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Cardiovascular Disease & Women

Also called: Women and Heart Disease Myths, Women and Heart Disease, Heart Disease and Women

- Summary
- Signs and symptoms
- Risk reduction
- Other women's topics
- Questions for your doctor

Reviewed By:
Abdou Elhendy, MD, PhD, FACC, FAHA
Lee B. Weitzman, M.D, FACC, FCCP
Lynne Perry-Bottinger, MD, FACC

Signs and symptoms common for women

One of the most common symptoms of cardiovascular disease is chest pain. Research has suggested, however, that women tend to experience chest pain differently from men. In women, the chest pain may be more diffuse or resemble abdominal pain more than in men. Also, studies have found that women are more likely than men to be told that their symptoms are due to stress or an unrelated issue. In fact, some findings do indicate that some women are more prone to psychological and/or stress-related chest pain than men. However, chest pain in both men and women needs to be evaluated for the possibility of heart disease.

The list of heart disease symptoms that are often reported by women is called the “ABCs” by experts:

  • Angina or chest pain. This is often felt as tightness in the chest that sometimes radiates down the left side or up to the jaw. It may be mistaken by a physician and/or patient as indigestion, a toothache or temporomandibular joint syndrome (TMJ, an aching jaw.)

  • Breathlessness. This can include fairly regular shortness of breath (dyspnea), particularly when exercising, or only nighttime breathing difficulties while lying down.

  • Chronic fatigue (feeling very tired or run down all the time).

  • Dizziness. In some cases, women may even faint (syncope).

  • Edema (swelling), particularly in the lower body (ankles and lower legs).

  • Fluttering, also known as rapid heartbeats or palpitations.

  • Gastric upset, nausea or indigestion-like symptoms.

Women who are concerned about their heart health are urged to seek a second opinion if they are not satisfied with the first.

Risk reduction for women

Like men, women can do many things to reduce the risk of heart disease:

  • Control cholesterol levels
  • Manage stress
  • Quit or abstaining from smoking or abstain from smoking
  • Control diabetes
  • Control high blood pressure
  • Maintain adequate exercise and physical activity
  • Consume a healthy diet
  • Maintain a normal body weight

The physician may request a stress test and/or an imaging test to diagnose coronary artery disease in women with heart symptoms and in women considered at higher risk for heart disease (e.g., those with multiple risk factors). These tests include the exercise stress electrocardiogram, which can be combined with some imaging techniques such as echocardiography and nuclear testing to improve diagnostic accuracy. Other modalities include coronary calcium scoring and non-invasive coronary angiography using CT imaging.

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Review Date: 08-22-2007
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