Sultana Syeda S, Nisar Sibtain, Kumar Fnu Manoj, Khan Haysum, Saeed Hamayle, Ahmed Gulfam, Malik Jahanzeb
Department of Medicine, Southern Medical College, Chittagong, Bangladesh.
Department of Medicine, Lady Reading Hospital, Peshawar, Pakistan.
Curr Probl Cardiol. 2023 Dec;48(12):101997. doi: 10.1016/j.cpcardiol.2023.101997. Epub 2023 Jul 26.
Takotsubo Cardiomyopathy, also known as "broken heart syndrome," is a transient cardiac condition characterized by sudden left ventricular dysfunction, often triggered by emotional stress or significant life events. While research has predominantly focused on the impact of negative emotions and emotional stressors, there is a growing interest in understanding the role of positive emotions in this unique cardiac syndrome. This narrative review explores the emerging research on positive emotions and Takotsubo Cardiomyopathy. It provides an overview of studies investigating the relationship between positive emotions and the condition, highlighting key findings and observations. Positive emotions, such as joy, happiness, gratitude, and optimism, have been associated with improved emotional well-being, better-coping mechanisms, and potential cardiovascular protection. Some studies suggest that individuals experiencing higher levels of positive emotions may have a reduced risk of developing Takotsubo Cardiomyopathy. However, the research in this area is still limited, with small sample sizes and challenges in quantifying positive emotions. Additionally, the interplay between positive and negative emotions requires further exploration to fully understand their impact on cardiovascular health. Despite these limitations, harnessing positive emotions in cardiac care holds promise for enhancing patient outcomes and emotional well-being. Integrating positive psychology into clinical practice and cardiac rehabilitation may lead to more holistic and patient-centered approaches to cardiovascular care. Further longitudinal studies, interventional trials, and mechanistic investigations are needed to strengthen the evidence base and identify potential therapeutic perspectives. As research progresses, addressing these gaps will provide valuable insights into the complex relationship between emotions and cardiovascular health, benefiting patients affected by Takotsubo Cardiomyopathy and other cardiovascular conditions.
应激性心肌病，又称“心碎综合征”，是一种短暂的心脏疾病，其特征为突发左心室功能障碍，常由情绪应激或重大生活事件引发。虽然研究主要集中在负面情绪和情绪应激源的影响上，但人们越来越关注积极情绪在这种独特心脏综合征中的作用。这篇叙述性综述探讨了关于积极情绪和应激性心肌病的新兴研究。它概述了调查积极情绪与该疾病之间关系的研究，突出了关键发现和观察结果。诸如喜悦、幸福、感恩和乐观等积极情绪，与改善情绪健康、更好的应对机制以及潜在的心血管保护相关联。一些研究表明，积极情绪水平较高的个体患应激性心肌病的风险可能较低。然而，该领域的研究仍然有限，样本量较小，且在量化积极情绪方面存在挑战。此外，积极情绪与消极情绪之间的相互作用需要进一步探索，以充分了解它们对心血管健康的影响。尽管存在这些局限性，但在心脏护理中利用积极情绪有望改善患者的治疗效果和情绪健康。将积极心理学融入临床实践和心脏康复可能会带来更全面、以患者为中心的心血管护理方法。需要进一步的纵向研究、干预试验和机制研究来加强证据基础，并确定潜在的治疗前景。随着研究的进展，填补这些空白将为情绪与心血管健康之间的复杂关系提供有价值的见解，使受应激性心肌病和其他心血管疾病影响的患者受益。
