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Women and Heart Disease

Back To Heart

Heart disease is sometimes thought of as a man’s health problem. But heart disease is the leading cause of death for women in the United States. 

Heart disease can affect women at many stages of life, including young adulthood, pregnancy, menopause and later adulthood. Risk factors, symptoms and warning signs may look different in women than they do in men. Knowing what to watch for can help you take steps to protect your heart health and get care when you need it. 

At Banner Health, women’s heart care is designed to support your needs at every stage of life, from young adulthood and pregnancy to menopause and beyond. 

How common is heart disease in women? 

Heart disease affects millions of women across the U.S. It can develop at any age and may begin long before symptoms appear. 

Despite its impact, many women do not realize heart disease is their greatest health risk. This can delay prevention, testing and treatment. 

Talking with your health care provider about your personal risk can help you understand your heart health and take action early. 

Types of heart disease in women 

Heart disease is a term for several conditions that affect the heart and blood vessels. Some of the most common types in women include: 

  • Coronary artery disease: Narrowing or blockage in the arteries that supply blood to the heart 
  • Heart rhythm disorders: Irregular heartbeats, also called arrhythmias 
  • Heart failure: When the heart cannot pump blood as well as it should 
  • Heart valve disease: Problems with one or more heart valves 
  • Microvascular disease: Disease in the small blood vessels of the heart, which may be more common in women 
  • Spontaneous coronary artery dissection: A tear in a heart artery that can cause a heart attack and is more often seen in women, especially during or after pregnancy 

Your provider can help identify which type of heart condition may be causing your symptoms and what care may be needed. 

Heart disease risk factors in women 

Some heart disease risk factors affect everyone, including high blood pressure, high cholesterol, diabetes, smoking and family history. But certain factors can affect women differently or raise risk during specific stages of life. 

Risk factors that are especially important for women include: 

Menopause

 After menopause, lower estrogen levels can affect blood vessels, cholesterol and how the body responds to inflammation and stress. This can increase the risk of heart disease. 

Pregnancy-related conditions 

Pregnancy places extra demand on the heart and blood vessels. Conditions such as preeclampsia, gestational diabetes and high blood pressure during pregnancy can raise the risk of heart disease later in life. 

Diabetes 

Diabetes increases the risk of heart disease in everyone, but it can raise the risk even more in women. 

High blood pressure 

High blood pressure is common in women and often has no symptoms. Regular screening is important because untreated high blood pressure can damage the heart and blood vessels over time. 

Smoking and vaping 

Tobacco and nicotine use can damage blood vessels and raise the risk of heart disease, heart attack and stroke. 

Stress, anxiety and depression 

Emotional stress, anxiety and depression can affect sleep, blood pressure, activity levels and other habits that support heart health. These factors may have a greater impact on heart disease risk in women. 

Cancer treatments 

Some chemotherapy drugs and radiation treatments, including treatments for breast cancer and other cancers, can affect heart health. 

If any of these risk factors are part of your health history, talk with your provider or a heart specialist about your personal risk. 

How heart disease risk changes throughout a woman’s life 

Heart disease risk is not the same at every age. Hormones, pregnancy, stress, lifestyle, family history and aging can all play a role. 

Understanding how risk changes over time can help you know when to ask questions, get screened and make heart-healthy changes. 

Teens and young adults 

Heart disease can begin developing earlier than many people realize. During the teen and young adult years, risk is often shaped by family history, health conditions and daily habits. 

Factors to be aware of include: 

  • Family history of heart disease 
  • Smoking or vaping 
  • Poor sleep 
  • High stress 
  • Untreated anxiety or depression 
  • Autoimmune conditions, which are more common in women 

Even without symptoms, healthy habits and regular preventive care can support long-term heart health. 

Pregnancy and postpartum years 

Pregnancy affects the heart and blood vessels. Some pregnancy-related conditions are linked to a higher risk of heart disease later in life. 

These include: 

  • Preeclampsia 
  • Gestational diabetes 
  • High blood pressure during pregnancy 
  • Preterm delivery 

If you had any of these conditions, tell your primary care provider, OB-GYN or heart specialist. You may need earlier or more frequent heart health screening. 

Midlife and perimenopause 

Heart disease risk often rises during midlife, even before menopause. This may be due to hormone changes, weight changes, higher cholesterol, rising blood pressure or long-term stress. 

During this stage, symptoms can be subtle and easy to overlook. Talk with your provider if you notice changes such as unusual fatigue, shortness of breath, chest discomfort, palpitations or lower exercise tolerance. 

Menopause and beyond 

After menopause, heart disease risk increases. Lower estrogen levels may affect blood vessels, cholesterol, blood pressure and inflammation. 

Other factors that may become more common after menopause include: 

  • High blood pressure 
  • Prediabetes or diabetes 
  • Weight changes 
  • Reduced physical activity 
  • Sleep problems 
  • Atypical heart attack symptoms 

Routine heart screening and ongoing care are especially important during and after menopause. 

Why age-aware heart care matters 

Women’s heart disease risk can change across the lifespan. A one-size-fits-all approach may miss important risk factors tied to pregnancy history, hormones, menopause, stress and aging. 

Age-aware heart care helps your provider look at your full health story and recommend prevention, testing or treatment based on your needs. 

Heart attack symptoms in women 

Women may have heart attack symptoms that are different from the classic chest pain many people expect. Symptoms may be sudden or subtle. 

Heart attack symptoms in women may include: 

  • Chest pain, pressure, tightness or fullness 
  • Pain in the neck, jaw, upper back, abdomen or one or both arms 
  • Shortness of breath 
  • Unusual fatigue or weakness 
  • Nausea, vomiting or indigestion-like discomfort 
  • Lightheadedness or dizziness 
  • Cold sweats 

If you think you may be having a heart attack, call 911 right away. Fast treatment can save your life. 

Learn more about heart attack symptoms and prevention. 

How women can lower their risk of heart disease 

You cannot control every heart disease risk factor, but many risks can be managed with regular care and healthy habits. 

Ways to support your heart health include: 

  • Know your blood pressure, cholesterol and blood sugar numbers 
  • Stay physically active 
  • Eat more fruits, vegetables, whole grains, lean proteins and healthy fats Avoid smoking, vaping and nicotine 
  • Limit alcohol 
  • Manage stress and get support for anxiety or depression 
  • Get enough sleep 
  • Talk with your provider about pregnancy-related risk factors 
  • Keep regular preventive care visits 

Your provider can help you create a prevention plan based on your age, health history and risk factors. 

When should women see a heart specialist? 

You do not need to wait for an emergency to ask about your heart health. Talk with your provider or a heart specialist if you: 

  • Have high blood pressure, high cholesterol or diabetes 
  • Have a family history of heart disease 
  • Had preeclampsia, gestational diabetes or high blood pressure during pregnancy 
  • Are going through menopause and have new heart health concerns 
  • Smoke, vape or used to use tobacco 
  • Had cancer treatment that may affect your heart 
  • Have chest discomfort, shortness of breath, dizziness, palpitations or unusual fatigue 
  • Want to better understand your personal risk for heart disease 

Your provider can help decide whether you need heart testing, lifestyle support, medication or specialty care. 

How heart disease is diagnosed in women 

Heart disease diagnosis usually starts with a conversation about your symptoms, medical history, family history and risk factors. Your provider may also check your blood pressure, cholesterol, blood sugar and other heart health numbers. 

Depending on your symptoms, testing may include: 

  • Electrocardiogram, also called EKG or ECG 
  • Echocardiogram 
  • Stress test 
  • Heart rhythm monitoring 
  • CT scan or CT angiogram 
  • Cardiac MRI 
  • Blood tests 

Because symptoms in women can be subtle or different from what people expect, it is important to share any changes in how you feel, even if they seem minor. 

Women’s heart care at Banner Health 

At Banner Health, women’s heart care is designed around how heart disease affects women in real life. 

Our approach may include: 

  • Preventive screenings based on age, health history and life events 
  • Advanced diagnostic testing tailored to your symptoms 
  • Treatment plans that reflect your risk factors and health goals 
  • Support through pregnancy, midlife, menopause and beyond 
  • Education to help you take action early 

Your care team can help you understand your risk, manage symptoms and build a plan to protect your heart health over time. 

Why choose Banner Health for women’s heart care? 

Banner Health provides coordinated heart care for women at every stage of life. Our heart specialists understand that symptoms, risks and treatment needs may differ for women. 

Care may include: 

  • Cardiologists experienced in women’s heart health 
  • Advanced diagnostic tools and imaging 
  • Personalized care plans 
  • Preventive support 
  • Recovery and wellness guidance 
  • Coordination with primary care, OB-GYN, oncology and other specialists when needed 

Take charge of your heart health 

Heart disease can affect women at many stages of life, but understanding your risk can help you take steps to protect your health. Regular screenings, healthy habits and timely care can make a difference. 

Make an appointment with a Banner Health heart specialist to learn more about your heart disease risk and next steps.