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Women & Heart


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Women & Heart Disease

1.         Is heart disease is less common in women?               No. In fact more women die because of cardiovascular diseases           (Heart attack & Stroke) than men. Cancer of uterus, breast, ovary etc. is perceived on major health problem for women which is actually 1/8 th of the total cardiovascular mortality in them. Initial manifestation of Heart disease is generally 10 years later then men. 2.         Why Heart disease a common in women?            Diabetes, Hypertension, Obesity, and sedentary habits are more prevalent in postmenopausal women then men. Diabetes is a stronger risk factor for Heart attack in women. Presence of Diabetes neutralizes the protective effect of premenopausal  status of younger women. 3.       ...

Acute coronary syndrome ACS

Introduction Acute coronary syndrome (ACS) includes acute  myocardial infarction (MI) and unstable angina. Following an ACS, the chances of recurrent coronary events are higher than that of a stable coronary disease.1 The burden of  ACS in India is one of the highest in the world. A study  called CREATE, involving 20,937 patients, suggested that  Indian patients with ACS have a higher rate of STEMI than  patients in the developed countries.2 The efficacy of statin  therapy in prevention of CVS mortality and morbidity has  already been established. In fact, the ACC/AHA Joint Task  Force recommends the statins to be prescribed to patients before hospital discharge following an episode of ACS.3 Case presentation In emergency department  A 70-year-old woman (5’3’’ tall, weighing 60 kg) was  brought to the emergency department by her family, when  she woke up at around 3.30 am with her heart pounding,  severe chest tightness...

Heart attack in Indians

Heart attack in Indians — an emerging epidemic Causes & Prevention Introduction : Cardiovascular diseases are the commonest cause of death globally. During last 20 years a large decline in mortality from CVD has been in observed in developed nation but a substantial increase has been experienced by developing nation like ours. It is estimated  that India has largest burden of Cardio Vascular Disease in the world more so in younger population. Approximately 14-16 lakh people die every year because of cardiovascular diseases in our country. It is projected that if not controlled now, it will increase in an epidemic form by 2015. The increasing evidence of heart attacks in younger population resulting is increase cost of evaluation and treatment (PTCA & Bypass surgery) & loss of working days – will affect the family, society & nation as a whole. In other words medical, and economic consequences will be substantial for our country. An understanding of the ri...