Regular annual visits to the OB-GYN can be a linchpin to improving women’s heart health, according to an advisory issued Thursday that encourages collaboration with cardiologists and spells out recommendations on how the two can prevent heart disease.
More than 90 percent of women have at least one risk factor for cardiovascular disease. At the same time, most women use their checkups with the obstetrician or annual “well-woman” visits to their gynecologist as their primary point of care, according to the joint advisory from the American College of Obstetricians and Gynecologists and the American Heart Association published in Circulation.
That makes those visits “a powerful opportunity to counsel patients about achieving and maintaining a heart-healthy lifestyle, which is a cornerstone of maintaining heart health,” said AHA President Dr. John Warner, an executive vice president at UT Southwestern Medical Center in Dallas.
When Kevin Duane saw his wife Alyssa sprawled on the floor of their kitchen, surrounded by an EMT crew, he feared she had been attacked in a home invasion.
The large goose egg on her forehead prompted police to suspect she was a victim of domestic abuse.
Actually, Alyssa was having a stroke.
It was around 11 a.m. on July 13, 2017. Alyssa had spent the morning caring for the couple’s 11-month-old daughter, Maggie, and was preparing for her afternoon shift as a pharmacist when she collapsed, thudding her head against the tile floor. Alyssa couldn’t stand or talk.
Coronary heart disease (CHD) remains the leading cause of death in women, as in men. However, the clinical manifestations of CHD differ, with a greater preponderance of nonobstructive atherosclerosis and microvascular disease1 and higher case fatality rates in women than in men. Metabolic risk factors, especially diabetes mellitus, are particularly strong risk factors for CHD in women. Women with type 2 diabetes mellitus have >40% higher risk of CHD than men with diabetes mellitus.2,3 However, data on the relationship of metabolites and CHD using metabolomic profiling have been very limited in women.
We often joke about wearing different “hats” during the workday. If you’re reviewing an intern’s work, you’ll put on your “manager hat,” and if you switch gears to talking through a problem with a client, you’ll put on your “customer service hat.” Depending on your role within the company, you might wear a dozen or more of these hats throughout any given day — and you might even be celebrated for it.
Colloquially, this metaphor works. Our professional lives are rarely as simple as fulfilling just one set of responsibilities, so it helps us compartmentalize and makes sense of our more complex tasks throughout the day.
But is this really the best way to work?
Pregnant women who have an infection when they enter the hospital for delivery might be at higher risk of having a stroke during their stay, according to new research.
While maternal strokes are rare – only about 30 of every 100,000 pregnancies – they carry a high rate of fatality.
“We wanted to get a handle on this because stroke is one of the major causes of maternal mortality in this country,” said the study’s lead author, Dr. Eliza Miller, an assistant professor of neurology at Columbia University Medical Center. “We wanted to see if infections could possibly trigger a stroke in a woman who doesn’t have a lot of risk factors, in the peripartum period.”
A new study says that the odds of dying from sudden cardiac arrest due to sex is extremely low – even for people with heart disease.
Researchers analyzed records on 4,557 sudden cardiac arrest deaths around Portland, Oregon, between 2002 and 2015 and found that only 32 men and two women died of cardiac arrest during or within an hour of sexual intercourse.
Whether the risk during sex is higher or lower than resting or exercising wasn’t determined because researchers didn’t have enough information about frequency of sexual activity, according to the study published Sunday in Journal of the American College of Cardiology and presented at American Heart Association’s Scientific Sessions.
Men are more likely to receive bystander CPR in public locations compared to women, and they are more likely to survive after the life-saving measure, according to preliminary research presented at the American Heart Association’s Scientific Sessions 2017, a premier global exchange of the latest advances in cardiovascular science for researchers and clinicians.
Using data from the Resuscitation Outcomes Consortium, a network of regional clinical centers in the United States and Canada studying out-of-hospital treatments of cardiac arrest and trauma, researchers analyzed 19,331 cardiac events in the home and in public.
Risk of blood clots increases with the amount of time spent watching television, even if people get the recommended amount of physical activity, according to preliminary research presented at the American Heart Association’s Scientific Sessions 2017, a premier global exchange of the latest advances in cardiovascular science for researchers and clinicians.
“Watching TV itself isn’t likely bad, but we tend to snack and sit still for prolonged periods while watching,” said Mary Cushman, M.D., M.Sc., co-author of the study and professor of medicine at the Larner College of Medicine at the University of Vermont in Burlington.