More women than men suffer a heart attack

More women than men suffer a heart attack


How many women are aware of heart disease problems?

It is only ten years that attention is paid to how many women suffer from cardiovascular disease and stroke. In 1997, only 30% of US women surveyed were aware of the cardiovascular disease. Although there have been numerous media campaigns, this awareness has increased to about 52% of women in 2009. About 3.3 million women are affected by heart attacks each year, and many die from heart disease. In the United States, nearly one in four of the women's deaths fall into this disease. In 2013, about 290,000 deaths have died from heart disease. Every year in Australia, about 12,000 women have died of cancers and 31,000 women from heart disease, a recent study shows.

It is found that women less seek help in time than men in heart problems. This is due to the fact that heart disease is less common in women than in men due to unusual symptoms. Women with lower social development are 25% more likely to suffer a heart attack. Thus, the number of deaths from such diseases in men and women in Australia equals.

Gender refers to socially defined roles, behaviors and expectations. This determines the difference in the causes of heart disease in men and women. For many years, women have not been included in clinical trials in this area. The risk factors and how they appear now are found to be different for both sexes. Common risk factors include high cholesterol, obesity, smoking and physical inactivity. But gestational diabetes, premature birth, hypertension in pregnancy and breast cancer treatment are specific to women.

What is gestational diabetes?

This is a disease that occurs for the first time during pregnancy. As with other forms of diabetes, the ability of cells in the body to use carbohydrates is affected. This is one of the most common metabolic diseases in pregnancy, causes increased blood glucose/glucose levels in the blood and may have serious short-term and long-term adverse effects on the baby and the mother.

To what extent can pregnancy hypertension occur?

Arterial hypertension during pregnancy is one of the most significant problems in recent years, despite improved conditions for early diagnosis and follow-up during this period, and is associated with high mortality for the mother and the fetus. Currently, the incidence of hypertension is about 10% in the first months and up to 20% in the last trimester of pregnancy, with the trend for an increase in this rate due to the increasing age of women with the first pregnancy. On the other hand, the poor health culture of the population with regard to disease prevention and limited contact between pregnant and specialized care is also the cause of delayed diagnosis. Severe clinical cases may lead to serious complications for the mother (pulmonary edema, placental detachment, DIK syndrome, renal failure, cerebrovascular accidents, etc.). The presence of autoimmune disorder also increases the risk of heart disease more in women than in men.

Now researchers are also interested in the relationship between cardiovascular diseases in women and mental illnesses such as depression and post-traumatic stress disorder (PTSD). The common symptoms of a heart attack in both sexes are most commonly chest pain. But women experience fewer symptoms such as shortness of breath, weakness, fatigue, nausea. Both genders may experience neck, back and jaw pains that are not as typical symptoms.

Timely diagnosis of a heart attack is a prerequisite for less heart muscle loss and reduces the risk of heart damage or death. Less typical symptoms in women often lead to a heart attack - women have less obstructive models in the coronary arteries (vessels that supply blood to the heart). Women are likely to develop heart failure twice as much as men, and this is usually the case in older age. Heart failure occurs when the heart does not provide enough blood for the body's needs and usually manifests itself in symptoms such as fatigue and shortness of breath. Heart failure in women usually develops at a later age.

This condition is associated with high levels of early death and poor quality of life. High blood pressure (hypertension) is a strong risk factor: 80-90% of patients with HFpEF have high blood pressure. Accompanying heart disease is arthritis and diabetes, which aggravate the general condition of the body. On the other hand, women usually live on their men, which leads to a lower financial level and support in everyday activities. Senior women also live alone, as they are more often widowed than men. Probably they have reduced the financial resources and the need for increased instrumental support in day-to-day activities. This may mean that they are less capable of fulfilling their prescriptions.

Older women who are diagnosed with heart disease reduce their chances of adequate exercise that is important for optimizing cardiac function and promoting the physical function of healthy aging. Outside hospital programs are known as cardiac rehabilitation, which includes several disciplines, including nurses, doctors, nutritionists, physiologists and professional therapists, reduces early death and is approved in clinical practice guidelines around the world. These programs address risk factors and teach people how to manage their illness. Although programs are recommended primarily for people suffering from heart attack or coronary artery bypass, programs are increasingly recommended for those who suffer from heart failure.

Unfortunately, the available information shows that in the US men are after the young people and women to be enrolled in these programs. This can be due to many reasons. Some healthcare professionals and referral patterns have an impact on participation in such programs. Unfortunately for women, even when they are mentioned, they often do not visit. The reasons for this are lack of transport, weaker exercise capacity and pressure of care responsibilities. Improving the outcomes of work on heart disease in women will need a change among women themselves so that they can take control of their illness.

Women need to be serious about their health.

They need to improve their awareness of the risk factors and symptoms associated with diseases that are not only gender-specific but also women-specific. What should women, especially the elderly, do? First of all, consultation with a medical specialist for cardiovascular screening for risk factors and family illnesses is needed; Seek help if you are a smoker to quit smoking; If you already have a plan to deal with stress and depression, it is important to do it; Avoid processed foods and keep a healthy diet low in saturated fat and high in fiber. Although women live longer, this often comes with a disability that has an adverse impact on people and society. It is interesting to see emerging clinical practice guidelines for both primary cardiovascular prophylaxis and acute myocardial infarction targeted specifically at women. Awareness of heart disease in women can improve health and reduce the risk of cardiovascular disease.

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Leo G. Anderson

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