Heart Disease in Women: The Myths and the Truth
Overview
What is coronary artery disease?
Coronary artery disease (CAD) is the most
common form of heart disease.This condition
occurs when the coronary arteries, the blood
vessels that supply oxygen-rich blood to your
heart muscle, gradually become narrowed or
blocked by plaque deposits. Poor blood flow can
“starve” the heart muscle and lead to chest pain,
also known as angina. A heart attack (also called
myocardial infarction, or MI) occurs when an area
of heart muscle is completely deprived of blood
and the heart muscle cells die. This usually happens
when a blood clot forms over a ruptured
plaque within a coronary artery.
What causes CAD?
CAD, or coronary artery disease, is caused by the
buildup of plaque within an area in one or more
of the arteries supplying the heart with nutrients
and oxygen. These arteries are called coronary
arteries. Conditions such as high cholesterol, high
blood pressure, diabetes, and smoking damage the
artery walls and initiate plaque formation. Plaque
is made up of excess cholesterol and other substances
that float in your blood and, over time,
become lodged within the walls of the coronary
arteries. This disease process is called atherosclerosis
or hardening of the arteries and can affect
other arteries supplying the brain and legs.
I thought CAD is a disease that affects
men. Does CAD affect men and women
equally?
CAD is the leading cause of death in the U.S. for
men and women. In fact, approximately 500,000
women die each year due to CAD. Unfortunately,
the number of women dying annually from CAD
remains constant compared to men, where the
death rate is declining.Young women, less than 55
years of age, are twice as likely to die after a heart
attack and their risk of dying after hospitalization
is still about 50% higher than men.Within 6 years
of a heart attack 35% of women, compared to
18% of men, will experience another heart attack.

