DR. D. K. SATSANGI, The Hindu, 22 Sept 2012
With this year’s theme for World Heart Day (September 29) being heart disease in women and children, here is an alert on what to look out for.
Do you smoke, drink or lead a sedentary life? Do you have high blood pressure, sugar or cholesterol levels? Are you under stress due to personal or professional problems? Do you think you are suffering from Cardiovascular-Disease (CVD)? These questions are largely applicable to most people but are extremely crucial when it comes to women.
Why? The answer lies in the exponential increase in the incidence of CVDs among women. The death rate due to cardiac disease among women has increased from 30 per cent in 1997 to 54 per cent in 2009 and the myth that heart disease is a ‘man’s disease’ has been debunked.
Almost half of the 17.3 million annual CVD’s deaths occur in women, though the risk is often underestimated. If you ask women about the greatest health problem they face, the majority would say breast cancer. But it is CVD, which poses the greatest health problem for women today. It claims the lives of more women than all forms of cancer combined.
Children are also at risk since they have little control over their environment and their heart-healthy choices can be limited. The other reason is Congenital heart defect (CHD). This is caused by improper development of the heart during foetal development. Mothers who do not adhere to the special diet necessary to manage the disease during pregnancy have a higher risk of having a child with congenital heart disease. Women with insulin-dependent diabetes may have a higher risk of having a child with heart defects.
The most common cause of CVD is Atherosclerosis (hardening/clogging of arteries caused by the build-up of cholesterol and fatty deposits (called plaque) on the inner walls of the arteries. This restricts blood flow to the heart.
Without adequate blood, the heart is starved of oxygen and the vital nutrients it needs to work properly. When one or more of the coronary arteries becomes blocked, a heart attack (injury to the heart muscle) can occur.
The most important challenge is to identify the symptoms in women because these are often different (see box). Sixty four per cent of women who died suddenly because of coronary heart disease had no previous symptoms. The symptoms may occur with or without chest pain and may come and go.
Older age: When woman reaches the age of 50-52 (the age of natural menopause), the risk of heart disease increases dramatically.
Family history: If your parents have CVDs, you have an increased risk of developing it
Race: Risk of CVDs varies with race. For example, Afro-Americans have more severe high blood pressure than Caucasians and are at higher risk of CVDs. This is partly due to higher rates of obesity and diabetes in these populations.
Remember, CVD is largely preventable. You can ensure your heart stays healthy by following a healthy lifestyle. Your heart is in your hands.
Symptoms in women
A feeling of being squeezed or discomfort/pain in the chest, between the breasts or behind the breastbone
Discomfort and/or radiating pain over arms, back, neck, jaw or stomach
Shortness of breath, weakness or fatigue
Unusual anxiety or nervousness
Indigestion or gas-like pain, nausea
Sudden sweating, dizziness and collapse
What you can do
Be physically active, walk or work out regularly
Avoid foods full of salt, saturated and trans fats and sugar. Eat lots of fruit and vegetables
Maintain a healthy weight
Quit smoking and avoid respiratory irritants
Limit or stop alcohol use
Stop smoking, avoid products containing tobacco
Those with lung problems should get annual influenza vaccination.