​A CARDIOTHORACIC surgeon warned Friday that heartbreak — or severe emotional stress — can have an adverse effect on health. ​Dr. Avenilo Aventura Jr., director II of the Philippine Heart Association, told The Manila Times that the condition is called takotsubo cardiomyopathy, also known as "broken heart syndrome." ​“Takotsubo cardiomyopathy mimics a heart attack without blocked arteries. It involves sudden weakening of the heart muscle, which can manifest as chest heaviness, shortness of breath and irregular heart rate,” Aventura said. ​He noted that emotional stress can also increase stress hormones — such as cortisol and adrenaline — which increase heart rate and blood pressure. Aventura said this physiological response, if left unchecked, can lead to cardiac distress or exacerbate existing heart conditions. ​He emphasized the importance of recognizing stress and seeking support. “Social support can greatly reduce our physiologic responses to stress (decrease stress hormones), thereby reducing cardiac distress," he said. ​The American Heart Association (AHA), he noted, has recognized the link between psychological health and heart disease, stating that emotional resilience and proper support after cardiac events can improve outcomes and reduce the risk of future heart issues. ​Aventura highlighted the role of positive lifestyle habits in managing stress and reducing cardiovascular risks. He urged Filipinos to get adequate sleep, get at least 150 minutes weekly of moderate exercise and avoid smoking to keep the heart healthy, emphasizing that prevention is always better than cure. ​“Know your health numbers: monitor blood pressure, blood sugar and cholesterol levels," he said. "Consult with your doctor and screen for hypertension, diabetes and dyslipidemia; get personalized risk assessments; adjust medications and lifestyle plans as needed.”