Heart Disease in Women

Heart disease may be considered by some to be more of a problem for men.
However, it’s the most common cause of death for both women and men in the United States.
Because some heart disease symptoms in women can differ from those in men, women may not know what to look for.

Heart attack symptoms for women

The most common heart attack symptom in women is the same as in men some type of chest pain that lasts more than a few minutes or comes and goes.
But chest pain is not the most noticeable symptom, particularly in women.
Women often describe heart attack pain as pressure or tightness. And it’s possible to have a heart attack without chest pain.
Women are more likely than men to have heart attack symptoms unrelated to chest pain, such as:
Neck, jaw, shoulder, upper back or upper belly discomfort
Shortness of breath
Pain in one or both arms
Nausea or vomiting
Sweating
Lightheadedness or dizziness
Unusual fatigue
Heartburn
These symptoms may be vague and not as noticeable as the crushing chest pain often associated with heart attacks.
This might be because women tend to have blockages not only in their main arteries but also in the smaller ones that supply blood to the heart.
Compared with men, women tend to have symptoms more often when resting, or even when asleep.
Because women’s heart attack symptoms can differ from men’s, women might be diagnosed less often with heart disease than are men.
Women are more likely than men to have a heart attack with no severe blockage in an artery (nonobstructive coronary artery disease).

If you have symptoms of a heart attack or think you’re having one, call for emergency medical help immediately. Don’t drive yourself to the emergency room unless you have no other options.

Heart disease risk factors for women include:
Diabetes
Emotional stress and depression
Smoking.Smoking is a greater risk factor for heart disease in women than it is in men.
Inactivity
Menopause.Low levels of estrogen after menopause increase the risk of developing disease in smaller blood vessels.
Pregnancy complications.High blood pressure or diabetes during pregnancy can increase the mother’s long-term risk of high blood pressure and diabetes.
Family history of early heart disease.This appears to be a greater risk factor in women than in men.
Inflammatory diseases

Living a healthy lifestyle can help reduce the risk of heart disease. Try these heart-healthy strategies:
Quit smoking.
Eat a healthy diet.Opt for whole grains, fruits and vegetables, low-fat or fat-free dairy products, and lean meats. Avoid saturated or trans fats, added sugars, and high amounts of salt.
Exercise and maintain a healthy weight.If you’re overweight, losing even a few pounds can lower heart disease risks.
Manage stress.Stress can cause the arteries to tighten, which can increase the risk of heart disease, particularly coronary microvascular disease. Getting more exercise, practicing mindfulness and connecting with others in support groups are some ways to tame stress.
Avoid or limit alcohol.If you choose to drink alcohol, do so in moderation. For healthy adults, that means up to one drink a day for women and up to two drinks a day for men.
Follow your treatment plan.Take medications as prescribed, such as blood pressure medications, blood thinners and aspirin.
Manage other health conditions.High blood pressure, high cholesterol and diabetes increase the risk of heart disease.

Regular activity helps keep the heart healthy. In general, aim for at least 30 minutes of moderate exercise, such as walking at a brisk pace, on most days of the week. If that’s more than you can do, start slowly and build up.
For a bigger health boost, aim for about 60 minutes of moderate to vigorous exercise a day, five days a week. Also do strength training exercises two or more days a week.
It’s OK to break up your workouts into several 10-minute sessions during a day. You’ll still get the same heart-health benefits.
Interval training — which alternates short bursts of intense activity with intervals of lighter activity — is another way to maintain a healthy weight, improve blood pressure and keep the heart healthy. For example, include short bursts of jogging or fast walking into your regular walks.
You can also add exercise to your daily activities with these tips:
Take the stairs instead of an elevator.
Walk or ride your bike to work or to do errands.
March in place while watching television

In general, heart disease treatment in women and in men is similar. It can include medications, angioplasty and stenting, coronary bypass surgery and cardiac rehabilitation

If you’ve had a heart attack, your health care provider might recommend that you take low-dose aspirin every day to help prevent another.
But aspirin can increase the risk of stomach bleeding.
Aspirin guidelines for the primary prevention of heart attacks vary. Talk with your health care provider about the risks and benefits of taking aspirin.