Let's Talk
At Community Heart and Vascular Care, we fight the #1 killer of Hoosier women, heart disease. Let’s talk about it today so you are not another statistic.
Facts About Heart Disease
- Kills 1 out of every 4 American women
- Kills 23 Indiana women every day
- Heart disease and stroke together account for 30% of all female deaths in our state, ~7000 women annually
- Kills more women yearly than the top 14 causes of cancer combined
Those are sobering statistics about CAD (coronary artery disease), also known as hardening of the arteries or atherosclerosis. No matter its alias, the progressive build-up of plaque in the inner artery lining reduces blood flow, leading to angina (chest pain from the heart muscle being starved for blood and oxygen), heart attacks (no blood flow causing dead heart muscle), congestive heart failure and sudden cardiac death.
Am I at Risk?
Some risk factors we can control, some we cannot. Your age, your genes, your family history and being postmenopausal are beyond your control. These issues are important in assessing risk and guiding treatment but no cures exist. What can we control? Lifestyle choices to change smoking, obesity, lack of exercise, high blood pressure, high blood cholesterol and diabetes are within our grasp to treat and beat heart disease. Where do we start? First, know your numbers. That means your weight, BMI, blood pressure, fasting blood sugar and fasting lipid profile (cholesterol split into the good, bad and ugly). You can schedule a $49 heart scan with no doctor’s order required, measuring any calcium in your heart’s arteries. Have a heart-to-heart with your doctor: Do you need stress testing or other more in-depth evaluation?
How Are a Woman’s Symptoms Different?
Many women have classic symptoms to alert them to CAD: chest pain or pressure behind the breastbone associated with exertion that radiates to the left arm/neck/jaw. Many women have other less obvious symptoms, like shortness of breath, sweating, fatigue, nausea, dizziness or fainting that occur with exertion or rest. Women are also more likely to have plaque build-up in the tiny capillary arteries that are too small to be stented (microvascular angina) and stress-induced congestive heart failure (also known as Broken Heart Syndrome or Takotsubo’s cardiomyopathy.)
Save Your Life
Don’t ignore your symptoms. Don’t be ignored by a professional who does not evaluate your symptoms. Women often delay evaluation because “heart disease only happens to men.” Although stress testing is usually the first step in a diagnostic work-up, the gold standard for the diagnosis of CAD remains a cardiac catheterization. This angiogram counts artery blockages (how many and how tight) and guides treatment. Stents have revolutionized the treatment of heart disease but they really just buy time to do the critical metabolic work: reducing plaque and preventing future symptoms with statins, blood thinners and aggressive reduction of risk factors.
Talk to your doctor about your risk for heart disease or heart attack. Looking for a heart specialist? Find a doctor on eCommunity.com or call 800-777-7775.