May 22, 2000 -- To protect yourself from having a heart attack, you need to reduce your risk factors and know the signs to watch for, says Nieca Goldberg, MD, a spokesperson for the American Heart Association (AHA). Because coronary heart disease is the leading killer of women in the United States, being a proactive patient may very well save your life.
By Janice Graham
As you hit one of those big birthdays, you probably worry more about new
wrinkles than about less visible body parts — like your heart. But recent
research has found that each decade of your life is a crossroads, with new
health concerns to worry about. What's more, you need to be aware of these
issues — because your doctor may not be. "Many physicians fail to recognize how
much a woman's risk factors for heart disease evolve over her lifetime," says
While you can change some risk factors for heart disease -- high blood pressure, poor diet, uncontrolled diabetes, and inactivity, for example -- there are others you can't, like genetics and age. The more risk factors you have -- if you're an overweight smoker with high blood pressure, for example -- the higher your chances of having a heart attack.
Don't be shy about starting the discussion about heart health with your doctor and asking for appropriate testing and treatment. "Preventing heart disease before it occurs or leads to a heart attack is the best solution," says Goldberg. Here are some prevention tips from the AHA:
Stop smoking: Lung cancer isn't the only hazard of cigarette smoking. Smokers are twice as likely to have a heart attack as nonsmokers, says the AHA. Many studies show that smoking is a major cause of coronary heart disease, which leads to heart attack. If you have trouble giving up smoking on your own, ask your doctor to recommend smoking cessation programs.
Reduce high cholesterol: Cholesterol is a soft, waxy fat found in the blood. Too much of it can lead to plaque buildup and heart attacks. Ask to have your cholesterol level tested starting at age 21 and every five years after that. If it's high (above 200), have it tested more often, and work with your doctor to reduce it with medication, dietary changes, and exercise.
Treat high blood pressure: Request a blood pressure screening every two years. If your blood pressure is high, get medication if needed and take it faithfully. High blood pressure is a serious condition that silently makes the heart work harder, weakening artery walls and encouraging plaque attachment.
Exercise regularly: Most women don't get nearly enough exercise to promote a healthy heart. How much do you need? The AHA recommends no fewer than three to four sessions per week, at least 30 minutes each. (Make sure to first check with your doctor to see if it's safe for you to work out).
If your BMI is above 25, you may be at increased risk for heart disease, and you might want to stick to a sensible diet to bring your weight within the recommended range. If you have trouble losing weight on your own, ask your doctor for suggestions.
Control your diabetes: Diabetes raises your risk of heart disease, especially if you are careless with your medication or diet. Talk to your doctor about how you can reduce your risk.
Know your genetic risk: If close family members (grandparents, parents, siblings) have had heart disease, you may be at additional risk. Make sure to let your doctor know your family history. But remember, not having family members with heart disease doesn't make you immune; your lifestyle still plays a role.