Why do women suffer from coronary heart disease more seriously? Doctor: Mostly influenced by these 4 factors

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"Coronary heart disease" in China is the full name of coronary heart disease, which is different from other heart diseases in that it does not directly appear on the heart.

  However, the patient is affected by multiple factors, and the coronary arteries supplying blood to the myocardium gradually harden and narrow, which in turn causes abnormal blood supply to the myocardium and induces ischemic heart disease.

Relevant research surveys show that there are more than 100 million people  with cardiovascular disease in China , of which 43 million people have coronary heart disease . It is most common in middle-aged and elderly people, and it is also one of the main causes of death in the elderly. What is more worthy of further investigation is that if both men and women suffer from coronary heart disease at the same time, the condition of women is often more severe than that of men.

  So the question is, is there a gender difference in coronary heart disease, and what are the factors that make it difficult for women to control the disease?

  

1. Risk factors

Genetics, three high diseases, obesity and overweight, smoking and drinking are the most common risk factors for coronary heart disease. However, women also have special causes, such as hypertension or diabetes during pregnancy, polycystic ovary syndrome, menopause syndrome , etc., which can increase the incidence of coronary heart disease through various mechanisms.

  In addition, there are studies showing that if women have endometriosis , the risk of coronary heart disease in the future will be higher;

  

2. Age of onset

  Men are more prone to cardiovascular and cerebrovascular diseases than women. In addition to living habits, it is also related to congenital causes. Women are rich in estrogen protection.

  But also because of this, the age of . The older the age at onset of coronary heart disease, the worse the prognosis.

  3. Symptoms

  The common feature of patients with coronary heart disease is actually angina pectoris, that is, after a strenuous exercise and mood swings, there will be a compression-like pain in the back of the sternum and the precordial area .

  However, some women have special symptoms before the onset, which may be manifested as increased fatigue, poor sleep quality, chest tightness and pain , etc. Some patients also experience unexplained coldness, profuse sweating, and atypical pain .

  Moreover, women's hearts and internal chambers are relatively small, the inner walls are weak , and the heart pumps blood faster , so once coronary heart disease occurs , the symptoms are often more severe, the onset is acute, and the prognosis is poor;

  

4. Difficulty in diagnosis

  After coronary angiography, men can detect coronary artery stenosis and evaluate the degree of stenosis or blockage.

  But women are not the same . When women undergo coronary angiography, they can hardly see the small arteries clearly , so the missed diagnosis is relatively large. If women do not pay attention to coronary health and do not seek medical attention in time after symptoms appear, treatment will often be affected, and even major hidden dangers will be laid for acute myocardial infarction.

  Affected by the above factors, women with coronary heart disease are more difficult to treat than men. However, this does not mean that coronary heart disease in women is equated with death.

  On the contrary, female friends should pay more attention to coronary health, especially women with a family history, obesity, and a history of three high diseases. It is necessary to regularly seek medical attention for targeted examinations. Once symptoms such as pain in the precordial area and difficulty breathing appear, you should seek medical attention in time.

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