The Science Behind Stress: From Theory to Clinic, Is Basal Septal Hypertrophy the Missing Link between Hypertension and Takotsubo Cardiomyopathy?

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dc.authorscopusid58791833900
dc.authorscopusid7003580267
dc.authorscopusid59195958500
dc.authorscopusid26026594500
dc.authorscopusid7202901126
dc.contributor.authorÇağatay, Boran
dc.contributor.authorYalçin, Fatih
dc.contributor.authorKıraç, Adnan
dc.contributor.authorKüçükler, Nagehan
dc.contributor.authorAbraham, Maria Roselle
dc.date.accessioned2024-09-19T15:41:25Z
dc.date.available2024-09-19T15:41:25Z
dc.date.issued2024
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractThe modern theory of stress, initially proposed by Hans Selye in 1956, signifies an important development in our understanding of this phenomenon. Selye’s The Stress of Life serves as a foundational book for subsequent scientific questions. In this article, we focus on a comprehensive look at stress and use a literature review to explain its theoretical foundations as well as its clinical equivalent. Our research focuses on the complex mechanisms of stress, with a particular emphasis on the consequences of cardiac remodeling and adaptation processes. Myocardial remodeling might be seen as a response to increased stress in acute or chronic situations. Stressed heart morphology (SHM) is a very interesting description representing basal septal hypertrophy (BSH), which is detectable in both acute emotional stress and chronic stress due to increased afterload in hypertension. Acute stress cardiomyopathy (ASC) and hypertension in the same individuals could be clinically linked. Also, in this report, we mention the geometric and functional similarity of the left ventricle (LV) septal base in both acute and chronic clinical situations. Therefore, cardiac imaging methods are crucial to assessing LV segmental aspects in ASC patients. We propose a new paradigm that ASC may develop in hypertensive patients with SHM. We document the segmental progression of microscopic LV remodeling using a third-generation microscopic ultrasound and note that BSH takes a longer time to occur morphologically than an acutely developed syndrome. However, the majority of ASC events have a predominant base, and the absence of segmental remodeling details, including BSH and cardiac decompensation with apical ballooning, on echocardiographic reports may mask the possible underlying hypertensive disease. In fact, beyond ASC cases, previously undiagnosed hypertension is very common, even in developed countries, and is associated with masked target organ damage. © 2024 by the authors.en_US
dc.description.sponsorshipAmerican Government Fulbrighten_US
dc.identifier.doi10.3390/stresses4020021
dc.identifier.endpage341en_US
dc.identifier.issn2673-7140
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-85197142338en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage330en_US
dc.identifier.urihttps://doi.org/10.3390/stresses4020021
dc.identifier.urihttps://hdl.handle.net/20.500.12483/14249
dc.identifier.volume4en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherMultidisciplinary Digital Publishing Institute (MDPI)en_US
dc.relation.ispartofStressesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectacute stress cardiomyopathyen_US
dc.subjectbasal septal hypertrophyen_US
dc.subjectearly imaging biomarkeren_US
dc.subjecthypertensionen_US
dc.subjectstressed heart morphologyen_US
dc.titleThe Science Behind Stress: From Theory to Clinic, Is Basal Septal Hypertrophy the Missing Link between Hypertension and Takotsubo Cardiomyopathy?en_US
dc.typeReview Articleen_US

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