Tag Archives: ischemia

Premenopausal women and cardiac symptoms

23 Jul
by Carolyn Thomas      @HeartSisters

Most of you throughout your adolescent and adult lives have no doubt observed that hormone fluctuations during a menstrual cycle can affect certain body parts on certain days of that cycle. These fluctuations cause symptoms ranging from bloating to cramps, vivid dreams, fatigue, acne breakouts, food cravings, or irritability. (That word ‘irritability’ is doctor-speak to describe the act of threatening spouses with homicide if they leave that freakin’ toilet seat up one more time…)

For decades, scientists have also observed that women’s risk of heart attack increases after menopause. One theory for this age-related delay (compared to male heart patients, who generally tend to have their heart attacks a decade or so before we do) was the drop in female hormones at menopause, particularly estrogen. That timing seemed to intuitively make sense. Estrogen levels go down, heart attack rates go up. It’s why physicians believed for a long time that hormone replacement therapy in postmenopausal women could actually prevent heart attacks. (PLEASE NOTE: it doesn’t.*) Continue reading

Heart attacks: “Men explode, but women erode”

2 Nov

by Carolyn Thomas  ♥ @HeartSisters

heart-460546_1280Los Angeles cardiologist Dr. Noel Bairey Merz believes that the biggest issue facing women heart patients is that as a society we have been programmed to think of heart disease as a man’s problem. During a presentation in Australia last year, she told her audience:

“The fatty build-up of plaque in a coronary artery causing a heart attack will usually rupture or ‘explode’ in men.

“But in women, it will often be a much smaller, more subtle event, caused by ‘erosion’, not explosion. 

“Often their symptoms may throw doctors off track to the wrong diagnosis, and in many cases, women won’t even know they have had a heart attack until it’s too late.”   .

Continue reading

What’s the single biggest health threat women face?

21 Apr

One out of every two of you reading this right now will be impacted by cardiovascular disease in your lifetime, warns cardiologist Dr. Noel Bairey-Merz, Director of the Cedars Sinai Women’s Heart Center in Los Angeles. And worse, diagnostic and treatment strategies “developed in men, by men, for men for the last 50 years” are not working so well for women.

Go grab a cup of coffee, sit back, and enjoy this must-see presentation.

Why feel helpless about your coronary artery disease?

17 Feb

by Carolyn Thomas    @HeartSisters

Angioplasty poster from the Parsemus Foundation.

Here’s more on the growing controversy surrounding unnecessary coronary stent procedures: Continue reading

Why your heart needs work – not rest! – after a heart attack

14 Jun

by Carolyn Thomas  @HeartSisters

After surviving a heart attack, I couldn’t wait to start my 4-month cardiac rehabilitation program so I would just start feeling “normal” again. But when I showed up for my first assessment, I was disappointed by the cardiac nurse’s recommendation that, because of ongoing issues, I should wait two months until I felt much stronger before starting. A Canadian study from the University of Alberta now suggests, however, that earlier might just be better for many.

For best results in most clinically stable patients after a heart attack, these new findings suggest that early exercise as well as prolonged exercise may well be the key to the best post-heart attack outcomes.  Continue reading