When the ‘wrong’ family member gets heart disease

by Carolyn Thomas   ♥  @HeartSisters

I’ve come to learn that a common reaction to a heart attack is others’ utter shock that this could happen to “YOU, OF ALL PEOPLE!”  Women in particular report reactions like this because, generally speaking, we’re used to being the ones who take care of others, and to being the strong glue that holds our family life and relationships together.

How dare we get sick?

Dr. Wayne Sotile, in his very useful book Heart Illness and Intimacy: How Caring Relationships Aid Recovery, talks about the “family scramble” that can happen when somebody in that family is diagnosed with heart disease.  And few things can heighten the family scramble, he claims, like the “wrong” family member getting sick.  Continue reading “When the ‘wrong’ family member gets heart disease”

How women can have heart attacks without having any blocked arteries

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 attackmay 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”

Women’s heart health advice: “Walk often, walk far!”

by Carolyn Thomas  @HeartSisters

If you are one of those misguided sods who still believe in the exercise axiom: “No pain, no gain”  – you can stop reading right now.  The rest of you – rejoice!  According to the National Heart, Lung, and Blood Institute, taking a long daily walk may be a better way to improve heart health, lose weight and feel better compared to shorter periods of more strenuous  exercise.

A randomized controlled clinical trial funded by the NHLBI compared two exercise programs for heart attack survivors:

  • 1.  Standard cardiac rehab exercise:  25-40 minutes of exercise three times per week at approximately 65-75% peak aerobic capacity. This included 25 minutes of treadmill walking and 8 minutes on 2 to 3 ergometers: cycle, rowing, or arm.
  • 2.  High-calorie expenditure exercise: longer duration but lower intensity,  more frequent exercise (45-60 minute sessions, but at just 50-60% peak aerobic capacity, 5-7 times per week).

Walking, rather than weight-supported exercises (such as cycling or rowing), was preferred to maximize calorie expenditure, which was targeted at 3,000-3,500 calories per week. The protocol was essentially to “walk often and walk far.”  All heart patients studied were considered overweight before starting the program. Each subject  also received 16 hours of group dietary counseling, and were given a target goal of consuming 500 calories per day less than their predicted maintenance calories.

What did their results show?  Continue reading “Women’s heart health advice: “Walk often, walk far!””

Are you the quarterback of your own heart health team?

by Carolyn Thomas

Karla Marburger is a self-described “Type A computer geek”, a Nebraska woman who is also a survivor of both congestive heart failure and acute renal failure at the age of 43.

I first met Karla along with 45 of our heart sister companions when we attended the 2008 WomenHeart Science & Leadership Symposium for Women with Heart Disease at the world-famous Mayo Clinic. Exactly one year after that amazing training experience, she announced:

“Today, I’m going to a bridal shower — my bridal shower. Two weeks from today, I am getting married to John!

When she first met John, she reported that she was concerned about how he would feel about dating someone with heart problems, someone with dietary restrictions that make it hard to go out to eat, someone who sleeps with oxygen every night, someone who is stubborn about protecting her workout time – and someone who was still healing emotionally from this experience.

“After 2-3 dates of watching me order my meals and scheduling our dates around my workouts, John started commenting on my healthy lifestyle. Not yet ready to trust him with the whole picture, I alluded to a ‘major lifestyle change’, but left it at that.”

But as their relationship turned serious, Karla knew that she had to talk to him about the full picture of her heart condition. She explained:

“He handled the conversation very positively. For John, my heart disease is not a blot on my future. Instead, he treats it as part of my life that has shaped the woman that I am today. And, we help each other by cooking and eating right.”

Karla has become a true expert in cooking and eating right, by the way.  Since her hospitalization in 2007, she has lost over 100 pounds as part of her heart-healthy lifestyle makeover.   Continue reading “Are you the quarterback of your own heart health team?”