Most people imagine they would know when they are having a
heart attack. It would be difficult not to recognize symptoms of
"the big one" – sweating, soreness in the left arm, and sudden,
disabling chest pain.
But that’s not always the case. Sometimes the signs are much
more subtle or mimic other conditions.
As with any health issue, knowledge is power. And when your
heart is on the line, you need all the power you can get.
So here are six major heart health myths and the reality behind
them.
Myth #1: I would know if I had high blood pressure or
high cholesterol.
Not unless you get a blood pressure or cholesterol test. That's
the only way to know if you have high blood pressure
(hypertension) or unhealthy cholesterol levels.
Risk factors are usually silent, meaning they have no obvious
associated symptoms.
Hypertension is the silent killer, you are not going to know you
have it. When high blood pressure presents as a symptom like
headaches or renal failure, it is more difficult to control at that
stage. Early treatment is essential to preventing end organ
damage, which is often irreversible.
The same goes for high cholesterol. A person can be thin and
in good shape and still have high cholesterol.
.
Myth #2: Heart disease treats men and women the same.
Heart disease can affect the sexes very differently.
This begins with symptoms. Although many people experience
the classic "elephant sitting on the chest" sensation when they
have a heart attack, there are also less traditional symptoms,
and they are more common among women.
In 2003, a study published examined the symptoms that 515
women, (average age 66), had experienced before having a
heart attack. The researchers found that for at least one month
prior to the acute event 70% of the women experienced
unusual fatigue, and nearly 50% had weakness, sleep
disturbance, or shortness of breath. What's more, 43% of the
women felt no chest pain at the time of their heart attack
presentation.
Nausea and/or indigestion can also be unusual (atypical)
symptoms forewarning a heart attack.
Men can have less classic symptoms, but there is a higher
prevalence with these in women. Older women tend to present
more like men, with the classic chest pain, which is still the
overwhelming symptom of a heart attack.
Putting all of this in context is important. Not all unusual
symptoms mean you have heart disease. But if you have risk
factors, pay attention to how you feel. New or changing
symptoms, even if not typical, could be a sign of problems with
the ticker.
Myth #3: Younger Women Aren't at Risk
One of the most common myths is that women still tend to think
they are not vulnerable to heart disease. They think it is a
disease of older women and men. So women in their 40s and
50s still believe they are safe.
But heart disease is the No. 1 killer of U.S. women, causing
more than 460,000 deaths annually, not all of which are among
the elderly.
Risk factors that contribute to heart disease -- including
obesity, Type II diabetes, and hypertension -- are showing up
earlier now in women. As these factors become more common
at a younger age, heart disease may follow.
On average, there tends to be a 10-year gap in the age at
which heart attacks occur in men and women. Men are more
likely to get them in their mid-50s and women in their mid-60s.
This age difference could be due, in part, to oestrogen. It is
said that nitrogen has a complex role in the prevention of heart
disease, but exactly how it works isn't clear.
Myth #4: Exercise is too risky if you have heart disease.
This is almost always false.
After a coronary event, such as a heart attack, people are
typically encouraged to get right into rehabilitation and start
working out within a two-week period.
There are really very few people who have significant long-term
restrictions in terms of never doing exercise.
It is said that exercise reduces the progression of heart
disease, and makes people with heart disease less likely to
have a first or recurrent heart attack.
It is recommended starting with 10 minutes of exercise daily
and increasing it weekly by 10 minutes until they are getting at
least 30 minutes of moderate activity most days. But your
doctor should give you guidelines tailored to your particular
case.
Myth #5: Aspirin and Omega-3 fatty Acids Are All Good
Most people have heard that aspirin and omega-3 fatty acids
are good deterrents to heart disease. For the most part, this is
true, but there are some caveats to their protective benefits.
Dr. recommends taking aspirin for prevention at age 50 for
men and 65 for women if there are no contraindications.
Aspirin can exacerbate stomach problems and some people
can have aspirin allergies. Every supplement and medication
has pros and cons. A young woman’s risk of excessive
bleeding from taking aspirin may be greater than its potential
heart benefits.
Omega-3 fatty acids are particularly beneficial for people who
have already had a heart issue and are trying to prevent
another. Dr. recommends eating fatty fish at least twice a week
or taking up to three grams of omega-3 fatty acids in the form
of a daily supplement. The Dr. cautions that higher doses can
cause excessive bleeding in some people.
Aspirin and omega-3 fatty acids both can cut the risk of blood
clots, such as those that lead to heart attacks. But you don't
want to curb your clotting ability too much, or you could be at
risk of excessive bleeding.
Talk with your doctor before taking any kind of medication or
supplement. And if you're already taking something, tell your
doctor. Your doctor needs to note it in your medical records
and may advise you to stop if you have surgery scheduled.
Myth #6: Once I Have Heart Disease, That's It
Absolutely not. There has been research showing that in some
cases you may be able to undo the damage -- and that your
lifestyle is a crucial part of turning the tide.
Exercising, eating a healthy diet containing fruits and
vegetables, limiting processed foods, not smoking, and
avoiding second-hand smoke can go a long way toward heart
disease prevention.
"It is never too late" to treat heart disease. Small lifestyle
changes are key factors in preventing heart disease and
controlling risk factors."