When your artery tears – Spontaneous Coronary Artery Dissection

by Carolyn Thomas  @HeartSisters

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Laura, a 40-year old American heart attack survivor, told me this story of her own cardiac event:

“I was asleep and my symptoms woke me up. I had several simultaneous symptoms, but the first one seemed to be chest pain in the centre-left, somewhat under my left breast area. I’d never felt anything like it, so sometimes it’s hard to describe – it wasn’t sharp or crushing or burning, more like a dull pressure. I also had pain down the inside of my left arm that radiated up into the left side of my jaw and my left ear.

“I was very overheated, and I felt like I was going to throw up. The nausea and overheating faded, but the pain – chest, arm, jaw – stayed. In hospital, I was diagnosed with a heart attack caused by SCAD – spontaneous coronary artery dissection, treated with six stents.”

It used to be seen as a deadly condition that was only correctly diagnosed post-mortem.  In fact, the condition was first identified during an autopsy in 1931 after a woman in her 40s had died during a SCAD heart attack. Continue reading “When your artery tears – Spontaneous Coronary Artery Dissection”

“Alcohol Helps Heart Bypass Patients!” – good news or bad reporting?

“Light alcohol consumption was associated with a 25% reduction in additional heart procedures, heart attacks or strokes in a study by Italian researchers, presented at the annual meeting of the American Heart Association in Chicago.”

This report was distributed around the world by Reuters*, the venerable U.K.-based news agency. Trouble is, after the health journalism watchdog Health News Review got finished with their assessment of this news reporting, they awarded Reuters a rare score of zero on their six-point quality scale.  For example, their pet peeves:   Continue reading ““Alcohol Helps Heart Bypass Patients!” – good news or bad reporting?”

Pregnancy complications strongly linked to heart disease

My pre-eclampsia baby Ben with his Mum

by Carolyn Thomas    @HeartSisters

When I was about eight months pregnant with Ben, my first baby, I was diagnosed with something called preeclampsia. This is a serious condition affecting about 5% of pregnant women, identified by symptoms like sudden spikes in blood pressure, protein in the urine, severe swelling, and headaches or vision problems. It’s also women’s third leading pregnancy-related cause of death. Preeclampsia is clinically described as:

“…a disorder of widespread vascular endothelial malfunction and vasospasm that occurs after 20 weeks’ gestation”.

Whenever you see the words “vascular” or “endothelial” or “vasospasm” in the same sentence, you know you’re likely talking about the heart. And although preeclampsia typically goes away after pregnancy, its diagnosis may well be an early indicator of underlying heart conditions that may simmer for decades. In fact, studies now show that pregnant women who develop preeclampsia have more than twice the risk of having a heart attack or stroke later in life.

And that is what happened to me.   Continue reading “Pregnancy complications strongly linked to heart disease”

Yes, Virginia, there is such a thing as a broken heart

by Carolyn Thomas  ♥ @HeartSisters

After the first attack of severe chest pain, the 61-year old woman spent the night in the hospital’s Emergency Department hooked up to a heart monitor, felt better after a few hours, and was discharged in the morning.  Even though she had no cardiac risk factors, her blood tests showed that her cardiac enzymes were somewhat elevated, she described a “too-much-adrenaline” feeling, and she had also failed a cardiac treadmill stress test because of heart rate arrythmias.  No positive diagnosis was made at the time, although a condition called myocarditis was suggested.

Then nine uneventful years later, a second attack occurred, this one during a very traumatic period in her life, in hospital for a colon resection operation due to cancer. She describes it like this:   Continue reading “Yes, Virginia, there is such a thing as a broken heart”