Showing posts with label Love. Show all posts
Showing posts with label Love. Show all posts

Saturday, February 5, 2011

Who dares to love forever? When love must die...

 

Highlander

Who Wants To Live Forever

Queen

Brian May
There's no time for us
There's no place for us
What is this thing that builds our dreams
Yet slips away from us
Who wants to live forever?
Who wants to live forever?
There's no chance for us
It's all decided for us
This world has only one sweet moment
Set aside for us
Who wants to live forever?
Who wants to live forever?
Who dares to love forever?
When love must die
But touch my tears with your lips
Touch my world with your fingertips
And we can have forever
And we can love forever
Forever is our today
Who wants to live forever?
Who wants to live forever?
Forever is our today
Who waits forever anyway?


Erin Everly and Axl Rose

Erin and Axl

Axl and Erin

Axl Rose

Erin Everly

Winona Ryder and Jhonny Depp

Jhonny and Winona

Winona and Jhonny

Winona Ryder

Jhonny Depp

Tom Cruise and Nicole Kidman

Nicole and Tom

Nicole Kidman

Tom Cruise

Sean Penn and Madonna

Madonna and Sean

Sean and Madonna

Madonna

Sean Penn


Sunday, December 19, 2010

I Love Wim Wenders

Wim Wenders

From Wikipedia, the free encyclopedia
Wim Wenders

Wim Wenders, 2005
BornErnst Wilhelm Wenders
August 14, 1945 (1945-08-14) (age 65)
Düsseldorf, Germany
OccupationFilm director
Years active1967–present
SpouseEdda Köchl (1968–74)
Lisa Kreuzer (1974–78)
Ronee Blakley (1979–81)
Isabelle Weingarten (1981–82)
Donata Wenders (1993–)
AwardsSilver Bear Jury Prize
2000 The Million Dollar Hotel
Golden Palm
1984 Paris, Texas
Best Director Award (Cannes Film Festival)
1993 Faraway, So Close!
Golden Lion
1982 The State of Things
Website
http://www.wim-wenders.com
Ernst Wilhelm "Wim" Wenders (born 14 August 1945) is a German film director, playwright, author, photographer and producer.

Contents

  • 1 Early life
  • 2 Career and awards
  • 3 Selected exhibitions
  • 4 Filmography
  • 5 Selected bibliography
  • 6 Quotes
  • 7 See also



 Early life

Wenders was born in Düsseldorf. He graduated from high school in Oberhausen in the Ruhr area. He then studied medicine (1963–64) and philosophy (1964–65) in Freiburg and Düsseldorf. However, he dropped out of university studies and moved to Paris in October 1966 to become a painter. Wenders failed his entry test at France's national film school IDHEC (now La Fémis), and instead became an engraver in the studio of Johnny Friedlander, an American artist, in Montparnasse. During this time, Wenders became fascinated with cinema, and saw up to five movies a day at the local movie theater.
Set on making his obsession also his life's work, Wenders returned to Germany in 1967 to work in the Düsseldorf office of United Artists. That fall, he entered the "Hochschule für Fernsehen und Film München" (University of Television and Film Munich). Between 1967 and 1970 while at the "HFF", Wenders also worked as a film critic for FilmKritik, then the Munich daily newspaper Süddeutsche Zeitung, Twen magazine, and Der Spiegel.
Wenders completed several short films before graduating from the Hochschule with a feature-length 16mm black and white film, Summer in the City.

Wenders at Cannes, 2002

 Career and awards

Wenders began his career with the rise of the New German Cinema at the end of the 1960s, making his feature directorial debut with Summer in the City (1970). Awards that he has received include the Golden Lion for The State of Things at the Venice Film Festival (1982), the Palme d'Or at the 1984 Cannes Film Festival for his movie Paris, Texas, and Best Direction for Wings of Desire in the 1987 Bavarian Film Awards and the 1987 Cannes Film Festival. Wenders was awarded honorary doctorates at the Sorbonne in Paris in 1989 and at the Université Catholique de Louvain, Belgium in 2005. In 1993 he again won the Bavarian Film Awards for Best Director.He was awarded the Leopard of Honour at the Locarno International Film Festival in 2005.
Much of the distinctive cinematography in his movies is the result of a highly productive long-term collaboration with Dutch cinematographer Robby Müller. Some of his more successful and critically acclaimed movies (Paris, Texas and Wings of Desire, for example) have been the result of fruitful collaborations with avant-garde authors Peter Handke and Sam Shepard. Handke's novel, The Goalie's Anxiety at the Penalty Kick was adapted for his second feature film, The Goalkeeper's Fear of the Penalty and Handke co-wrote the script for Wings of Desire and Until the End of the World both featuring Solveig Dommartin.
Wenders has directed several highly acclaimed documentaries, most notably Buena Vista Social Club (1999) about Cuban musicians, and The Soul of a Man (2003) on American blues.
Wenders has directed many music videos for U2, including "Stay (Faraway, So Close!)" and a number of television commercials including a UK advertisement for Carling Premier Canadian beer. His book, Emotion Pictures - a collection of diary essays written while a film student - was broadcast as a series of plays on BBC Radio 3, featuring Peter Capaldi as Wenders, with Gina McKee, Saskia Reeves, Dennis Hopper, Harry Dean Stanton and Ricky Tomlinson, dramatised by Neil Cargill.
Wenders is also a member of the advisory board of World Cinema Foundation. The project was founded by Martin Scorsese and aimed at finding and reconstructing world cinema films that have been long neglected.
Wenders is also a Jury Member for the digital studio Filmaka, a platform for undiscovered filmmakers to show their work to industry professionals.

 Selected exhibitions



2006
Wim Wenders: Immagini dal pianeta terra, Scuderie del Quirinale, Rome, Italy Journey to Onomichi – Photos by Wim and Donata Wenders, Omotesando Hills, Tokyo, Japan Pictures from the Surface of the Earth, images from touring exhibition, Salon of the Museum of Contemporary Art, Belgrade, Yugoslavia Dark Places, curated by Joshua Decter, Santa Monica Museum of Art, Santa Monica, CA
2005
The Forest: Politics, Poetics, and Practice, Nasher Museum of Art at Duke University, Durham, NC Through the Lens, group exhibition, C. Grimaldis Gallery, Baltimore, MD
2004–05
Pictures from the Surface of the Earth, ARoS Aarhus Kunstmuseum, Århus C, Denmark
2004
Pictures from the Surface of the Earth, Australia and Japan, James Cohan Gallery, New York, NY Between The Lines, group exhibition, James Cohan Gallery, New York, NY Images of Time and Place: Contemporary Views of Landscape, group exhibition, Lehman College Art Gallery, Bronx, NY Wim Wenders, Galleria Marabini, Bologna, Italy Through the Lens: Eight Photographers, group exhibition, C. Grimaldis Gallery, Baltimore, Maryland.
2003
Wim Wenders, James Cohan Gallery, New York, NY Wim Wenders, Galerie Judin Belot, Zurich, Switzerland
2000–04
Pictures from the Surface of the Earth, touring exhibition: Hamburger Bahnhof, Berlin (2001), Guggenheim Museum, Bilbao (2002), Haunch of Venison, London (2003); Museum of Contemporary Art, Sydney (2003); City Art Gallery, Wellington, New Zealand; Millennium Art Museum, Beijing, China; Shanghai Museum of Art, Shanghai, China; Guangdong Museum of Art, Guangzhou, China (2004)
2000
Buena Vista Social Club, Rose Gallery, Bergamot Station, Santa Monica, CA
1996
Wim Wenders: Landscape and Memory, Gallery of Contemporary Photography, Santa Monica Wim Wenders: Photos, in conjunction with the publication, Wim Wenders: Photos, Munich Goethe Institute (1996), Goethe Institutes worldwide
1995
Wim Wenders: Landscape and Memory, Gallery of Contemporary Photography, Santa Monica, CA
1993–95
Wim Wenders Photo Exhibition, in conjunction with the publication, Once, Munich: Schirmer/ Mosel (2001), touring exhibition: Palazzo delle Esposizioni, Rome (1993); Villa delle Rose, Bologna (1994); FNAC, Paris (1994); Parco, Tokyo (1994); FNAC, Berlin (1995); Villa Rufolo, Ravello (1995)
1989–94
Wim Wenders Photographs, touring exhibition: Galerie F. C Gundlach, Hamburg (1989); Galerie Marie-Louise Wirth, Zürich (1990); Hochschule für Fernsehen und Film, Munich (1991); Fahey/Klein Gallery, Los Angeles (1991); Shibuya Seibu Dept. Store, Tokyo (1992); Kiyomizu
1989–94
Temple, Kyoto (1992); Musée de L'Elysée, Lausanne (1992); Amerika Haus, Berlin (1992); Venice Biennale (1993); Louisiana Museum of Modern Art, Humlebaek (1993); Sala Parpallo Palau Dels Scala, Valencia (1994); San Telmo Museum, San Sebastian (1994)
1986–92
Written in the West, in conjunction with the publication, Written in the West, Munich: Schirmer/Mosel (1987), touring exhibition: Centre Georges Pompidou, Paris (1986); Encontros de Fotografia, Coimbra (1987); Palazzo della Triennale di Milano (1988); Film Society of Miami (1988); Goethe Institut, Stockholm (1988); Goethe Institut, Copenhagen (1988); Saint-Yrieix-La-Perche (1990); Städtische Galerie Schwarzes Kloster, Freiburg (Breisgau) (1992)

 Filmography

YearTitleGerman titleSummary
1970Summer in the CityFirst full length feature film (Dedicated to The Kinks)
1972The Goalkeeper's Fear of the Penalty (UK) or The Goalie's Anxiety at the Penalty Kick (USA)Die Angst des Tormanns beim ElfmeterAdaptation of a novel by Peter Handke
1973The Scarlet LetterDer Scharlachrote BuchstabeAdapted from the novel by Nathaniel Hawthorne
1974Alice in the CitiesAlice in den StädtenFirst part of Wenders' Road Movie Trilogy
1975The Wrong MoveFalsche BewegungSecond part of Wenders' Road Movie Trilogy, with Nastassja Kinski
1976Kings of the RoadIm Lauf der ZeitThird part of Wenders' Road Movie Trilogy
1977The American FriendDer Amerikanische FreundAdaptation of Patricia Highsmith's novel Ripley's Game
1980Lightning Over WaterDocumentary about the last days of Nicholas Ray
1982Room 666Chambre 666Short documentary interviews directors on the future of cinema, including Steven Spielberg, Jean-Luc Godard, and Rainer Werner Fassbinder. Filmed at Cannes
1982Reverse AngleShort film documents Wenders' disputes with Coppola during Hammett
1982HammettFictional story about Dashiell Hammett, American writer; based on a novel by Joe Gores
1982The State of ThingsStand der Dinge
1984Paris, Texas
1985Tokyo-GaDocumentary about Japanese film director Yasujiro Ozu
1987Wings of DesireDer Himmel über BerlinWritten with Peter Handke
1989Notebook on Cities and ClothesAufzeichnungen zu Kleidern und StädtenDocumentary about Japanese fashion designer Yohji Yamamoto.
1990Red Hot + BlueMusic video for "Night and Day" performed by U2
1991Until the End of the WorldBis ans Ende der Welt
1992Arisha, the Bear and the Stone RingArisha, der Bär und der steinerne Ring
1993Faraway, So Close!In weiter Ferne, so nah!Sequel to Wings of Desire
1994Lisbon StoryPartially a sequel to The State of Things
1995Beyond the CloudsJenseits der Wolken(with Michelangelo Antonioni)
1995The Brothers SkladanowskyDie Gebrüder SkladanowskyAlso known as A Trick of the Light
1997The End of Violence
1998Willie Nelson at the Teatro
1999Buena Vista Social ClubDocumentary about Cuban musicians; made with Ry Cooder
2000The Million Dollar Hotel
2001Souljacker Part 1Music Video for "Souljacker Pt 1" by Eels
2002Ode to Cologne: A Rock 'N' Roll FilmViel passiert - Der BAP-FilmDocumentary about the Cologne rock group BAP
2002Ten Minutes OlderContributed segment "Twelve Miles to Trona"
2003The Soul of a ManDocumentary about Blues musicians
2004Land of Plenty
2005Don't Come Knocking
2008Palermo Shooting

 Selected bibliography

  • Wenders, Wim (1984), Paris, Texas, Nördlingen: Greno, ISBN 978-3-921568-11-8 
  • Wenders, Wim (1986), Emotion pictures: Essays und Filmkritiken, 1968-1984, Frankfurt: Verlag der Autoren, ISBN 978-3-88661-078-5 
  • Wenders, Wim (1989), Emotion pictures: reflections on cinema, London: Faber and Faber, ISBN 978-0-571-15271-1 
  • Shepard, Sam; Wenders, Wim (1991), Paris, Texas: Screenplay, New York: Ecco Press, ISBN 978-0-88001-266-9 
  • Wenders, Wim; Hofmann, Michael (1992), The logic of images: essays and conversations, London: Faber and Faber, ISBN 978-0-571-16517-9 
  • Wenders, Wim (1995), Die Zeit mit Antonioni: Chronik eines Films, Frankfurt: Verlag der Autoren, ISBN 978-3-88661-162-1 
  • Wenders, Wim; Handke, Peter (1998), Der Himmel über Berlin: Ein Filmbuch von Wim Wenders und Peter Handke, Berlin: Suhrkamp Verlag, ISBN 978-3-518-02406-5 
  • Wenders, Wim; Wenders, Donata (2000), The heart is a sleeping Beauty: the Million Dollar Hotel - a film book, New York: teNeues, ISBN 978-3-8238-5468-5 
  • Wenders, Wim; Hofmann, Michael (2000), My time with Antonioni: the diary of an extraordinary experience, London: Faber and Faber, ISBN 978-0-571-20076-4 
  • Wenders, Wim (2001), Written in the West, New York: teNeues, ISBN 978-3-8238-5469-2 
  • Wenders, Wim (2001), Once: pictures and stories, New York: D.A.P./Schirmer/Mosel, ISBN 978-1-891024-25-2 
  • Wenders, Wim; Hofmann, Michael (2001), On film: essays and conversations, London: Faber and Faber, ISBN 978-0-571-20718-3 
  • Lindbergh, Peter; Wenders, Wim (2002), Peter Lindbergh: stories, Santa Fe: Arena Editions, ISBN 978-1-892041-64-7 
  • Steinhilber, Berthold; Wenders, Wim (2003), Ghost towns of the American West, New York: Harry N. Abrams, ISBN 978-0-8109-4508-1 
  • Wenders, Wim; Tawada, Yoko (2007), Where Europe begins, New York: New Directions Publishers, ISBN 978-0-8112-1702-6 

 Quotes

  • "Sex and violence was never really my cup of tea; I was always more into sax and violins."
  • "I consider Ozu my all time grand master."
  • "I want to make personal films, not private films."

 See also

  • James Cohan Gallery

 Wim Wenders and U2 have collaborated many times - He shot a video for their contribution to the AIDS benefit album 'Red Hot and Blue', while they've contributed songs to his film 'Until the End of the World', 'Faraway, So Close!' and 'The Million Dollar Hotel', for which Bono ( U2's frontman and leadsinger) also wrote the story, after beeing inspired by a hotel in downtown L.A. during the filming of a music video. From:http://www.wim-wenders.com/music/wim_and_music.htm

Saturday, December 11, 2010

Broken Heart Syndrome - Takotsubo Syndrome

 

Broken heart

From Wikipedia, the free encyclopedia
A broken heart (or heartbreak) is a common metaphor used to describe the intense emotional pain or suffering one feels after losing a loved one, through death, divorce, breakup, moving, being rejected, or other means.
Heartbreak is usually associated with losing a spouse or loved one, though losing a parent, child, pet, or close friend can also "break one's heart". The phrase refers to the physical pain one may feel in the chest as a result of the loss. Although "heartbreak" is usually a metaphor, there is a condition - appropriately known as "broken heart syndrome" - where a traumatizing incident triggers the brain to distribute chemicals that weaken heart tissue.

Contents

  • 1 Philosophical views
  • 2 Religious views
    • 2.1 Buddhism
  • 3 In classical references
  • 4 Broken Heart Syndrome
  • 5 Feelings associated
  • 6 See also


Philosophical views

For many people having a broken heart is something that may not be recognized at first, as it takes time for an emotional or physical loss to be fully acknowledged. As Jeffrey Moussaieff Masson states:
Human beings are not always aware of what they are feeling. Like animals, they may not be able to put their feelings into words. This does not mean they have no feelings. Sigmund Freud once speculated that a man could be in love with a woman for six years and not know it until many years later. Such a man, with all the goodwill in the world, could not have verbalized what he did not know. He had the feelings, but he did not know about them. It may sound like a paradox — paradoxical because when we think of a feeling, we think of something that we are consciously aware of feeling. As Freud put it in his 1915 article The Unconscious: "It is surely of the essence of an emotion that we should be aware of it. Yet it is beyond question that we can 'have' feelings that we do not know about."

 Religious views

Buddhism

Regarding the sadness of loss and heartbreak, the Buddha had the following admonition:
O, monks! Why should every female, male, layperson, or priest always consider that all things they love would one day go away from them? What is the advantage of taking the said matter into consideration? Hearken, monks! All fondness and love existing in the beings lead them to perform physical, verbal or mental bad deeds. Upon having always taken such matter into consideration, the being will be able to leave or lighten such fondness and love. O, monks! That is the advantage that every female, male, layperson, or priest should always consider that all things they love would one day go away from them.

 In classical references

This biblical reference highlights the issues of pain surrounding a broken heart:
Psalm 69:20 Insults have broken my heart and left me weak, I looked for sympathy but there was none; I found no one to comfort me.
In this Psalm, King David says that insults have broken his heart, not loss or pain. It is also popular belief that rejection, major or minor, can break an individual's heart. This heartbreak can be greatly increased if rejected by a loved one or someone whom you respect.
Plays of William Shakespeare feature characters dying from a broken heart, such as Ahenobarbus.

 Broken Heart Syndrome

In many legends and fictional tales, characters die after suffering a devastating loss. But even in reality people die from what appears to be a broken heart. Broken heart syndrome is commonly blamed for the death of a person whose spouse is already deceased, but the cause is not always so clear-cut. The condition can be triggered by sudden emotional stress caused by a traumatic breakup, the death of a loved one, or even the shock of a surprise party. Broken Heart syndrome is clinically different from a heart attack because the patients have few risk factors for heart disease and were previously healthy prior to the heart muscles weakening. The recovery rates for those suffering from "broken heart syndrome" are faster than those who had heart attacks and complete recovery to the heart was achieved within two weeks .

 Feelings associated

The symptoms of a "broken heart" can manifest themselves through psychological pain but for many the effect is physical. Although the experience is regarded commonly as indescribable, the following is a list of common symptoms that occur:
  • A perceived tightness of the chest, similar to an anxiety attack
  • Stomachache and/or loss of appetite
  • Partial or complete insomnia
  • Anger
  • Shock
  • Nostalgia
  • Apathy (loss of interest)
  • Anhedonia (inability to feel pleasure)
  • Feelings of loneliness
  • Feelings of hopelessness and despair
  • Loss of self-respect and/or self-esteem
  • Medical or psychological illness (for example depression)
  • Suicidal thoughts (in extreme cases)
  • Nausea
  • Fatigue
  • The thousand-yard stare
  • Constant or frequent crying
  • Takotsubo cardiomyopathy
  • A feeling of complete emptiness
  • In extreme cases, death

 See also

  • Anger
  • Combat stress reaction
  • Stress cardiomyopathy, also known as "broken heart syndrome"
  • Heart
  • Heart (symbol)
  • Emptiness
  • Limerence
  • Love
  • Loneliness
  • Grief
  • Suffering
  • Physical pain
  • Psychological pain
  • Interpersonal relationship
  • Intimate relationship
  • Depression

 
Takotsubo cardiomyopathy

From Wikipedia, the free encyclopedia
 
Takotsubo cardiomyopathy
Classification and external resources

Schematic representation of takotsubo cardiomyopathy (A) compared to the situation in a normal person (B).
ICD-9429.83
DiseasesDB33976
eMedicinearticle/1513631
MeSHD054549

The Japanese octopus traps after which this disease is named.

Left ventriculogram during systole displaying the characteristic apical ballooning with apical motionlessness in a patient with takotsubo cardiomyopathy.

(A) Echocardiograph showing dilatation of the left ventricle in the acute phase. (B) Resolution of left ventricular function on repeat echocardiograph 6 days later.

ECG showing sinus tachycardia and non-specific ST and T wave changes from a patient with confirmed takotsubo cardiomyopathy.
Takotsubo cardiomyopathy, also known as transient apical ballooning syndrome,apical ballooning cardiomyopathy,stress-induced cardiomyopathy, broken-heart-syndrome, Gebrochenes-Herz-Syndrom, and simply stress cardiomyopathy, is a type of non-ischemic cardiomyopathy in which there is a sudden temporary weakening of the myocardium (the muscle of the heart). Because this weakening can be triggered by emotional stress, such as the death of a loved one, a break-up, or constant rejection, the condition is also known as broken heart syndrome. Stress cardiomyopathy is a well-recognized cause of acute heart failure, lethal ventricular arrhythmias, and ventricular rupture.
The typical presentation of someone with takotsubo cardiomyopathy is a sudden onset of congestive heart failure or chest pain associated with ECG changes suggestive of an anterior wall myocardial infarction. During the course of evaluation of the patient, a bulging out of the left ventricular apex with a hypercontractile base of the left ventricle is often noted. It is the hallmark bulging out of the apex of the heart with preserved function of the base that earned the syndrome its name "tako tsubo", or octopus trap in Japan, where it was first described.The cause appears to involve high circulating levels of catecholamines (mainly adrenaline/epinephrine). Evaluation of individuals with takotsubo cardiomyopathy typically includes a coronary angiogram, which will not reveal any significant blockages that would cause the left ventricular dysfunction. Provided that the individual survives their initial presentation, the left ventricular function improves within 2 months. Takotsubo cardiomyopathy is more commonly seen in post-menopausal women.Often there is a history of a recent severe emotional or physical stress.

Contents

1 Etiology
  • 2 Diagnosis
  • 3 Histology
  • 4 Treatment
  • 5 Prognosis
  • 6 Statistical analysis
  • 7 Gallery


 Etiology

The etiology of takotsubo cardiomyopathy is not fully understood, but several mechanisms have been proposed.
  1. Wraparound LAD: The left anterior descending artery (LAD) supplies the anterior wall of the left ventricle in the majority of patients. If this artery also wraps around the apex of the heart, it may be responsible for blood supply to the apex and the inferior wall of the heart. Some researchers have noted a correlation between takotsubo and this type of LAD.Other researchers have shown that this anatomical variant is not common enough to explain takotsubo cardiomyopathy. This theory would also not explain documented variants where the midventricular walls or base of the heart does not contract (akinesis).
  2. Transient Vasospasm: Some of the original researchers of takotsubo suggested that multiple simultaneous spasms of coronary arteries could cause enough loss of blood flow to cause transient stunning of the myocardium.Other researchers have shown that vasospasm is much less common than initially thought.It has also been noted that when there are vasospasms, even in multiple arteries, that they do not correlate with the areas of myocardium that are not contracting.
  3. Microvascular Dysfunction: The theory gaining the most traction is that there is dysfunction of the coronary arteries at the level where they are no longer visible by coronary angiography. This could include microvascular vasospasm, however it may well also have some similarities to the diseases such as diabetes mellitus. In such disease conditions the microvascular arteries fail to provide adequate oxygen to the myocardium.
It is likely that there are multiple factors at play which could include some amount of vasospasm, failure of the microvasculature, and an abnormal response to catecholamines (such as epinephrine and norepinephrine, released in response to stress).Case series looking at large groups of patients report that some patients develop takotsubo cardiomyopathy after an emotional stress or, while others have a preceding clinical stressor (such as an asthma attack or sudden illness). Roughly one third of patients have no preceding stressful event.A recent large case series from Europe found that takotsubo was slightly more frequent during the winter season. This may be related to two different possible/suspected pathophysiological causes: coronary spasms of microvessels, which are more prevalent in cold weather, and viral infections – such as Parvovirus B19 – which occur more frequently during the winter season.

 Diagnosis

Transient apical ballooning syndrome or takotsubo cardiomyopathy is found in 1.7–2.2% of patients presenting with acute coronary syndrome.While the original case reports reported on individuals in Japan, takotsubo cardiomyopathy has been noted more recently in the United States and Western Europe. It is likely that the syndrome went previously undiagnosed before it was described in detail in the Japanese literature.
The diagnosis of takotsubo cardiomyopathy may be difficult upon presentation. The ECG findings are often confused with those found during an acute anterior wall myocardial infarction. It classically mimics ST-segment elevation myocardial infarction, and is characterised by acute onset of transient ventricular apical wall motion abnormalities (ballooning) accompanied by chest pain, dyspnea, ST-segment elevation, T-wave inversion or QT-interval prolongation on ECG. Elevation of myocardial enzymes is moderate at worst and there is absence of significant coronary artery disease.
The diagnosis is made by the pathognomic wall motion abnormalities, in which the base of the left ventricle is contracting normally or are hyperkinetic while the remainder of the left ventricle is akinetic or dyskinetic. This is accompanied by the lack of significant coronary artery disease that would explain the wall motion abnormalities. Although, apical ballooning has been classically described as the angiographic manifestation of takotsubo, it has been shown that left ventricular dysfunction in this syndrome includes not only the classic apical ballooning, but also different angiographic morphologies such as mid-ventricular ballooning and rarely local ballooning of other segments.
The ballooning patterns were classified by Shimizu et al. as takotsubo type for apical akinesia and basal hyperkinesia, reverse takotsubo for basal akinesia and apical hyperkinesia, mid-ventricular type for mid-ventricular ballooning accompanied by basal and apical hyperkinesia and localised type for any other segmental left ventricular ballooning with clinical characteristics of takotsubo-like left ventricular dysfunction.

 Histology

Focal myocytolysis is reported as an origin of this cardiomyopathy. No microbiological agent has been associated so far with takotsubo cardiomyopathy. Kloner et al. reported that a pathologic change in the myocardium was not demonstrated in the stunned myocardium. Infiltration of small mononuclear cells has been documented in some cases; these pathologic findings suggest that this cardiomyopathy is a kind of inflammatory heart disease, but not a coronary heart disease. There is also a report describing histologic myocardial damage without coronary heart disease.

Treatment

The treatment of takotsubo cardiomyopathy is generally supportive in nature. In individuals with hypotension, support with inotropic agents or an intra-aortic balloon pump have been used. In many individuals, left ventricular function normalizes within 2 months.Aspirin and other heart drugs also appear to help in the treatment of this disease, even in extreme cases.

 Prognosis

Despite the grave initial presentation in some of the patients, most of the patients survive the initial acute event, with a very low rate of in-hospital mortality or complications. The patients are expecting a favorable outcome once recovering from the acute stage of the syndrome, and the long-term prognosis is excellent. Even when ventricular systolic function is heavily compromised at presentation, it typically improves within the first few days and normalises within the first few months.Although infrequent, recurrence of the syndrome has been reported and seems to be associated with the nature of the trigger.

 Statistical analysis

The increased awareness of this syndrome led life insurers to analyse mortality rates in general. In a March 2008 study, Jaap Spreeuw and Xu Wang of the Cass Business School observed that in the year following a loved one’s death, women were more than twice as likely to die than normal, and men more than six times as likely.The broken heart syndrome also led financial analyst David X. Li to develop the Gaussian copula models for the pricing of collateralized debt obligations where at times seemingly unrelated entities become subject to sympathetic financial defaults based on common (but at times not obvious) links. Gallery

 



Scorpions

When Love Kills Love

Scorpions

When love kills love
Suddenly I think I always knew
I had my share of mistakes made quite a few
Finally I know when that's for sure
I don't look back in anger anymore
Suddenly the sun comes up again
There's a new beginning when we pass the end
Finally I know when that's for sure
I don't look back in anger anymore
When love kills love
Will someone rescue me
When love kills love
It's cutting through so deep
Suddenly I wake up from a dream
Someone tells me I've been talking in my sleep
Finally I know when that's for sure
I don't believe in daydreams anymore
When love kills love
Will someone rescue me
When love kills love
It's cutting through so deep
Well life goes round
and upside down
it's pretty mad
When love kills love
Will someone set me free
When love kills love
It's cutting through so deep
How can we choose when all we loose is all we have
(solo)
We run away from all the pain
When love kills love
Will someone rescue me
When love kills love
It's cutting through so deep
When love kills love

Friday, November 26, 2010

Winona Forever

Winona Ryder


Johnny Depp and Winona Ryder


Thursday, November 18, 2010

William and Kate


Kate Middleton And Prince William of Wales
 You are so beautiful to me.