Heart attack in women
The heart attack was originally considered typical of men and Manager of disease, but this has changed in the last few years. According to Figures from the Federal Statistical office, more than half of the heart attack the deceased were female in 2002. A study, which examined the coronary risk for women, however, revealed that this was due to the professional activity. On the contrary, better-educated and working women were less at risk. Why this imbalance?
Women are at risk after the menopause, particularly
For one, women usually get it later than men, after Menopause, a heart attack. On the other, they do not have other symptoms than men, so that women also have the heart attack as such to detect, and therefore, according to the latest. A unfortunately, also confirmed the Thesis is that women are treated after a heart attack is different and as a result have less opportunities than men with heart attack Survive.
In younger women before the menopause, cardiovascular disorders rare -except when multiple risk factors are present. This is due to the hormones are the Estrogens said. The Estrogens reduce the “bad cholesterol” (LDL cholesterol) in the blood and raise “good” HDL cholesterol. The exact force of the Estrogens is not yet explained well. There is, however, evidence that Estrogens act directly on the cell layer that lines blood vessels (endothelium),.
The production of vasodilator mediators (Prostacyclin) is set to boost and nitric oxide (NO) is increasingly free. This allows narrowed vessels more permeable already. After Menopause, women lose diseases, but their biological protection shield in front of the vessel. The ovaries (ovaries), the production of Estrogen and the protective effect is weaker, and the risk of the disease triples. Therefore, cardiovascular disease in women usually occur after the age of 50. The age of a.
Symptoms do not underestimate!
Of heart attack in women compared to men features, leading to incorrect assessments of the hazardous Situation. While women often have shortness of breath, Nausea, vomiting and pain in the upper abdomen is the sole alarm sign, occurs in men more of a strong feeling of tightness, together with a violent pressure in the chest. Heavy, for longer than five minutes persistent chest pain radiating in the arms, shoulder blades, neck, and jaw, associated with anxiety or panic, also indicate a heart attack.
The warning signs in men are commonly known, in the case of women but less. “It has been proven that 30% of all heart attack patients respond to late and see a doctor. Many women do not recognize the symptoms or don’t want to get them to Pull the ambulance. Here applies: better to have too much, call the emergency doctor as it was late,” said Professor Klör of the University of Giessen, Department of Internal medicine and is a Board member of the DGFF e. V..
Serious differences in the treatment
Recent studies also show that women get when they come to a heart attack in the hospital – a different type of treatment than men in the same case. Only a few women in Germany, effective medications such as beta-blockers, statins or Aspirin. The life-saving measure of reperfusion therapy (restoration of vessel patency, e.g., by balloon dilatation) or the re-opening of the occluded coronary artery is to be held less frequently.
The high mortality of women as a result of inadequate treatment was in 2003 in the German heart centre Munich and the 1. Medical clinic right of the Isar examined. To improve the chances of Survival of women with heart attack through the use of today’s available therapeutic measures could, according to this study, could be workable.