/h2>\n
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