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The Heart Truth For Women: It’s Ageless
From The National Heart, Lung, And Blood Institute
One in three American women dies of heart disease, making it their #1 killer. That's The Heart
Truth. It's also true that heart disease is "ageless." Whatever a woman's age, she needs to
take action to protect her heart health.
Coronary heart disease is the most common form of heart disease. Often referred to simply
as "heart disease," it develops over time and can start as early as the teenage years. During
mid-life, a woman's risk for heart disease starts to rise dramatically. In part, this is because a
woman's body stops producing estrogen. Also, mid-life is a time when women tend to develop
factors that increase their risk for heart disease. Heart disease doesn't stop developing
either — unless treated, it continues to worsen. One in 14 women ages 45-64 has coronary
heart disease, and this increases to 1 in 6 for women over age 65. But it's never too late to
take steps against heart disease. By taking action, older women and especially those who
already have heart disease can reduce their risk of developing heart-related problems.
Often, making lifestyle changes is all that's needed. In fact, women can lower their heart disease
risk by as much as 82 percent just by leading a healthy lifestyle. So, whatever your age, start
taking steps to improve your heart health.
Here's more about how heart disease and its risk factors can affect women of every age:
Young Women:
- Lifestyle-related factors that increase heart disease risk are increasingly common among
girls, teenagers, and young adults.
- Physical activity levels drop sharply as girls become teenagers. By the age of 15 or 16, 28
percent of Caucasian girls and 58 percent of African American girls report no habitual
leisure-time activity.
- Almost 15 percent of girls ages 6-19 are overweight, and 15 percent of girls ages 12-19
are overweight.
- About 25 percent of girls in grades 9-12 reported using tobacco in 2003; about 80 percent
of smokers begin before age 18.
Middle-Aged Women:
- At menopause, a woman's heart disease risk starts to increase significantly.
- Each year, about 88,000 women ages 45-64 have a heart attack.
- About half of women who have a heart attack before age 65 die within 8 years.
- Heart disease rates are 2-3 times higher for postmenopausal women than for those
of the same age who have not yet undergone menopause.
Menopausal hormone therapy, with estrogen alone or with progestin — once thought
to lower risk — is not recommended for long-term use to prevent heart disease. It is
now even more vital that women take other steps to reduce their heart disease risk.
- The lifetime risk of developing high blood pressure for women aged 55 is about
90 percent.
- Beginning at age 45, more women than men have a total cholesterol over 200
md/dL — borderline high or higher.
Older Women:
- About 21 million women aged 60 and older have high blood pressure.
- Most women over age 65 have obvious heart disease or "silent" atherosclerosis ("hardening
of the arteries"). In silent atherosclerosis, there are no symptoms but fatty plaques have
built up in arteries. Lowering cholesterol is especially important to keep heart disease and
atherosclerosis from worsening.
- Each year, about 372,000 women aged 65 and older have a heart attack.
- The average age for women to have a first heart attack is about 70 — and women are more
likely than men to die within a few weeks of a heart attack.
For Women With Heart Disease:
- About 6 million American women have coronary heart disease.
- Heart disease has no quick fix — even if a special procedure, such as an angioplasty, is
performed, heart disease will worsen unless treated with lifestyle changes and medication.
- Thirty-eight percent of women will die within 1 year after having an initial recognized
heart attack.
- About 35 percent of women who have had a heart attack will have another within
6 years.
- About half of women who have a heart attack will be disabled with heart failure with
in 6 years. Heart failure is a life-threatening condition in which the heart cannot
pump enough blood to supply the body's needs.
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