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Heart attacks increase in young women, study shows



Over a five-year period, the overall proportion of hospital admissions to heart attacks in the United States, which are due to young patients aged 35 to 54 years, rose steadily from 27% in the period 1995-99 32% in 2010. According to the recent study published in the journal Circulation the largest increase in young women was observed.

During these periods, the number of registrations increased from 21% to 31% Young women, compared with 30% to 33% in young men, the study showed.

"The message to take away is that an increasing percentage of heart attacks occur in younger patients, although our population is getting older and the biggest increase seems to be among young women," said Melissa Caughey, lead author of the study and research teacher at the Department of Cardiology, School of Medicine, University of North Carolina at Chapel Hill.
Worldwide, according to the World Health Organization, 85% of all deaths from cardiovascular disease are due to heart attacks and strokes.

Risk Factors for Heart Attack

The new study included data on 28,732 hospital admissions for heart attack in patients 35 to 74 between 1

995 and 2014.

The data are from the Atherosclerosis Risk in Communities Study (ARIC) and Hospital admissions were in four communities: Forsyth County, North Carolina; Washington County, Maryland; Jackson, Mississippi; and eight northwestern suburbs of Minneapolis.

The researchers looked at young patients aged 35 to 54 who accounted for 30% of hospital admissions.

In this group, the annual incidence of heart attack hospital admissions decreased from 1995 to 2014 in young men. However, the researchers noted an increase in young women.

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"When we examined the incidence – that is, the number of patients who had a heart attack every year, divided by the total population of patients in the group – we found that the incidence actually declined among young men and this kind of parallel to what we see in the older populations, but we have seen that there is a slight increase for the young women, "said Caughey.

"That was surprising because it was against the other trends in other demographic groups," she said. "There were earlier studies from the same ARIC monitoring that showed a decline, and they were mostly older populations or older patients … The national trends also show the same that the incidence of heart attacks declines."

Compared With young men in the study, the young women had more frequent health insurance and a history of hypertension, diabetes, chronic kidney disease and stroke, the researchers found. The young women were also more often black and smoked less often.

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The online study published in November had some limitations, including that only data from four communities was recorded. To determine whether similar trends would develop nationwide, further research is needed.
In addition, the data was limited to medical records and did not contain information about obesity, a known risk factor for heart attack.
"The first thing I thought when I looked at women's high diabetes rates was" What about overweight? "The study had no information on whether these women were obese or not," Dr. Nieca Goldberg, cardiologist and medical director of the Joan H. Tisch Center for Women's Health at New York's Langone Health in New York who was not involved in the study.
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Such risk factors – including type-2 Diabetes and high blood pressure can explain why young women have an increase in heart attacks. However, more research is needed to really find out what could cause this increase, added Goldberg.

"It's complex – are the risk factors and symptoms recognized by the vendors – are the patients, even though they have insurance, taking the time to make an appointment, was it difficult to get an appointment?" You just gave up? "Asked Goldberg."

"It's possible, but look at some other behaviors in this age group. People work and spend more time at their desks than before and are not physically active. Lack of physical activity is also a risk factor, "she said." Sleep deprivation and increased stress increase blood pressure; that is also a risk factor. "

Unusual Heart Symptoms in Women

The study's findings are" particularly conspicuous because the population is getting older and yet we see a higher proportion of heart attack patients becoming young Patients are, "said Dr. Harmony Reynolds, co-director of the Sarah Ross Soter Center for Cardiovascular Women's Research and professor of medicine at the New York NYU School of Medicine.

This may be related to risk factors, which are also increasing in heart attack patients Reynolds, who was not involved in the study, said, "We see this particularly [increase] in young women and especially in young African-American women," Reynolds added.

Also Women were less likely to receive certain types of therapies, such as drugs that lower cholesterol and prevent blood clotting Although higher mortality rates were found in women with heart attacks in previous studies, the risk of death for some reason at one year was similar for women to men.

Reynolds said many people are unaware of their risk factors for a heart attack and need to proactively talk with their doctors about how to reduce their risk. Many may also be unaware that heart attacks may look different in women who are more likely to experience atypical symptoms such as nausea or sweating, she added.

Another study published in the journal Circulation last year found this among adults. In younger women, lesser-known acute myocardial infarction symptoms than chest pain were more common than in men, and more than half of the physicians who saw women looking for these symptoms did not realize that the symptoms were cardiac.
Some of these heart attack symptoms may also include shortness of breath; Dizziness; or the feeling of pain or discomfort in one or both arms, the back, neck, jaw or stomach, according to the American Heart Association.

"Some people believe that having a heart attack will make them look like they are in movies – like people clinging to their breasts and lying down on the ground and feeling terrible – and for some people that is much more subtle "Reynolds said. "I saw someone last week who had a heart attack in their two front teeth."


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