Are men and women at different risk of myocardial infarction? Don't ignore these 4 "atypical symptoms" in women!

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Are men and women at different risk of myocardial infarction? Don't ignore these 4 "atypical symptoms" in women!

Are men more likely to have myocardial infarction? Women should pay attention to three high control

What are the different causes of myocardial infarction in men and women? Dr. Zhang Jiaxiu from the Interventional Cardiology Department of the Cardiovascular Center of Cathay General Hospital pointed out in an interview that the risk factors for myocardial infarction are indeed different between men and women. Statistically speaking, gender itself is a risk factor for myocardial infarction, with men more likely to have myocardial infarction than women. Women should not ignore cardiovascular disease warning signs because of atypical symptoms.

Dr. Zhang Jiaxiu pointed out that when women enter menopause and are about 55 years old after menopause, the mortality rate from cardiovascular diseases such as myocardial infarction suddenly increases. Due to the loss of hormonal protection after menopause, if women themselves have three high problems, such as poor blood pressure, blood sugar, and blood lipid control, their cardiovascular risk will increase significantly after menopause, and their mortality will also increase.

Are abdominal pain and shoulder pain a heart warning sign? Pay attention to atypical angina pectoris

Do women ignore myocardial infarction because they can tolerate pain better than men? Dr. Zhang Jiaxiu pointed out that what is really worth noting is that women are less likely to present with the typical symptoms of chest tightness and chest pain when myocardial infarction occurs. Instead, they may experience atypical angina such as upper abdominal pain, shoulder pain, nausea, and dizziness.

Dr. Zhang Jiaxiu said that common heart diseases in women are also different from men. Women are usually more likely to face endocrine diseases such as thyroid dysfunction, or mitral valve prolapse, reflux and other diseases. However, these problems are not necessarily directly related to women’s myocardial infarction. They should still control the three highs at ordinary times and seek medical treatment as soon as possible when signs occur.

It’s not necessarily blocked by plaque! Are women more susceptible to non-obstructive myocardial infarction?

Dr. Zhang Jiaxiu explained that women who experience myocardial infarction before menopause have a higher chance of being a “non-obstructive” myocardial infarction. Possible causes include acute contraction caused by vasospasm, or diffuse vascular plaques that are not discovered during angiography. . Some endocrine diseases or valve problems may also cause damage to the heart muscle, leading to myocardial infarction in women.

Dr. Zhang Jiaxiu pointed out that more than 90% of patients with myocardial infarction will undergo cardiac catheterization, which uses a contrast agent to observe the blood flow and blood vessel shape of the main blood vessels to distinguish whether the blood vessels are blocked and the degree of obstruction. If the blood vessels are not blocked but myocardial infarction still occurs, new optical coherent tomography can be used to detect subtle plaques in the blood vessels, or to diagnose whether there are vascular contractures, spasms, etc.

To prevent myocardial infarction, men should exercise to relieve stress! Women beware of atypical symptoms

What are the signs that women should pay attention to their heart health early? Dr. Zhang Jiaxiu reminds that if fixed chest tightness or chest pain occurs, it lasts for more than 10 minutes each time and it usually occurs when the weather alternates between hot and cold weather, or the symptoms obviously affect exercise ability. For example, you can climb two floors in the past and now you can’t walk two floors. The floor is very breathtaking. Anyone who feels that they have a similar situation is advised to get checked out as soon as possible.

Dr. Zhang Jiaxiu called on the fact that myocardial infarction is getting younger in Taiwan, especially among men in their 30s and 40s. The incidence rate has increased significantly. The middle-aged and middle-aged people are in the stage of life where they are struggling in the workplace, which shows that stress is related to the younger myocardial infarction in men. Men are reminded to establish exercise habits and find appropriate ways to relieve stress.

Women should pay attention to atypical symptoms that are easy to ignore. Dr. Zhang Jiaxiu pointed out that women have hormonal protection before menopause, but if the three highs are not actively controlled, the rate of severe myocardial infarction and stroke will increase significantly after menopause. Therefore, women should actively control blood pressure, blood sugar, and blood lipids before menopause. After menopause, women should take better care of their bodies to avoid major cardiovascular damage.


Further reading:

More than 60% of patients with acute myocardial infarction die before the hospital. Doctors reveal the life-saving rule: “chest pain and cold sweats” and seek medical attention immediately.

Acute myocardial infarction is related to “7 risk factors”? Research reveals: 85% correlation with young patients

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