Partners: Death Plays a Hand

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Being widowed is not like being divorced, Sophie Townsend says.

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Dating after the death of a partner - ABC News (Australian Broadcasting Corporation)

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Dating after the death of a partner

Your party has a problem when the total female MPs in one state can be counted on one hand. But, so far, no large studies had examined the link between stressful life events and atrial fibrillation. Our study, conducted at Aarhus University and published in the journal Open Heart this week, was based on data from nearly one million patients. It has shown a significant link between loss of a partner and development of atrial fibrillation.

This is concerning as atrial fibrillation is associated with increased risk of death , stroke and heart failure. An irregular heartbeat has also been linked to lower quality of life. In our population-based case-control study, we took information about 88, patients in Denmark who were newly diagnosed with atrial fibrillation between and and compared it with , healthy people.

LEND A HAND: Partner's death left woman emotionally, financially devastated

Both groups were matched on age and sex. Among those with atrial fibrillation, 17, had lost a partner.

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In the control group, this number was , The risk was higher in those under 60 years olds and the effect was most dramatic in those who had unexpectedly lost a healthy partner. Our study is the first to show that severe stress could play a significant role in the development of atrial fibrillation.

Studies have suggested acute stress may directly disrupt normal heart rhythms and prompt the production of chemicals involved in inflammation, which is a physical response to injury or infection. Bereavement, such as after the loss of a partner, often brings about symptoms of mental illness such as depression, anxiety, guilt, anger and hopelessness. Losing a partner to death ranks highly on a psychological scale of severely stressful life events. Such stress could affect basic hormonal processes.

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The release of adrenalin, for instance, is useful in acute danger — as it increases your heart rate and diverts blood to your muscles so you can run or fight — but it can disrupt heart rhythm if the release is excessive and prolonged. Acute mental stress may also create imbalance in the central nervous system — the autonomic nervous system — that controls many basic functions.

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It also modulates our heart frequency and the electrical nerve pathways that run through the heart to the muscle, facilitating a synchronised contraction of the heart chambers. Our study indicates that people experiencing severe mental stress from bereavement are a vulnerable group that might need more medical attention. With a biologically plausible association, early identification of this group is currently a major challenge in the health-care system. We are currently experiencing substantial levels of stress in modern society. And while stress is a potentially modifiable risk factor, many people develop stress-related illnesses, that are a key driver to growing health-care costs.

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