Archive | January, 2014

Heart Attack Symptoms in Women

A guest blog featuring William D. Brearley Jr., MD, FACC
Cardiologist with Lexington Cardiology

Dr. William Brearley

Dr. William Brearley

Statistics show a woman is more than five times likely to die of a heart attack than breast cancer. Heart disease is the number one killer of women in our community.

Heart attack symptoms in women can be atypical. Chest discomfort is most frequent, however other less recognized symptoms include back pain, fatigue, breathlessness and arm or joint pain. Women do not always present with the classic feeling of the “elephant on your chest,” which is more common in men. Misdiagnosing these symptoms as being caused by stress or a hectic schedule can be deadly.

I’ve heard several women say, “I never thought I’d have a heart attack.” No one thinks it’s going to happen to them. Unfortunately, that’s not true. More than 200,000 women in our country die each year from heart attacks.

Women should have an annual physical with a blood pressure check and lipid panel. Symptoms and cardiovascular risk factors should also be reviewed.

Your blood pressure should be less than 140/90, with lower targets for certain conditions such as diagnosed coronary disease.
heart and EKG
A lipid panel is the measurement of different components of cholesterol in your blood. Cholesterol is a fat-like substance in your bloodstream. There are two types: LDL is known as “bad” cholesterol because it contributes to plaque formation in arterial walls. This plaque can narrow your arteries or rupture, causing a heart attack. HDL is called “good” cholesterol because it carries cholesterol to your liver, where it’s removed from your body.

There are different target levels of LDL cholesterol, depending on risk factors and existing conditions such as diabetes or known coronary artery disease. In low risk patients, LDL should be less than 160 mg/dL. HDL should be greater than 40 mg/dL, and triglycerides should be less than 150 mg/dL. Exercising and limiting saturated fats in your diet helps to lower your cholesterol.

Don’t ignore symptoms; talk to your doctor. Exercise regularly, don’t smoke, and eat nutritious foods. Be a positive example to others. Heart disease risk factors including diabetes and obesity rates are climbing in our community, in adults and in children. Let’s work on keeping our hearts healthy.

Dr. Brearley will give a free lecture called “When Seconds Count – Signs and Symptoms of a Heart Attack” on Tuesday February 4. 2014 at Sumter Cardiology at 540 Physicians Lane in Sumter. The lecture is the first in a new patient education series in Sumter. It’s free, open to the public and attendees will have the opportunity to ask questions. We hope you can join us in Sumter on February 4. For information about future patient education series events, visit Sumter Cardiology’s website.

LMC Welcomes Dr. Fernando Castro to Lexington Rheumatology

Lexington Medical Center is pleased to welcome Fernando X. Castro, MD, to the hospital’s network of care. The board-certified rheumatologist and internist has joined Bruce Goeckeritz, MD, Bryan Wolf, MD, and Janie “Kaki” Bruce, MD, at Lexington Rheumatology, a Lexington Medical Center physician practice.

Dr. Fernando Castro

Dr. Fernando Castro

Dr. Castro earned his medical degree from Universidad Central del Ecuador in Quito and completed his residency at the University of Missouri and Harry Truman VA Hospitals in Columbia, Mo. He then completed a rheumatology and immunology fellowship there. Most recently, Dr. Castro served as a rheumatologist in Wilson, N.C., where he provided advanced therapy in the treatment of arthritis, rheumatic diseases and osteoporosis. He is also a certified clinical densitometrist.

“I look forward to working with the exceptional physicians, nurses and support staff at Lexington Medical Center,” said Dr. Castro.

Dr. Castro is a member of professional organizations including the American College of Rheumatology, National Osteoporosis Foundation and the International Society for Clinical Densitometry.

Dedicated to diagnosing and treating diseases of the joints and soft tissues, Lexington Rheumatology offers a variety of convenient in-house services, such as X-ray, on-site bone density scans and infusion treatments for rheumatic and inflammatory disorders.

Lexington Rheumatology
Lexington Medical Park 2
146 North Hospital Drive
Suite 550
West Columbia, SC 29169
(803) 936-7410