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Women, take your health to heart.

Heart disease is her disease too

If you thought heart conditions were primarily a men’s health concern, you’re not alone. But the truth is, nearly as many women die each year from heart disease as men. In fact, it’s the leading cause of death for women in the U.S.

Not knowing your risk can lead to dangerous consequences. Research shows about 6 out of 100 women in their 40s will develop coronary heart disease growing to nearly 1 out of 5 women in their 80s. As leaders in cardiovascular care, we can help you understand the signs and symptoms and when you should consult a physician.

Symptoms and risk factors unique to women

Heart disease symptoms can look different for women than men. Often, they are more subtle and harder to identify. Likewise, some risk factors affect women more than men. The good news is eighty percent of all heart disease is preventable. We encourage you to live a healthy lifestyle and listen to your heart.

  • Angina (chest pain)

    Angina may feel like traditional pain, but it may also feel like a tightness or pressure in the chest or throat that radiates down the jaw or left shoulder or arm.
  • Breathlessness

    Having shortness of breath or waking up breathless at night.
  • Chronic fatigue

    Overwhelming or out-of-character fatigue may be a symptom of heart disease. Severe fatigue that lasts several days can also be a heart attack symptom.
  • Dizziness

    Can indicate heart valve disease or arrhythmia (an irregular heart rhythm).
  • Edema or swelling

    Particularly in the lower legs and ankles.
  • Fluttering or rapid heartbeat

    May cause pain or difficulty breathing.
  • Gastric upset

    Nausea or vomiting unrelated to diet.
  • Heartburn

    Some women describe heart-related pain this way.

These symptoms do not necessarily mean that you have heart disease. But you should listen to your heart and your body. Talk with your doctor about these symptoms, what triggers them, and how long they last.

Facebook Live: Women and Heart Disease

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Heart disease continues to be the leading cause of death for women in the United States. Surprisingly, women's awareness of heart disease has decreased by approximately 20% over the last decade–primarily among younger women. Learn how to recognize the risks of heart disease in women, the non-traditional risk factors, and the steps to keep your heart healthy. Our panel of experts includes cardiac surgeon Dr. Rachel Harrison and cardiologists Dr. Brian Case, Dr. Estelle Jean, Dr. Kerunne Ketlogetswe, and Dr. Barbara Srichai.

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If you do have sudden chest, shoulder, or arm pain, tightness in your chest, or you have difficulty breathing, call 911 immediately. Do not delay. Getting treatment quickly could help limit damage to the heart muscle—and it could save your life.

Get Answers for Unexplained Chest Pain

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Celina Gorre is CEO of WomenHeart, a national coalition that promotes women’s heart health. But the irony is that Celina had been dealing with unexplained chest pain, sending her to the ER numerous times over the past two years. No one could pinpoint the exact cause of her chest pain until she met Dr. Hayder Hashim, who clinched the diagnosis: coronary microvascular dysfunction (CMD). Thanks to this diagnosis, Celina has been able to manage her symptoms with medication

Risk factors you cannot control

  • Age

    As women age, the risk of heart disease increases due to lower estrogen levels and the chances of developing additional health issues that can affect the heart.
  • Family history

    You are at greater risk if an immediate family member had heart disease at an early age—55 for a male relative or younger than 65 for a female relative.
  • Race

    African-American and Hispanic women have a higher risk of heart disease than Caucasian women.
  • Gender

    Women have a lower risk than men of developing heart disease before menopause, but after menopause, the risk is about equal.

Risk factors you can help manage

  • Smoking

    Smokers are two to four times more likely to have heart disease than non-smokers. When you stop smoking, your body begins to heal, with almost immediate decreases in blood pressure and heart rate.
  • High blood pressure

    Among women of childbearing age, 20 percent have high blood pressure even though many do not realize it. The rate increases to 40 percent between ages 45 and 64, and 60 percent for those age 65 and over. High blood pressure puts added strain on the heart.
  • High cholesterol

    About one-third of American women have cholesterol levels high enough to pose a serious heart disease risk.
  • Weight

    Excess weight can also put added strain on your heart, raising your blood pressure, cholesterol, and glucose (sugar) levels. Another way to assess weight-related risk is to measure your waistline. For women, a waist measurement of 35” or more indicates an increased risk of heart disease.
  • Inactivity

    Inactivity can weaken the heart, and it also makes it easier to gain weight, increasing your chances of developing other risk factors, such as high blood pressure and high cholesterol.

Other risk factors to consider

  • Diabetes

    Women with diabetes are at greater risk of heart disease than men with diabetes. Over time, high blood sugar (glucose) levels can damage the body’s blood vessels and increase the chances that fatty deposits will build up in the arteries.
  • Chemotherapy and radiation treatment

    Radiation therapy as well as some drugs used to treat cancer, particularly breast cancer, can increase your risk of heart disease. If you have had a cancer diagnosis, talk with your doctor about seeing a cardio-oncologist, a physician who specializes in cancer treatments and its effects on the heart. Learn more
  • Pregnancy complications

    Women who develop high blood pressure or diabetes during pregnancy are at higher risk for developing heart disease later in life. It is particularly important for these women to see their doctor regularly for checkups each year and to pay attention to important lifestyle issues, such as exercise and healthy eating.
  • Stress and depression

    Both chronic and the sudden onset of stress seem to affect women’s hearts more than men’s hearts.
  • Sleep apnea

    A serious condition in which breathing suddenly stops during the night, sleep apnea may be underdiagnosed in women. During an apnea episode, the brain triggers the body to awaken to resume breathing. This frequent, rapid awakening (which you may not even be aware of) can increase blood pressure and put added strain on your heart.
  • Autoimmune disease

    Some of these diseases, such as lupus and rheumatoid arthritis—both more common in women than men—tend to have an effect on the heart, possibly due to the inflammation they cause.

Are you at risk for heart disease?

Just seven minutes could save your life. Take our short quiz to assess your cardiovascular health.

To request an appointment, call

888-351-9401,

or click now

Request an Appointment

Diagnosing Coronary Microvascular Dysfunction: Melanie McCauley's story

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Sometimes called small artery disease or small vessel disease, coronary microvascular dysfunction is a condition that affects the walls and inner lining of tiny coronary artery blood vessels that branch off from the larger coronary arteries. MedStar Heart & Vascular Institute is one of only a few programs in the nation to offer a new technology that can effectively measure the workings of the heart’s tiniest blood vessels. Physicians now can correctly diagnose and treat coronary microvascular dysfunction. To learn more, please call:

Additional resources

  • DocTalk: Young people and heart health featuring Miss D.C.

    Estelle JeanMonvadi B Srichai-Parsia

    For decades, heart disease been identified as the leading cause of death in the United States. The statistics are not surprising. They include a wide range of cardiac conditions like coronary artery disease, heart failure, valve disease, and more. What is surprising, is a rise in the number of heart attack deaths among young people. Since 2000, statistics have shown an increase in the number of people under the age of 40 dying from a heart attack, and that is increasing by 2 percent every year. Why? Who might be at risk? And what can be done about it?

    On this episode of MedStar Health DocTalk, we are joined by cardiologists Dr. Estelle Jean and Dr. Barbara Srichai to discuss answers to those questions and more. Plus, we’ll hear from our special guest Miss D.C. 2023, Jude Mabone’ about her story of surviving six heart attacks before the age of 18 and how she has used her title and platform to advocate for heart health.

    For more information about this podcast, contact Regional Media Relations Director, debra.schindler@medstar.net.

    Learn more about Dr. Jean here

    Learn more about Dr. Srichai here

Nationally recognized cardiac specialists

Our cardiovascular team includes specialists in women's health. Together, they collaborate to share new information about risk factors unique to women. With offices located throughout central and southern Maryland, the District of Columbia, and northern Virginia, you always have convenient, local access to expert cardiac care. Ask for a location near you when you call for your appointment.

Bolanle Akinyele, MD

Ebony Alston, MD

Jennifer Brown, MD

Harjit Chahal, MD

Vaani Panse Garg, MD

Stephanie Jacobs, MD

Sumbal Janjua, MD

Estelle Jean, MD

Kerunne Ketlogetswe, MD

Bryan LeBude, MD

Amy L. Marino, MD

Tarana Nekzad, DO

Susan O’Donoghue, MD

Oluseyi Princewill, MD

Maria Rodrigo, MD

M. Barbara Srichai-Parsia, MD

Ida Suen, MD

Kelley Sullivan, MD

Carolina Valdiviezo, MD

  • Cardiac Specialists 

    Bolanle Akinyele, MD

    Ebony Alston, MD

    Jennifer Brown, MD

    Harjit Chahal, MD

    Vaani Panse Garg, MD

    Stephanie Jacobs, MD

    Sumbal Janjua, MD

    Estelle Jean, MD

    Kerunne Ketlogetswe, MD

    Bryan LeBude, MD

    Amy L. Marino, MD

    Tarana Nekzad, DO

    Susan O’Donoghue, MD

    Oluseyi Princewill, MD

    Maria Rodrigo, MD

    M. Barbara Srichai-Parsia, MD

    Ida Suen, MD

    Kelley Sullivan, MD

    Carolina Valdiviezo, MD

To request an appointment, call

888-351-9401,

or click now

Request an Appointment

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