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Heart Disease in African-American Women: What To Look For

High blood pressure, obesity, family history are risk factors

Two African-American women smiling, embracing, living heart healthy lives.

High blood pressure, obesity, family history are risk factors

Cardiovascular disease, often referred to as heart disease, is the leading cause of death of American women — and African-American women are disproportionally affected.

The risk for cardiovascular disease in African-American women — or diseases that affect the heart or blood vessels — is greater than it is for women in other demographic groups.

“Many don’t know they are even at risk, which is why education is so important,” says Poulina Uddin, MD, a cardiologist at Scripps Clinic. “There is a lot you can do to protect your heart.”

COVID and heart issues

Protecting your heart health is more important than ever. We know that COVID-19 is especially dangerous to people with heart disease. Black Americans with COVID have higher rates of hospitalization than other racial and ethnic groups, and heart disease often plays a role in the severity of their illness.

According to the American Heart Association (AHA) :

  • Cardiovascular diseases (CVD) — including coronary heart disease, which can cause heart attack or stroke — kill nearly 50,000 African-American women annually.
  • Among African-American women ages 20 and older, nearly 50 percent have CVD.
  • Only 1 in 5 African-American women believes she is personally at risk.
  • Only 52 percent of African-American women are aware of the signs and symptoms of a heart attack.
  • Only 36 percent of African-American women know that heart disease is their greatest health risk

The heart association encourages African-American women to take control of their heart health, mental health and overall well-being during the pandemic and to among many things use music for inspiration.

Heart disease risk factors

Many of the known risk factors for heart disease and stroke — high blood pressure, high cholesterol, diabetes, smoking, physical inactivity, being overweight and family history of heart disease — are prevalent among African-American women.

“Early intervention is possible when you know there is heart disease in your family history and can share that information with your physician,” Dr. Uddin says.

“A history of heart disease in your family doesn’t mean you will have heart problems, but it does mean you are at greater risk than others and need to change any behavior that raises your risk,” she says. “This means avoiding smoking, making healthy food choices, keeping a healthy weight and healthy blood pressure.”

High blood pressure

No one knows for sure why African-American women have a higher heart disease risk. That’s because clinical research on heart disease has historically focused primarily on men — a fact that affects women of all races.

However, recent research has suggested a genetic sensitivity to salt among Black Americans. This can raise the risk of high blood pressure, which in turn raises the risk of heart disease.

More than 40 percent of Black Americans have high blood pressure, often developing it earlier in life than other races.

Heart care for women

Women with heart disease often are not accurately diagnosed. Studies show Black women are less likely to receive medications to help prevent further heart problems. What’s more, they may not have an established primary care physician whom they see on a regular basis.

“By partnering with a physician who understands the unique needs of women’s hearts and individual risk factors, women can get more appropriate heart care and disease prevention strategies,” says Dr. Uddin, who is a member of the heart team at the Scripps Women’s Heart Center.

What is the Scripps Women’s Heart Center?

Scripps Women’s Heart Center provides heart care for women, by women. Our female cardiologists are experts in cardiology and integrative medicine, and specialize in female heart disease. We’re dedicated to empowering women to take care of their hearts through education, lifestyle and, when needed, expert medical care.

By the numbers: African-American women and heart disease infographic

Infographic for Black History Month.

African-American women bear a disproportionate amount of hypertension-related heart disease and congestive heart failure compared with Caucasians.