Noel Bairey Merz: The single biggest health threat women face

Prevoditelj: Senzos Osijek Recezent: Tilen Pigac - EFZG

One out of two of you women

Jedna od dvije među vama ženama

will be impacted by cardiovascular disease

bit će pogođena kardiovaskularnom bolešću

in your lifetime.

tijekom svog života.

So this is the leading killer of women.

Ta je bolest vodeći ubojica među ženama.

It's a closely held secret

To je dobro čuvana tajna

for reasons I don't know.

iz razloga koji meni nisu poznati.

In addition to making this personal --

Osim što ćemo to shvatiti osobno --

so we're going to talk about your relationship with your heart

govorit ćemo o vašem odnosu s vašim srcem

and all women's relationship with their heart --

i odnosu svih žena prema srcu --

we're going to wax into the politics.

zadrijet ćemo u politiku.

Because the personal, as you know, is political.

Ono što vas se osobno tiče, kao što znate, ujedno je politika.

And not enough is being done about this.

A nije dovoljno napravljeno oko toga.

And as we have watched women

I kao što smo gledali kako se žene

conquer breast cancer

bore protiv tumora dojke

through the breast cancer campaign,

u kampanjama protiv tumora dojke,

this is what we need to do now with heart.

to je ono što treba učiniti sada sa srcem.

Since 1984,

Od 1984.

more women die in the U.S. than men.

u SAD-u umire više žena nego muškaraca.

So where we used to think of heart disease

Obično se mislilo kako je srčana bolest

as being a man's problem primarily --

prvenstveno muški problem --

which that was never true,

što nikad nije bilo istina,

but that was kind of how everybody thought in the 1950s and '60s,

ali tako su svi mislili u 50-ima i 60-ima

and it was in all the textbooks.

i tako je pisalo u svim udžbenicima.

It's certainly what I learned when I was training.

To je svakako ono što sam ja naučila kao student.

If we were to remain sexist, and that was not right,

Kad bismo ostali seksisti, što nije bilo ispravno,

but if we were going to go forward and be sexist,

ali ako nastavimo biti seksisti,

it's actually a woman's disease.

to je ustvari ženska bolest.

So it's a woman's disease now.

To je sada ženska bolest.

And one of the things that you see

A jedna od stvari koju možete vidjeti

is that male line,

na muškoj liniji,

the mortality is going down, down, down, down, down.

smrtnost pada sve niže, niže, niže, niže i niže.

And you see the female line since 1984,

I vidite žensku liniju od 1984.

the gap is widening.

raspon se povećava.

More and more women, two, three, four times more women,

Sve više i više žena, dva, tri, četiri puta više žena

dying of heart disease than men.

umire od srčane bolesti nego muškaraca.

And that's too short of a time period

A to je premali vremenski period

for all the different risk factors that we know

da bi se promijenili svi mogući rizični faktori

to change.

koje poznajemo.

So what this really suggested to us

To je nama na nacionalnoj razini

at the national level

ustvari sugeriralo

was that diagnostic and therapeutic strategies,

kako dijagnostičke i terapeutske strategije

which had been developed in men, by men, for men

koje su bile razvijene u muškaraca, od strane muškaraca, za muškarce

for the last 50 years --

u zadnjih 50 godina --

and they work pretty well in men, don't they? --

i one su prilično učinkovite kod muškaraca, zar ne? --

weren't working so well for women.

nisu učinkovite kod žena.

So that was a big wake-up call

Tako je to bio veliki poziv na buđenje

in the 1980's.

u 1980-ima.

Heart disease kills more women

Bolest srca ubija više žena

at all ages

u svim dobnim skupinama

than breast cancer.

nego tumor dojke.

And the breast cancer campaign --

A kampanja protiv tumora dojke --

again, this is not a competition.

ponavljam, ovo nije natjecanje.

We're trying to be as good as the breast cancer campaign.

Pokušavamo biti jednako dobri kao kampanja protiv tumora dojke

We need to be as good as the breast cancer campaign

kako bismo se suočili

to address this crisis.

s ovom krizom.

Now sometimes when people see this,

Ponekad kad ljudi vide ovo,

I hear this gasp.

čujem te uzdisaje.

We can all think of someone,

Svatko se od nas može sjetiti,

often a young woman,

često mlade žene,

who has been impacted by breast cancer.

koja je bila pogođena tumorom dojke.

We often can't think of a young woman

Često se ne možemo sjetiti mlade žene

who has heart disease.

koja je bila pogođena srčanom bolešću.

I'm going to tell you why.

Reći ću vam zašto.

Heart disease kills people,

Srčana bolest obično

often very quickly.

ubija ljude brzo.

So the first time heart disease strikes in women and men,

Tako pri prvom udaru srčane bolesti u žena ili muškaraca,

half of the time it's sudden cardiac death --

kod polovice nastupa iznenadna srčana smrt --

no opportunity to say good-bye,

nemate priliku reći zbogom,

no opportunity to take her to the chemotherapy,

nemate priliku odvesti je na kemoterapiju,

no opportunity to help her pick out a wig.

nema prilike pomoći joj da spakuje svoje stvari.

Breast cancer,

Smrtnost od tumora dojke

mortality is down to four percent.

pala je za 4%.

And that is the 40 years

A to je nakon 40 godina

that women have advocated.

ženskog zalaganja.

Betty Ford, Nancy Reagan stood up

Betty Ford, Nancy Reagan digle su se

and said, "I'm a breast cancer survivor,"

i rekle „Ja sam preživjela tumor dojke“

and it was okay to talk about it.

i bilo je u redu govoriti o tome.

And then physicians have gone to bat.

A onda su kliničari bili na udaru.

We've done the research.

Napravili smo istraživanja.

We have effective therapies now.

I danas imamo učinkovitu terapiju.

Women are living longer than ever.

Žene žive dulje nego ikada.

That has to happen in heart disease, and it's time.

To se mora dogoditi sa srčanom bolešću, vrijeme je.

It's not happening, and it's time.

Ne događa se, a vrijeme je.

We owe an incredible debt of gratitude

Dugujemo veliku zahvalnost

to these two women.

tim dvjema ženama.

As Barbara depicted

Kao što je Barbara prikazala

in one of her amazing movies, "Yentl,"

u jednom od svojih fantastičnih filmova, „Yentl“,

she portrayed a young woman

ona portretira mladu ženu

who wanted an education.

koja se želi obrazovati.

And she wanted to study the Talmud.

Ona je željela studirati Talmud.

And so how did she get educated then?

I kako se onda obrazovala?

She had to impersonate a man.

Morala je utjeloviti muškarca.

She had to look like a man.

Morala je izgledati kao muškarac.

She had to make other people believe that she looked like a man

Ona je morala uvjeriti druge ljude da izgleda kao muškarac

and she could have the same rights

i onda je mogla imati ista prava

that the men had.

kakva su imali muškarci.

Bernadine Healy, Dr. Healy,

Bernadine Healy, Dr. Healy,

was a cardiologist.

bila je kardiolog.

And right around that time, in the 1980's,

I upravo u to vrijeme, u 1980-ima,

that we saw women and heart disease deaths

kada smo vidjeli kako žene i smrtnost od srčane bolesti

going up, up, up, up, up,

rastu sve više, i više,i više, i više, i više,

she wrote an editorial

napisala je uvodni članak

in the New England Journal of Medicine

za New England Journal of Medicine (*renomirani medicinski časopis)

and said, the Yentl syndrome.

i rekla –Yentl sindrom.

Women are dying of heart disease,

Žene umiru od srčane bolesti,

two, three, four times more than men.

dva, tri, četiri puta više nego muškarci.

Mortality is not going down, it's going up.

Smrtnost se ne spušta, ona se podiže.

And she questioned,

I onda je pitala,

she hypothesized,

hipotetizirala je:

is this a Yentl syndrome?

„Je li to Yentl sindrom?“

And here's what the story is.

A evo u čemu je stvar.

Is it because women don't look like men,

Tako je zato što žene ne izgledaju kao muškarci,

they don't look like that male-pattern heart disease

one ne sliče tom muškom obrascu

that we've spent the last 50 years understanding

na čije smo razumijevanje potrošili zadnjih 50 godina

and getting really good diagnostics

i na dobivanje stvarno dobre dijagnostike

and really good therapeutics,

i stvarno dobre terapije

and therefore, they're not recognized for their heart disease.

i zato njihove srčane bolesti nisu prepoznate.

And they're just passed.

I one su samo propuštene.

They don't get treated, they don't get detected,

Ne dobivaju tretman, ne budu prepoznate,

they don't get the benefit of all the modern medicines.

ne dobivaju prednosti sve te moderne medicine.

Doctor Healy then subsequently became

Doktorica Healy zatim je postala

the first female director

prva žena direktorica

of our National Institutes of Health.

Nacionalnog instituta za zdravlje (NIH).

And this is the biggest biomedical enterprise research

A to je najveći biomedicinski znanstveni poduhvat

in the world.

na svijetu.

And it funds a lot of my research.

Taj fond financira veliki dio mog istraživanja.

It funds research all over the place.

On financira istraživanja posvuda.

It was a very big deal

Bila je velika stvar

for her to become director.

za nju postati direktoricom.

And she started,

I ona je počela,

in the face of a lot of controversy,

uz mnogo kontroverze,

the Women's Health Initiative.

Inicijativu za žensko zdravlje.

And every woman in the room here

A svaka je žena u ovoj prostoriji

has benefited from that Women's Health Initiative.

imala koristi od Inicijative za žensko zdravlje.

It told us about hormone replacement therapy.

Ona nas je naučila hormonskoj nadomjesnoj terapiji.

It's informed us about osteoporosis.

Informirala nas o osteoporozi.

It informed us about breast cancer, colon cancer in women.

Informirala nas o tumoru dojke, tumoru kolona kod žena.

So a tremendous fund of knowledge

Ogroman fundus znanja,

despite, again,

usprkos tome, još jednom,

that so many people told her not to do it,

što joj je mnogo ljudi reklo da to ne čini,

it was too expensive.

to je bilo preskupo.

And the under-reading was women aren't worth it.

A smisao je bio kako žene nisu toga vrijedne.

She was like, "Nope. Sorry. Women are worth it."

No, ona je rekla: „A ne. Žao mi je. Žene to zaslužuju.“

Well there was a little piece of that Women's Health Initiative

Dakle u tome je bio i mali djelić Inicijative za žensko zdravlje

that went to National Heart, Lung, and Blood Institute,

koji je pripao Nacionalnom institutu za srce, pluća i krv,

which is the cardiology part of the NIH.

koji je kardiološki dio NIH-a.

And we got to do the WISE study --

I tako smo došli do WISE studije --

and the WISE stands for Women's Ischemia Syndrome Evaluation --

a WISE znači Women's Ischemia Syndrome Evaluation (Evaluacija ženskog ishemijskog sindroma) --

and I have chaired this study for the last 15 years.

a ja sam predsjedavala tom studijom zadnjih 15 godina.

It was a study to specifically ask,

To je bila studija koja je specifično pitala

what's going on with women?

što se događa sa ženama?

Why are more and more women dying

Zašto sve više i više žena umire

of ischemic heart disease?

od ishemijske bolesti srca?

So in the WISE, 15 years ago,

U WISE-u smo, prije 15 godina,

we started out and said, "Well wow, there's a couple of key observations

započeli i rekli : „No dakle, nekoliko je ključnih opažanja

and we should probably follow up on that."

i vjerojatno bismo ih trebali slijediti“.

And our colleagues in Washington, D.C.

Naš kolega iz Washingtona

had recently published

nedavno je objavio

that when women have heart attacks and die,

kako, kad žene umru od srčanog udara,

compared to men who have heart attacks and die --

u usporedbi s muškarcima koji umru od srčanog udara --

and again, this is millions of people,

i opet, to su milijuni ljudi,

happening every day --

događa se svaki dan --

women, in their fatty plaque --

žene, u svojim masnim plakovima --

and this is their coronary artery,

a ovo je njihova koronarna arterija,

so the main blood supply going into the heart muscle --

dakle glavna opskrba krvlju koja ide u srčani mišić --

women erode,

kod žena erodira,

men explode.

a u muškaraca eksplodira.

You're going to find some interesting analogies

Pronaći ćete nekoliko zanimljivih analogija

in this physiology.

u toj fiziologiji.

(Laughter)

(Smijeh)

So I'll describe the male-pattern heart attack first.

Dakle, kao prvo ću opisati muški obrazac srčanog udara.

Hollywood heart attack. Ughhhh.

Hollywoodski srčani udar. Ahhhh.

Horrible chest pain.

Užasna bol u prsima.

EKG goes pbbrrhh,

EKG krene pbbrrhhh,

so the doctors can see this hugely abnormal EKG.

tako da doktori mogu vidjeti taj enormno abnormalni EKG.

There's a big clot in the middle of the artery.

U srednjoj je arteriji ogromni ugrušak.

And they go up to the cath lab

Oni odlaze u kat- laboratorij

and boom, boom, boom get rid of the clot.

i bum, bum, odstrane ugrušak.

That's a man heart attack.

To je muški srčani udar.

Some women have those heart attacks,

Neke žene imaju takve srčane udare,

but a whole bunch of women have this kind of heart attack,

ali cijelo čudo žena ima takve srčane udare

where it erodes,

u kojima dolazi do erozije,

doesn't completely fill with clot, symptoms are subtle,

arterija nije sasvim začepljena ugruškom, simptomi su prigušeni,

EKG findings are different --

EKG nalaz drugačiji --

female-pattern.

ženski obrazac.

So what do you think happens to these gals?

I što mislite što se dogodi s tim curama?

They're often not recognized, sent home.

Često nisu prepoznate, pošalje ih se kući.

I'm not sure what it was. Might have been gas.

Nisam sigurna što je to bilo. Možda su bili samo vjetrovi.

So we picked up on that

Mi smo se zakačili za to

and we said, "You know, we now have the ability

i rekli, „Znate, sada imamo sposobnost

to look inside human beings

pogledati unutar ljudskog bića

with these special catheters called IVUS:

s tim posebnim kateterima koji se zovu IVUS:

intravascular ultrasound."

intravaskularni ultrazvuk“.

And we said, "We're going to hypothesize

Pa smo rekli, „Pretpostavit ćemo

that the fatty plaque in women

kako su masni plakovi u žena

is actually probably different,

ustvari možda različiti,

and deposited differently, than men."

drugačije istaloženi nego u muškaraca.“

And because of the common knowledge

I zbog općeg znanja

of how women and men get fat.

kako žene i muškarci postaju debeli.

When we watch people become obese,

Kad smo promatrali ljude kako postaju pretili,

where do men get fat?

gdje muškarci sakupljaju masti?

Right here, it's just a focal -- right there.

Upravo ovdje, to je fokalno -- upravo tu.

Where do women get fat?

Kako se žene debljaju?

All over.

Posvuda.

Cellulite here, cellulite here.

Celulit ovdje, celulit ovdje.

So we said, "Look, women look like they're pretty good

Pa smo rekli, „Gledajte, čini se kako su žene prilično dobre

about putting kind of the garbage away,

u stavljanju neke vrste smeća u stranu,

smoothly putting it away.

glatkom uklanjanju.

Men just have to dump it in a single area."

Muškarci to baš moraju staviti na jedno mjesto“.

So we said, "Let's look at these."

Pa smo rekli,“Hajdemo to pogledati.“

And so the yellow is the fatty plaque,

Ovo žuto je masni plak,

and panel A is a man.

a snimak A je muškarac.

And you can see, it's lumpy bumpy.

I vi možete vidjeti, to je nepravilno grudasto.

He's got a beer belly in his coronary arteries.

On je dobio pivski stomačić u svojoj koronarnoj arteriji.

Panel B is the woman, very smooth.

Snimak B je žena, vrlo glatko.

She's just laid it down nice and tidy.

Ona je to posložila lijepo i uredno.

(Laughter)

(Smijeh)

And if you did that angiogram,

I ako napravite taj angiogram,

which is the red,

koji je to crveno,

you can see the man's disease.

vidite mušku bolest.

So 50 years

Pedeset godina

of honing and crafting these angiograms,

brušenja i rezbarenja tih angiograma,

we easily recognize

lagano prepoznajemo

male-pattern disease.

muški obrazac bolesti.

Kind of hard to see that female-pattern disease.

Nekako je teško vidjeti ženski obrazac bolesti.

So that was a discovery.

Dakle to je bilo otkriće.

Now what are the implications of that?

I sada koje su posljedice toga?

Well once again, women get the angiogram

Dakle još jednom, ženama naprave angiogram

and nobody can tell that they have a problem.

i nitko ne može reći kako imaju problem.

So we are working now on a non-invasive --

Sada radimo na neinvazivnom --

again, these are all invasive studies.

ponavljam, ovo su sve invazivne studije.

Ideally you would love to do all this non-invasively.

Idealno biste željeli sve ovo učiniti neinvazivno.

And again, 50 years

I opet, 50 godina

of good non-invasive stress testing,

dobrog neinvazivnog stresnog testiranja,

we're pretty good at recognizing male-pattern disease

prilično smo dobri u prepoznavanju muškog obrasca bolesti

with stress tests.

sa stresnim testiranjem.

So this is cardiac magnetic resonance imaging.

Dakle ovo je magnetska rezonancija srca.

We're doing this at the Cedars-Sinai Heart Institute

Ovo radimo na Cedars-Sinai Institutu za srce

in the Women's Heart Center.

u Centru za žensko srce.

We selected this for the research.

Ovo smo odabrali za istraživanje.

This is not in your community hospital,

To nije vaša opća bolnica,

but we would hope to translate this.

ali mi se nadamo da će tamo biti preneseno.

And we're about two and a half years

I sada smo dvije i pol godine

into a five-year study.

unutar petogodišnje studije.

This was the only modality

Ovo je bio jedini način

that can see the inner lining of the heart.

kojim se vidi unutarnja postava srca.

And if you look carefully, you can see

I ako pažljivo pogledate, vidjet ćete

that there's a black blush right there.

crno zatamnjenje upravo ovdje.

And that is microvascular obstruction.

To je mikrovaskularna obstrukcija.

The syndrome, the female-pattern

Sindrom, ženski obrazac

now is called microvascular coronary dysfunction, or obstruction.

sada se zove mikrovaskularna koronarna disfunkcija ili obstrukcija.

The second reason we really liked MRI

Drugi razlog radi kojega stvarno volimo MRI

is that there's no radiation.

je taj što nema radijacije.

So unlike the CAT scans, X-rays, thalliums,

Pa za razliku od CAT snimanja, X-zraka, thaliuma,

for women

za žene

whose breast is in the way

kojima su dojke prepreka

of looking at the heart,

pregledu srca,

every time we order something that has even a small amount of radiation,

svaki puta kada naručimo nekakav pregled koji ima i najmanje doze radijacije,

we say, "Do we really need that test?"

kažemo „Trebamo li stvarno taj test?“

So we're very excited about M.R.

Tako smo mi stvarno uzbuđeni oko MR-a.

You can't go and order it yet,

To još ne možete naručiti,

but this is an area of active inquiry

ali to je područje aktivnog istraživanja

where actually studying women

gdje će ustvari istraživanje žena

is going to advance the field for women and men.

unaprijediti polje i za žene i za muškarce.

What are the downstream consequences

I koje su onda nizvodne posljedice

then, when female-pattern heart disease

ako se ženski obrazac srčane bolesti

is not recognized?

ne prepozna?

This is a figure

Ovo je prikaz

from an editorial that I published

iz uvodnika koji sam objavila

in the European Heart Journal this last summer.

u European Heart Journal (Europskom časopisu za srce) prošlo ljeto.

And it was just a pictogram

To je bio piktogram

to sort of show

kojim je prikazano

why more women are dying of heart disease,

zašto žene umiru od srčane bolesti,

despite these good treatments

unatoč tim dobrim terapijama

that we know and we have work.

koje poznajemo i koje smo napravili.

And when the woman

A kada žena

has male-pattern disease --

ima muški obrazac bolesti --

so she looks like Barbara in the movie --

pa izgleda kao Barbara u filmu --

they get treated.

dobije tretman.

And when you have female-pattern and you look like a woman,

A kad imate ženski obrazac i izgledate kao žena,

as Barbara does here with her husband,

kao Barbara ovdje sa svojim mužem,

they don't get the treatment.

ne dobijete tretman.

These are our life-saving treatments.

Ovo su naši tretmani koji spašavaju život.

And those little red boxes are deaths.

A ovi mali crveni kvadratići su umrli.

So those are the consequences.

Dakle to su posljedice.

And that is female-pattern

I ovo je ženski obrazac

and why we think the Yentl syndrome

i zato mislimo kako Yentl sindrom

actually is explaining

objašnjava

a lot of these gaps.

mnoge rupe.

There's been wonderful news also

Bilo je izvanrednih vijesti

about studying women,

u konačnim istraživanjima

finally, in heart disease.

žena sa srčanim bolestima.

And one of the the cutting-edge areas

A jedno od najprogresivnijih područja

that we're just incredibly excited about

oko kojega smo jako uzbuđeni

is stem cell therapy.

je terapija matičnim stanicama.

If you ask, what is the big difference

Ako se pitate koja je velika razlika

between women and men physiologically?

između ženske i muške fiziologije?

Why are there women and men?

Zašto postoje žene i muškarci?

Because women bring new life into the world.

Ta što žene donose na svijet novi život.

That's all stem cells.

Sve su to matične stanice.

So we hypothesized

Pa smo pretpostavili

that female stem cells might be better

kako bi ženske matične stanice mogle biti bolje

at identifying the injury,

u prepoznavanju mjesta ozljede,

doing some cellular repair

u nekakvom staničnom obnavljanju

or even producing new organs,

ili čak u proizvodnji novih organa,

which is one of the things

što je jedna od stvari

that we're trying to do with stem cell therapy.

koju pokušavamo u terapiji s matičnim stanicama.

These are female and male stem cells.

Ovo su muške i ženske matične stanice.

And if you had an injured organ,

Pa ako imate oštećen organ,

if you had a heart attack

ako ste imali srčani udar

and we wanted to repair that injured area,

i želite popraviti oštećeno područje,

do you want those robust,

želite li one gore --

plentiful stem cells on the top?

snažne, izdašne stanice?

Or do you want these guys,

Ili želite ove dečke

that look like they're out to lunch?

koji izgledaju kao da su izašli na marendu?

(Laughter)

(Smijeh)

And some of our investigative teams

Neki istraživački timovi

have demonstrated

pokazali su

that female stem cells --

kako ženske matične stanice --

and this is in animals

a to je na životinjama,

and increasingly we're showing this in humans --

ali mi to sve više pokazujemo i na ljudima --

that female stem cells,

dakle ženske matične stanice,

when put even into a male body,

čak i kad se stave u muško tijelo,

do better than male stem cells

rade bolje nego bi muške matične stanice

going into a male body.

u muškom tijelu.

One of the things that we say

Jedna od stvari koju uvijek kažemo

about all of this female physiology --

o svoj toj ženskoj fiziologiji --

because again, as much as we're talking about women and heart disease,

zato ponavljam, ma koliko govorili o ženama i srčanoj bolesti,

women do, on average,

žene u prosjeku

have better longevity than men --

žive dulje od muškaraca --

is that unfolding the secrets of female physiology

razmotavanje tajni ženske fiziologije

and understanding that

i razumijevanje,

is going to help men and women.

pomoći će i muškarcima i ženama.

So this is not a zero-sum game in anyway.

To svakako nije igra bez dobitka.

Okay, so here's where we started.

OK, evo gdje smo počeli.

And remember, paths crossed in 1984,

I sjetimo se, linije su se ukrstile 1984. godine,

and more and more women

a sve više i više žena

were dying of cardiovascular disease.

umiralo je od srčanih bolesti.

What has happened in the last 15 years with this work?

Što se dogodilo u zadnjih 15 godina zahvaljujući tom radu?

We are bending the curve.

Mi savijamo liniju.

We're bending the curve.

Savijamo liniju.

So just like the breast cancer story,

Baš kao u priči o tumoru dojke,

doing research, getting awareness going,

istraživanjima, porast svijesti počinje djelovati,

it works, you just have to get it going.

naprosto morate to pomaknuti.

Now are we happy with this?

I jesmo li sada sretni postignutim?

We still have two to three more women dying for every man.

Još uvijek imamo dvije do tri žene koje umiru na svakog muškarca.

And I would propose,

Ja bih predložila,

with the better longevity

uz dulji životni vijek

that women have overall,

koji žene pretežno imaju,

that women probably should theoretically do better,

da bi žene vjerojatno trebale teoretski biti bolje

if we could just get treated.

kad bi samo dobile tretman.

So this is where we are,

I ovo je gdje smo sada,

but we have a long row to hoe.

ali nam ostaje dugačak rov za prokopati.

We've worked on this for 15 years.

Radili smo na ovome 15 godina.

And I've told you, we've been working on male-pattern heart disease

A rekla sam vam kako smo na muškom obrascu srčane bolesti radili

for 50 years.

50 godina.

So we're 35 years behind.

Dakle 35 godina smo u zaostatku.

And we'd like to think it's not going to take 35 years.

A voljeli bismo vjerovati kako neće trajati 35 godina.

And in fact, it probably won't.

A ustvari, vjerojatno i neće.

But we cannot stop now.

Ali ne možemo sada stati.

Too many lives are at stake.

Previše života je u pitanju.

So what do we need to do?

Pa što nam je činiti?

You now, hopefully, have a more personal relationship

Vi sada, nadajmo se, imate osobniji odnos

with your heart.

sa svojim srcem.

Women have heard the call

Žene su čule poziv

for breast cancer

protiv tumora dojke

and they have come out

pa su izašle

for awareness campaigns.

na kampanje podizanja svjesnosti.

The women are very good about getting mammograms now.

Žene su sada jako dobre u odlascima na mamografiju.

And women do fundraising.

I žene prikupljaju novac.

Women participate.

Žene sudjeluju.

They have put their money where their mouth is

Uložile su svoj novac u ono o čemu su govorile,

and they have done advocacy and they have joined campaigns.

zagovarale su i pridružile se kampanjama.

This is what we need to do with heart disease now.

To je ono što sada trebamo učiniti sa srčanom bolešću.

And it's political.

A to je politika.

Women's health, from a federal funding standpoint,

Žensko zdravlje sa stajališta federalnog financiranja,

sometimes it's popular,

ponekad je popularno,

sometimes it's not so popular.

a ponekad i nije.

So we have these feast and famine cycles.

I zato imamo cikluse obilja i gladi.

So I implore you

I zato vas molim

to join the Red Dress Campaign

da se pridružite Kampanji crvenih haljina

in this fundraising.

u ovom prikupljanju fondova.

Breast cancer, as we said,

Tumor dojke, kao što smo rekli,

kills women,

ubija žene,

but heart disease kills a whole bunch more.

ali srčane bolesti ih ubijaju neizmjerno više.

So if we can be as good as breast cancer

Pa ako bi smo mogli biti dobri kao kod tumora dojke

and give women this new charge,

i dati ženama taj novi naboj,

we have a lot of lives to save.

spasili bismo mnoge živote.

So thank you for your attention.

Zahvaljujem na pozornosti.

(Applause)

(Pljesak)