WHY DO FOLKS DIE, WHILE RECOVERING FROM A HEART ATTACK?
Socioeconomic stress-related low T3 can cause heart failure
MORTALITY WITHIN 180 DAYS AFTER A HEART ATTACK
A while ago I received a paper, entitled “Association of Financial Strain With Mortality Among Older US Adults Recovering From an Acute Myocardial Infarction“, in JAMA Intern Med, Published online February 21, 2022, doi:10.1001/jamainternmed.2021.8569, by Jason R. Falvey, PT, DPT, PhD1; Alexandra M. Hajduk, PhD, MPH2; Christopher R. Keys, JD3 and Sarwat I. Chaudhry, MD4.
The paper reads as follows (quote):
“Between 5% and 7% of all older adults in the US report severe financial strain, defined as substantial difficulty meeting monthly needs.1 Severe financial strain among older adults is associated with lower medication adherence,2 which may negatively affect recovery for older adults following an acute myocardial infarction (AMI).** However, the relationships between financial strain and AMI outcomes for older adults have not been evaluated.
In this cohort study, we hypothesized severe financial strain would be associated with elevated mortality risk following an AMI.”
It continues:
“After adjustment, severe financial strain was associated with a 61% increase in 180-day mortality risk compared with those with no strain. Moderate financial strain was not associated with mortality (HR, 1.04; 95% CI, 0.78-1.39). Feb 21, 2022″.
** My “take’ on this conundrum is that it has nothing to do with the patient’s failing to take pills: please see an explanation of the increased mortality in the text box, below.
BOTTOM LINE MESSAGE
When you have a heart attack, the shock, worry and stress of thinking about what has happened to your body is enough to raise your Cortisol.
High cortisol reduces Thyroid3 production inside all the cells in your body.
Most people feel Lucky and privileged, to have survived a heart attack; they are relieved and looking forward to full recovery, especially since the doctors who “saved them” seem to be doing an excellent job.
However if they have anything else to worry about (? the will, job, cash flow, kids ?), the total stress can raise cortisol production high enough to reduce the Thyroid3 in all the cells of the body to almost zero.
Thus they go into Intracellular Hypothyroidism (IH).
