Tag: SCAD

When your artery tears – Spontaneous Coronary Artery Dissection

~ Carolyn Thomas ~ 29 Comments

by Carolyn Thomas  ♥ @HeartSisters

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Laura, a 40-year old American heart attack survivor, told me this story of her own cardiac event:

“I was asleep and my symptoms woke me up. I had several simultaneous symptoms, but the first one seemed to be chest pain in the centre-left, somewhat under my left breast area. I’d never felt anything like it, so sometimes it’s hard to describe – it wasn’t sharp or crushing or burning, more like a dull pressure. I also had pain down the inside of my left arm that radiated up into the left side of my jaw and my left ear.

“I was very overheated, and I felt like I was going to throw up. The nausea and overheating faded, but the pain – chest, arm, jaw – stayed. In hospital, I was diagnosed with a heart attack caused by SCAD – spontaneous coronary artery dissection, treated with six stents.”

It used to be seen as a deadly condition that was only correctly diagnosed post-mortem.  In fact, the condition was first identified during an autopsy in 1931 after a woman in her 40s had died during a SCAD heart attack. Continue reading “When your artery tears – Spontaneous Coronary Artery Dissection” →

How women can have heart attacks without having any blocked arteries

~ Carolyn Thomas ~ 99 Comments

by Carolyn Thomas  ♥  @HeartSisters

Turns out that the kind of heart attack that I had (caused by a 95% blockage in the big left anterior descending coronary artery) – the so-called widowmaker heart attack – may actually be relatively uncommon  in women. You might guess that fact by its nickname.  It’s not, after all, called the “widower-maker”.

While cardiologists warn that heart disease can’t be divided into male and female forms, there are some surprising differences. Cardiologist Dr. Amir Lerman at the world famous Mayo Clinic in Rochester, Minnesota, told the Los Angeles Times recently:

“When it comes to acute heart attacks and sudden death from cardiac arrest, women have these kinds of events much more often without any obstructions in their coronary arteries.”

Instead, it appears that a significant portion of women suffer from another form of heart disease altogether. It affects not the superhighway coronary arteries but rather the smaller arteries, called microvessels. These tiny arteries deliver blood directly to the heart muscle.

Ironically, I can now boast two diagnoses for the price of one – first, the widowmaker heart attack caused by a fully occluded coronary artery back in 2008, and then, after several months of puzzling, ongoing cardiac symptoms – like chest pain, shortness of breath, and crushing fatigue – a second diagnosis of inoperable coronary microvascular disease. Continue reading “How women can have heart attacks without having any blocked arteries” →

Bypassing bypass surgery by growing new arteries

~ Carolyn Thomas ~ 86 Comments

by Carolyn Thomas  ♥ @HeartSisters

The human body is endlessly fascinating, isn’t it? Consider how humans get started in the first place – only after one tiny sperm, one of hundreds of millions, has somehow negotiated its way past the lethal acid coating the vagina and made its long journey up to the waiting egg.  The odds are stupefyingly against that one brave little sperm. How did any of us even get born?

Also, consider the heart.

Before my heart attack, I had never heard of the heart’s little collateral arteries. These are small, normally closed arteries that, in times of dire need (like a blocked coronary artery that can lead to a heart attack) can “wake up” and enlarge enough to form a kind of detour around the blockage, thus providing an alternate route of blood supply to feed the oxygen-starved heart muscle. Do-it-yourself bypass surgery! Continue reading “Bypassing bypass surgery by growing new arteries” →

How does it really feel to have a heart attack? Women survivors answer that question

~ Carolyn Thomas ~ 93 Comments

by Carolyn Thomas   ♥   @HeartSisters

Having a heart attack felt nothing like I thought it would feel.   For one thing, unlike sudden cardiac arrest, in which the heart stops beating and you stop breathing, during my heart attack (myocardial infarction), my heart continued beating, and I was walking, talking and conscious throughout despite horrific symptoms – so how could I possibly be having a heart attack?

Like most women, I’d never really thought about my heart – except maybe when running up that killer Quadra Street hill with my running group. Yet heart disease kills six times more women than breast cancer each year (in fact, it kills more women than all forms of cancer combined).

Women need to know all the potential symptoms of a heart attack – both typical and atypical. And by the way, I’ve stopped using the word “atypical“ to describe any non-chest pain symptom that women experience during a heart attack, because as paramedic and documentary filmmaker (“A Typical Heart“) Cristina D’Alessandro likes to say: 

“Why are our cardiac symptoms called ‘atypical’ when women are more than half the population?”

I asked some female survivors to share their very first symptoms. Their heart attack stories may surprise you. If you need help translating some of the heart jargon, visit my patient-friendly jargon-free glossary of cardiology terms and abbreviations.

Read their stories