Your Health

Heart Attack in Women

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Most people have heard over the years that cardiovascular disease is the number one killer in the United States. Cardiovascular disease comes in many forms, any of which may lead to a heart attack or stroke. What you may not know is that men and women may have different heart attack risk factors and warning signs.

If you're a woman, heeding the subtle warnings can make a significant difference.

What Can Cause a Heart Attack

Your heart is a constantly running pump and needs a constant source of oxygen for fuel. The oxygen is picked up in the blood and delivered to the heart muscle through blood vessels called arteries. Blockages or damages to these coronary arteries slow or block the flow of blood to the hard working heart muscle. In a short period of time the lack of blood flow causes damage to the heart muscle and a heart attack. If the oxygen is restored quickly, long term damage may be prevented. Continued lack of oxygen can cause significant damage to the heart which can lead to disability or even death.

The most common cause of a heart attack is atherosclerosis or coronary artery disease (CAD). These conditions are caused when fatty deposits, called plaque, build up on the walls of the arteries. This build up causes a narrowing of the arteries that restricts the blood flow. This plaque can also cause a tear or rupture in the artery, which leads to the formation of a blood clot. The blood clot can cause a sudden blockage in the blood flow in the artery.

Sometimes, a blood clot can break free from another part of the body and make its way into one of the arteries that supplies the heart. This clot will also block the blood flow. Other times, a spasm of the artery can contribute to a heart attack.

How Men and Women Differ

Heart Attack Symptoms

When it comes to heart attack symptoms, men and women share several similarities.

Similarities in symptoms include:

When it comes to heart attack symptoms, men and women share several similarities.

Similarities in symptoms include:

  • Discomfort or pain in the center of the chest—many times, it feels like pressure or squeezing that may last a long time, or go away and come back
  • Discomfort or pain in the jaw, arms, back, neck, or stomach
  • Shortness of breath with or without chest pain
  • Cold sweat
  • Nausea or vomiting
  • Lightheadedness
  • A fear of impending doom or death

Women often have other, more subtle symptoms that may seem confusing, and not so obvious.

Other common symptoms in women may include:

  • Extreme fatigue, which may occur days or weeks in advance
  • Pressure or pain in the lower chest , upper abdomen, or upper back
  • Lightheadedness, which may lead to fainting

Remember that some of these symptoms can occur over hours, days, or weeks. If you feel these symptoms, don't wait more than five minutes to call for medical help. Even if you have a friend or relative with you, call for medical help rather than drive. If necessary, paramedics can start life-saving treatment on the way to the emergency room. This early care can determine how well you recover.

Know Your Risks

Most women believe that the breast cancer is their biggest threat to good health. The fact is, heart disease kills six times as many women as breast cancer. This makes heart disease is the number one killer among women as well as men.

There are several factors that increase your chance of having a heart attack. The more factors you have, the higher the risk of a heart attack. In men and women, many risk factors are the same.

Uncontrollable risk factors are those you can't change. These factors include:

  • Increasing age
  • Race or ethnicity
  • Family history of cardiovascular disease
  • Previous heart attack

Controllable risk factors include those that can be modified by lifestyle changes and medications. These include:

Other factors that are specific to women include:

  • Younger age at menopause
  • Hormonal replacement therapy (HRT)
  • Use of birth control pills, especially in heavy smokers

Before menopause, women have a slightly lower risk of heart attack than men. However, postmenopausal women have similar risk for heart attack as men.

Changes You Can Make to Prevent a Heart Attack

To help reduce your chances of a heart attack, take these steps to modify your lifestyle:

  • If you smoke, quit—Talk to your doctor about smoking cessation programs. There are also nicotine replacement products to help you kick the habit.
  • Exercise regularly:
    • Aim for 150 minutes of exercise each week, about 30 minutes on most days.
    • The activity should be moderate intensity, like walking or swimming. You could also do 75 minutes per week of vigorous exercise, such as running or participating in an exercise class.
    • Do strength training twice a week
    • Remember to talk to your doctor before staring a new exercise routine
  • Eat healthier:
  • Maintain a healthy weight—If you are overweight, talk to your doctor about ways you can lose weight and keep it off. Two main strategies for reaching your goal include reducing the number of calories that you consume and exercising. If you have a hard time, talk with a dietitian to help with meal planning.

In addition to lifestyle changes, you need to monitor and take care of other health conditions. You can do this by:

  • Staying active in any rehab program designed for you if you have a heart attack, stroke, or heart surgery. The program will help you recover and may lower your risk of having another event.
  • Control any health conditions you have by taking all medications as prescribed, and by following the lifestyle changes listed above.
  • Take steps to reduce stress . Yoga and meditation are just two methods that can help you relax.
  • Go to any recommended doctor's appointments.
  • Talk with your doctor about taking aspirin every day.

Change is not always easy, so start slowly. The more risk factors you control, the better chance you have to ward off a heart attack. Talk with your doctor about the best course of action for you.

Take the time to learn the signs of a heart attack, and don't be afraid to call for medical help.

  • American Heart Association

    http://www.heart.org

  • National Coalition for Women with Heart Disease

    http://www.womenheart.org

  • Heart and Stroke Foundation

    http://heartandstroke.ca

  • Public Health Agency of Canada

    http://www.phac-aspc.gc.ca

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