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Disclaimer:
The information in these articles is not intended to diagnose, treat, cure, or prevent any disease.
It is advised to always seek a physician before starting any new herbal or nutritional program.
Let him read the article and the herb or program you wish to take....get his approval and advice.
These statements contained in the articles below have not been evaluated by the Food and Drug Administration or the AMA.
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Stress Linked To Heart Disease In Women
An
American Heart Association Article
Women, Heart Disease
and Stroke
Heart disease isn't just a man's
disease. Heart attack, stroke and other cardiovascular diseases are
devastating to women, too. In fact, coronary heart disease, which causes heart
attack, is the leading cause of death for American women.
Many women believe
that cancer is more of a threat, but they're wrong. Nearly twice as many women
in the United States die of heart disease and stroke as from all forms of
cancer, including breast cancer.
The American Heart Association has identified several factors that increase
the risk of heart disease and stroke. The more risk factors a woman has, the
greater her risk of a heart attack or stroke.
Some of these risk factors you
can't control, such as increasing age, family health history, and race and
gender. But you can modify, treat or control most risk factors to lower your
risk.
What are the risk factors for heart disease and stroke that you can't
control?
- Increasing age — As women grow older, their risk of heart disease and stroke
begins to rise and keeps rising with age.
- Sex (Gender) — Men have a greater risk of heart attack than women, and they
have attacks earlier in life. Each year about 40,000 more women than men have
strokes, and more than 60 percent of total stroke deaths occur in women.
- Heredity (family history) — Both women and men are more likely to develop
heart disease or stroke if their close blood relatives have had them. Race is
also a factor. Black women have a greater risk of heart disease and stroke than
white women. Compared with whites, African-American men and women are more
likely to die of stroke.
- Previous heart attack or stroke or TIA — Women who've had a heart attack are
at higher risk of having a second heart attack. 14 percent of persons who
survive a first stroke or heart attack will have another within a year. A
transient ischemic attack (TIA or "mini-stroke") also is a risk factor and
predictor of stroke.
What risk factors can be modified, treated or controlled by focusing on
lifestyle habits and taking medicine, if needed?
- Tobacco smoke — Smoking is the single most preventable cause of death in the
United States. Smoking is a major cause of cardiovascular heart disease among
women.
- Women who smoke have an increased risk for ischemic stroke and
subarachnoid hemorrhage. Constant exposure to others' tobacco smoke (secondhand
smoke) at work or at home also increases the risk, even for nonsmokers.
- Women
smokers who use birth control pills have a higher risk of heart attack and
stroke than nonsmokers who use them.
- High blood cholesterol — High blood cholesterol is a major risk factor for
heart disease and also increases the risk of stroke. Studies show that women's
cholesterol is higher than men's from age 45 on. High levels of LDL (low-density
lipoprotein) cholesterol (the "bad" cholesterol) raise the risk of heart disease
and heart attack.
- High levels of HDL (high-density lipoprotein) cholesterol (the
"good" cholesterol) lower the risk of heart disease. Research has shown
that low levels of HDL cholesterol seem to be a stronger risk factor for women
than for men.
- High blood pressure — High blood pressure is a major risk factor for heart
attack and the most important risk factor for stroke. Women have an increased
risk of developing high blood pressure if they are obese, have a family history
of high blood pressure, are pregnant, take certain types of birth control pills
or have reached menopause. African-American women have higher average blood
pressure levels compared to Caucasian women.
- Physical inactivity — Various studies have shown that lack of physical
activity is a risk factor for heart disease and indirectly increases the risk of
stroke.
- Overall, they found that heart disease is almost twice as likely to
develop in inactive people than in those who are more active. When you're
inactive and eat too much, you can gain excess weight. In many people overweight
can lead to high blood cholesterol levels, high blood pressure, diabetes and
increased risk of heart disease and stroke. The American Heart Association
recommends accumulating at least 30 minutes of physical activity on most or all
days of the week.
- Obesity and overweight — If you have too much fat — especially if a lot of
it is located in your waist area — you're at higher risk for health problems,
including high blood pressure, high blood cholesterol, high triglycerides,
diabetes, heart disease and stroke.
- Diabetes mellitus — Compared to women without diabetes, women with diabetes
have from two to six times the risk of heart disease and heart attack and
are at much greater risk of having a stroke. People with diabetes often have
high blood pressure and high cholesterol and are overweight, increasing their
risk even more.
What other factors contribute to the risk of heart disease and stroke in
women?
- High triglyceride levels — Triglyceride is the most common type of fat in
the body. A high triglyceride level often goes with higher levels of total
cholesterol and LDL, lower levels of HDL and increased risk of diabetes. But
scientists don't agree that it's a risk factor for heart disease by itself.
Research suggests that having high triglycerides may increase the risk for women
more than for men.
- Excessive alcohol intake — The risk of heart disease in people who drink
moderate amounts of alcohol (an average of one drink for women per day) is lower
than in nondrinkers. However, it's not recommended that nondrinkers start
using alcohol or increase the amount they drink.
- Excessive drinking and binge
drinking can contribute to obesity, high triglycerides, cancer and other
diseases, raise blood pressure, cause heart failure and lead to stroke. Pregnant
women should not drink alcohol in any form.
- Individual response to stress — Research hasn't yet defined the role stress
plays in the development of heart disease. People respond differently to
situations they find stressful. Unhealthy responses to stress may lead to other
risk behaviors like smoking and overeating.
Related AHA publications:
- Heart and Stroke Facts
- Fact Sheet on Heart Attack, Stroke and Risk Factors
- High Blood Pressure Fact Sheet
- We're Talking About Women and Heart Attack (Quick and Easy Reading) (also in
Spanish)
- Women, Heart Disease and Stroke
- We're Talking About Women and Stroke (Quick and Easy Reading) (also in
Spanish)
- Heart Disease and
Stroke Statistics Update
Menopause and the risk of heart
disease and stroke
Compared to men, many women before the age of menopause seem to be partly
protected from coronary heart disease, heart attack and stroke. As women age,
their risk of heart disease and stroke rises. Coronary heart disease rates in
women after menopause are 2–3 times higher than in women of the same age before
menopause.
AHA Recommendation
The reasons for the lower incidence of coronary heart disease and stroke in
younger women aren't clear. The loss of natural estrogen as women age
may contribute to the higher risk of heart disease after
menopause. However, in light of recent results from clinical trials, the
American Heart Association does not advise women to take
postmenopausal hormone therapy (PHT, formerly called hormone replacement therapy
or HRT) to reduce the risk of coronary heart disease or stroke.
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Japanese
Health Study
The Issue:
An extensive Japanese study and research proves that women under high levels of day-to-day stress are more likely to die of heart disease than women who lead a more relaxed lifestyle, even if they do not have any other risk factors.
Participants:
Researchers at the University of Tsukuba analyzed the medical records of more than 73,000 people between the ages of 40 and 79 who did not have previous signs of heart disease.
At the start of the study, the researchers asked the participants to rate the level of stress in their lives.
Results:
(The findings appear in the Aug. 13 issue of Circulation: Journal of the American Heart Association.)
The researchers found that Japanese women who reported high levels of stress at the beginning of the study were more than twice as likely to suffer a stroke and more than 1.5 times more likely to die of a heart attack.
The women with more stress were mostly young women who were educated, less active, thin, and more likely to have a history of high blood pressure and diabetes. They also smoked more often and were more likely to have a full-time job compared with more relaxed women, according to Dr. Hiroyaso Iso, from the University of Tsukuba, and colleagues.
Analysis:
Stress can raise blood pressure and heart rate, increase the risk of developing blood clots, cause blood vessels to constrict, and make a person more susceptible to chronic disease. Because of this, women with high stress should be regarded as high-risk for stroke, and they should look for ways to relax and minimize their stress.
Kate Clifton
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