Not to do the whole medical scare-tactic thing, but we should really be more focused on heart disease, which is the #1 killer of women over 25. It’s still largely seen as a male disease, and doctors notoriously misdiagnose and miss warning signs of heart disease in women. If you have a family history of heart disease, your risk of getting it will be even higher.
The findings are among those in a series of articles to be published today in two medical journals — the Journal of the American College of Cardiology, and Circulation — exploring the differences in heart disease between men and women. The subject has drawn increasing interest in recent decades, as scientists began to realize that the results of previous studies, done mostly in men, did not always apply to women.
Among the differences already known are that women with heart disease tend to be sicker than men by the time it is diagnosed, to benefit less from bypass surgery and to have more severe symptoms when they develop heart failure. Some of the difference is because women are older and frailer when they develop heart disease, but that does not account for all of it.
“…the results of previous studies, done mostly in men, did not always apply to women.” Doesn’t it seem like we hear this line a lot?
Heart disease, strokes and other cardiovascular diseases are the leading causes of death in the United States and other developed countries. They killed 910,600 people in the United States in 2003, the most recent year for which data are available; more than half the deaths, 484,000, were among women.
Although women’s risk is greatest after menopause and increases with age, heart disease is the No. 1 cause of death in all women older than 25. Overall death rates from coronary disease have declined in the past few decades, but most of the improvements have been in men’s rates.
For all the women out there, how many times have you been warned or made aware of your risk of heart disease compared to, say, breast cancer?
“To women as patients, the message is, look, if you have symptoms, don’t think because you are a woman you are immune to having a heart problem,” Dr. Sopko said.
And the message to doctors should be, “Look, if your patient has symptoms, don’t think because she’s a woman that she’s immune to having a heart problem.”