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Notice: Use of undefined constant suffix - assumed 'suffix' in /home/heartat/public_html/netcat/require/index.php(221) : eval()'d code on line 76

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СЕРДЕЧНЫЕ ПРИСТУПЫ У ЖЕНЩИН

heart-attack.ru  » Cердечные приступы у женщин


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СЕРДЕЧНЫЕ ПРИСТУПЫ У ЖЕНЩИН

Особенности протекания сердечных приступов у женщин

ИБС - ишемическая болезнь сердца - ЛЕЧЕНИЕ за ГРАНИЦЕЙ - Heart-attack.ru - 2008

По ошибке считается, что коронарная артериальная болезнь (КАБ) и сердечные приступы наблюдаются прежде всего у мужчин. Хотя правдой является то, что у женщин в период до наступления менопаузы КАБ наблюдается реже, после наступления менопаузы риск КАБ среди женщин возрастает. В возрасте 75 лет риск КАБ у мужчин и у женщин - на одном уровне. КАБ является главной причиной смерти и обретения инвалидности у женщин в период после наступления менопаузы.

Фактически, 50-летняя женщина на 46% находится под угрозой развития КАБ и на 31% - под угрозой смерти от коронарной болезни сердца. В противоположность этим цифрам, риск заболеть и умереть от рака груди составляет 10% и 3% соответственно.

Факторы риска развития КАБ те же, что и у мужчин. Рост риска вызывают содержание холестерина в крови, высокое кровяное давление, курение сигарет, сахарный диабет, наличие в семейном анамнезе случаев коронарной сердечной болезни в молодом возрасте.

Курение сигарет. Даже курение «облегченных» сигарет повышает риск развития КАБ. По данным одного из научных исследований у женщин среднего возраста, выкуривающих от 1 до 14 сигарет в день, риск инсульта (вызванный атеросклерозом артерий головного мозга) в два раза выше, чем у некурящих женщин, а у выкуривающих более 25 сигарет в день женщин этот показатель выше в 3,7 раза. Более того, сочетание курения и использования противозачаточных таблеток еще более повышает риск сердечных приступов, особенно у женщин старше 35 лет. При отказе от курения риск сердечных приступов сразу начинает уменьшаться. Уровень риска постепенно снижается, достигая уровня риска как у некурящих женщин через несколько лет воздержания от курения.

Особенности контроля уровня холестерина у женщин

На сегодняшний день для женщин NCEP (Национальная образовательная программа по контролю за уровнем холестерина) дает те же рекомендации по снижению нежелательного уровня холестерина, что и для мужчин. Более подробно о рекомендациях NCEP читайте в статье "Рекомендации по контролю уровня холестерина у взрослых". Диагностирование сердечных приступов у женщин.

Вероятность более поздней постановки диагноза сердечного приступа у женщин выше, чем у мужчин. Это происходит вследствие того, что женщины, с одной стороны, обычно позже обращаются за медицинской помощью, а с другой стороны – диагностировать сердечный приступ у женщин часто бывает сложнее, чем у мужчин по следующим причинам:

  1. У женщин чаще, чем у мужчин наблюдаются нетипичные симптомы сердечного приступа, такие как боль в шее и плече, боль в брюшной полости, тошнота, рвота, утомление, нехватка дыхания.
  2. Скрытые сердечные приступы (без проявления симптомов или с их малым количеством) чаще встречаются у женщин, чем у мужчин.
  3. У женщин чаще, чем у мужчин появляются боли в груди, не связанные с сердечным приступом, например, боль в груди из-за спазма пищевода.
  4. ЭКГ у женщин реже, чем у мужчин, содержит типичные показатели, необходимые для быстрой постановки диагноза сердечного приступа.
  5. У женщин выше, чем у мужчин вероятность стенокардии (боль в груди из-за недостаточного поступления крови в сердечную мышцу) вследствие спазма коронарных артерий или вследствие заболевания мельчайших кровеносных сосудов (дисфункции микроциркуляторной части сосудистого русла). Катетеризация сердца и коронарные ангиограммы (рентгеновские обследования коронарных артерий, считающиеся самыми надежными тестами для определения КАБ) покажут нормальное состояние коронарных артерий и поэтому не могут использоваться для постановки диагноза ни в одном из этих случаев.
  6. У женщин чаще, чем у мужчин, возможно появление вводящих в заблуждение "ошибочно позитивных" результатов нонинвазивных тестов на КАБ. Из-за нетипичной природы симптомов и возникающих трудностей в постановке диагноза сердечного приступа, вероятность прохождения инвазивной тромболитической терапии или проведения реконструкции сосудов для женщин меньше, чем для мужчин, и вероятнее всего, что эти мероприятия будут проведены для них в более поздний период. Женщин также реже направляют в отделение интенсивной терапии для больных с острой коронарной недостаточностью.

БЕРЛИНСКИЙ КАРДИОЦЕНТР –Германия

КАРДИОЛОГИЧЕСКИЙ ЦЕНТР НИДЕРБЕРГ – Германия

КАРДИОЦЕНТР IMedical – Израиль

КАРДИОЦЕНТР ОАО МЕДИЦИНА - МОСКВА

КАРДИОРЕАБИЛИТАЦИЯ в санатории БАРВИХА - МОСКВА

ОФОРМИТЬ ЗАЯВКУ на ЛЕЧЕНИЕ


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ОФОРМИТЬ ЗАЯВКУ на ЛЕЧЕНИЕ

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