Traumatic Life Events Tied to Heart Disease in Women

1/31/2018

Amanda Ryan, D.O.
Interventional Cardiologist
Carlsbad Medical Center

It’s become common knowledge that heart disease is the number one killer of both men and women in the United States, taking the lives of more than 600,000 Americans annually. Medical and research communities continue to expand their efforts toward better prevention and treatment of cardiovascular diseases.

A recent study was conducted at the University of Pittsburgh School of Medicine, focusing on the impact of trauma on a woman’s general heart health. The results were significant, indicating that women who have experienced at least three traumatic experiences in their lifetime have poorer endothelial function than their counterparts with fewer traumas.

Endothelial function refers to the cells lining the interior of the heart and blood vessels, and how well they help constrict and relax the blood vessels. Endothelial dysfunction is known to be a risk factor for heart disease, often leading to hardening of the arteries and high blood pressure.

Past studies have focused on the association between mental stress and endothelial function, but few studies have looked at the effect of actual trauma on this risk. This particular study analyzed 272 women who were either peri- or postmenopausal and non-smokers. Those experiencing traumas such as sexual or physical assault, motor vehicle accidents, natural disasters or death of a child showed weaker endothelial function than those who had not experienced that level of trauma.

This is not the first revelation to be uncovered by research into potential cardiovascular risk factors. In recent years, researchers have found links between women’s heart disease and yo-yo dieting, preeclampsia during pregnancy, and endometriosis.

Given the increasing percentage of postmenopausal women affected by heart disease, this study is important in understanding a patient’s overall risk. Physicians should be reminded of the need to look at the totality of a woman’s history and situation – physical, mental, emotional and environmental.

Additionally, experts have been focused on uncovering disparate symptoms between men and women, for the purpose of earlier identification and intervention during heart attack. The points below represent some of the key distinctions in how women encounter heart disease:

• Age of onset. Men are at risk for heart attack earlier in life than women. Estrogen offers women some protection from heart disease until after menopause, putting the average age of heart attack in women at 70, vs. the average age of 66 in men.
• The role of fatigue. Women are disproportionately impacted by fatigue as a pre-cursor to a heart attack. The feeling of excessive tiredness, or a “heavy chest,” can appear up to a month before a cardiac event, and often occurs with little or no physical exertion.
• Sweating and shortness of breath. These should be particularly alerting symptoms when they occur without exertion, or when either is accompanied by chest pain or fatigue. Other indicators are shortness of breath that worsens when lying down, and a cold, clammy feeling occurring without obvious cause.
• Pain in the neck, back or jaw. Pay special attention to these pains when they are not accompanied by specific muscle or joint aches, or when the discomfort worsens with exertion and gets better when you stop. Also, the pain can start in either arm, while it’s typically felt in the left arm in men.

February is American Heart Month, and February 2nd is designated as national Go Red for Women day. Put on your red sweater, hat or socks, and show your support for heart health and longevity for the women in your life. Additionally, here is a list of upcoming heart health and educational events that Carlsbad Medical Center has planned for the month of February:

• Cardiac Nurse Practitioner Liz Madison will be the featured speaker at the Carlsbad Community Focus breakfast on Friday, February 2nd, at 7:30 a.m. at IHOP.
• I will be providing a ‘Health Sense’ presentation for Senior Circle on Wednesday, February 14th, at 11:30 a.m. in the CMC Private Dining Room. The public is welcome and a free lunch is provided.
• ‘Healthy Heart’ screenings will be held at CMC in the Private Dining Room on Friday, February 9th, 7-9am. These free screenings include blood pressure, blood glucose and cholesterol. Since it is recommended that you fast for 12 hours prior to these tests, a free, heart-healthy breakfast will be provided after your screening.
• Healthy Woman, a Carlsbad Medical Center resource, invites the ladies of Carlsbad to a ‘Red Dress Luncheon’ on Wednesday, February 28th at noon at the Pecos River Village Conference Center. Advance tickets ($15) can be reserved by calling 887-4160. A portion of the proceeds will be donated to the American Heart Association’s Go Red for Women program to help continue the fight against heart disease.

If you need more information on your personal risk factors for heart disease, schedule an appointment with your primary care doctor, or call Cardiovascular Associates of Carlsbad at (575) 234-1855.

About the Author: Dr. Amanda Ryan is an interventional cardiologist practicing at Cardiovascular Associates of Carlsbad, located at 2420 W. Pierce, Suite 100. She is currently accepting new patients. Dr. Ryan is a member of the Medical Staff at Carlsbad Medical Center. For more information or to request an appointment, please call (575) 234-1855 or visit the Find A Doctor page.

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