24th ASMIHA Coverage: Gaining Awareness towards Cardiovascular Disease in Women
JAKARTA --- Back in ‘80-90s, only a few female participants were involved in clinical trials at the field of cardiology. The researchers had always been focusing on men since they have experienced this type of illness earlier. Moreover, women tend to have greater variation in hormonal states. Thus only a limited data about women’s cardiovascular disease(CVD) available worldwide.
On this background, Prof. Pamela Bowe Morris put an interest on women’s cardiovascular health. Pamela, who is currently one of the main boards of American Heart Assocation(AHA), has been actively participating in campaigns raising awareness of women cardiovascular diseases. The red dress campaign, for instance, represented one’s awareness by wide range of actions, from wearing red attires on scientifical meeting to taking parts in the “red week” during New York Fashion Week. It’s also crucial to increase physicians’ awareness of CVD in women due to the versatile characteristic of women. Women are more prone to have microvascular disease than men. Men are more likely to develop epicardial coronaries blockage whereas women tend to develop blockage in microvasculatures, which usually left undiagnosed by echocardiogram. Hence more deaths of CVD occurred on women compared to men with the fact that microvascular disease detections are difficult and women have longer life expectancy than men, thus allowing a more lethal development.
For the vast majority of women, their symptoms are quite atypical. They may suffer from jaw pain, fatigue, exhaustion, and nausea. Even the blockage is detected, bypass graft are more difficult for women due to the smaller arteries they have. Another piece that has been put to consideration is the bewilderment occurred when deciding the proper step as a primary prevention in women. Pamela also stated that most of the original guidelines for CVD nowadays are based on research in men. Overtime, there has been increment in the concern of CVD in women. Today, the guideline for women CVD has been released. It contains many informations by which physicians are obliged to be aware of, such as when to start primary prevention, concerns on pregnancy, breast-feeding, and so on. It is always necessary to keep working on informations about CVD in women, however it is just as important for physicians and community to amend informations related. In the near future, hopefully more people are putting their minds on these concerns and every component can participate actively to increase cardiovascular health in women
Modified from Media Aesculapius by KM, Edited by Su