A number of my readers contacted me recently to make sure I’d seen Gretchen Reynolds’ new Washington Post article (THANK YOU, dear heart sisters, for thinking of me!) For those who missed it, I want to revisit some key messages from a tragic story about Gretchen’s friend, Anne – her hiking/mountain biking/distance running (also non-drinking and non-smoking) buddy. Gretchen described 61-year old Anne as “kind and capable, modest and fit”. She died suddenly last month. Anne’s cause of death, as Gretchen wrote in her regular column in the Post, was “a bolt-of-lightning heart attack” : . Continue reading “Too fit and healthy to worry about heart disease?”→
At last! This long-awaited first-ever Guideline for the Evaluation and Diagnosis of Chest Pain for physicians and their patients has done a deep dive to help improve accuracy in evaluating and diagnosing cardiac symptoms(1) – a huge and overwhelming effort. I’m hopeful that updated guidelines might represent a turning point for all women presenting with those symptoms – and for the physicians who diagnose them. Here’s my take on the impressive new Chest Pain Guideline – along with a few concerns: . . Continue reading “New chest pain guideline: “atypical” is OUT!”→
I’d love to believe that if both a man and a woman suffering the same type of serious heart attack showed up together at the same Emergency Department, their treatments and outcomes would be the same. I wish I could believe that, but as cardiologist Dr. Martha Gulati wrote recently(1):
“Despite progress, gaps still persist in how we treat women, and the impact on outcomes. Decades of tracking outcomes continue to show gaps in the treatment of women, and similar findings have been replicated throughout the world.” .
It’s been quite the ride since my book was published by Johns Hopkins University Press in 2017! When it was launched, “A Woman’s Guide to Living with Heart Disease” became Amazon’s #1 New Release in the Medicine/Public Health category. The book is now in its second printing, and reviews have been truly wonderful – with one notable exception: an Australian reader named Robert who complained in his review that there was “a bit too much emphasis on how women are neglected when it comes to heart disease” – and then added: “Happily for me, my doctors, nurses and physios did everything by the book.”
Thank you Robert, for helping to illustrate the cardiology gender gap so perfectly!