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High Risk of Death and Complications from Broken Heart Syndrome Persists

The risk of death or complications from the stress-related heart condition associated with stressful events, such as the death of a loved one — called Takotsubo cardiomyopathy or broken heart syndrome — was high and unchanged from 2016 to 2020, according to data from a national study that included nearly 200,000 U.S. adults.

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The risk of death or complications from broken heart syndrome was high between 2016 and 2020

Takotsubo cardiomyopathy, also known as broken heart syndrome, is a serious stress-related heart condition in which part of the heart temporarily enlarges and doesn’t pump well. This can lead to severe, short-term failure of the heart muscle and potentially be fatal.

According to new research published in the Journal of the American Heart Association, the death rate from Takotsubo cardiomyopathy was relatively high without significant changes over the five-year study period. The rate of in-hospital complications also remained elevated.

Researchers analyzed health records in the Nationwide Inpatient Sample database to identify people diagnosed with Takotsubo cardiomyopathy from 2016 to 2020. They found that this condition is associated with a substantial risk of death and severe complications.

“We were surprised to find that the death rate from Takotsubo cardiomyopathy was relatively high without significant changes over the five-year study,” said study author M. Reza Movahed, M.D., Ph.D., an interventional cardiologist and clinical professor of medicine at the University of Arizona’s Sarver Heart Center in Tucson, Arizona.

“The continued high death rate is alarming, suggesting that more research be done for better treatment and finding new therapeutic approaches to this condition,” he added.

The analysis also found age-related differences that could serve as a useful diagnostic tool in discriminating between heart attack/chest pain and Takotsubo cardiomyopathy. This may prompt earlier diagnosis of the condition and remove assumptions that it only occurs in the elderly.

However, the study had limitations, relying on data from hospital codes that could have errors or overcount patients hospitalized more than once or transferred to another hospital. There was also no information on outpatient data, different types of Takotsubo cardiomyopathy, or other conditions that may have contributed to patients’ deaths.

Movahed noted the need for further research about the management of patients with Takotsubo cardiomyopathy and the reason behind differences in death rates between men and women.

Cholesterol

A Rainbow on Your Plate: How a Diverse Diet of Flavonoids Can Add Years to Your Life

New research has found that those who consume a diverse range of foods rich in flavonoids, such as tea, berries, dark chocolate, and apples, could lower their risk of developing serious health conditions and have the potential to live longer.

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A groundbreaking study has revealed that consuming a diverse range of foods rich in flavonoids, such as tea, berries, dark chocolate, and apples, can lower the risk of developing serious health conditions and potentially lead to a longer lifespan. The research, conducted by a team of scientists from Queen’s University Belfast, Edith Cowan University Perth, and the Medical University of Vienna, tracked over 120,000 participants aged 40-70 years old for more than a decade.

Flavonoids are powerful compounds found in plant-based foods like tea, blueberries, strawberries, oranges, apples, grapes, and even red wine and dark chocolate. The study’s findings show that increasing the diversity of flavonoids within your diet can help prevent conditions such as type 2 diabetes, cardiovascular disease (CVD), cancer, and neurological diseases.

The research team led by Dr. Benjamin Parmenter, a Research Fellow at ECU, discovered that consuming around 500 mg of flavonoids per day was associated with a 16% lower risk of all-cause mortality, as well as a 10% lower risk of CVD, type 2 diabetes, and respiratory disease. That’s roughly the amount found in two cups of tea.

However, the study revealed that those who consumed the widest diversity of flavonoids had an even lower risk of these diseases, even when consuming the same total amount. For example, instead of just drinking tea, it’s better to eat a range of flavonoid-rich foods to make up your intake, as different flavonoids come from different foods.

The study’s co-lead author, Professor Aedín Cassidy from Queen’s University Belfast, emphasized that higher intakes of dietary flavonoids can reduce the risk of developing heart disease, type 2 diabetes, and neurological conditions like Parkinson’s. The researchers also noted that different flavonoids work in different ways, some improving blood pressure, others helping with cholesterol levels and decreasing inflammation.

The findings are significant as they suggest that consuming a higher quantity and wider diversity of flavonoids has the potential to lead to a greater reduction in ill health than just relying on a single source. The study’s results also align with popular claims that eating colourful foods is invaluable for maintaining good health.

As the first-ever dietary guidelines for flavonoids recommend increasing consumption to maintain health, this study provides inaugural evidence that we may also need to advise increasing diversity of intake of these compounds for optimal benefits. The results provide a clear public health message, suggesting that simple and achievable dietary swaps, such as drinking more tea and eating more berries and apples for example, can help increase the variety and intake of flavonoid-rich foods, and potentially improve health in the long-term.

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Prolonging Life in Severe Heart Disease: Combination Therapy Shows Promising Results

Aortic valve narrowing (aortic stenosis) with concomitant cardiac amyloidosis is a severe heart disease of old age that is associated with a high risk of death. Until now, treatment has consisted of valve replacement, while the deposits in the heart muscle, known as amyloidosis, often remain untreated. Researchers have now demonstrated that combined treatment consisting of heart valve replacement and specific drug therapy offers a significant survival advantage for patients.

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The severe heart disease of old age, characterized by aortic valve narrowing (aortic stenosis) combined with cardiac amyloidosis, has long been associated with a high risk of death. For years, treatment has focused on replacing the narrowed heart valve, while often leaving the amyloid deposits in the heart muscle untreated. A groundbreaking international study led by MedUni Vienna and University College London has now demonstrated that combining heart valve replacement with specific drug therapy can significantly prolong life for patients with this condition.

Led by Christian Nitsche (Department of Medicine II, Clinical Division of Cardiology, MedUni Vienna) and Thomas Treibel (Department of Cardiovascular Imaging, University College London), the research team analyzed data from 226 patients with aortic stenosis and concomitant cardiac amyloidosis from ten countries. Their study revealed that both aortic valve replacement and treatment with the drug tafamidis for amyloidosis were associated with a lower risk of death.

Most impressively, the survival benefit was highest in patients who received both forms of treatment. “Our results show that patients with both conditions who received valve replacement and specific amyloidosis therapy had similar long-term survival rates to people with aortic stenosis without amyloidosis,” emphasized study leader Christian Nitsche.

The targeted therapy can slow the progression of amyloidosis, while valve replacement treats the mechanical stress caused by the narrowed heart valve. The research suggests that around ten percent of patients with aortic stenosis also have amyloidosis, but this is often not diagnosed in everyday clinical practice.

“Our findings also suggest that patients with severe aortic valve stenosis should be screened for amyloidosis so that we can offer them targeted life-prolonging treatment options,” Christian Nitsche emphasized.

This study offers new hope for patients with severe heart disease and highlights the importance of combining therapy to improve outcomes. By targeting both the mechanical stress caused by aortic stenosis and the debilitating effects of cardiac amyloidosis, doctors can now provide their patients with more effective life-prolonging treatment options.

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“Breaking Down Barriers to IBS Relief: The Mediterranean Diet’s Promising Pilot Study Results”

In a comparative pilot study, the Mediterranean diet and the low FODMAP diet both provided relief for patients with IBS.

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Breaking Down Barriers to IBS Relief: The Mediterranean Diet’s Promising Pilot Study Results

A groundbreaking pilot study from Michigan Medicine researchers has revealed that the Mediterranean diet may provide symptom relief for individuals with irritable bowel syndrome (IBS). Conducted on patients diagnosed with either IBS-D (diarrhea) or IBS-M (mixed symptoms of constipation or diarrhea), this innovative study aimed to compare the efficacy of two popular dietary interventions: the Mediterranean diet and the low FODMAP diet.

The research team randomly assigned participants into two groups, one following the Mediterranean diet and the other adhering to the restriction phase of a low FODMAP diet. The primary endpoint was an FDA-standard 30% reduction in abdominal pain intensity after four weeks. Notably, while both diets showed symptom relief, the low FODMAP group experienced greater improvement measured by both abdominal pain intensity and IBS symptom severity score.

The study’s findings are significant, given that a majority of patients with IBS prefer dietary interventions over medication. Furthermore, restrictive diets like low FODMAP can be difficult to adopt due to their complexity and potential for nutrient deficiencies. In contrast, the Mediterranean diet is already well-established as a beneficial eating pattern for overall health.

The study’s lead author, Prashant Singh, MBBS, emphasized that “restrictive diets can be costly and time-consuming” and may even lead to disordered eating behaviors. The researchers believe that further studies comparing the long-term efficacy of the Mediterranean diet with the low FODMAP reintroduction phase are necessary to fully understand its potential as an effective intervention for patients with IBS.

The University of Michigan’s William Chey, M.D., senior author on the paper, added that “this study adds to a growing body of evidence which suggests that a Mediterranean diet might be a useful addition to the menu of evidence-based dietary interventions for patients with IBS.”

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