查看文章

February 19, 2019 Circulation. 2019; 139: 1003–1004. DOI: 10.1161/CIRCULATIONAHA. 118.037689 1004 women, and younger women are less likely than older women to be aware of heart attack symptoms. 5 Underestimation of CVD risk results in missed opportunities for primary prevention. In addition, women are less likely to identify symptoms as cardiac-related, and providers are less likely to diagnose and treat their symptoms appropriately. 5 Many of the symptoms of heart attack often experienced by women (eg, fatigue, cold sweats, back pain) are also associated with stress, and given their high levels of stress and insufficient knowledge about CVD, black women may attribute heart attack symptoms to stress and fail to seek timely treatment. Poor recognition of risk and symptoms by both patients and providers may help to explain the slower declines in CVD mortality in young black women than in other …