One interesting difference between men and women involves the cardiovascular system and the development of heart disease and subsequent symptoms. There is growing awareness that when a woman experiences symptoms of heart disease, these symptoms may differ from what is universally recognized as typical cardiac symptoms. This is because of the differences in the male and female cardiac physiology. Heart disease in men generally involves the larger blood vessels supplying heart muscle whereas in women, heart disease often involves the smaller vessels. For men, when the larger vessels become narrowed because of atherosclerosis (so called hardening of the arteries) and plaques of fatty deposits, blood flow to heart muscle decreases. This causes the crushing pressure-type of chest pain known as angina. On the other hand, in the female heart, the smaller vessels become blocked before the larger ones. So a womans angina is more likely to be vague and expressed as fatigue, nausea, and/or dizziness. A womans description of heart pain can frequently be less dramatic and therefore draw less attention and less urgency. When women seek care, their providers may be misled by the presenting symptoms and a diagnosis of heart disease may be missed. In fact a large … Continue reading
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