Online edition of India's National Newspaper
Monday, Oct 14, 2002

About Us
Contact Us
Metro Plus Thiruvananthapuram Published on Mondays

Features: Magazine | Literary Review | Life | Metro Plus | Open Page | Education | Book Review | Business | SciTech | Entertainment | Young World | Quest | Folio |

Metro Plus    Bangalore    Chennai    Delhi    Hyderabad    Kochi    Thiruvananthapuram    Visakhapatnam   

Printer Friendly Page Send this Article to a Friend

Why women bypass their heart

Women are more vulnerable to heart disease than men. But the fact is that eves are generally lax about heart care. LEELA MENON looks into the problem.

WOMEN ARE generally more unguarded about heart disease than men, a fact that has now been scientifically proved. While statistics in the U.S. reveal that 250,000 women lose their lives to a variety of cancers, including 40,000 women who die from breast cancer every year, the number of women who die from heart disease and strokes are more than 5,00,000.

While women in the U.S. and Western Europe queue up to undergo the routine mammogram tests, they seldom, if ever, bother about their cholesterol levels. Not until they are hit by heart disease or felled by strokes.

"Women are dead-scared of breast cancer or cervical cancer. But actually, it is heart disease they die from," says Dr. Jose Chacko Periapuram, chief, division of Minimally Invasive Coronary Artery Surgery and heart transplants at the Medical Trust Hospital, Kochi.

Women are likely to develop heart ailments later than men, at least by 10 years. While men can become victims of heart disease by the age of 45, it hits women only after 55 or after their menopause, a reason that prompts women from ignoring their heart health. Till then, the oestrogen levels protect them.

Another fact that they do not know is that 44 per cent of women die within the first year of heart attack, while only 27 per cent of men lose their lives during this time.

Take the case of Lakshmikutty Amma. She was 80 when she decided to undergo bypass surgery. "In fact, she celebrated her 80th birthday in the hospital," says Usha Menon, her daughter.

"It is a very rare case. No operation is performed on people at the age of 80. I think Lakshmikutty Amma could quite possibly be the first woman to undergo by pass surgery at 80," says Dr.Jose. (He has performed 11,000 operations within a span of five years, but there are just 225 women in the records.) Lakshmikutty Amma was suffering from heart disease for the past eight to nine years, and had survived three heart attacks before she decided to undergo tests. Her doctor advised her against undergoing surgery at her age. While she was in hospital, she suffered two more attacks, compelling her physician to recommend angioplasty. But her Angiogram revealed four blocks and damage to a valve, which necessitated bypass surgery. And Lakshmikutty Amma was brave enough to accept the decision and agree to the surgery. "I was sick of these attacks and thought it was better to opt for surgery than continue to be victimised by my heart," the benign old lady smiles.

Lakshmikutty Amma is an exception. She went through the surgery, survived it, but never experienced any sort of post-operation trauma, which is normal in most patients.

She cannot be blamed for ignoring the first symptoms because the signs and symptoms of heart attack in women could not only be subtle, but also vastly different from those experienced by men. The pain may be identical as also the breathlessness that accompanies a heart attack. "But in women the symptoms mimic a flu, stomach pain, nausea, extreme fatigue and back pain. Research has not yet explained why heart problems manifest differently in women," explains Dr. Jose.

A tightness around the chest during an activity or at rest could be an early symptom. Cholesterol is another problem, which can be corrected by modifying lifestyle if discovered in time.

What is now clear is the fact that heart disease is largely preventable and that preventive measures are simple. Awareness and timely attention can reduce the incidence of death and disability due to strokes, a curse in old age. What is needed is awareness about the disease and the importance of preventive measures. Ignore and neglect of early symptoms at your own risk!

Printer friendly page  
Send this article to Friends by E-Mail

Metro Plus    Bangalore    Chennai    Delhi    Hyderabad    Kochi    Thiruvananthapuram    Visakhapatnam   

Features: Magazine | Literary Review | Life | Metro Plus | Open Page | Education | Book Review | Business | SciTech | Entertainment | Young World | Quest | Folio |


The Hindu Group: Home | About Us | Copyright | Archives | Contacts | Subscription
Group Sites: The Hindu | Business Line | The Sportstar | Frontline | Home |

Comments to : thehindu@vsnl.com   Copyright © 2002, The Hindu
Republication or redissemination of the contents of this screen are expressly prohibited without the written consent of The Hindu