If your doctor suspects you have broken heart syndrome, he or she will use these exams and tests to make a diagnosis:
Mar. 01, 2014
- Personal history and physical exam. In addition to a standard physical exam, your doctor will want to know about your medical history, especially whether you've ever had heart disease symptoms. People who have broken heart syndrome typically don't have any heart disease symptoms before they're diagnosed with broken heart syndrome. Also, your doctor will want to know if you've experienced any major stresses recently, such as the death of a loved one.
- Electrocardiogram (ECG). In this noninvasive test, a technician will place wires on your chest that record the electrical impulses that make your heart beat. An ECG records these electrical signals and can help your doctor detect irregularities in your heart's rhythm and structure.
- Chest X-ray. Your doctor will likely order a chest X-ray of your chest to see if your heart is enlarged or has the shape that's typical of broken heart syndrome, or to see if there are any problems in your lungs that could be causing your symptoms.
- Echocardiogram. Your doctor may also order an echocardiogram to see if your heart is enlarged or has an abnormal shape, a sign of broken heart syndrome. This noninvasive exam, which includes an ultrasound of your chest, shows detailed images of your heart's structure and function. Ultrasound waves are transmitted, and their echoes are recorded with a device called a transducer that's held outside your body. A computer uses the information from the transducer to create moving images on a video monitor.
- Blood tests. Most people who have broken heart syndrome have an increased amount of certain enzymes in their blood. Your doctor may order blood tests to check for these enzymes to help diagnose broken heart syndrome.
- Coronary angiogram. During a coronary angiogram, a type of dye that's visible by X-ray machine is injected into the blood vessels of your heart. Then, an X-ray machine rapidly takes a series of images (angiograms) that give your doctor a detailed look at the inside of your blood vessels. People with broken heart syndrome don't usually have any blockages in these blood vessels, while people who've had a heart attack usually have a blockage that is visible on an angiogram.
- Reeder GS, et al. Stress-induced (takotsubo) cardiomyopathy. http://www.uptodate.com/home. Accessed Oct. 6, 2013.
- Prasad A, et al. Apical ballooning syndrome (Tako-Tsubo or stress cardiomyopathy): A mimic of acute myocardial infarction. American Heart Journal. 2008;155:408.
- Sharkey SW, et al. Takotsubo (Stress) cardiomyopathy. Circulation. 2011;124:e460.
- Kurisu S, et al. Tako-tsubo cardiomyopathy: Clinical presentation and underlying mechanism. Journal of Cardiology. 2012;60:429.
- Izumi Y. Drug-induced Takotsubo cardiomyopathy. Heart Failure Clinics. 2013;9:225.
- Sharkey SW. Takotsubo cardiomyopathy natural history. Heart Failure Clinics. 2013;9:123.
- Papadakis MA, et al. Current Medical Diagnosis & Treatment 2013. 52nd ed. New York, N.Y.: The McGraw-Hill Companies; 2013. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=1. Accessed Oct. 6, 2013.
- Summers MR, et al. Takotsubo cardiomyopathy definition and clinical profile. Heart Failure Clinics. 2013;9:111.
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