Month: April 2010

The simple tool that predicts how well you’ll do after discharge from hospital

~ Carolyn Thomas ~ 11 Comments

by Carolyn Thomas  ♥ @HeartSisters

After I was discharged from the Coronary Care Unit following my heart attack, I felt overwhelmed because, other than some reading material about heart-healthy eating and wound control, I was pretty well booted out the door with virtually no follow-up care plan once I got home.

So when my friend Viv’s daughter Kate phoned me a few days later (Kate happens to be a  cardiac nurse), I had an endless list of panicky questions for her about my surprisingly distressing ongoing chest pains along with dozens of other issues.  I was convinced that another heart attack was imminent – an extremely terrifying prospect for a freshly diagnosed heart patient. She was able to answer my questions (“Sounds like what we call post-stent stretching pain – very common!”) and reassured me that I just might live through another day.

Canadian researchers in Ottawa have developed a simple tool for hospital staff to predict the probability that patients like me, discharged directly from hospital back to the community, will be readmitted – or die – within 30 days.

The study, published in the Canadian Medical Association Journal, could help identify patients who may benefit from closer monitoring and care so that serious health problems can be prevented. Continue reading “The simple tool that predicts how well you’ll do after discharge from hospital” →

How women can have heart attacks without having any blocked arteries

~ Carolyn Thomas ~ 99 Comments

by Carolyn Thomas  ♥  @HeartSisters

Turns out that the kind of heart attack that I had (caused by a 95% blockage in the big left anterior descending coronary artery) – the so-called widowmaker heart attack – may actually be relatively uncommon  in women. You might guess that fact by its nickname.  It’s not, after all, called the “widower-maker”.

While cardiologists warn that heart disease can’t be divided into male and female forms, there are some surprising differences. Cardiologist Dr. Amir Lerman at the world famous Mayo Clinic in Rochester, Minnesota, told the Los Angeles Times recently:

“When it comes to acute heart attacks and sudden death from cardiac arrest, women have these kinds of events much more often without any obstructions in their coronary arteries.”

Instead, it appears that a significant portion of women suffer from another form of heart disease altogether. It affects not the superhighway coronary arteries but rather the smaller arteries, called microvessels. These tiny arteries deliver blood directly to the heart muscle.

Ironically, I can now boast two diagnoses for the price of one – first, the widowmaker heart attack caused by a fully occluded coronary artery back in 2008, and then, after several months of puzzling, ongoing cardiac symptoms – like chest pain, shortness of breath, and crushing fatigue – a second diagnosis of inoperable coronary microvascular disease. Continue reading “How women can have heart attacks without having any blocked arteries” →

Women’s heart health advice: “Walk often, walk far!”

~ Carolyn Thomas ~ 11 Comments

by Carolyn Thomas  ♥ @HeartSisters

If you are one of those misguided sods who still believe in the exercise axiom: “No pain, no gain”  – you can stop reading right now.  The rest of you – rejoice!  According to the National Heart, Lung, and Blood Institute, taking a long daily walk may be a better way to improve heart health, lose weight and feel better compared to shorter periods of more strenuous  exercise.

A randomized controlled clinical trial funded by the NHLBI compared two exercise programs for heart attack survivors:

  • 1.  Standard cardiac rehab exercise:  25-40 minutes of exercise three times per week at approximately 65-75% peak aerobic capacity. This included 25 minutes of treadmill walking and 8 minutes on 2 to 3 ergometers: cycle, rowing, or arm.
  • 2.  High-calorie expenditure exercise: longer duration but lower intensity,  more frequent exercise (45-60 minute sessions, but at just 50-60% peak aerobic capacity, 5-7 times per week).

Walking, rather than weight-supported exercises (such as cycling or rowing), was preferred to maximize calorie expenditure, which was targeted at 3,000-3,500 calories per week. The protocol was essentially to “walk often and walk far.”  All heart patients studied were considered overweight before starting the program. Each subject  also received 16 hours of group dietary counseling, and were given a target goal of consuming 500 calories per day less than their predicted maintenance calories.

What did their results show?  Continue reading “Women’s heart health advice: “Walk often, walk far!”” →

Gender differences in heart attack treatment contribute to women’s higher death rates

~ Carolyn Thomas ~ 9 Comments

The alarming results of a study undertaken in France highlighted serious gender differences in cardiac treatment of men and women.  These shocking differences contribute to a higher death rate among women suffering a heart attack.

The French study(1) investigated more than 3,000 patients, 32% women, who had been treated for heart attacks over a two-year period.

Lead author Dr. Francois Schiele, Cardiology Chief at the University Hospital in Besancon, France, presented the results of the research at the American College of Cardiology’s 59th Annual Scientific Session in Atlanta last month. Dr. Schiele’s team found that, on average, the women studied: