Women and Heart Disease While heart disease is the number one killer of women in the United States, the American Heart Association says women often accumulate risk factors from less life-threatening conditions like acid reflux, flu or aging. Many women think the signs of a heart attack are unmistakable but they can often be subtle and misinterpreted. “If you are looking for a comforting breakfast, start your day off with oatmeal for an instant boost of fiber. It also helps prevent heart disease.” — Dr. DeNeen, Invasive NonInterventional Cardiologist FCCI The first and most important step in preventing heart disease is to stop using all forms of tobacco and any form of nicotine. Patients, both male and female, are seen coming in at an increasingly young age with serious heart concerns. Patients who have heart attacks in their 30s or 40s are likely to carry several risk factors such as a stong family history or being diabetic, but will also be strongly likely to be tobacco users. Prevention against heart disease includes staying physically active for a minimum of 30 minutes at least five days a week and following a sensible diet. Know your risk factors and keep those risk factors well controlled. A healthy, active lifestyle will often help reduce these factors. A major question women may have is what risk factors are involved in the occurence of heart disease. There are certain uncontrollable risk factors such as heredity, gender, and age. Having 1st degree relatives with early heart disease is a red flag. Early heart disease is defined as a male under the age of 55 with a condition or a female under the age of 65. Statistically speaking, once men are older that 55 and women are older than 65 the risk of heart disease increases. Women who experience early menopause, defined as occuring prior to the age of 46 years old, have a higher risk. The other risk factors are considered controllable. Our lifestyle can improve or eradicate these risks all together. The risk factors include tobacco and nicotine use, sedentary lifestyle, obesity, hypertension, high LDL (bad cholesterol) and low HDL (good cholesterol) and diabetes. The next question to arise is when women should be checked for heart disease. If you are experiencing any symptoms such as a chest pain or pressure, difficulty breathing, or a change in your ability to do your normal activities, you should be checked immediately. Practice Update We’re excited to introduce Vastal Inamdar, MD, specializing in electrophysiology and Ameeth Vedre, MD, specializing in cardiovascular disease to the First Coast Cardiovascular Institute team! FCCI offers unparalleled medical expertise by highly trained cardiovascular specialists and is committed to providing you an unwavering standard of excellence in the diagnosis, treatment and prevention of Heart & Vascular disease. There are guidelines for when cardiovascular risk factors should be evaluated. Blood pressure screenings, evaluation of lipids (cholesterol, LDL, HDL) should start in your 20s. Without symptoms there are not definitive age cutoffs that dictate when it is time for a stress test or more invasive evaluation such as an angiogram. For example, a very active 75-year-old woman without symptoms whose risk factor is her age may not need a full evaluation. A 45-year-old woman who uses tobacco, is diabetic and hypertensive with abnormal lipids, and is now having a harder time climbing the steps should be evaluated. For anyone in between, this is where the art of medicine comes in. Talk to your physician if you have concerns and together you can evaluate where your own particular mix of history and symptoms puts you on the spectrum of heart disease risk. Copyright © 2013 First Coast Cardiovascular Institute, P.A. All rights reserved.
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