When Your Heart Goes Out

Kirsten Weir looks at the very real phenomenon of deadly grief:

Studies from around the world have confirmed that people have an increased risk of dying in the weeks and months after their spouses pass away. In 2011, researchers from Harvard University and the University of Yamanashi, Tokyo pooled the results of 15 different studies, with data on more than 2.2 million people. They estimated a 41 percent increase in the risk of death in the first six months after losing a spouse.

The effect didn’t just apply to the elderly. People under 65 were as likely to die in the months following a spouse’s death as those over 65. The magnitude of the “widowhood effect” was much stronger for men than it was for women. … While women might be more resilient to losing a spouse, however, they aren’t immune to the deadly effects of grief. A 2013 study of more than 69,000 women in the United States found that a mother’s risk of dying increased 133 percent in the two years following the death of a child.

Weir goes on to describe “broken heart syndrome,” also known as stress-induced cardiomyopathy:

It appears to be brought on by a sudden surge in stress hormones including epinephrine (more commonly known as adrenaline) and its chemical cousin norepinephrine. That rush of hormones is a normal, healthy response to extreme stress. It fuels the body’s famed “fight or flight” response that prepares you for dealing with major threats. But in some cases the sudden flood of hormones essentially shocks the heart, preventing it from pumping normally. On an X-ray or ultrasound, the heart’s left ventricle appears enlarged and misshapen. The unusual shape is said to resemble a Japanese octopus trap called a tako-tsubo, hence the syndrome’s other alias: Takotsubo cardiomyopathy. The syndrome doesn’t permanently damage the heart’s muscle tissue, and patients often make a full recovery. …  Still, the condition can be deadly if the misshapen heart can’t pump enough blood to the rest of the body.

Earlier this year, a study identified over 20,000 cases of the syndrome across the US. The results found that they were most common in areas affected by natural disasters:

Missouri and Vermont possessed the highest number of reported cases, and the latter, with 380 cases per million residents, had more than double most other states. The data came from the same year Hurricane Irene wreaked the worst havoc Vermont had seen in decades. Similarly, the “cluster” in Missouri occurred near the site of 2011’s massive Joplin tornado. And while there might have been a number of other factors affecting these results, the general research takeaway suggests natural disasters can strongly contribute to cardiomyopathy.