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Women and Heart Failure
Heart
failure affects about 2.5 million women in the United States.1
Despite the fact that women account for nearly 50% of all hospital admissions
for heart failure, only 25% of women are involved in heart
failure studies. Consequently, advances in heart failure therapies apply to most men, but often studies regarding women and heart disease and heart failure have not been thoroughly done.
Women and Heart Failure: Differences
of women with heart failure as compared to men with heart failure
- Women tend to develop
congestive heart failure at an older age than men.2
- Women tend to develop
diastolic heart failure with a more normal ejection fraction than men.2-4
Ejection fraction is the measurement of how much blood is being pumped
out of the left ventricle of the heart. Heart failure can occur due
to a weakened heart muscle (systolic heart failure) or may be related
to a stiff, inflexible heart muscle (diastolic heart failure). In some
cases the ejection fraction can be normal, but due to the increased
pressures inside the heart and lungs, the patient can have heart failure.
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- The causes of
heart failure in women are often linked to high blood pressure, coronary
artery disease, valvular disease, and diabetes mellitus.5
- Although rare,
peripartum cardiomyopathy is a cause of heart failure unique to women.
Peripartum cardiomyopathy is the rare development of heart failure within
the last month of pregnancy, or within five months after delivery. Peripartum
cardiomyopathy occurs without an identifiable cause.6
- Depression is frequently
associated with heart failure and is more common in women than men.7
- Although the signs
and symptoms of heart failure are the same among men and women, women
tend to have more symptoms such as shortness of breath and more difficulty
exercising than men. They also have swelling around their ankles more
frequently than men.8
- In general, women
survive longer than men with heart failure.9-10
written with Dr.
Eileen Hsich, specialist in Women & Heart Failure
| Heart
Failure and Women Navigation |
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