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Heart Health Women's Heart Health

Getting to the Heart of the Matter: Women and Heart Disease


Medically Reviewed On: February 01, 2005

Despite these statistics, an American Heart Association survey conducted in 2003 revealed that only 16 percent of women indicated that they perceived heart disease as their number one health risk; most indicated that it was breast cancer. While surveyed women clearly underestimated their risk, there has been progress since the 1997 WomenHeart survey, which showed only 6 percent of women knew this statistic. Yet many women still perceive heart disease as a man's disease or as a disease of older women. While public education has been very good for breast cancer early detection and cervical cancer prevention, outreach about heart disease in women can be improved.

What are some of the risk factors for heart disease?
The number one preventable risk factor for coronary artery disease among women, particularly young women, is smoking. Family history is important, though obviously that isn't something we can control. Controllable risk factors include high blood pressure, high LDL (bad) cholesterol, high triglycerides and low HDL cholesterol, which is the good cholesterol. Women over the age of 20 should know their cholesterol numbers.

Other factors are sedentary lifestyle, obesity and type 2 diabetes, a condition in which sugar is not metabolized properly. Women at risk for diabetes should have a fasting blood sugar test. In addition, the metabolic syndrome, which is defined by, among other characteristics, increased waist size (greater than 35 inches), high blood pressure and glucose intolerance, or high blood sugar, dramatically raises risk of heart disease. Women need to be proactive and know what their numbers are in terms of the risk factors. If their doctor hasn't checked a number yet, then they should ask for that test.

What are some of the typical symptoms women experience during a heart attack?
Heart attack symptoms can be varied, and women and men need to know that most individuals do not have the "Hollywood heart attack," where they clutch their chest and fall over and die. Symptoms are usually not that dramatic, and it's very important that people don't wait until they have such serious symptoms to seek care, otherwise it may be too late.

The primary symptom that men and women experience is chest discomfort. This discomfort doesn't have to be severe pain; it can be pressure that radiates up to the neck and may radiate into the back or shoulders or down the arm. Shortness of breath, nausea, fatigue, light-headedness and palpitations—the heart seems to be racing—are other symptoms. Nausea and shortness of breath can be particularly prominent symptoms in women. That may be part of the reason why it's been tough to diagnosis women early. Women may have a little chest pressure, but they're focusing on the nausea and the physician starts going down that path.

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