Nutrition and Weight Loss Ideas

Would you know for sure if you were having a heart attack? It’s not unusual for a heart attack to go unrecognized.

There was a study done recently saying that 43 percent of heart attacks would not be detected — more often in women than in men. Other studies feel that estimate may be too high — but do concur that the problem exists. We really do need to know the signs and symptoms of a heart attack so we know when to seek help. This is one area where you don’t want to guess wrong.

Dr. Rita Redberg, a professor of medicine at the University of California, San Francisco, said, “People often ignore the warning signs of a heart attack.” Sometimes, it’s a case of denial. Other times, people wrongly write it off as indigestion or stress, she said.

According to the American Heart Association, the warning signs of a heart attack typically include:

* Chest discomfort in the center of the chest that lasts more than a few minutes, or that goes away and then returns. It can feel like uncomfortable pressure, squeezing, fullness or pain.
* Discomfort in other areas of the upper body, such as pain or discomfort in one or both arms, the back, neck, jaw or stomach.
* Shortness of breath, with or without chest discomfort.
* A cold sweat, nausea or lightheadedness.

Women are more likely than men to experience such symptoms as shortness of breath, nausea and vomiting, and back or jaw pain.

Dutch researchers reported the finding that 43 percent of heart attacks are unrecognized in a study published earlier this year in the European Heart Journal. They analyzed the electrocardiographs (ECGs) of more than 4,000 men and women over age 55, all participants in the so-called Rotterdam Study.

The researchers gave the men and women a baseline ECG screening during the years 1990 to 1993, then repeated the ECGs during either 1994 to 1995, or 1997 to 2000. The imaging tests revealed that over 4 out of 10 heart attacks went unrecognized — including one-third of attacks in men and more than one-half in women, the study said.

The researchers think the results could apply to any developed country.

Dr. Susan Bennett, director of George Washington University Hospital’s Women’s Heart program, said even a doctor may not recognize a heart attack, especially in women. “Physicians typically under-evaluate and under-treat women,” she said.

A special report published last year in the journal Circulation polled 500 physicians online, including primary-care doctors, obstetricians/gynecologists and cardiologists. They were given an experimental case study and asked to categorize the patient’s level of heart-disease risk. The authors found that women at intermediate risk were more likely to be assigned to a lower-risk category than men with identical risk profiles.

Bennett said the decision to evaluate a patient for a possible heart attack depends on the “index of suspicion.” And often, that suspicion is not high enough for women, she said. “When they [doctors] see a woman who is white, on the thinner side, they get that reflex that this is a lower-risk person,” she said.

Among the important things we need to know are our blood pressure and cholesterol levels. Keeping a healthy diet, a healthy weight and partaking in regular exercise is also vital. Also, be sure to get a thorough physical examination at least once a year, especially if you are age 55 or older.

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Ron
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