“I am lying in a surprisingly bright glass-walled room…”

by Carolyn Thomas    @HeartSisters  

Royal Jubilee Hospital, Victoria, BC - CanadaI am lying in a surprisingly large and very white, bright glass-walled room in the CCU (the coronary intensive care unit) of our local hospital. Through these walls I can see several people who look like nurses and doctors seated at a long desk outside my glass box, staring at monitors. It’s action central out there, where staff can observe and monitor every heart patient, each of us in one of the glass boxes.

I can see assorted tubes, lines and beeping machines surrounding my bed or attached to my body. Two nurses are looking down at me, one on either side of my bed, closely examining my right wrist.  They are checking the wound that has been opened up there in order to insert a catheter through the radial artery, up my arm, around the bend of my shoulder and into my beating heart. I find it oddly touching that each of these women is gently holding one of my hands. I feel like weeping, and so I do.

I have no more pain. No more pain crushing my chest or radiating down my left arm. No more of the increasingly debilitating symptoms I’ve been suffering for the past two weeks. If anything, I’m simply feeling surprised. I have had a heart attack. I HAVE HAD A HEART ATTACK!   I, Carolyn Thomas, have had a frickety-frackin’ heart attack. . .        
Continue reading ““I am lying in a surprisingly bright glass-walled room…””

Do women need different treatment of coronary artery disease?

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?”

Dear Carolyn: “My husband’s heart attack was treated differently than mine”

by Carolyn Thomas    @HeartSisters

As part of my Dear Carolyn series of posts featuring my readers’ unique stories about becoming a heart patient, this one involves a plot twist that, sadly, sounds maddeningly familiar.  It also involves a remarkable coincidence: a married couple who have their heart attacks eight days apart! Today’s tale focuses on one of my favourite themes in women’s heart health: being misdiagnosed with acid reflux during a heart attack, and it stars my longtime reader, Kathleen: Continue reading “Dear Carolyn: “My husband’s heart attack was treated differently than mine””

The most dangerous kind of coronary artery blockage

by Carolyn Thomas    @HeartSisters

We used to hear coronary heart disease described as “hardening of the arteries”, or atherosclerosis. I pictured this as some kind of clogged drain under an old sink, plugged up with years of disgustingly hard gunk. But it turns out that only about three out of every 10 heart attacks are actually caused by this kind of hardened coronary artery blockage.

The rest of us can blame soft, vulnerable and unstable plaque within the walls of those arteries. This may also help to explain (as I’ve written about here and here) why you can have a “normal” cardiac test one month, and be back in hospital the following month with a heart attack. Here’s how that can sometimes happen, according to experts at the Texas Heart Institute: Continue reading “The most dangerous kind of coronary artery blockage”