Heart Failure in Women

Heart Failure in Women

January 7, 2020 0 By Bertrand Dibbert


>>Everyone is wearing red, and it’s no coincidence. It’s
the start of American Heart Month. It’s also national wear red day. We’re going
to talk to some local experts about heart health every week this month. This
morning we’re joined by Dr. Naila Choudhary, a cardiologist at the Sands-Constellation Heart Institute. So, yes, we have our red. That’s step one.>>Yes.>>The steps after that’s so much more
important because it’s learning about our health. It’s learning about our risk
factors and maybe let’s start with we focus so many so much about the men in
our lives often not really caring about ourselves and the symptoms that we as
women are having problems might be different than men having heart problems.>>That is very correct. I think I would start off by saying that, you know, many
women ignore that heart disease. It’s number one killer for women in United States. Heart disease presents very differently, especially heart attack
symptoms can be very different in men compared to women. You know, back in the 1970s, you know, all the commercials that you would see is a man
holding on to his chest and you know walking in the cold those kinds of
symptoms. Well, women present very differently. For women, it’s mostly atypical symptoms — meaning yes the chest pain kind of holding on to the chest is
the most common symptom but you know there are many women who will just
present but for example nausea or just like a some neck pain or back pain or
jaw pain and the many women who just have shortness of breath and might
not have any chest pain. So, it is very important for us to educate our women
that, you know, the symptoms of the chest pain can be very different between men
and women and it is our job as healthcare providers to recognize those
symptoms so that we can manage them accordingly.>>And you mention neck pain and back pain I mean, it’s not uncommon for you to wake
up and have some pains but why don’t what how does that pain present?>>So, for example, if you, you know, there’s neck pain and back pain could be just musculoskeletal
especially as we age there’s more arthritis in the neck as well as in
the back. But you know, the heart-related symptoms, kind of neck pain,
neck is more on the front of the neck will break into the jaw line.
This is the kind of the pain that is going to come out of the blue — that you were never
having before. The kind of the pain which could be more like a tightness feeling
or like a pressure-like or a choking sensation then just like a dull muscular
pain.>>Okay, if we have some of these I imagine we need to go see someone like
you right away?>>Yes, you know, you should — I tell my patients you know if
you have any of the symptoms like we suggest a heart attack, you know, don’t waste
your time calling your primary care doctor or your cardiologist. This is a
time for you to go to the emergency room because you know when the heart attack
comes — time is muscle. The more time we would not wait — the more damage it
happens, so, you know, when you have these symptoms you should immediately seek our
care in the emergency room.>>We’re so into finding out more about our genetics
these days right? All these kits you can send away from but knowing
your heart history, your family history, when it comes to this it’s quite
important as well right?>>That is correct. There’s several risk
factors they get involved. You know women — there are certain risk factors that
cause more damage to a woman — for example not only the genetics but for example
smoking. Smoking causes more damage in the women — and it leads to more heart attacks
and stroke than it would in men. Of course it’s not safe for men to smoke either.
But, you know, it causes more damage in women. Same thing for diabetes. I call my
diabetic patients, my hypertensive women that — you know, you have hypertension and you
have diabetes, you have to really work hard to be heart healthy compared to women of the same age group who do not have diabetes, who do not have high blood
pressure, who do not have a family history. For example, it’s very
important for us to not only work on with lifestyle — try to eat healthy, try to exercise every day. You know, current recommendations
is exercise about 30 to 50 minutes for about five to six times a week. So
we need to find time for ourselves to take care of ourselves and our women to
modify those several of those risk factors because women need to work
really hard — especially if they have some of the risk factors going on for example
diabetes, hypertension, a history of stroke, things like that.>>Wow, so again wearing red days just the
first step.>>Exactly, there’s more that goes
into just wearing red. Again, wearing red is a reminder that we should
educate our — not only of a man — but also over meant about “what are risk
factors for heart disease” and “what is the signs we need to watch?” and “what
are the things that we can do to modify all those things?” So there’s really very
important.>>Wow all right. So thanks for explaining that pain – I’ve always wondered, you hear pain but what does that mean? Nice to meet you thanks for coming. continue this discussion all month long