40 + ல் diabetes - இதயம் பத்திரம் | DR. Cecily Mary Majella | HTT
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00:00 Namaste, I am Dr. Cecilin Mary Majula, Chief Civil Surgeon and Senior Interventional Cardiologist,
00:07 Tamil Nadu Government Multi Super Speciality Hospital, Omandurar, Chennai.
00:12 Normally, people have a belief that women have good heart protection.
00:23 But, it is not true.
00:30 Due to hormonal changes, when we are over 40,
00:46 when the effects of estrogen are less,
00:49 our heart protection will decrease.
00:52 Another important thing is,
00:55 diabetic women,
00:57 women who are below 40 years of age or above 40 years of age,
01:03 when they get diabetes,
01:06 the protective power of estrogen will decrease.
01:12 So, women who are diabetic,
01:15 even if they are old,
01:22 they should get a heart attack only after menopause.
01:26 This is a wrong belief.
01:28 Heart attack can happen very soon.
01:31 Diabetic women will nullify the protective power of estrogen.
01:39 So, the risk is very high.
01:41 So, we should be very careful.
01:44 Diabetic women who are over 40 years of age,
01:47 have high risk of BP, sugar, cholesterol.
01:50 Normally, the effects of estrogen are less.
01:53 But, we have a tendency to get these effects.
01:56 Another important thing is,
01:58 after menopause, BP, sugar, cholesterol will increase.
02:02 So, the effects of estrogen will also decrease.
02:06 So, there is a high chance of heart attack.
02:12 Recently, Inocca and Minocca are recognized as a new type of heart condition.
02:21 This is more common among women.
02:25 Ischemia without coronary artery obstruction.
02:30 They have chest pain,
02:32 but the coronaries are normal in Angel.
02:35 So, everyone thinks that there is no problem.
02:38 But, they have a major problem.
02:41 They have a major problem in small blood vessels.
02:46 It is called microvascular disease.
02:48 They may get heart attack.
02:50 Minocca is a new type of heart condition.
02:52 Myocardial infarction with non-obstructive coronary artery disease.
02:56 Minocca is a new type of heart condition.
02:58 It is a new type of heart condition.
03:00 It is a new type of heart condition.
03:02 They may have heart attack.
03:04 But, in Angel, the major blood vessels are not blocked.
03:09 They have a small blood vessel blockage.
03:12 So, we have to treat them carefully.
03:14 We have to protect ourselves more than 40 years.
03:19 We have to do routine checkups to identify them.
03:25 The symptoms of both men and women will change.
03:30 Women have atypical symptoms.
03:34 Women have atypical symptoms.
03:39 (gentle music)