Menopause normally
occurs around 50-55 years or earlier and is preceded by the
perimenopause stage.
Reduced estrogen production, puts women at higher risk for heart
attacks.
Greater awareness of disparities is a critical first step to
improving cardiovascular outcomes for women.
Heart disease is the leading cause of death in women over 40, especially
those who have attained menopause. Over 56 per cent of women in the age
group of 30-69 yrs in rural areas of India fall prey to heart-disease
related mortality. Menopause normally occurs around 50-55 years or
earlier and is preceded by the perimenopause stage, wherein women
experience hormonal changes and declining estrogen levels. Reduced
estrogen production as well as the amount of estrogen produced by the
ovaries, puts women at higher risk for heart attacks.
https://www.news9live.com/health/covid-19/international-womens-day-heart-disease-is-the-leading-cause-of-death-in-women-over-40-157782
Menopause normally occurs around
50-55 years or earlier and is preceded by the perimenopause stage.
Reduced estrogen production, puts
women at higher risk for heart attacks.
Greater awareness of disparities is
a critical first step to improving cardiovascular outcomes for women.
Heart disease is the leading cause
of death in women over 40, especially those who have attained menopause. Over
56 per cent of women in the age group of 30-69 yrs in rural areas of India fall
prey to heart-disease related mortality. Menopause normally occurs around 50-55
years or earlier and is preceded by the perimenopause stage, wherein women
experience hormonal changes and declining estrogen levels. Reduced estrogen
production as well as the amount of estrogen produced by the ovaries, puts
women at higher risk for heart attacks.
Moreover,
in many areas of cardiovascular disease, even when they are diagnosed women are
under-treated compared with men. For example, women are less likely to receive
statins for dyslipidemia and less likely to receive anticoagulation for atrial
fibrillation (AFib). Further, even after a heart attack (acute coronary
syndrome), they are less likely to be prescribed guideline-directed medical
therapy (GDMT), less likely to receive appropriate treatment in a timely
fashion, and less likely to undergo angioplasty/surgery. Women also need more
help with prevention: among other issues, they are less likely to get an
adequate amount of physical activity, more likely to be obese, and less likely
to quit smoking compared with men. Greater awareness of these disparities is a
critical first step to improving cardiovascular outcomes for women.
Heart attack symptoms for women
While the
most common heart attack symptom in women is the same as in men (some type of
chest pain, pressure or discomfort that lasts more than a few minutes or comes
and goes). The difference lies that in women, in many cases chest pain may not
be severe and might even not be noticed (in women it's possible to have a heart
attack without chest pain). Rather women may have other heart attack symptoms
but not chest pain like neck, jaw, shoulder, upper back or upper belly
(abdomen) discomfort, shortness of breath, pain in one or both arms, nausea or
vomiting, sweating, lightheadedness or dizziness, unusual fatigue or even
acidity (indigestion).
Moreover, even these symptoms may be vague and not as noticeable as the
crushing chest pain often associated with heart attacks in men. The reason
could be that often women have blockages not only in their main arteries but
also in the smaller ones that supply blood to the heart (aka coronary
microvascular disease). In women, emotional stress can play a major role in
triggering heart attack and women tend to have symptoms more often when
resting, or even when asleep.
This is the reason that women might be diagnosed less often with heart disease
than are men but on the other hand, women are more likely than men to have a
heart attack with no severe blockage in an artery (non-obstructive coronary
artery disease).
Tips for women that can help in
preventing cardiovascular disease
1. Manage
stress: Stress is an important cause of not only heart disease but also
increases the risk of heart attack (rupture of vulnerable plaque). Reducing
stress by exercising, yoga and dhyan (practising mindfulness), listening to
soothing music, art and increasing friend circle are some ways to reduce
stress.
2.
Exercise and maintain a healthy weight: If overweight, losing even a few kilos
can lower heart disease risks.
3. Follow
treatment plan religiously: Take medications as prescribed, such as blood
pressure medications, blood thinners and aspirin.
4. Quit
smoking: Don't smoke, don't start, quit smoking and even avoid exposure to
secondhand smoke.
5. Eat a
healthy diet: Opt for whole grains, raw fruits and vegetables, low-fat or
fat-free dairy products, and white meats. Avoid saturated or trans fats, added
sugars, and high amounts of salt.
6. Avoid
or limit alcohol: Drink in moderation or avoid completely. Limit to 1 drink per
day.
7. Manage
risk factors: High blood pressure, high cholesterol and diabetes increase the
risk of heart disease.
Exercise and heart health
Women are
especially susceptible to physical inactivity. Regular activity helps keep the
heart-healthy. Aim for at least 30 minutes of moderate exercises, such as
walking at a brisk pace, on most days of the week. If that's more than you can
do, start slowly and build up. Even five minutes a day of exercise has health
benefits.
If unable
to do at a stretch, break up your workouts into several 10-
minute sessions
during a day. Another option is interval training:
alternate short bursts of
intense activity with intervals of lighter
activity. Moderate exercise can
maintain a healthy weight, improve
blood pressure and thus reduce the risk of
heart diseases.