Erickson Tribune

Health Secrets

UPDATED: Tuesday, February 20, 2007

What Women Need to Know About Heart Disease

Posted on Friday, September 01, 2006
 

Increase Awareness, Lower Risk

By Julia Boyle
THE ERICKSON TRIBUNE

“Women come to me and say, ‘I used to be able to walk to stores in the mall without any problem. Now I have to stop walking right away.’ Or they complain about overall fatigue. They may be women who actually have heart disease,” says Vrinda Suneja, M.D., Erickson HealthSM medical director of Fox Run, a community in Michigan built and managed by Erickson.

In a survey by the American Heart Association (AHA), only 13 percent of women perceived heart disease as their greatest health concern. And only one in five of their physicians knew more women die each year from cardiovascular disease than men. This despite the fact that heart disease is the number one killer of women: 500,000 every year.

Her Unique Symptoms
Research shows most women believe chest pain is the most common symptom of a heart attack. But studies confirm what researchers have long suspected: when it comes to heart disease, women are different from men in symptoms they exhibit.

“Women come into the emergency room complaining of being overly fatigued and the doctors say, ‘You are just depressed.’ They give her an antidepressant and send her home. Then she comes back feeling short of breath and is sent home again as being hysterical. If she makes it in again, she is in the midst of a heart attack and it is too late. We are missing these symptoms every day,” says Jeanne Wei, M.D., professor and executive vice chair of the department of geriatrics at the University of Arkansas for Medical Sciences.

Wei and Suneja agree both women and physicians are getting better at recognizing women’s signs of heart disease. Still, the AHA reports only 11 percent of women in one study correctly identified all the following symptoms and knew to call 911:

• Neck, shoulder and upper back, or abdominal discomfort

• Shortness of breath

• Nausea or vomiting

• Sweating

• Light-headedness or dizziness

• Unusual fatigue


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Be careful if you are exercising or being more active than usual. “Stay well hydrated. Stop and ask for help at the first sign of muscle cramps, fatigue, chest pains, or dizziness,” says Suneja.

Find a Doctor Who Listens
Of the eight million American women currently living with heart disease, 25 percent are over age 65. As women age and their chance of developing heart disease increases, their awareness of risk factors and how to combat them becomes more important. Early proper diagnosis is one of the most vital steps in combating heart disease.

Unfortunately, the average physician sees at least 2,000 patients in his/her practice, leaving little time for communication. Each Erickson HealthSM physician cares for no more than 400 patients. The low doctorpatient ratio allows Erickson HealthSM physicians to talk to each patient and conduct careful physical exams. That includes performing certain screening tests like cholesterol tests and EKGs.

Treatment Medications
“Women don’t respond as well as men to surgical procedures for heart problems. They have a higher rate of complication,” Wei says. As a result, doctors turn to medications as well as diet and exercise before surgical procedures for women.

Wei recommends four classes of medications. “Beta blockers help make sure unclogged arteries are able to deliver as much oxygen and nutrients as possible to the heart. An anti-platelet agent, such as aspirin, helps keep platelets from sticking together and clogging arteries. Calcium channel block ers and nitrates help relax and open arteries so blood can flow freely to the heart,” she says.

Medications come with risks, especially in terms of interacting with other substances. Coumadin, a blood thinner used in heart patients, can be dangerous when taken with aspirin. Always make sure you and your Erickson HealthSM physician or other primary care doctor carefully discuss what medicines are right for you.

Keep Moving
Whether you are positive or negative for heart disease, most doctors will recommend a heart healthy diet and regular exercise to combat risks. “You can’t sit down. You can’t lie down. You have to move,” says Wei.

“Everyone, no matter their health, will benefit from exercise. It improves the cardiovascular system,” says Suneja. (See the heart fitness article on this page.)



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