Introduction
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Interview with Dr. Isadore Rosenfeld
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BASIC RISK FACTORS
There are certain risk factors that can't be changed, such as aging and genetics; however many can be controlled and it is important to be aware of them so you can significantly reduce your risk of developing heart disease.

• High Cholesterol
High cholesterol levels put you at an increased risk for developing heart disease and are a strong indicator of the potential for the disease. LDL cholesterol is known as the 'bad' cholesterol and the main source of blockage in the arteries. HDL cholesterol is known as 'good' cholesterol and helps keep bad cholesterol from building up in the arteries. Higher HDL levels are better because these protect against heart disease. Do you know your numbers and whether or not they are within a healthy range? If the answer is no, then you should make an appointment to see your doctor, have your HDL and LDL levels checked and find out if the numbers are acceptable. You should also find out your Triglyceride level. Triglycerides are another form of fat in your blood.

• High Blood Pressure
Alone, high blood pressure makes women more susceptible to heart disease. High blood pressure in the presence of other risk factors can dramatically increase a woman's risk of developing heart disease. High blood pressure increases the heart's workload, causing the heart to become enlarged. Over time this will weaken the heart.

• Being Obese or Overweight
Even if you don't have any other risk factors having excess body fat makes you more susceptible to heart disease. Taken alone excess body fat increases the strain on your heart. Unfortunately, being overweight also influences blood pressure, cholesterol, triglyceride levels, and increases one's risk of developing diabetes. Do you know how many calories you consume each day? Recommendations for how many calories you should consume depend on your age, weight, and your level of physical activity. Generally, you should consume no more than 2,000 calories each day, yet the average American consumes 3,700 calories a day.

• Physical Inactivity
How much do you exercise each week? If you do not exercise regularly then you are at a greater risk for heart disease. Regular exercise at a moderate to vigorous level keeps the heart healthy. So, if you're not very active, get active. Even moderate activity done regularly can get your heart on a healthier path.

• Smoking
If you're a smoker, you should quit right away. A smoker's risk of developing heart disease is double that of a non-smoker. Smoking is the biggest risk factor for sudden cardiac death with smokers having two to four times greater risk than non-smokers. Plus, smokers who suffer a heart attack are more likely to die than non-smokers. All of the doctors we spoke to agree that smoking is extremely detrimental to your heart's health.

• Diabetes
If you have diabetes, is it under control? Diabetes seriously increases your risk of developing heart disease. Even if glucose levels are being monitored the risk is still present. More than 80 percent of people with diabetes will die of some heart or blood vessel disease. If you have diabetes it is critical that you control other risk factors to help lower your overall risk.

How Can A Woman's Heart Attack Be Different Than A Man's?
In our research we came across an alarming number of stories of women who thought they were sick with the flu or indigestion when in reality they were having a heart attack. Unlike men, the majority of whom experience chest pain, women are more likely to experience elusive symptoms such as nausea and fatigue. The lucky women were the ones who took the initiative to go to the doctor and who were properly diagnosed. Sadly, according to an article in Managing Menopause "as many as one-third of all heart attacks in women aren't recognized as such; often, the symptoms are misdiagnosed as indigestion or gallbladder disease."

When many women think of a heart attack they think of what the American Heart Association describes as a "movie heart-attack"-one that is sudden and intense. This is more representative of a typical man's experience than a woman's. Most men have crushing chest pain, but 15 to 20 percent of women who have a heart attack report having very different symptoms. Many women complain of pain in the high part of the abdomen, shortness of breath, and excessive sweating. Women may also complain of chronic fatigue, indigestion, pain in the back or jaw, and heart palpitation right before or during the heart attack. Too many women suffer from fatal heart attacks because they didn't know what to look out for.

Heart disease is more likely to be fatal for women than it is for men. This may be because women's symptoms are not as well known as men's, which prevents many women from seeking help. Know that as a woman your symptoms are different and unique, so you can seek help and possibly save your life.

The Harvard Medical School's Consumer Health Information Website provides readers with additional information on women's heart disease. www.intelihealth.com

For further information, you can visit the National Coalition for Women with Heart Disease. www.womenheart.org

The American Heart Association also has information on women's heart disease. www.americanheart.org

Introduction
Page One   Page Two

Interview with Dr. Isadore Rosenfeld
Page One   Page Two   Page Three   Page Four


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