Takotsubo cardiomyopathy or broken heart syndrome or stress induced cardiomyopathy is an acute stress induced cardiomyopathy particularly after a very distressing event esp an emotional one. There is no problem with the coronary vessels but the walls show ballooning. The condition can be self-limiting or turn chronic in some.
Patients often present with chest pain, have ST-segment elevation on electrocardiography (ECG), and have elevated cardiac enzyme levels consistent with myocardial infarction (MI). However, when the patient undergoes cardiac angiography, left ventricular (LV) apical ballooning is present, and there is no significant coronary artery stenosis.
(Reference- emedicine medscape)
Tabacum the homoeopathic medicine has acute dilatation of heart after a severe shock.
(Reference- Acute dilatation caused by shock or violent physical exertion. Boerick Materia Medica)
Case- A young male of 40 yr of age came with complaint of low ejection fraction (44%) on echo, taking modern medicine for last 5 yrs. He was normotensive, non-diabetic, active, non-smoker prior to development of his tiredness, which was later diagnosed as cardiomyopathy. On detailed questioning by author, it was found that his complaints started after sudden unexpected demise of his father with who he was very close. This had affected him deeply. There was no history of any viral illness, positive family history of heart complaints or any other significant past history. The case was thus diagnosed as Takotsubo Cardiomyopathy or Broken Heart Syndrome. Patient was given a dose of TABACUM 1M, and another dose of TABACUM 10M after 4 months. In between along with his allopathic medicine ARJUNA Q was also given. An echo after 6 months month showed EF of 55%, with marked improvement in his symptoms and quality of daily life.
(Reference- The Book of Cause and Effect and It’s Homoeopathic Remedies- Dr Shivangi Jain)