Category: Diagnosing – and misdiagnosing

– posts here focus on how difficult it often is to get an accurate heart disease diagnosis in women

Let’s pretend that atypical heart attack symptoms don’t exist

~ Carolyn Thomas ~ 33 Comments
by Carolyn Thomas  ♥  @HeartSisters  

Two cardiology reports landed in my inbox on the same day this past week, in the  same issue of the same cardiology journal. The first was a Yale University study on how women, particularly women younger than age 55, fare worse after surviving a heart attack compared to male counterparts, partly because of a tendency to present with vague or atypical symptoms that can delay accurate diagnoses.(1) The second was about the future of the American Heart Association’s Go Red For Women® campaign.(2)*   Both papers were published in the journal, Circulation.

The trouble was this: each report seemed to contradict the other. Continue reading “Let’s pretend that atypical heart attack symptoms don’t exist” →

Same heart attack, same misdiagnosis – but one big difference

~ Carolyn Thomas ~ 37 Comments

by Carolyn Thomas  ♥  @HeartSisters

Our two stories are freakishly the same in so many ways:

♥ In 58-year old Nancy Bradley’s story, she went to the Emergency Department at the Royal Inland Hospital near her home in Kamloops as soon as she felt alarming symptoms she knew might be heart-related: dizziness, sweating, shortness of breath and “an elephant sitting on my chest” feeling. (In my story, I was 58 as well, and I went to Emergency at the Royal Jubilee Hospital near my home in Victoria as soon as my own alarming heart attack symptoms started).

♥ All of Nancy’s cardiac diagnostic tests seemed to be “normal”. (All of my diagnostic tests seemed to be “normal”, too).

♥ Nancy’s Emergency physician suspected heartburn, and suggested she take antacid drugs. (My Emergency physician suspected heartburn, and suggested that I take antacids).  Continue reading “Same heart attack, same misdiagnosis – but one big difference” →

But what about the men?

~ Carolyn Thomas ~ 8 Comments

by Carolyn Thomas   ♥  @HeartSisters

The irreverent Laura Haywood-Cory of North Carolina is, like me, a heart attack survivor and, also like me, a graduate of Mayo Clinic’s annual WomenHeart Science & Leadership Symposium for Women With Heart Disease in Rochester, Minnesota (where she’s also attended the Mayo Clinic Social Media Summit, too!)

Her own dramatic heart story is that of a terrifying condition usually seen in young, healthy women with few if any known cardiac risk factors: Spontaneous Coronary Artery Dissection or SCAD. I’m happy to say she has been making a heroic effort to beat this sucker into the ground; after surviving her heart attack at age 40, Laura completed the Chapel Hill Ramblin’ Rose Triathlon. But it’s her unique take on a surprisingly frequent response to women’s heart disease that I want to share with you today.  Laura wrote: Continue reading “But what about the men?” →

Do women need different treatment of coronary artery disease?

~ Carolyn Thomas ~ 9 Comments

by Carolyn Thomas  ♥  @HeartSisters

Cardiologist Dr. William Bestermann, in reviewing his own 40+ year career as a physician, now concludes that, in all of medicine, “there is no better example of the disconnect between what we know and what we do than in the case of women with coronary artery disease.” I’m a woman who has survived a widowmaker heart attack, and now lives with coronary microvascular disease, and I’ve only been writing about such sentiment for eight years. As Dr. B. explains bluntly:

“Every other week, I see a woman who has had symptoms of coronary artery disease and has been told that the problem is her esophagus – or worse – depression or anxiety.  She is told in effect: ‘Go home, take your anti-anxiety drugs, you will be fine!’  What she has been told is often wrong – too often, dead wrong!” Continue reading “Do women need different treatment of coronary artery disease?” →