Spontaneous coronary artery dissection (CAD) is a rare disease that has a heart attack and often affects young women.
Occurs when a tear occurs in one of the blood vessels of the heart, which may prevent blood flow, cause heart attacks, heart rhythm disturbances, or sudden death.
Doctors often advise children to survive because of the risk of recurrence because they are not children.
Hayley Martin, 47, vividly remembers the mornings life changes forever.
"I felt very, very bad, put my hands on my head and made me sweating, I knew I had a heart attack right now," the BBC told the Victoria Derbyshire newspaper.
Hayley was 38 years old when he underwent spontaneous dissection of the coronary arteries.
Until then the disease went unnoticed and was not diagnosed.
However, DEAC is the main cause of heart attacks between 30 and 50 years of age in women of reproductive age.
And it happens many times without a history of heart disease or risk factors.
When he arrived at the hospital, he lived in Cheshire, England, and feared the worst.
; I remember what I said: 'Do I die?' And they said: 'We're trying to do everything we can, but nothing' s working & # 39; says.
"Devalued as a woman"
Hayley survived, but like many women in DEAC, they were told not to get pregnant because of another heart attack risk.
Or It was another thing that I robbed, I prefer not to think about it, because doing so takes me to a path of sadness, “he says.
"As a man, as a woman, as failure, I felt as worthless as my guilt."
What is spontaneous coronary artery dissection (DEAC)?
- DEAC is a heart disorder that is not frequently diagnosed.
- It usually affects women during or shortly after pregnancy.
- Menopause, excessive stress and exercise are also associated with this.
- During a heart attack, a sudden rupture or scar occurs in one of the coronary arteries that prevents blood flow.
- It can cause death, heart failure, cardiac arrest, and requires the patient to undergo heart bypass surgery.
Source: Leicester Biomedical Cardiovascular Research Unit, UK
But now, a clinic in Chelsea and Westminster Hospital in London is helping DEAC to become pregnant and have babies.
The first of its kind in the world is headed by clinical and cardiologist Abi Al Hussaini.
Al-Hussaini analyzes the heart injury caused by DEAC and reviews the patient's medications, often reducing the amount he / she receives.
With this information, it informs the patient about the risk of pregnancy.
The aim is to make an informed decision about whether the patient is pregnant or not.
If she decides to continue, the patient is referred to the onu high-risk pregnancy team ham of the hospital, who will monitor her during pregnancy.
"I have seen many patients in recent years unhappy because they were told they could not have children", explains the cardiologist.
”This is one reason why I set up the clinic, to give the right advice to these patients and allow them to make an informed decision.“
One of the first women to help the clinic was Julie Murphy, 40 years old.
Shortly before the honeymoon, in 2013, Julie began to feel as though she had the flu. While on vacation in Kenya, the symptoms worsened.
One day while swimming, he felt a sharp pain in his chest. When she returned home, she had heart tests and discovered that she had a heart attack the next day.
The following days and weeks were very difficult.
U All the drugs they gave me really weakened me, and when I got back from the hospital, we couldn't even get off the stairs, it was really hard to figure out what was going on. “
Like Hayley, Julie was told she couldn't have children. But then Dr. Al-Hussaini started to participate in a research project and first daughter Holly, was born in 2015.
He then became the first patient to become pregnant for the second time in the clinic. And the second daughter, Bella, was born in April.
Despite his hopes for his patients, Al-Hussaini says that he has met the resistance of some doctors around the world on how to advise patients.
Or They are against being pregnant after heart attack or spontaneous coronary artery dissection in the United States, Devlet he explains.
"But I think it's because there's not much research done, but there's more work on it."