Survey: how women (and our doctors) respond to early cardiac symptoms

by Carolyn Thomas    ♥   @HeartSisters

I have often written and spoken out about an alarming reality observed among women experiencing their first cardiac symptoms. Researchers call it “treatment-seeking delay behaviour”. One of several interesting studies on this particular tendency in female heart patients was published in The American Journal of Critical Care, for example. Oregon researchers reported that female heart patients are significantly more likely to delay seeking medical treatment compared to our male counterparts – yes, even in mid-heart attack. In fact, study authors identified six common patterns of decision-making delays between the time women first experience serious cardiac symptoms and the time when they go for help.(1)  Those six patterns range from “minimizing symptoms” to “reluctance to ask others for help”.

But just in case these studies seem to suggest that women are to blame for poor cardiac outcomes because we wait too long, let’s look at how prepared our physicians are to assess cardiovascular risks in their female patients. The landmark Women’s Heart Alliance survey asked both female heart patients and physicians for their own perspectives – with surprising results, especially this particular finding:

Physicians may not feel as prepared as you think.      .

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Cardiac care: more good news for young, healthy white men

by Carolyn Thomas    ♥   @HeartSisters  

Being misdiagnosed with acid reflux and sent home from Emergency in mid-heart attack was when I learned that certain heart patients will be appropriately cared for, while other patients will not. I’ve been writing and speaking about what polite academics call under-served heart patient populations ever since since my own “widow maker” heart attack in 2008. And now a new international Commission has formed to “address the persistent disparities in cardiovascular health.” 

What the term “persistent disparities” specifically means is that the quality of care you’ll receive during your cardiac event varies depending on your age, your skin colour, your mental health and whether you’re a man or a woman.  
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A fascinating history of your coronary stent

by Carolyn Thomas  ♥  @HeartSisters  

If you’re a heart patient who has had one or more coronary stents implanted, I think you’ll like this history lesson about how such a small device ended up inside your beating heart – with thanks to the Journal of Clinical Medicine and the British Medical Bulletin for much of this lesson.1
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Talking about women’s heart disease to medical students

by Carolyn Thomas  ♥  @HeartSisters

I was invited recently to do my “Heart-Smart Women” virtual presentation to a medical school class in New York.  For a heart patient like me, this was a dream invitation. I’ve spoken to thousands of people – including patients, the general public, doctors, nurses and academics- since graduating in 2008 from the WomenHeart Science & Leadership patient advocacy training at Mayo Clinic – but I’ve always known that what I really wanted to do was to reach our future doctors. Here’s why those trainees are so important to me.      . Continue reading “Talking about women’s heart disease to medical students”