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Heart disease: It's not just about men...Warning signs are often different for women than men

More than 40 percent of the women who died in Missouri, lost their lives to heart disease according to the Missouri Department of Health and Senior Services.  Although heart disease was once considered a man's disease, it is the number one killer of women across the country.

 

"Many people still believe heart attacks happen primarily to men, and women are not at risk, but heart disease is not just a man thing," said Judy Alexiou, program coordinator for the department's Missouri Heart Disease and Stroke Program. "Women must learn to recognize the
signs and symptoms of a heart attack in order to seek medical treatment that can save their lives."

Of the total number of Missouri women who died in 2002, 41.1 percent or 11,800 women died from cardiovascular disease.

The signs and symptoms of a heart attack can be much different for women than men.  The classic signs for men, including chest pains, feelings of fullness or squeezing and pain shooting down the left arm, are usually not the ones women primarily report.  The symptoms women more often experience include:

-A sudden shortness of breath -Sudden sweating and\or flu-like symptoms (nausea, clamminess or cold sweats)
-Unusual fatigue, light-headedness, weakness or dizziness
-Pain in the upper back, neck or jaw or between the shoulder blades
-Feelings of anxiousness
-Indigestion
-Insomnia

While it is important for all women to know the heart attack symptoms, some women are more at risk for heart disease than others. Risk factors
include: smoking, high blood pressure, high blood cholesterol, overweight and obesity, age, physical inactivity, diabetes, a family history of heart disease and menopause.

Race or ethnicity is another risk factor.  African-American and Hispanic women face the highest risk of death from heart disease.

"Some risk factors, such as age, race and family history, are beyond our control," Alexiou said. "But it is important to know that others can be prevented or controlled with lifestyle changes and medication."

Women who have heart disease often do not fare as well as men with the disease.

-More women than men (38 percent to 25 percent) will die within one year of a recognized heart attack. 
-More women than men (35 percent to 18 percent) heart attack survivors will have another heart attack within six years. 
-Women are almost twice as likely as men to die after by-pass surgery.

-Women are less likely than men to receive certain medical treatments including beta-blockers, ACE inhibitors and aspirin after a heart attack. 
-Women represent only 25 percent of participants in heart disease studies.

"The good news is medical professionals are becoming more aware of the risks and symptoms of heart disease in women and are taking steps to
better address women's health care needs," Alexiou said.

For more information about women and heart disease, contact the Missouri Heart Disease and Stroke Program at (800) 316-0935 or visit
these web sites: www.dhss.mo.gov/HeartDisease
and www.dhss.mo.gov/Stroke , or the American Heart Association's web site at www.americanheart.org.
 

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