Category: Cardiology 101

posts here focus on a variety of topics all about the heart and how it works

How a woman’s heart is different from a man’s

~ Carolyn Thomas ~ 16 Comments

by Carolyn Thomas    ♥  @HeartSisters

In many ways, the fact that my cardiac treadmill stress test results appeared “normal” was not a surprise, despite my textbook heart attack symptoms of crushing chest pain, nausea, sweating and pain radiating down my left arm. What we now know is that single-vessel heart disease, which is more common in women than in men, may be less likely to be picked up at all on a treadmill test.

Even though my left anterior descending coronary artery was 95% blocked, this didn’t show up. Similarly, for other women non-obstructive heart disease (again, more common in women) is harder to identify given our existing diagnostics. Women are more likely to suffer from coronary microvascular disease affecting the smallest blood vessels of the heart. And spasm conditions like Prinzmetal’s variant angina are difficult to catch at the best of times, but women can be just as dead after a heart attack caused by undiagnosed Prinzmetal’s as they would be due to fully-occluded coronary arteries.   Continue reading “How a woman’s heart is different from a man’s” →

Say what? Do patients really hear what doctors tell them?

~ Carolyn Thomas ~ 7 Comments

by Carolyn Thomas  ♥ @HeartSisters

headHEARTDuring my heart attack, I was taken immediately from the E.R. to the O.R. for emergency treatment for a blocked left anterior descending coronary artery.  But, overwhelmed and terrified, I knew nothing of what was about to happen to me, even though I have a vague memory of the cardiologist explaining something to me before I was taken upstairs.

I could see his lips moving and I could hear sounds coming out of his mouth, but he could have been speaking Swahili.  I don’t think I was capable of comprehension at the time. Everything I know about surviving what’s known as the “widowmaker“ heart attack, I learned much, much later.

I’m not alone. This study suggested that most heart patients believe that their cardiac interventions have far greater benefits than they actually do. Continue reading “Say what? Do patients really hear what doctors tell them?” →

The seven levels in the ‘Hierarchy of Heart Disease’

~ Carolyn Thomas ~ 9 Comments

by Carolyn Thomas  ♥ @HeartSisters

During my first evening at our “Heart to Heart” support group, the man sitting next to me leaned over and asked me: “What are you in for?”

I told him that I’d had what doctors call the “widowmaker” heart attack two weeks earlier, and that I now had a stainless steel stent implanted in a major coronary artery that had been 99% blocked.  He interrupted me with a cheery:

“Me too! But I have THREE stents!”

As he went on and on in exquisite detail about his cardiac event, I felt like my own was suddenly pretty puny by comparison. Three stents? How could I possibly compete with that? My previously-fascinating heart attack misdiagnosis story now seemed hardly even worth mentioning, really.

I came to observe during the  following weeks and months that heart patients, consciously or not, seem to slot themselves arbitrarily into what I call the unspoken Hierarchy of Heart Disease.  Continue reading “The seven levels in the ‘Hierarchy of Heart Disease’” →

Heart disease: which countries have the highest and lowest rates?

~ Carolyn Thomas ~ 62 Comments

by Carolyn Thomas  ♥ @HeartSisters

Prepare to scratch your head in confusion as we consider the subject of geography for a moment.

In the U.K., the Brits’ high daily consumption of saturated and trans fats – chief suspects among risk factors for heart disease – is actually topped by those living in Germany, Belgium and France. Yet these three salami-eating countries boast fewer heart disease deaths than the U.K., according to the British Heart Foundation.

Even more confusing are the people of France. Although the French smoke more, eat more fat, and consume only slightly more fruit and vegetables than the British do, the French have the lowest heart death rate in the European Union – only about one-quarter of the British rate. This is the notorious “French Paradox“, which epidemiologists have puzzled over for decades.

Although French hearts appear to be the healthiest and best preserved in Europe, they are certainly among the worst on the risk factors of diet and smoking.

The Spaniards, Finns, Italians, and Portuguese all eat less harmful fat and consume more fruit and vegetables than the French – yet die in greater numbers from heart disease.

How can this be?  Continue reading “Heart disease: which countries have the highest and lowest rates?” →