Global heart attack definition updated to improve diagnosis for women
New guidelines group coronary events common in women with traditional heart attacks and recommend sex-specific blood test thresholds.
What to know
- The new global definition groups coronary events more common in women—including spontaneous coronary artery dissection (SCAD)—with traditional heart attacks, making them easier to diagnose in emergency settings.
- Sex-specific troponin blood test thresholds are now recommended, addressing the fact that women's diagnostic markers differ from men's and were previously missed using unisex ranges.
- Australian research shows nearly one in four acute coronary syndrome events in women under 60 are caused by SCAD, a condition that often goes misdiagnosed or attributed to menopause or stress.
- Experts say the changes will improve outcomes for women, though gender gaps in cardiac treatment and prompt diagnosis remain challenges to be addressed.
“As I was walking downstairs to the car park, I started to feel a bit hot, like clammy, and my left hand started to feel a bit tingly.”
Nadene Hall, Patient with SCAD heart attack · ABC Australia ↗ · Sep 14
Natalie Raffoul Heart Foundation head of clinical strategyTom Marwick Baker Heart and Diabetes Institute professorial research fellowNadene Hall Patient with spontaneous coronary artery dissection
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Australian cardiac experts welcome updated definition
Australian cardiologists and the Heart Foundation endorsed the new definition, noting it will improve diagnosis of women experiencing heart attacks and lead to better outcomes. Experts highlighted that sex-specific troponin ranges and inclusion of SCAD and other coronary events common in women were key improvements.
“That's a great thing because that means when a woman comes to the emergency room, presenting with heart attack symptoms, clinicians can consider less common coronary events such as SCAD.”
— Natalie Raffoul -
first by ABC Australia, 8d ago · also ABC News & Headlines – Australian Broadcasting Corporation, Royal Australian College of General Practitioners (RACGP)
2 more headlines
- Three categories under new heart attack definition could improve outcomes for women ABC News & Headlines – Australian Broadcasting Corporation · 8d ago
- newsGP - Women a key focus in new global heart attack definition Royal Australian College of General Practitioners (RACGP) · 8d ago
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New heart attack definition published in European Heart Journal
International medical organizations released updated global guidelines redefining heart attacks into three clinical categories and incorporating coronary events more common in women, such as SCAD. The definition includes recommendations for sex-specific diagnostic blood test thresholds.
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first by Flow Space, 12d ago
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Also covered reported alongside — the timeline has no entry for these yet
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first by ABC News & Headlines – Australian Broadcasting Corporation, 13d ago · also Free Malaysia Today, Medical News Today
2 more headlines
- Revised heart attack definition could improve diagnoses for women Free Malaysia Today · 12d ago
- New heart attack definition could improve diagnosis for women Medical News Today · 12d ago