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Women die twice as often as men six months after a heart attack



Published

July 23, 2018 14:45:22

There is a difference in how men and women are treated for heart attacks.

Women who experience a severe type of heart attack, known as STEMI, are less likely (1

9659005) and die twice as often in the six months following their heart attack.

& # 39; A bit tight in my chest & # 39;

Helene Peck was just 41 when she suffered a heart attack.

It was a health scare she never expected. 19659005] "I was not overweight, I did not have blood pressure, I did not have high cholesterol," Ms. Peck said to AM.

"Actually, I did not really fit in with what anyone would probably have looked at and thought that person looked like a candidate.

Symptoms of a heart attack include:

  • Tightness or heaviness in the chest that develops aggravates
  • Pain in shoulders and / or arms
  • Jaw and neck pain
  • Sudden difficulty in breathing
  • Nausea
  • If you or someone you know has heart attack symptoms, immediately call Triple-0

Source: Heart Research Australia

"I was skinny, I ran five businesses – I think I was just a bit superhuman, I thought, but I did not care much about myself."

When the first symptoms began to show, she had no idea what was happening, but she knew she had to rush to the hospital.

"I was not really sure what it was, but I knew It was not quite right.

"And then I had quite a lot of pain through my back into my chest." And then I thought, "Oh, I'm a little bit here in my chest, that does not feel good."

Women are treated less frequently than men

Revascularization therapies: male / female

Revascularization therapy Men Women [19659032] Coronary angiography 95.7 pc 89.1 pc
Total revascularization [19659030] 91.7 pc 79.0 pc
Timely Revascularization 42.3 pc 33.9 pc
Percutaneous Coronary Intervention (PCI) 77.8 pc 65 , 0 pc
Thrombolysis 32.3 pc 31.5 pc
Coronary Artery Bypass Transplant (CABG) 7.5 pc [19659033] 3.5 pc

Source : Med J Aust doi: 10.5694 / mja17.01109

Ms. Peck's quick thinking and the actions of the medical staff meant that she was the only one of her kind She got the care she needed.

But a study published today in The Medical Journal of Australia has found that other women have a different experience.

"We've gotten into today's Australia, whether women have the same results with STEMI versus men, a severe form of heart attack," Clara Chow, a senior author of the study, a professor of medicine at the University of Sydney and a cardiologist at Westmead Hospital said.

The study used data from the CONCORDANCE Acute Coronary Syndrome Registry Covering 41 Hospitals Australia

It turned out that women were less likely to receive a coronary angiogram (a test to detect blockages in the coronary artery) less likely to receive preventive treatment received a heart attack and were less likely to be referred for cardiac rehabilitation.

"So t you were treated less often than men," said Professor Chow.

Adverse Events in the Hospital and After Six Months

Inpatient Events Men Women
Severe adverse cardiac events, Hospital 12.1 pc 16.9 pc
Severe adverse cardiac events, after six months 3.8 pc 11.6 pc
Mortality, hospitalized 5.3 pc 9.0 pc [19659035] Mortality, after six months 2.2 pc 6.3 pc

Source: Med J Aust doi: 10.5694 / mja17.01109

Unconscious bias

Research has not established why sometimes a difference in the way men and women are treated for heart attacks.

But Professor Chow believes that unconscious prejudice may play a role.

"Of course, I think men recognize and recognize health services men have heart attacks, but there is definitely the perception that women do not have a heart attack, "she said.

"Still cardiovascular disease i It is the leading cause of death among men and women."

And this unconscious bias may also extend to physicians, according to Garry Jennings, a cardiologist and medical consultant to the Heart Foundation.

"When a woman comes along with symptoms that could be a heart attack, they tend to think that it's less likely to be the diagnosis than other things," Professor Jennings said. It's not true.

"Just as many women have heart disease as men, and it's very important that we make sure they get the best treatment."

Professor Chow said that there must be awareness that the gaps must be addressed immediately.

"There are no differences in our treatment protocols by gender … gender should not happen," she said.

Topics:

Heart disease,

Women's Health,

Health facilities

Australia


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