If You're a Woman Having a Heart Attack, You'll Want a Female ER Doctor

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iStock

Women who suffer heart attacks may face a 12 percent greater risk of dying if their care is entrusted to a male doctor, according to a new study reported by Scientific American.

Researchers think one factor in this disparity is the shortage of female physicians, who make up only a quarter of emergency room doctors in the U.S. For the study, published in the journal PNAS, the researchers analyzed a Florida Agency for Health Care Administration database that contained 19 years of records on heart attack cases from nearly every emergency room in the state.

They analyzed the statistical relationship between rates of death and four different physician-patient combinations: male doctors treating men or women, and female doctors treating men or women. The statistics were “indistinguishable except for male doctor–female patient,” the study’s co-author, Brad Greenwood, tells Scientific American.

They found that one out of every 66 women who has a heart attack will die in the emergency room if she is treated by a male doctor instead of a female one.

Although heart disease is the main cause of death in both men and women in the U.S., it’s often wrongly perceived as being a male disease, as well as an ailment that only affects the elderly. However, the disease kills about 15,000 women under the age of 55 each year.

Men are also more likely to recover from it. According to American Heart Association statistics from 2016, 36 percent of men die within five years of a heart attack, compared to 47 percent of women.

Other research has yielded similar findings. A study published in February found that doctors are more likely to ignore signs of a heart attack when they’re reported by young female patients as opposed to young male patients. This could be because the symptoms tend to manifest differently in women than they do in men, with female heart attack patients sometimes complaining of neck and back pains, fatigue, and nausea; because most studies have focused on men, their symptoms are seen as the standard ones.

As a result, many women wait before seeking help. “I can’t tell you how many women I’ve seen who say they felt something and wondered if it was a heart attack,” Harmony Reynolds, a cardiologist who specializes in women’s heart health, told the New York Post in February. “That inkling is there, but for some reason it doesn’t convert into action.”

For more information about the symptoms of heart attacks in women, visit the Go Red for Women website.

[h/t Scientific American]

Game of Thrones Star Sophie Turner Opened Up About Her Struggles With Depression

Helen Sloan, HBO
Helen Sloan, HBO

Playing one of the main characters on the most popular show currently on television isn't always as glamorous as it seems. Sometimes, the pressures of fame can be too much. Sophie Turner realized this while playing Sansa Stark on Game of Thrones, and has recently revealed how being in the public eye took a toll on her mental health.

Turner took on the role of Sansa Stark in 2011, when she was just a teenager, and she quickly became a household name. Now, at 23, she's come forward to Dr. Phil on his podcast Phil in the Blanks to explain how negative comments on social media affected her self-image and mental health.

"I would just believe it. I would say, ‘Yeah, I am spotty. I am fat. I am a bad actress.' I would just believe it," Turned explained. "I would get [the costume department] to tighten my corset a lot. I just got very, very self-conscious."

Later on, these feelings led to major depression. Turner developed a sense of isolation after she realized that all of her friends and family were going off to colleege while she was pursuing a sometimes-lonely acting career.

"I had no motivation to do anything or go out. Even with my best friends, I wouldn't want to see them, I wouldn't want to go out and eat with them," Turner explained. "I just would cry and cry and cry over just getting changed and putting on clothes and be like, 'I can't do this. I can't go outside. I have nothing that I want to do.'"

The feelings of depression stayed with Turner for most of the time she was filming Game of Thrones, and it's a battle she's still fighting. "I've suffered with my depression for five or six years now. The biggest challenge for me is getting out of bed and getting out of the house. Learning to love yourself is the biggest challenge," she continued.

The actress shared that she goes to a therapist and takes medication for her depression—two things that have helped her feel better.

Between Game of Thrones ending and planning her wedding to fiancé Joe Jonas, Turner may not have the time to take on many new acting roles in the near future. However, we'll continue to see her as Sansa Stark in the final season of Game of Thrones, and as Jean Grey in Dark Phoenix, which hits theaters on June 7.

[h/t: E! News]

10 Facts About High Blood Pressure

iStock.com/stockvisual
iStock.com/stockvisual

People with high blood pressure (hypertension) are at a greater risk for a host of medical issues, including heart failure and stroke. Despite the severe health threats it poses, high blood pressure often goes unnoticed or untreated by some who have it. From high blood pressure symptoms to what levels are considered normal, here are some facts about the condition.

1. High blood pressure symptoms are sometimes unnoticeable.

Blood pressure is a measurement of the force of blood moving through the circulatory system. High blood pressure, a condition in which blood is putting too much force on arteries and organs, is often called the “silent killer.” It contributes to hundreds of thousands of deaths each year, but only half of high blood pressure patients know they have it. In most cases, hypertension signs are difficult to detect, making it hard to diagnose and keep under control. Chest pain, dizziness, shortness of breath, and heart palpitations are some of the most common hypertension signs in people who do show symptoms.

2. Anxiety causes some of the same symptoms as high blood pressure.

When it comes to managing high blood pressure symptoms, mental health is as important as physical health. Anxiety can lead to sudden spikes in blood pressure, and spikes that occur often enough can inflict serious damage on the heart and blood vessels the same way chronic high blood pressures does. Stress and anxiety also make people vulnerable to the top risk factors associated with chronic hypertension, such as smoking, excessive drinking, and overeating.

3. A normal blood pressure range is lower than it used to be.

If you haven’t had your blood pressure measured in a couple years, it’s time for a check-up: In November 2017, the American College of Cardiology and the American Heart Association updated its normal blood pressure guidelines. The two components that make up blood pressure are systolic pressure—the pressure in blood vessels, represented by the top number in test results—and diastolic pressure, the pressure in the heart between beats represented by the bottom number. According to the old guidelines, the threshold for normal blood pressure was 140 systolic pressure and 90 diastolic pressure, or 140/90. The new guidelines lowered that marker to 130/80. Now that the normal blood pressure range has dropped, 14 percent more people could diagnosed with hypertension in the U.S.

4. "White-coat hypertension" is real.

Not every patient who exhibits hypertension signs in the doctor’s office has high blood pressure. “White-coat hypertension” occurs when patients get nervous in a medical setting, leading to a spike in blood pressure that doesn’t necessarily reflect their true health. But this type of hypertension should be taken seriously, even if it is a product of nerves. According to one study, people with white-coat hypertension have a greater chance of developing cardiovascular disease than those with normal blood pressure levels. This may be because people with white-coat hypertension are more prone to anxiety.

5. People with high blood pressure should consume less than one teaspoon of salt per day.

One of the worst things to eat if you have hypertension is food that’s high in salt. Sodium, which makes up 40 percent of table salt (sodium chloride), promotes water retention in the body. More water means more blood volume, which puts added pressure on the heart and blood vessels. Medical experts recommend consuming no more than 2300 milligrams of sodium per day, or just over 1 teaspoon of salt. If you have high blood pressure, the American Heart Association recommends an ideal limit at 1500 milligrams of sodium a day—equal to three-quarters of a teaspoon of salt.

6. Almost half of U.S. adults have high blood pressure ...

According to the American Heart Association, more than 100 million people in the U.S. have high blood pressure—that’s nearly half of American adults. The condition is so common that even if you don’t have it now, chances are you will develop it at some point in your life. The lifetime risk in the U.S. for hypertension in 90 percent.

7. ... and black Americans are most affected.

High blood pressure affects certain groups disproportionately. Black Americans are more likely to have high blood pressure than any other group in the country, and when they develop it, it’s usually more severe. Hypertension also affects black Americans earlier in life: Three in four black people in the U.S. will develop the condition by age 55. Health experts believe that the prevalence of high blood pressure is associated with the higher rates of obesity and diabetes among the black population.

8. A female hormone may protect against high blood pressure.

High blood pressure rates are pretty similar among men and women before middle age. But once women hit menopause, their chances of developing hypertension increase: 75 percent of postmenopausal in the U.S. have high blood pressure. This may have to do something with decreased levels of estrogen—a hormone that’s been shown to boost premenopausal women’s vascular health.

9. High blood pressure can be life-threatening ...

High blood pressure doesn’t kill people directly, but it can lead to some deadly complications. Hypertension adds potentially fatal stress to vital organs like the heart, kidneys, and brain. When you have high blood pressure, your risk of heart attack, stroke, chronic heart failure, kidney disease, and even blindness all significantly go up.

10. ... but improved with medications and healthy living.

The best way to reduce your blood pressure is to change your lifestyle. Smoking, drinking too much alcohol, and eating too much salty food all increase your risk of developing hypertension, and doctors recommend avoiding these risk factors to keep blood pressure levels under control. Regular exercise and certain medications, like diuretics (to get rid of excess water in the body) and ACE inhibitors (which block an enzyme that tightens blood vessels), can also lower blood pressure.

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