Are Heart Attacks Increasing in Young Women?

Written by Dr. Steve Chaney on . Posted in Heart Attacks in Women

Why Are Heart Attacks Increasing In Young Women?

Author: Dr. Stephen Chaney

 

are heart attacks increasing in young women age 32-54Heart disease is still the leading cause of death in the United States, but things seemed to be getting better. More people are following heart-healthy diets and the treatment of heart disease has improved. One recent study found that the overall rate of heart disease has decreased by 38% in the U.S. since 1990. Heart attack rates have also been inching down in recent years.

Are heart attacks increasing in young women?

That’s why the latest study was both surprising and concerning. If it is to be believed, heart attack rates are increasing in young Americans, especially young women. That is particularly shocking because young women are thought to be protected from heart disease by their estrogen. Until recently, heart attack rates have been lower for young women than for young men. It hasn’t been until after menopause that women caught up to men in terms of their risk for a heart attack.

Obviously, this study raises several questions:

  • Is it true?
  • Why are heart attacks increasing in young women?
  • What should young women be doing to prevent heart disease?

 

How Was The Study Done?

heart attacksThis study (S Arora et al, Circulation, 139: 1046-1056, 2019 was an offshoot of the Atherosclerosis Risk in Communities (ARIC) Surveillance Study. The ARIC study collected data on hospital admissions for acute myocardial infarction (or in layman terms, heart attacks) for patients aged 35-74 in four geographical areas in the U.S. (Forsyth County in North Carolina, Washington County, Maryland, Jackson, Mississippi, and the Northwest suburbs of Minneapolis, Minnesota).

During the time period of 1995 to 2014 28,732 people ages 35-74 were admitted to one of the participating hospitals for a heart attack. The results of the original study have been published previously (WD Rosamond et al, Circulation, 125: 1848-1857, 2012 ). For the population as a whole:

  • The annual rate of hospital admissions for a heart attack decreased by around 3.5% during this time period, and…
  • The annual rate of death following a heart attack decreased by around 3%.

However, the current study focuses on the younger people in the study (ages 35-54) and came to a surprisingly different conclusion. Contrary to the results obtained with the general population, the rate of heart attacks increased in younger people.

 

What Did The Study Show?

are heart attacks increasing in young women studyAlthough the article uses the terms “young adults” and “young women,” I realize that some of you may consider that misleading. My only comment is whether you consider the 35-54 age range to be “young” or not probably depends on which side of 35 you are on.

Having said that, when the authors compared younger people in the study (the 35-54 age group) with everyone in the 35-74 age group they found:

  • The overall proportion of hospitalizations for heart attack among young people increased from 27% in 1995 to 32% in 2014.
  • The increase in heart attack rate was most dramatic for young women.
  • Hospitalizations for heart attack increased from 30% to 33% for young men. This increase was non-significant.
  • Hospitalizations for heart attack increased from 21% to 31% for young women. This increase was highly significant.
  • This is a wake-up call. We now appear to be entering an era in which heart attack rates for young women (ages 35-54) equal those of young men. The protective effects of estrogen have disappeared.

 

Why Are Heart Attacks Increasing In Young Women?

 

are heart attacks increasing in young women obesityAs I said at the beginning, there are several questions we need to answer:

  • Is this study true? There are some limitations to this study, but it is a fairly robust study. A similar study in Canada came to the same conclusion, and several other studies have suggested a similar trend. More research is needed, but this is a very disturbing finding.
  • Why are heart attacks increasing in young women? The short answer to this question is that we don’t know. However, the study offers several hints.
  • Hospitalizations for heart attack were highly correlated with a history of high blood pressure and diabetes. Obesity was not measured in this study, but it increases the risk of both high blood pressure and diabetes. Experts have been warning for years that the obesity epidemic may undo all the progress we have made at reducing heart disease deaths. This study may be the first indication that the prediction is coming true.
  • Young women were less likely than young men to be receiving lipid-lowering medications and other medications to reduce heart disease risk at the time of admission for their first heart attack. This may reflect a perception among both patients and physicians that young women are less likely to develop heart disease than young men.
  • Young women may be less likely to seek medical advice about how to control obesity, high blood pressure and diabetes, and medical professionals may not treat these conditions as aggressively as they do for young men.
  • The current study suggests the perception that obesity, high blood pressure and diabetes are less likely to cause heart attacks in young women than in young men is no longer true, if it ever was.
  • The early symptoms of a heart attack are different for women than for men. For men heart attacks are associated with chest pain. For women early symptoms of an impending heart attack may be back pain, nausea, or dizziness. Both women and their doctors may not recognize these symptoms early enough to fend off a full-blown heart attack.
  • What should young women be doing to prevent heart disease? This is the topic of the next section.

What Should Every Woman Know About Heart Disease?

 

what every woman should know about heart diseaseThere are several simple lessons every woman should take from this and similar studies.

  • Heart disease is not a male disease. If that were ever true, it is definitely no longer true.
  • Don’t assume your risk is low until you reach menopause. This study suggests today’s young woman is just as likely to have a heart attack as a young man.
  • Obesity, high blood pressure, and diabetes are killers. The good news is that if you start while you are young, you can reverse these killers with diet and lifestyle changes.
  • A heart healthy diet and lifestyle is important at every age. Don’t fall for the diet fads. Despite what Dr. Strangelove’s health blog would have you believe, saturated fats increase your risk of heart disease. A whole-food, primarily plant-based diet is the only proven dietary approach for reducing heart disease risk long term. For more information on how you can protect your heart, read my books. “Slaying The Food Myths” and “Slaying The Supplement Myths”.
  • Get regular checkups. If you develop risk factors for heart disease, don’t ignore them. Treat them aggressively. This requires a partnership between you and your doctor. Your part of the partnership is to make the necessary lifestyle changes to reverse these risk factors. Your doctor’s role is to provide appropriate medications to control these risk factors if you are unable to control them with lifestyle changes alone.

 

The Bottom Line

 

While heart disease has been declining in the general population, a recent study has shown that heart attacks are on the increase for young adults.  In particularly, heart attacks are increasing in young women.

  • The overall proportion of hospitalizations for heart attack among young people increased from 27% in 1995 to 32% in 2014.
  • The increase in heart attack rate was most dramatic for young women.
  • Hospitalizations for heart attack increased from 30% to 33% for young men. This increase was non-significant.
  • Hospitalizations for heart attack increased from 21% to 31% young women. This increase was highly significant.
  • This is a significant and disturbing finding. We now appear to be entering an era in which heart attack rates for young women equal those of young men. The protective effects of estrogen have disappeared.
  • Note: The authors defined 35-54 years old as young. Whether you consider that young or not probably depends on which side of 35 you are on.
  • Hospitalizations for heart attack were highly correlated with a history of high blood pressure and diabetes. Obesity was not measured in this study, but it increases the risk of both high blood pressure and diabetes. Experts have been warning for years that the obesity epidemic may undo all the progress we have made at reducing heart disease deaths. This study may be the first indication that the prediction is coming true.

For more details and my recommendations for what every woman should know about heart disease read the article above.

 

These statements have not been evaluated by the Food and Drug Administration. This information is not intended to diagnose, treat, cure or prevent any disease.

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Latest Article

Groin Pain Relief

Posted April 16, 2019 by Dr. Steve Chaney

What Is The Pectineus Muscle And Why Is It Important?

Author: Julie Donnelly, LMT –The Pain Relief Expert

Editor: Dr. Steve Chaney

 

Spring Is In The Air

spring floridaI remember as a child we sang “Though April showers may come your way…they bring the flowers that bloom in May…”

Of course, here in Florida we are blessed with flowers all year, but there’s still a lovely feeling that happens in Spring.  It’s still cool enough most days to go out running, and the humidity is still low.  Traffic will soon be easing up as our friends from the north start their trek back home, and daylight savings time is giving us more time to get to the beach for sunset.  Lovely!

Fun Facts About Spring….

  • The earliest known use of the term “spring cleaning” was in 1857
  • The word “spring” has been used for the season since the 16th century
  • The first day of spring is called the vernal equinox
  • On the first day of spring, the sunrise and sunset are about 12 hours apart everywhere on earth
  • Spring fever isn’t just a saying. Experts say the body changes due to the temperature and can cause an upset in your health.
  • The actual start of spring varies from March 19th to the 21st, but it is commonly celebrated on the 21st.

Do you like to garden?  Now is the perfect time to get your gardens planted so you’ll have home grown veggies for the entire summer.  For me, it’s also a great time to do some spring cleaning and get the house in order before the summer closes all the windows and the air conditioning becomes our indoor relief.

But these activities can also cause a strain on muscles, so don’t forget to take care of yourself. If you put too much strain on muscles you haven’t used all winter, you can develop problems and need groin pain relief.

 

A Tiny Muscle Can Cause Groin Pain

groin pain relief pectineusLately I’ve had several clients come in because of groin pain that has their medical practitioners stumped.  Their symptoms are varied, but most complain that it feels like they hit their pubic bone with a rubber mallet.  Ouch!

One client loves to ride her horse, but the pain had prevented that for several weeks. Another was considering selling the motorcycle that she and her husband love because she just can’t sit on it anymore.

Several years ago, I had a male client tell me that he had this same pain and he was told it could be his prostrate causing the issue.  Fortunately, that wasn’t he problem at all.

The muscle that caused all these problems, and a lot more, is the Pectineus.

The Pectineus muscle originates on your pubic bone and inserts into the very top of your inner thigh bone (femur).

You can see the Pectineus and surrounding muscles more clearly by going to https://en.wikipedia.org/wiki/Pectineus_muscle

Most muscles have more than one function, and this is true for the Pectineus.  The function we’ll look at today is called adduction.  It brings your leg in toward midline.  If you think of a soccer player kicking the ball with the inside of his ankle, it was the Pectineus that helped draw his leg in so he could do the shot.

Each of my clients had pain while trying to bring their leg out so they could sit on their horse, or on their motorcycle.  The tight muscle was pulling on their pubic bone and causing a severe strain.

This muscle is easier to have someone else treat it for you because of its location but give it a try and see if you can locate & treat it yourself.

 

Groin Pain Relief

groin pain relief treatmentThe picture to the left is showing an athlete self-treating her adductors.  These muscles, and the Pectineus muscle, all originate at the same point on the pubic bone.  The picture is showing her massaging the middle of the adductors.

To reach the Pectineus, move the ball all the way up to the crease in your leg.  You can do the treatment with a ball, but because of the size of the muscle and its location, it’s easier to do it with your fingertips.

Sit as this athlete is sitting, and even bring your opposite leg up so your foot is flat on the floor.  For example, in this picture, the athlete would bring her right leg up so her right foot is on the floor, and then lean a bit further onto her left hip.  That opens up the area so she can reach a bit easier into the muscle while using her fingertips.

Press into the muscle, being careful to feel for a pulse, and moving if you feel one.  If the Pectineus is in spasm, you’ll know it immediately when you press on it.  If it’s not in spasm, you won’t be able to find it at all.

Remember to stay within your pain tolerance level, this isn’t a “no pain, no gain” situation.  Never go deeper than what feels tender, but not so much that you want to faint. Hold the pressure for 15 seconds. Then let up on the pressure, but keep your fingers in the same place.

Repeat this movement several times. Each time it will hurt less, and eventually it won’t hurt at all.  That’s when the muscle has completely released, and you will have relief from the pain.

It’s as simple as that!

Why stay in pain when it’s so easy to find the muscular source of the problem and eliminate it?

calf cramps remedy bookTreat Yourself to Pain-Free Living (https://julstromethod.com/product/treat-yourself-to-pain-free-living-hardcopy/). It is filled with over 100 pictures and descriptions proven to show you how to find and self-treat muscle spasms from head to foot!

Join the 1000’s of people worldwide who have discovered that tight muscles were the true source of pains they thought were from arthritis, fibromyalgia, and other serious conditions.  You have nothing to lose, and everything to gain by releasing tight muscles.

Treat Yourself to Pain-Free Living is your step-by-step guide to pain relief!

 

Wishing you well,

 

Julie Donnelly

 

These statements have not been evaluated by the Food and Drug Administration. This information is not intended to diagnose, treat, cure or prevent any disease.

 

julie donnellyAbout The Author

Julie Donnelly is a Deep Muscle Massage Therapist with 20 years of experience specializing in the treatment of chronic joint pain and sports injuries. She has worked extensively with elite athletes and patients who have been unsuccessful at finding relief through the more conventional therapies.

She has been widely published, both on – and off – line, in magazines, newsletters, and newspapers around the country. She is also often chosen to speak at national conventions, medical schools, and health facilities nationwide.

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