Failure to take heart diseases thought to be specific to men in women can lead to delays in diagnosis, and therefore a heart attack. Although deaths from heart diseases have tended to decrease in men for the past 20 years, the lack of similar development in women reveals the seriousness of the situation. Women's heart disease threat, measures that can be taken Anadolu Medical Center Cardiology Specialist. Ayşegül Zor and Cardiovascular Surgery Specialist. Dr. We spoke with Sertaç Çiçek.
Cardiovascular diseases are among the leading causes of death in developed and developing countries. In a survey conducted in the USA, women were given the first answer to the question neyi What do you see as the biggest risk factor in health for yourself? However, approximately one in every 30 women die due to breast cancer. One out of every 2.5 women is lost due to cardiovascular diseases.
According to American statistics, approximately 500,000 women suffer from heart attacks each year and 250,000 women die from coronary artery disease. According to the Turkish Society of Cardiology, deaths due to coronary disease are between 45-75 years of age in 8 per thousand in men and 4.3 per thousand in women. Cardiovascular disease-related mortality has declined in men for the past 20 years, while similar development is not seen in women.
The seriousness of the subject, what precautions should be taken by women about cardiovascular diseases Cardiology Specialist Dr. Anadolu Health Center. Ayşegül Zor and Cardiovascular Surgery Specialist. Dr. We spoke with Sertaç Çiçek.
? Heart disease, women from the age of how much more is seen?
Symptoms of coronary artery disease in women with a delay of 10 years compared to men, especially after 5-6 years after menopause begins to appear. In men, it is seen from the early 40s.
? What are the differences between men and women in coronary artery disease diagnosis methods?
Exercise test, which is one of the most frequently used methods, is able to see the patient's exercise capacity and the response to blood pressure to exercise. It is known that standard exercise test has lower sensitivity and specificity in terms of coronary artery disease in women. Many studies to date have shown high false positivity rates in women. When a female patient is referred for direct angiography with a positive effort test, this patient's coronary arteries are much more likely than normal. The main reasons for this are low prevalence of coronary artery disease in women under 70 years of age, women-specific autonomic changes and the effects of hormones on ECG.
? How often is coronary angiography performed on women compared to men?
If we find a problem with these tests, we refer patients or men to coronary angiography. Women are less likely to have angiography than men. Women referred to angiography are usually in advanced stages of the disease. Because women generally apply to us in the late period. The frequency of percutaneous intervention and bypass after angiography is similar in both genders. Once the anatomy and the condition of the disease have been determined, the choices are based on the condition and anatomy of the disease, not gender.
? Can a woman who underwent surgery or stenting have a recovery time different from men?
After the procedures such as bypass and stent in women, the pain can continue. Chest pains that require them to take medication can continue even if the surgery is successful. The cause of this condition is not known, but it can be seen when the vascular structure is not good and the coronary blood flow reserve is low. Coronary flow disturbances include advanced age, hypertension and diabetes. There are also hormonal causes. Studies show that long-term vascular patency and survival are similar in men and women.
? Is obesity effective in increasing heart disease in women?
Cardiovascular diseases in women include coronary artery disease, hypertension, stroke, congestive heart failure. All these diseases are starting to increase in women over the age of 55. Research shows that the world and Turkey began to increase in obesity and diabetes from an early age. Obesity is a more serious problem for women than for men. The incidence of obesity is highest among 45-65 years of age. Along with obesity, hypertension, diabetes, cardiovascular disease increases the risk.
Care for symptoms
One of the most important differences between men and women is the symptoms of the disease. Women and men with coronary artery disease similarly consult a physician with chest pain. Unlike men in women, shortness of breath, nausea, sweating, fatigue, indigestion, fainting, such as complaints can be seen. The diagnosis may be delayed as these symptoms lead to the search for other diseases than the heart. Even women with heart attacks can go to the emergency room too late.
? Can a woman with heart disease give birth?
Pregnancy and heart diseases are closely related. Heart diseases do not usually prevent pregnancy; however, it may pose a risk for both the mother and the baby and requires a special approach. The burden on the heart increases to meet the increased metabolic rate during pregnancy. Therefore, an unrecognized or borderline heart disease may occur during pregnancy. Pregnancy can be monitored according to the severity and degree of heart disease. But there are some heart diseases that we don't want them to conceive. Because serious life-threatening problems can arise. Especially in certain valve diseases we can allow monitoring of pregnancy.
? Do congenital heart diseases pass from mother to baby?
If the mother has congenital heart disease, her infants are more likely to have the same or similar problems. However, it should be noted that mothers with treated congenital heart disease may conceive under medical control. It is possible to determine if there is any problem in the heart of their babies by using fetal echocardiography during pregnancy and to plan and treat them.