Susan's Place Transgender Resources

General Discussions => Health => Topic started by: KathyLauren on May 23, 2019, 11:31:26 AM

Title: Heart attacks in trans people
Post by: KathyLauren on May 23, 2019, 11:31:26 AM
I have read a number of news stories in recent years about how women experience heart attack symptoms differently from men, and how that adversely affects their diagnosis and treatment.  After reading another one recently, I wondered how trans women experience heart attack symptoms. 

Do we experience it like as a woman (hormonal influence) or more like a man (physiological influence)?  And the same goes, in reverse, for trans men.  I don't suppose there are many, if any, studies on this.  I am curious if anyone knows of studies in this area. 

In case you are worried about me, don't be: my doctor figures I am very low risk.  My cholesterol is the lowest she has ever seen in anyone my age, my BMI is 23, and I have no known risk factors.

Just curious, that's all.

Title: Re: Heart attacks in trans people
Post by: graspthesanity on May 23, 2019, 01:17:44 PM
I actually had a scare a few weeks ago. I got all the symptoms of a male heart attack (I'm a trans man) and had to go to the emergency and in the end I was explained that it was because my tissue is changing due to Testosterone and was put on heart medicine... So yeah.
Title: Re: Heart attacks in trans people
Post by: GingerVicki on May 23, 2019, 01:33:40 PM
I would pay attention to all the signs regardless of gender.
Title: Re: Heart attacks in trans people
Post by: Wendi on May 23, 2019, 01:43:23 PM
I had a heart attack before I started HRT.

I pay closer attention to any symptom that may develope. Is get to the Dr quickly if I had any chest pains, shortness, of breath, fatigue, pain on one side of my body, etc.

My Dr spoke to my cardiologist and they agreed that me using patches would be the safest route since I had a heart attack and pulmanory embolism.

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Title: Re: Heart attacks in trans people
Post by: KathyLauren on May 23, 2019, 02:36:34 PM
Quote from: GingerVicki on May 23, 2019, 01:33:40 PM
I would pay attention to all the signs regardless of gender.

Barring any strong information one way or the other, that seems to be the best approach.
Title: Re: Heart attacks in trans people
Post by: Gertrude on May 23, 2019, 05:59:52 PM
Quote from: graspthesanity on May 23, 2019, 01:17:44 PM
I actually had a scare a few weeks ago. I got all the symptoms of a male heart attack (I'm a trans man) and had to go to the emergency and in the end I was explained that it was because my tissue is changing due to Testosterone and was put on heart medicine... So yeah.
T can raise blood pressure, so keep and eye on it.


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Title: Re: Heart attacks in trans people
Post by: Sydney_NYC on May 28, 2019, 10:18:36 PM
This came up in discussion at an LGBTQ health forum I was at last week. One of the doctors there said there aren't any good studies on this, but from what he and others have seen it seems to be more hormone dependent. The longer on HRT (in either direction MtF or FTM) the more the symptoms resonate to the target gender with it happening quicker with FtM than MtF as testosterone is more stronger than estrogen, but with trans women within 9 months to a year, symptoms are more female like than male like.
Title: Re: Heart attacks in trans people
Post by: Jessica on May 28, 2019, 10:26:44 PM
What are the symptoms experienced by women?
Title: Re: Heart attacks in trans people
Post by: KathyLauren on May 29, 2019, 06:41:29 AM
@Sydney_NYC, thanks for that information.  It makes sense and is kind of what I would expect.  It is good to have some idea of the time frames involved.

Quote from: Jessica on May 28, 2019, 10:26:44 PM
What are the symptoms experienced by women?

Whereas the classic symptoms for men are crushing chest pain that radiates down the left arm, women experience a variety of symptoms: