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Takotsubo Cardiomyopathy - Drug regime ?

After my supposed MI last year my new cardiologist tells me it looks like I had broken-heart syndrome, or stress induced acute cardiomyopathy.   left side of my heart peppered with minor damage and reduced EF (to about 45%).

this is otherwise known as  Takotsubo Cardiomyopathy.  In the literature the recovery rate is very high for TC, and recovery occurs quickly.  What I would like to know is whether this calls for long terms treatment with Coreg as a more typical cardiac event might call for.    I would like to get off of all drugs, or at least minimize the dosage.   I will be discussing with my Dr in November during follow-up, but wondered if anyone here had experience with this.
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Avatar universal
MEDICAL PROFESSIONAL
Hi, like you mentioned Takotsubo Cardiomyopathy has been recognized recently. In broken heart syndrome, a part of the heart temporarily enlarges and doesn't pump well, while the remainder of the heart functions normally or with even more forceful contractions. The symptoms of broken heart syndrome are treatable, and the condition usually reverses itself in about a week.  So, you will need to continue your medications till your symptoms last after which they can be weaned off.  Improvement in your symptoms and investigations can be used as a guide for dosage reduction. Regards.
Avatar universal
Hi.  I had the same thing happen four years ago.  I was told I had excellent cholesterol, good blood pressure, no blocked arteries, and no heart disease.  Yet they still wanted to put me on Lipitor (which I knew has bad side effects related to the brain and memory) so I refused.  They also put me on other stuff which made me feel dizzy after two days so I refused that too.  I took the baby aspirin though for a few months and eventually dropped that too.  I refuse to take medicine if there are other options like diet, exercise or lifestyle.  For me I needed to chill out!  I needed to meditate, stop watching the news, and cut out all caffeine.  With time, I came to believe that the daily cup of strong coffee I had triggered my stress induced cardiomyopathy.  It was that, coupled with some dehydration and exertion on a hot day, plus my high stress lifestyle of those days. (All “good” stuff, but still highly stressful.)  If my heart is sensitive to the adrenaline related chemicals that get triggered due to stress, then drinking coffee is like pouring lighter fluid on top of burning coals. I sadly cannot drink it anymore without experiencing unwanted consequences.  Caffeine is a drug.  
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