Cardiologist: A heart attack doesn’t look at women differently than men

For men and women, there are considerable differences, as the problems go. During Wear Red Day is on the 29th of september, to draw attention to the vrouwenhart. Have a great day, will interventiecardioloog Yolande Appelman. Ten questions about the vrouwenhart.

It works vrouwenhart other than the mannenhart?

“It is the heart anatomically in men and women alike. The difference lies in the complaints received by the heart during a heart attack. And the fact is that women’s complaints often no narrowing of the arteries that is seen in the major arteries of the heart. In women it can be seen that complaint in some other way.”

What’s the difference?

“It’s a classic image that most people associate with a heart attack, a man who, for his chest to rise. Last time I saw such a picture of passing in a congress.”

“As a heart attack, look at the women differently than the men.”
Yolande Appelman, interventiecardioloog

“But to have a heart attack to see it in women is often different. The women also feel pain in the breast, but are more likely to have pain between the shoulder blades in the back or in the jaw. If they are out of breath. Due to that a different image is are symptoms of women tend to fall through the cracks.”

How can it be that the symptoms for women are different to express?

“Heart problems caused by narrowed blood vessel. The heart does not get enough oxygen-rich blood. That’s narrowing it is also known as clogging or hardening of the arteries is called.”

“For men, guide fat, and calcification of a stenosis in the larger branches of the coronary arteries. For women, it is often the microvaten that are not functioning properly. That is, the tiny blood vessels of the heart.”

“That microvaten can spasm (vaatkramp, ed.). show. As to why this happens, and it is not yet clear. But microvaten with 90 per cent of the volume of blood in the heart. Coronary artery and only 10 percent of the time.”

To be heart problems, so it is not always due to a problem in the larger coronary arteries caused by?

“No, no. We have a long, long time, but only at the 10 per cent considered that, particularly for men and women who are not engaged. The techniques and treatments that were problems in the large coronary arteries, as directed. It is important to file a complaint with women being more likely to be in view.”

Heart disease caused by narrowing (stenosis) of the artery. That narrowing may occur in men in a different way than women do. (Image: 123RF)

How can we deal with complaints earlier in the picture?

“Through more research into the microvaten and man-vrouwverschillen. Women of this type have smaller blood vessels than to men’s. If we know better than you what is in the microvaten place, we can have symptoms and diseases that are linked to better diagnose and treat them.”

“Every year, around 37,000 patients diagnosed with heart failure.”
Yolande Appelman, interventiecardioloog

“Well, we need to have more research to do, a form of congestive heart failure (HFpEF, ed.). which is more common in women. In addition, pumps of the heart are still normal, but the heart is stiff and cannot relax and fill with blood. This leads to shortness of breath, a lot of hospitalizations, and even death. Every year, around 37,000 patients diagnosed with heart failure, of whom around 50 percent of HFpEF. Two of the patients were women.”

There are also differences in risk factors for males and females?

“Yes.” Not so much the risk itself, but to the extent of the damage that they cause. For example, smoking and diabetes are at a higher risk of coronary heart disease in women than in men. In addition, it enhances the transition and reduce the risk of heart disease for women.”

“During the period of transition-fall of the female hormones on the road, which up to that time, protect against atherosclerosis, Also have a women’s-specific risk factors that men don’t have, such as high blood pressure and diabetes during pregnancy.”

So what can women do to reduce the risk?

“You and your heart, first of all to take very seriously. A lot of women sway their problems away, or blame them on the road. Go in with any doubts or complaints which do not proceed to the doctor. You should be aware of the numbers, particularly during the period of transition: your blood pressure, cholesterol and sugar.”

“And try to have a healthy life. Avoid stress, eat well, sleep and move enough and will fall off if you are overweight, 80 percent of heart disease can be prevented by a healthy lifestyle.”

Yolande Appelman is interventiecardioloog connected to the city and the UNIVERSITY.

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