Things to Remember About Women and Heart Disease

Dino Recchia, MD, FACC
February 2, 2010  

Statistics

1 of every 3 women in the US dies of heart disease compared to 1 of 30 dying of breast cancer. Heart disease kills more women than all cancers combined.

In the US, a woman dies from heart disease every 60 seconds.

Your chance of surviving a heart attack is highest if you are treated within 1 hour of symptom onset. Most women wait 2 hours or more to seek help which lessens their chance of survival.

Within 1 year of a heart attack, 1 of 4 women will die compared to 1 in 5 men.

Risk Factors

Risk factors are similar for men and women but high blood pressure, diabetes, obesity and smoking are particularly strong risk factors for women.

Hormone replacement therapy appears to increase a woman’s risk of heart disease and stroke. Hormone replacement therapy should be stopped if a cardiovascular event occurs.

Depression and anxiety are more powerful risk factors in women than men.

Risk factors have a multiplier effect on heart disease risk. 2 risk factors increases risk 4 fold; while 3 risk factors increase it 10 fold.

One heart disease risk factor is found in 1/3 of women ages 40 –60. Another third have two risk factors and 1 in 5 women have 3 or more risk factors.

Diagnosis

Women with heart disease are less likely to have typical chest pain but are more likely to have symptoms like: severe weakness and extreme fatigue; pain in the jaw, back, or neck; shortness of breath; nausea and vomiting.

2 out of 3 deaths from heart attacks in women occur in those with no history of chest pain.

Men’s plaque builds up in clumps whereas women’s distributes more evenly through artery walls. This can result in women’s angiograms appearing "normal".

Diagnosing heart disease in women is more difficult than it is in men. The best approach to diagnosis in women remains to be determined.

Treatment

Treatments for heart disease appear to be equally as effective in women as in men. Women do appear to have higher complication rates for invasive treatments than men.

The use of aspirin for prevention in younger women with no risk factors remains controversial.

Prognosis

Outcome for women with heart disease is worse than it is for men.

Every woman must take heart disease seriously. Learn your risk and take action to reduce it now.

Embrace the concept of "successful aging" by eating less, exercising more, weighing less, and not smoking

All high school basketball players wore red socks this week to honor Women's Heart Health Week.

  • Photos from Sheila Falk & Sherri Slater
  • Heart Information from Sheila Falk

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