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Heart Attack

Women and Heart Disease - Causes and Symptoms


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Summary & Participants

When it comes to heart disease, there really is a gender gap.

Medically Reviewed On: July 20, 2006

Webcast Transcript


ANNOUNCER: When Debra had a heart attack 10 years ago – her main symptom was crushing chest pain.

Debra, Heart Disease Survivor : My arteries go into spasm. I have high cholesterol but no coronary artery disease.

ANNOUNCER: This is just one of the ways heart disease can be different in women than in men.

Nieca Goldberg, MD, American Heart Association Spokesperson: For reasons that we don't yet know, many women have a spasm or a clamping down of the artery with very little cholesterol buildup. And if the spasm is prolonged, you cut off blood supply to the heart muscle and so you have a heart attack

ANNOUNCER: Because there is no blockage, arterial spasms can’t be treated with traditional angioplasty or bypass surgery. Debra went through nine cardiologists before she found one who could help her. This is one of the reasons Dr. Nieca Goldberg decided to specialize in treating women with heart disease.

Nieca Goldberg, MD, American Heart Association Spokesperson: Women's heart disease is different because women are different than men. Women's heart rates are higher, women's hearts are smaller and, when it comes to a heart attack, oftentimes, women's symptoms of a heart attack are different.

ANNOUNCER: Doctor Goldberg lists several symptoms that could indicate a woman was having a heart attack.

Nieca Goldberg, MD, American Heart Association Spokesperson: Short of breath, unexplained fatigue, you feel quite exhausted with doing very little. Pressure that's in the upper abdomen, easily mistaken as a stomach ache. Upper back pressure. Fainting can also be a symptom. Women aren't aware of their own risk and we also have data that even one in five doctors don't even realize that sometimes the symptoms of heart attack can be different in women.

ANNOUNCER: Debra now controls her heart disease with a combination of medications, diet and exercise.

Debra, Heart Disease Survivor: Ten years ago, I didn't think I was going to live. And I have to live to see my daughter get married and she's gonna kill me if she hears this. But I have a lot of living to do.

ANNOUNCER: Thanks for joining us on today’s Once Daily.

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