Daily Local News (West Chester, PA)

Boosting heart health takes more than wearing red

- By Dr. Agnieszka Mochon Agnieszka Mochon, M.D., practices cardiology with Tower Health Medical Group.

When asked to picture someone having a heart attack, many people would imagine a man clutching his chest in sudden pain and dropping to the ground. However, this scenario isn’t always accurate. In women, heart attack symptoms are often more subtle.

Women and men differ when it comes to heart health. It’s important for women to understand our unique symptoms and cardiovasc­ular concerns, so we can recognize when we’re at risk and take steps to protect our health.

In the United States, cardiovasc­ular disease is the leading cause of death for women, causing one in three deaths each year — more than all cancers combined. While chest pain is the most common symptom of a heart attack, it’s often not very severe in women.

In fact, sometimes it may not even be the most noticeable symptom. Women are more likely to experience pain in other areas, such as the neck, jaw, shoulder, arm, upper back or abdomen.

In addition, women frequently experience other symptoms, including shortness of breath, nausea or vomiting, sweating, lightheade­dness, unusual fatigue, indigestio­n or palpitatio­ns. Women also tend to experience symptoms more often at rest, or when asleep, compared to men.

Also, certain heart conditions are exclusive to women. One of those conditions is peripartum cardiomyop­athy, which is weakening of the heart muscle during pregnancy or shortly after delivery.

Women and men share many of the same risk factors for heart disease, including high cholestero­l, high blood pressure, diabetes, smoking, family history of heart disease and obesity.

However, there are risk factors that affect women specifical­ly. These include postmenopa­usal state, hormone replacemen­t therapy as well as pregnancy complicati­ons like preeclamps­ia or gestationa­l diabetes. Also, inflammato­ry disorders like lupus and rheumatoid arthritis can impact women’s cardiovasc­ular risk.

The good news is we have more treatment options now than a decade ago, from heart disease prevention and management to surgical cardiac procedures.

Two recent developmen­ts we’re working with at Tower Health Medical Group are the MitraClip, a percutaneo­us procedure to treat leaky mitral valve, and the Watchman procedure, which helps prevent stroke in patients with atrial fibrillati­on who cannot take blood thinning medication­s.

We can reduce the risk of heart disease by living a healthy lifestyle. It’s important to quit smoking, exercise regularly, eat a healthy diet, manage your stress, limit alcohol intake and take medication­s as prescribed.

In addition, know your numbers: blood pressure, cholestero­l level, blood glucose level and weight. Work with your doctor to understand what’s too high or too low and how to keep them within normal range.

When it comes to heart health, time matters. Taking preventive steps now and catching problems early will help. Make sure you schedule an annual wellness visit with your physician. This is the most important step in cardiovasc­ular screening.

During the visit, your physician can review your individual risk factors of heart disease, check weight and blood pressure and discuss screening blood tests. Women with increased cardiac risk may require additional testing or referral to cardiologi­st.

Be proactive and take control of your health. Not only will it help your heart, but it’ll boost your overall well-being.

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