How Do I Lower My Heart Rate?
Studies indicate that women die more frequently from cardiac arrest following a heart attack than men do. This led researchers to believe that women were being misdiagnosed because their heart attack symptoms were different. However, a recent study finds that chest pain, which is the chief complaint of cardiac disease, is generally the same for both genders. The researchers did find some distinctions, but no clear pattern of differing characteristics emerged. Therefore, none of the differences could assist emergency room doctors in diagnosing a woman as having a heart attack.
The Study
According to the November 25, 2013 release from The Journal of the American Medical Association (JAMA), This gender study took place from April 2006 to August 2012. There were 2,475 patients examined, 796 of which were women. These patients visited the emergency rooms at nine hospitals located throughout Italy, Spain and Switzerland. All the patients arrived complaining of chest pain.
Prior to this study, the conventional wisdom was that women might complain of pain or pressure in their abdomen or lower chest that spreads to the arms or shoulders, while men frequently experienced crushing chest pain.
Detailed Characteristics were Documented
Patients were given a form listing 34 characteristics; they were asked to use the form to describe their pain in detail.
Some of the questions on the form included:
1. Where was the pain located?
- On one side of the chest
- In the middle of the chest
- Did the pain radiate to the abdomen or shoulder
2. What type of pain was it?
- A burning pain
- A stabbing pain
3. Was it more like a feeling of pressure than pain?
4. How long did the pain/pressure last?
The Results
One in five of the 2,475 patients were diagnosed as having a heart attack. This includes 18 percent (143) of the women and 22 percent (369) of the men. Approximately 92 percent of the patients who were suffering with a heart attack complained of pain or discomfort in their chests. For all intensive purposes, there was no dramatic difference in the kinds of chest pain experienced by either gender. That said there were a few minor differences.
Differences in Symptoms
Researchers found that there were very few differences in the heart attack symptoms experienced by men and women. In fact, there were only three characteristics (out of the 34 listed) that differed by gender.
- Pain duration lasting less than 30 minutes is not as likely to indicate a heart attack in a woman and more likely to signify one in a man.
- Pain that lasts more than 30 minutes is more likely to indicate that a woman is suffering a heart attack and not as likely in a man.
- If the intensity of the pain decreases, it suggests that a woman is not having a heart attack, whereas a man could be.
Researchers state that although these differences are significant statistically, they are not consistent enough to be used to determine if a woman is suffering a heart attack or another ailment. For this reason, any patient suffering with acute chest pain should be evaluated for a heart attack using blood tests and an electrocardiogram.
One in Five Women May Experience No Heart Pain
Another study shows that one in five women who are aged 55 and younger may have no chest pain while suffering a heart attack.
If you have been diagnosed with or believe that you may have heart disease, contact our Arizona Cardiovascular Treatment Center so that one of our cardiac specialists can evaluate you. Once you are evaluated, your heart doctor can determine if you need treatment; and if you do, which treatment best suits your needs.
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