Munich (The-Health-Site.com) - In Germany, fewer and fewer people die of heart disease. But there are big regional differences. The way in which the heart causes problems varies between men and women. While gentlemen have to be afraid of having a heart attack, it is heart failure in women.
The German Heart Foundation published in the Heart Report 2013 how ill Germany's hearts are. The positive news: in 2011, the number of heart attack deaths dropped by 6.2 percent compared to the previous year. Thus, the positive trend continues, since since 1980, the heart rate-related deaths have fallen from 92,801 to 52,113 in 2011. The mortality rate from coronary heart disease (CHD) was 4.6 percent lower in 2011 than in 2010. "Improvements in prevention, diagnosis and treatment have probably led to a decline in mortality," Thomas Meinertz, Chief Executive Officer of the Deutsche Herzstiftung, interprets the figures,
Heart health in Berlin
The heart report also shows regional differences between the individual federal states: Thus, the mortality due to heart disease in Saxony-Anhalt, Saxony, Brandenburg, Thuringia and Mecklenburg-Vorpommern is above average. Least of all people die of heart disease in Berlin, Hamburg and Baden-Württemberg.
The reasons why the death rate is related to the place of residence are manifold, the researchers write: differences in health care, a lower density of doctors, a weaker health awareness or a lower socioeconomic status. For example, in federal states with the highest infarct mortality, there are few cardiologists - with the exception of Saxony.
Not every heart attack is indicated by chest pain. Further warning signals.
Weak hearts in women
The scientists were surprised that in 2011 more than twice as many women as men died of heart failure. Cardiac arrhythmias and valvular heart disease were more common in women than in men. The death rate from acute myocardial infarction was 26.2 percent higher in male patients than in female patients.
Overall, more men suffered from heart disease, with the exception of heart failure - here, the incidence of disease in women was four percent higher. Heart valve disease or cardiac arrhythmia, however, were more men - the diseases were diagnosed in them by 16.2 and 14.9 percent more frequently.
Gender specific therapies
An explanation for the higher death rates of women with heart failure and other heart disease, the scientists have not yet. The result must, however, be taken into account in therapy and preventive care, according to Meinertz. For example, more women should attend rehabilitation in a heart group after a heart attack. The proportion of women in such groups offering, among other things, exercise therapy is only 28.6 percent. (from)
Source: German Heart Foundation: German Heart Report 2013
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Heart attack: The main alarm signs
Suddenly it happens - due to a vascular occlusion, the heart is no longer sufficiently supplied with oxygen. The faster the closed vessel is reopened, the better the chances of survival. If you discover the following symptoms with yourself or others, call an emergency physician as soon as possible.
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Symptoms out of the blue
About one-half to one-third of myocardial infarctions occur quite suddenly - without them having previously announced themselves through pain or similar symptoms. In about 15 to 20 percent, a heart attack is even completely painless - this is called a dumb infarction Most patients, however, suffer from the following symptoms:
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Chest pain is the most common heart attack symptom. And indeed, some infarcts cause extreme chest pain. They last longer than five minutes and can often radiate into the left arm in shoulder blades, neck, jaw or upper abdomen. But attention: chest pain occurs especially in men, women feel the pain rather in the upper abdomen.
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A heart attack can also cause an oppressive tightness in the chest, in addition, a violent pressure or burning in the chest and respiratory distress occur. All this is accompanied by strong feelings of anxiety.
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Some infarct patients get sick, some have to vomit. This is more common in women than in men.
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Weakness and sweat
People with a heart attack feel weak, can not stand well on their feet and often have a pale, pale complexion. Some break out of the cold sweat. Especially women complain of tiredness or shortness of breath.
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If a heart attack is suspected, it is important to keep calm and quickly call the ambulance under the number 112 call. If you are affected yourself, do not put yourself behind the wheel of your car, but call an ambulance.