Treatments and drugsBy Mayo Clinic staff
There are no standard treatment guidelines for treating broken heart syndrome. Treatment is similar to treatment for a heart attack until the diagnosis is clear. Most people stay in the hospital while they recover.
Once it's clear that broken heart syndrome is the cause of your symptoms, your doctor will likely prescribe heart medications for you to take while you're in the hospital, such as angiotensin-converting enzyme (ACE) inhibitors, beta blockers or diuretics. These medications help reduce the workload on your heart while you recover and may help prevent further attacks. Many patients make a full recovery within one to two months. Ask your doctor how long you will need to continue taking these medications once you recover.
Procedures that are often used to treat a heart attack, such as balloon angioplasty and stent placement, or even surgery, are not helpful in treating broken heart syndrome. These procedures treat blocked arteries, which are not the cause of broken heart syndrome. However, coronary angiography is often used to diagnose exactly what's the cause of the chest pain.
- Nef HM, et al. Mechanisms of stress (Takotsubo) cardiomyopathy. Nature Reviews. 2010;7:187.
- Wynne J, et al. Cardiomyopathy and myocarditis. In: Fauci AS, et al. Harrison's Principles of Internal Medicine. 17th ed. New York, N.Y.: McGraw Hill Medical; 2008. http://www.accessmedicine.com/content.aspx?aID=2902533. Accessed Dec. 8, 2010.
- Brenner ZR, et al. Takotsubo cardiomyopathy. Heart and Lung. 2008;37:1.
- Derrick D. The "broken heart syndrome": Understanding Takotsubo cardiomyopathy. Critical Care Nurse. 2009;29:49.
- Grogan M (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 14, 2010.
- Martin EA, et al. Endothelial function and vascular response to mental stress are impaired in patients with apical ballooning syndrome. Journal of the American College of Cardiology. 2010;56:1840.
- Rosenow E (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 11, 2010.