Heart Failure in Women Dr. Jennifer Haythe CRF MINI-MED SCHOOL Heart Failure in Women Dr. Jennifer Haythe

Heart Disease leading cause of death for WOMEN in the United States

Heart Disease kills 1 in 4 women

Heart Disease KILLS more WOMEN than ALL CANCERS combined

Only 54% of WOMEN identify HEART DISEASE as their #1 killer

64% of WOMEN who DIE suddenly of a heart attack had NO prior symptoms

In the 1st Year after a heart attack women are 28% more likely to DIE

Women are less likely to be prescribed ACE inhibitors, Beta Blockers and Statins and less likely to receive a defibrillator after a heart disease diagnosis Women are less likely to be prescribed cardiac rehab after a heart attack

90% of Women Have 1 Risk Factor

Heart Failure in Women Coronary Artery Disease (heart attacks) Hypertension Diabetes Valve Disease Obesity Chemotherapy Peripartum Stress Sleep Apnea Toxins Smoking Congenital Heart Defects

Congestive (systolic) Heart Failure

CHF Symptoms

Peripartum Heart Failure Develops in last month or within 5 months of delivery Ejection Fraction < 45% No other cause of heart failure found

Peripartum Heart Failure Risk Factors Advanced maternal age Obesity Smoking Alcoholism Multiple Pregnancies African American Descent Malnourishment

Peripartum Heart Failure Treated with traditional CHF meds: ACE-I, BB, digoxin, diuretics (depending on pregnant state, breastfeeding etc) Women with a better EF and less dilated hearts more likely to recover their heart function within 6 months Women who recover to normal EF more likely to tolerate subsequent pregnancy without death or serious consequence

Diastolic Heart Failure Heart Failure Preserved Ejection Fraction Seems confusing Heart Function is “normal” Heart is actually impaired Years of hypertension, diabetes, smoking, poor diet, obesity, sleep apnea make heart stiff and thick

Treatment Not so easy – nothing shown to change survival BUT – can improve symptoms Diuretics BP control Weight loss Treat sleep apnea Convert abnormal rhythm like A FIB

Pulmonary Hypertension

Pulmonary Hypertension Categorized into 5 groups PAH Left sided heart disease Lungs Diseases CTEPH (multiple blood clots) Other, sarcoid, unclear

Treatment Depend on type of PAH Medications like Viagra Valve surgery Oxygen Surgery to remove blood clots Lung transplant

Be in Charge of YOU

Medication

Vital Signs Weight Blood Pressure Pulse Glucose (if Diabetic)

Heart Failure Diet

Exercise Cardiac PT Walking Bicycle Light weights Yoga Discuss with your doctor how high you may get your heart rate and what exercise program is appropriate

Meditation

Depression

Family History

Talk to Each Other

Thank You