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A Closer Look at You
Women and Heart Attack
By Gopi Shah, M.D., Cardiology
Heart disease is the No. 1 killer
of women, striking down one
in every three women, compared
to one in 30 who die of breast
cancer. One form of heart disease, a
heart attack, can strike suddenly and
with no advance warning. Learning
more about heart attacks now can help
protect you in the future.
What Is a Heart Attack?
Each year, about 1.1 million Americans
suffer a heart attack, also known as a
coronary attack or myocardial infarction.
"A heart attack occurs when a
blocked artery stops blood flow to a
portion of the heart," says Gopi Shah,
M.D., cardiologist on staff at Methodist
Sugar Land Hospital. "Blockages are
generally caused by atherosclerosis, a
thickening and hardening of the artery."
First, fat, cholesterol and other substances
build up over time into plaque
in the blood, which is deposited on the
artery wall. Eventually some of the
plaque may break off, with a blood clot
forming around it. This clot can block a
coronary artery, cutting blood flow to the heart. In rarer cases, the heart's
blood supply can be cut off by a
temporary contraction or spasm of a
coronary artery. In either case, without
adequate blood flow, the heart muscle
doesn't get the oxygen and nutrients it
needs, and quickly begins to die.
Are You at Risk?
Nearly two-thirds of American women
who died suddenly of a heart attack had
no prior symptoms. "Knowing your risk
factors can help you make smart health
choices that may prevent a heart attack,
and may help you be more prepared in
the event that an attack occurs," explains
Dr. Shah. Some risk factors are uncontrollable:
a family history of heart
disease, and being 55 years old or older.
Other risk factors can be controlled by
adopting smart health habits and, when
necessary, the use of medication or
medical procedures. Controllable
factors are smoking (or exposure to
secondhand smoke), high blood pressure,
high cholesterol, being overweight/obese, physical inactivity, diabetes, stress
and drinking too much alcohol.
Talk to your health care provider about
your risk of getting a heart attack or come
out and meet Dr. Shah at Methodist Sugar
Land Hospital's Health Fair on Saturday,
May 3, from 9 a.m. to 1 p.m.
For Your Next Office Visit
Questions to Ask Your Doctor
| 1. |
What is my risk for heart disease? |
| 2. |
What are my blood pressure, cholesterol
(total, LDL, HDL and triglycerides), body
mass index and blood glucose numbers,
and what do they mean? |
| 3. |
What other screening tests for heart
disease do I need? |
| 4. |
What can you do to help me quit smoking? |
| 5. |
How can I tell if I may be having a
heart attack? |
The American Heart Association (AHA) has revised CPR guidelines in hopes of creating a
more effective way to help those suffering from cardiac arrest or other breathing difficulties.
The new CPR routine gives victims 30 chest compressions (rather than 15) for every
two breaths, increasing blood flow to the heart and other organs and improving the
chances of survival. For more information on the new CPR guidelines, visit the AHA
Web site at www.americanheart.org.
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