Ask the Expert: Heart Disease in Women: No. 1 Killer in the US

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Heart disease is the leading cause of death and disability in women in the United States, killing more women than all forms of cancer combined. However, this often goes unrecognized with only half of women recognizing that heart disease is our number 1 killer.

In addition to the traditional cardiovascular risk factors, which includes hypertension, dyslipidemia, diabetes, smoking, obesity, family history of heart disease, and physical inactivity, women can also have nontraditional cardiovascular risk factors. These include autoimmune diseases, breast cancer treatment, stress and depression, and pregnancy complications (gestational diabetes, hypertensive disorder of pregnancy, and preterm delivery). 

Chest pain or discomfort is the most common symptom for both men and women. However, there are important differences. Compared to men, women are more likely to have symptoms that may appear unrelated to a heart blockage or heart attack, such as unusual fatigue, dizziness, nausea, vomiting, shortness of breath, cold sweats, and heartburn. Additionally, women are more likely to feel sharp or burning pain in their neck, jaw, throat, stomach or between their shoulder blades. Furthermore, symptoms are more likely to be induced by rest, sleep, and mental stress, compared to the usual trigger related to physical exertion. Because of these differences, women with heart attacks are more likely to present later to the emergency room compared to men, with observed delays in both the diagnosis and treatment.

The good news is that 80% of heart disease is preventable. Changes into a healthier lifestyle is key in order to reduce our cardiovascular risk. Different strategies should be simultaneously adopted, including exercising, keeping a healthy weight, eating a heart-healthy diet (whole grains, low-fat, lean meats, less salt and sugar), managing stress, smoking cessation, and limiting alcohol intake (one drink a day for women and up to two drinks a day for men). Controlling one’s risk factors is critical to prevent heart disease, with strict control of diabetes, blood pressure, and cholesterol.

Heart disease is the leading threat to women’s health, but you have the power to protect your health. Speak to your primary care physician about any concerns and see a cardiologist if you experience any of the previously mentioned symptoms. Don’t ignore warning signs—early action saves lives.

About Dr. Fiorella Llanos

Dr. Fiorella Llanos is a board-certified interventional cardiologist with specialized training in diagnosing and treating a wide range of heart conditions, including high blood pressure, heart failure, abnormal heart rhythms, peripheral artery disease, and coronary artery disease. She is dedicated to helping individuals take control of their heart health through prevention, early detection, and advanced treatment options.

Dr. Fiorella Llanos, DHR Health Interventional Cardiologist
1200 E. Savannah, Suite 21 McAllen, TX 78503
To schedule an appointment, call (956) 362-8400
To learn more about cardiology services at DHR Health, visit https://dhrhealth.com/services/cardiology/

DHR Health|Dr. Fiorella Llanos|Heart Disease