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Heart Disease Health Center

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Unlocking the Secrets of a Woman's Heart

Females With 'Clean' Arteries Have Increased Risk of Heart Attack

Closing the Gender Gap

Other heart doctors who heard the findings at the annual meeting of the European Society of Cardiology here say that they are just beginning to realize the scope of the gender gap in heart health.

"For a long time we thought women were at lower risk [of heart attacks] than men," says Ian Graham, MD, a cardiologist at Adelaide and Meade Hospital in Dublin, Ireland.

"In truth women may actually have more severe atherosclerosis, even if they have apparently normal findings on an angiogram."

Caroline Daly, MD, of Royal Brompton Hospital in London, says part of the problem is medical school training. "The 'typical' heart is based on studies of men. We need to move away from the male paradigm," Daly tells WebMD.

The gender gap is beginning to close, Daly says, but more still needs to be done to improve heart care in women.

Older Age Doesn't Explain Women's Heart Risks

Humphries' team studied more than 32,000 men and women who came to the hospital suffering from chest pain and underwent coronary angiogram. Of those, 23% of the women and 7% of the men were found to have normal coronary arteries.

The women were an average of five years older (60 years vs. 55 years) and more likely to have high blood pressure or a prior stroke than men.

Over the next year, 26 women were rehospitalized with severe angina or a heart attack, compared with only six men.

"The increased risk in the women could not be explained by their older age or other health conditions," Humphries says.

Other Heart News

Among the other news released at the conference, whose theme is Women at Heart:

  • A study of more than 110,000 men and women showed more people are surviving a first heart attack than a decade ago. But the gains in women are much smaller than in men: By five years after their heart attack, 39% of men and 53% of women had died.
  • A European study of nearly 3,800 people with angina showed women are less likely to get standard treatment for heart disease, such as aspirin and cholesterol-lowering drugs.

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