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WEDNESDAY, JULY 18, 2018 (HealthDay News) – Few women consider the scary possibility that they could sustain a heart attack during or just after their pregnancy, but a new report shows that it has become a reality more common in recent years According to researchers at the University of New York School of Medicine, rising rates of obesity and diabetes may explain the rising rates of heart attacks in women pregnant,
. They found that the risk of heart attack among pregnant women increased by 25% between 2002 and 2014, rising from 7 to 9.5 per 100,000 pregnancies in the United States.
"Our badysis, the largest journal in a decade, serves as an important reminder of how pregnancy can be stressful on a woman's body and heart, causing many physiological changes, and potentially unmasking risk that can lead to heart attack, "said lead investigator Sripal Bangalore.He is Interventional Cardiologist and Associate Professor at NYU Langone Health
Another expert in cardiology said that he would have thought that heart attack rates would be even higher.
"Although this phenomenon is unusual, it is not totally surprising. , since pregnancy is the ultimate cardiovascular stress test, "said Dr. James Lafferty, president of cardiology at the Staten Island University Hospital in New York. "It's a period of increased fluid retention, increased potential for coagulation and increased cardiac output. The fact that it is not more common is surprising."
"It would seem that women have children later in life. "It may be prudent to address cardiac risk factors earlier in this group of patients who are generally considered a low-risk group."
The badysis of 49.8 million births in the country's hospitals during the study period revealed that 1,061 heart attacks occurred during labor and delivery, 922 before the birth and 2,390 in the two months following delivery.
The risk of heart attack during pregnancy has increased with age. It is more likely to suffer a heart attack than women in their twenties. And women in their forties were 10 times more likely than women in their twenties, the results showed.
The study was published online July 18 in the journal Mayo Clinic Proceedings . Another possible reason for this increase is that it is now easier to detect heart attacks than ten years ago.
The first author of the study, Dr. Nathaniel Smilowitz, said that "the results underscore the importance for women considering pregnancy to know beforehand their risk factors for heart disease." Smilowitz is Interventional Cardiologist and Adjunct Professor at NYU Langone
"These patients should develop a plan with their doctors to monitor and control risk factors during pregnancy so that they can minimize their risks," he said. .
An expert in cardiology, who was not involved in the research, said that the study raised good questions – some of them unresolved.
"This study was very interesting because it illuminates an underestimated subject. [heart attack] during pregnancy," said Dr. Michael Goyfman, director of clinical cardiology at Long Island Jewish Forest Hills of Northwell Health, New York City
"The study, however, has several limitations," he added.
include increased detection of heart disorders in recent years and do not take into account other risk factors such as conbad heart disease or other genetic diseases that can trigger cardiac disorders, said Goyfman
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The US Bureau of Women's Health Provides Advice for a Healthy and Safe Pregnancy
SOURCES: James Lafferty, MD, President, Cardiology, Staten Island University Hospital, Staten Island, NY. Michael Goyfman, Director, Clinical Cardiology, Long Island Jewish Forest Hills, Northwell Health, New York; New York University School of Medicine, News Release, July 18, 2018
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