Feb 052010

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Heart Disease and Woman

www.hearttruth.com

February is American Heart Month and is kicked off by National Wear Red Day on February 1st. Every woman needs to know about heart disease.

The Heart Truth is that heart disease is the #1 killer of American women.  In fact, one in four women dies of heart disease.  But heart disease can also lead to disability and a significantly decreased quality of life.

The Heart Truth is that women don’t take their risk of heart disease seriously—or personally.  Women often fail to make the connection between risk factors, such as high blood pressure and high cholesterol, and their own chance of developing heart disease.

The Heart Truth is that all women can take steps to lower their risk of developing heart disease. If you’re a woman ages 40-60, it’s especially important that you begin right away to lower your risk. That’s the time when a woman’s risk of heart disease starts to rise.  Younger and older women also need to act now.  Heart disease can begin early, even in the teen years.  But it’s also never too late to improve heart health—even for those who have already had a heart attack.

Whatever a woman’s age, she needs to take action to protect her heart health.

What is Heart Disease?

Coronary heart disease is the main form of heart disease. It is a disorder of the blood vessels of the heart that can lead to heart attack. A heart attack happens when an artery becomes blocked, preventing oxygen and nutrients from getting to the heart.  Often referred to simply as heart disease, it is one of several cardiovascular diseases, which are diseases of the heart and blood vessel system.  Other cardiovascular diseases include stroke, high blood pressure, angina (chest pain), and rheumatic heart disease.

One reason some women aren’t too concerned about heart disease is that they think it can be “cured” with surgery.  This is a myth.  Heart disease is a lifelong condition—once you get it, you’ll always have it. True, procedures such as bypass surgery and angioplasty can help blood and oxygen flow to the heart more easily.  But the arteries remain damaged, which means you are more likely to have a heart attack. What’s more, the condition of your blood vessels will steadily worsen unless you make changes in your daily habits. Many women die of complications from heart disease, or become permanently disabled.  That’s why it is so vital to take action to prevent and control this disease.
What Are the Risk Factors for Heart Disease?

Risk factors are conditions or habits that make a person more likely to develop a disease.  They can also increase the chances that an existing disease will get worse.  Important risk factors for heart disease that you can do something about are:

  • High blood pressure
  • High blood cholesterol
  • Diabetes
  • Smoking
  • Being overweight
  • Being physically inactive
  • Having a family history of early heart disease
  • Age (55 or older for women)

Some risk factors, such as age and family history of early heart disease, can’t be changed.  For women, age becomes a risk factor at 55.  After menopause, women are more apt to get heart disease, in part because their body’s production of estrogen drops.  Women who have gone through early menopause, either naturally or because they have had a hysterectomy, are twice as likely to develop heart disease as women of the same age who have not yet gone through menopause.  Another reason for the increasing risk is that middle age is a time when women tend to develop risk factors for heart disease.  Family history of early heart disease is another risk factor that can’t be changed. If your father or brother had a heart attack before age 55, or if your mother or sister had one before age 65, you are more likely to get heart disease yourself. While certain risk factors cannot be changed, it is important to realize that you do have control over many others.  Regardless of your age, background, or health status, you can lower your risk of heart disease—and it doesn’t have to be complicated.  Protecting your heart can be as simple as taking a brisk walk, whipping up a good vegetable soup, or getting the support you need to maintain a healthy weight.
Some women believe that doing just one healthy thing will take care of all of their heart disease risk. For example, they may think that if they walk or swim regularly, they can still smoke and stay fairly healthy. Wrong!  To protect your heart, it is vital to make changes that address each risk factor you have. You can make the changes gradually, one at a time.  But making them is very important.  Other women may wonder: If I have just one risk factor for heart disease—say, I’m overweight or I have high blood cholesterol—aren’t I more or less “safe”?  Absolutely not. Each risk factor greatly increases a woman’s chance of developing heart disease.  But having more than one risk factor is especially serious, because risk factors tend to “gang up” and worsen each other’s effects.  So, the message is clear:  Every woman needs to take her heart disease risk seriously—and take action now to reduce that risk.
Tips for Heart Health

  • Don’t smoke, and if you do, quit.  Women who smoke are two to six times more likely to suffer a heart attack than non-smoking women. Smoking also boosts the risk of stroke and cancer.
  • Aim for a healthy weight.  It’s important for a long, vigorous life.  Overweight and obesity cause many preventable deaths.
  • Get moving.  Make a commitment to be more physically active.  Aim for 30 minutes of moderate-intensity activity on most, preferably all, days of the week.
  • Eat for heart health.  Choose a diet low in saturated fat, trans fat, and cholesterol, and moderate in total fat.
  • Know your numbers.  Ask your doctor to check your blood pressure, cholesterol (total, HDL, LDL, triglycerides), and blood glucose.  Work with your doctor to improve any numbers that are not normal.

To learn more or for resources including Fact Sheets, Tools, Links, and Clinical Guidelines visit these links:

http://www.womenshealth.gov/hearttruth/factsheets.cfm
http://www.goredforwomen.org

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