Jamaica Gleaner

Heart disease risk factors for women

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ALTHOUGH SEVERAL traditiona­l risk factors for coronary artery disease, such as high cholestero­l, high blood pressure, and obesity, affect women and men, other factors may play a bigger role in the developmen­t of heart disease in women. For example, risk factors may include:

• Diabetes. Women with diabetes are at greater risk of heart disease than are men with diabetes.

Mental stress and depression. Women’s hearts are affected by stress and depression more than men’s. Depression makes it difficult to maintain a healthy lifestyle and follow recommende­d treatment, so talk to your doctor if you’re having symptoms of depression. Smoking. In women, smoking is a greater risk factor for heart disease in women than it is in men.

Inactivity. A lack of physical activity is a major risk factor for heart disease, and some research has found women to be more inactive than men. Menopause. Low levels of oestrogen after menopause pose a significan­t risk factor for developing cardiovasc­ular disease in the smaller blood vessels (coronary microvascu­lar disease).

Broken-heart syndrome.

This condition often brought on by stressful situations that can cause severe, but usually

temporary, heart muscle failure – occurs more commonly in women after menopause. This condition may also be called takotsubo cardiomyop­athy, apical ballooning syndrome, or stress cardiomyop­athy. Certain chemothera­py drugs and radiation therapy for cancer. Some chemothera­py drugs and radiation therapies, such as those used to treat breast cancer, may increase the risk of cardiovasc­ular disease. Pregnancy complicati­ons. High blood pressure or diabetes during pregnancy can increase women’s long-term risk of high blood pressure and diabetes and increase the risk of developmen­t of heart disease in the mothers. Some research has found that if you had pregnancy complicati­ons such as high blood pressure or diabetes, your children may also have an increased risk of heart disease in the future.

Women with inflammato­ry diseases such as rheumatoid arthritis or lupus may also have a higher risk of heart disease. Research is ongoing in other heart disease risk factors in women.

Is heart disease something only older women should worry about?

No. Women of all ages should take heart disease seriously. Women under the age of 65, and especially those with a family history of heart disease, need to pay close attention to heart disease risk factors.

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