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Heart Health for Women: Recognizing the Differences and Risk Factors

The fight against heart disease in women starts with knowledge. Read below to discover the key differences in risk factors and heart attack signs that every woman should be aware of.

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Heart health is a big problem in the U.S. Heart and blood vessel disease is the main cause of death for adults, but men and women don't always get the same care. This difference suggests that many individuals don't know that men's and women's heart health can be different. Dignity Health understands how important this is, and heart doctor Dr. Amardeep Singh wants to help women by making more women aware of their heart health.

The facts of women’s heart health are shocking. More women than men die each year from heart disease, which can come in many forms, such as coronary artery disease, irregular heart beats, and congestive heart failure. Women are also more likely to ignore the symptoms commonly associated with heart disease, leading more U.S. women to die from heart disease than any other cause, including cancer. 

Women's bodies have unique characteristics that impact their heart health. For example, pregnancy, hormones, autoimmune disorders, and even some breast cancer treatments can all challenge the cardiovascular system. A better understanding of these factors can help to improve cardiovascular health in women. Right now, it’s estimated that 90 percent of women have at least one risk factor for heart disease, making it one of the single largest health concerns for women. However, the good news is that 80 percent of heart disease is preventable through awareness, education, and lifestyle adjustments. For example, mindful meditation, yoga, and walking are great tools that increase self-awareness, reduce blood pressure, and improve overall cardiovascular health.

Know Your Risk Factors

Heart disease in women can be connected to things that are unique to their bodies, like their ability to have children and their hormones. Certain life stages and conditions can increase a woman's risk:

  • Early Menopause or Irregular Periods: Menopause before age 47, or periods starting before age 9-12 or after age 15.
  • Problems During Pregnancy: This includes pre-eclampsia (high blood pressure during pregnancy), preterm delivery (early birth), gestational diabetes (diabetes during pregnancy), and congestive heart failure during pregnancy.
  • Breast Cancer Treatments: Radiation and chemotherapy. 
  • Fertility Treatments.
  • Postmenopausal Hormone Treatment.
  • Certain Health Issues: Such as certain autoimmune diseases (like Lupus or Rheumatoid Arthritis), polycystic ovarian syndrome (PCOS), and mental health conditions like depression.

Heart Attack Symptoms in Women

Many women may not recognize the early warning signs of cardiovascular disease, so they might wait too long to get help. By increasing awareness of these signs, Dr. Singh hopes more women will seek preventive care for their heart health. 

The American Heart Association highlights that warning signs of a heart attack differ in women compared to men. If you have any of these symptoms, dial 9-1-1.

Common Chest-Related Symptoms:

  • Uncomfortable pressure, squeezing, fullness or pain in the center of your chest that lasts more than a few minutes, or goes away and comes back.

Pain or Discomfort in Other Areas:

  • One or both arms 
  • Back
  • Neck
  • Jaw
  • Stomach
women's heart attack signs

Other Common Symptoms (Sometimes Without Chest Pain):

  • Shortness of breath (with or without chest discomfort). It's important to know that not all women experience chest pain.
  • Nausea or vomiting.
  • Back or jaw pain.

Less Typical Symptoms: These signs are less commonly associated with heart attack but are still serious:

  • Breaking out in a cold sweat.
  • Nausea.
  • Lightheadedness.

"As a society, we must aim higher to overcome barriers that prevent cardiovascular survivorship in women. By including more women in research, educating health care professionals about women’s heart disease, educating young ladies early about heart healthy living and culturally promoting wellness and balance for females, we will see improved cardiovascular outcomes for women. We can and must do better," says Dr. Singh.

Solving Gaps in Care

More than one in three women is currently living with some form of cardiovascular disease, a significant health challenge. However, there's power in knowledge. Identifying heart disease risk factors unique to women and taking action early can lead to better outcomes. Boosting awareness of these distinct risks and symptoms can improve the chances of managing and overcoming these health conditions. It's important to know that certain forms of heart disease may be preventable, beginning with awareness, education, and individuals making their well-being a priority.


Copyrighted material adapted with permission from Hearst StoryStudio.

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