A woman quarreled and induced a myocardial infarction! The angiography results showed that the blood vessels were not blocked, but it turned out to be cardiomyopathy

Ms. Zhao, 59 years old, had a quarrel with her daughter-in-law over household chores and suffered a "myocardial infarction"!

You may not have heard of such cases, but we encounter them every year. Quarrels can lead to true myocardial infarction as well as false myocardial infarction.
What is the situation of the 59-year-old Ms. Zhao whom we recently admitted?

At 8 o'clock in the morning, Ms. Zhao and her daughter-in-law quarreled over some trivial household matters. Her son was always caught in the middle and didn't know what to do, so when the mother-in-law and daughter-in-law quarreled, her son would slip away early.
Even a judge cannot settle family disputes. There is no right or wrong in this kind of quarrel. It will be over in a few days.
Every time after a quarrel, Ms. Zhao would feel uncomfortable, but after a while, she would be fine after calming down. But this time was different. This time, Ms. Zhao was so angry that her whole body was shaking, her chest was tight and she was short of breath. These symptoms continued and did not ease. It was obvious that Ms. Zhao looked ugly and uncomfortable. Her son and husband tried to persuade her several times, but Ms. Zhao was still unyielding and insisted on arguing with her daughter-in-law.
Finally, Ms. Zhao was so exhausted that she just lay down. The whole family didn't eat lunch. She lay on the bed, holding her breath and sighing deeply. When it was time for dinner, the family saw Ms. Zhao still lying on the bed and prepared to call her to get up and eat something. Ms. Zhao sighed deeply and said that she couldn't do it anymore and that she didn't want to live anymore.

Normally, Ms. Zhao would get better in half a day at most, at least it would not affect her eating, drinking, defecating or urinating. But this time, Ms. Zhao was lying in bed all the time, so her family felt something was wrong and advised her to go to the hospital.
Usually when they quarreled, they said they would take Ms. Zhao to the hospital, and everyone was just being polite, just to give Ms. Zhao a way out, and Ms. Zhao would not go to the hospital. But this time, when they said they would go to the hospital, Ms. Zhao immediately agreed. It seems that Ms. Zhao was really upset this time.
When I went to the hospital and had an electrocardiogram, it showed acute myocardial infarction and elevated myocardial enzymes.

The cardiologist diagnosed acute myocardial infarction, which could be confirmed with an electrocardiogram and myocardial enzymes. So I rushed to the catheterization room to prepare for angiography and possibly stenting.
This scared the family members, especially the son, who was frightened and angry. He kept scolding his daughter-in-law and said he would go back and see how to deal with her.

The essence of myocardial infarction is the rupture of plaques in the heart and blood vessels, which causes thrombosis. The thrombosis blocks the heart and blood vessels, causing myocardial infarction. Anger is indeed a factor that induces plaque rupture. There is also a possibility that anger may cause vascular spasm, leading to spasmodic myocardial infarction.

Studies have found that when we are angry, the risk of sudden cardiac death will increase by 7 times, so we have been educating everyone not to get angry and to maintain a good attitude.
After the angiography, no obvious blood clots, blockages or severe stenosis were found in Ms. Zhao's heart vessels. In other words, Ms. Zhao had a heart disease this time, but it was not what we call acute myocardial infarction.

So what is the name of Ms. Zhao's heart disease? Is it dangerous?
Ms. Zhao's heart disease is called stress cardiomyopathy, which is a type of heart disease caused by anger or major emotional fluctuations.

This type of heart disease is often related to emotions, so it is called stress cardiomyopathy. It is a sudden thinning of the left ventricular myocardium. When filled with blood, it is like a balloon or an octopus's head, so it is also called myocardial ballooning or octopus crown heart disease.

The symptoms of this heart disease are almost identical to those of myocardial infarction, such as severe chest pain, a feeling of pressure behind the sternum, difficulty breathing and syncope. The electrocardiogram will also be the same as that of myocardial infarction, and even myocardial enzymes will be elevated, so we often diagnose it as acute myocardial infarction.
Because we cannot use ordinary methods to distinguish whether it is myocardial infarction or stress cardiomyopathy, when we encounter this kind of heart disease, we will follow the rescue process of acute myocardial infarction before excluding myocardial infarction.
Only after cardiac angiography is performed and no obvious stenosis or blockage is found, and a left ventricular angiography is performed at the same time, can "stress cardiomyopathy" be basically confirmed. Once stress cardiomyopathy is diagnosed, the patient should be hospitalized for symptomatic and supportive treatment. This heart disease is not as serious as myocardial infarction. Most of the prognosis of this heart disease is better than myocardial infarction, but a small number of people will still have complications such as heart failure, arrhythmia, and even death.

A good attitude is the basis for preventing heart disease:

Because the cardiomyopathy caused by anger is relatively mild, if it triggers myocardial infarction, the danger is greater. An article published in the journal Circulation shows that strong emotions or actions can cause sympathetic nerve excitement and increase the body's catecholamine levels, leading to increased blood pressure and heart rate, vasoconstriction, and even plaque rupture and thrombosis, causing myocardial infarction.
Research has found that anxiety increases the risk of heart attack by 9.5 times, and anger can increase our risk of heart disease by 7.5 times within 2 hours.

Therefore, please stay positive, sunny, optimistic and grateful. I advise everyone not to get angry, as anger may cause stress-induced cardiomyopathy or acute myocardial infarction. The person who makes you angry will be fine, but you will be the one who harms your body!