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Women and Heart Disease

woman which disease is she most afraid of, and the reply you will usually get is ‘breast cancer’. The reality however is very different; heart disease kills more women than any other disease. This comes as a surprise to most, as heart disease was always thought to be a ‘man’s disease’. In fact, women are as much at risk for heart disease as men are, but are protected by their hormones till they reach menopause.

 

  

Another sad statistic is that a much larger percentage (42%) of women die within one year after having a heart attack, as compared to men (24%). The reasons for this are not well understood. One possible explanation is that women tend to get heart disease later in life and are therefore more likely to have coexisting chronic conditions. Some other little-known facts about women and heart disease are:

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  • Women who smoke are at a risk of having a heart attack 19 years earlier than non-smoking women.
  • Women with diabetes are three to seven times more likely to have heart attacks.
  • Women are almost twice as likely as men to die after by-pass surgery.
  • Women often do not have the typical symptoms of angina (chest pain radiating to the arms) or other symptoms associated with a heart attack. Therefore they are often not diagnosed correctly and in appropriate time.
  • Women are 20% more likely than men to die in the hospital following a heart attack.
  • Women receive less aggressive treatment than men for their heart disease.

 

  

    

HORMONE-REPLACEMENT THERAPY

One area of women’s health which has perhaps generated the maximum amount of controversy and confusion is hormone replacement therapy. Until recently it was thought that this therapy consisting of estrogen and progestin in varying combinations was protective for the heart. However, results from recent studies have contradicted these findings. The current scientific recommendations for hormone replacement are:

  • This therapy should be started only after consultation with a physician, preferably the gynecologist
  • Relief from the symptoms of menopause should be the primary reason for taking hormone replacement therapy
  • Hormone therapy should not be used to prevent heart disease
  • Hormone therapies have been shown to help build stronger bones; however, women should weigh the risks of hormone therapy before taking it to prevent osteoporosis

 

 

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