The Heart of the Matter

Heart disease is the number one killer of women and, along with stroke, of Latinas. It’s never too soon — or too late — to start living heart-healthy.

Frances Peña worried much more about her father having a heart attack than she did about herself: She was young, and she was a woman. “I always thought it was a man’s disease,” says Peña, 40, a social worker at a hospital emergency room in Miami. “I found out the hard way that it’s not.”

It seems Peña is not alone — in more ways than one. Not only is she not alone in thinking that, as a woman, she is safe from heart disease; she is also very far from alone as a victim of heart disease. In fact, heart disease is the leading cause of death for women — and, together with stroke, the number one killer of Latinas as well. Stroke and heart disease account for one-third of all deaths among Latinas, while cancer, the second-leading cause of death, accounts for one-fifth. And the prevalence of cardiovascular disease in Mexican-American women over 20 years old is close to 27 percent.

Early diagnoses may have saved Peña’s life — along with her own persistence. When she first arrived in the emergency room after experiencing a squeezing pain in her chest, burping, and pain between her shoulders and in her back, the attending doctor told her that it was probably because she had large breasts.

Image courtesy of The Heart Truth, www.hearttruth.gov

Luckily, Peña decided to get a second opinion at the hospital where she worked; after she’d spent a night there for further testing, doctors confirmed that she had experienced a heart attack. “If I had gone by the first doctor’s diagnosis, I would have gone home not knowing that it had been a heart attack,” says Frances. “Early detection is so important.”

It seems women are not the only ones who don’t realize the threat heart disease poses to them. “There is a glass ceiling for women,” says Dr. Ismael Nuño, chief of cardiac surgery service at Los Angeles County USC Medical Center. “We’re missing heart disease in females during routine exams,” he explains. “They’re not getting diagnosed and not being pursued for testing.”

Nuño advises women to become advocates for their own health. “[You] have to be insistent with the doctor during your visits, especially if you have a family history of heart disease, high blood pressure and diabetes,” he says.

Latinas also have high rates of some factors that increase the risk of developing heart disease, such as diabetes, obesity, and physical inactivity. Nearly 60 percent of Latinas are physically inactive, and almost 72 percent of Mexican-American women over 20 years of age are overweight or obese.

Dr. Cristina V. Beato, acting assistant secretary for health for the U.S. Department of Health and Human Services (HHS), has become a passionate voice for women’s health issues. She explains that women’s lifestyles have become very sedentary. “Just moving from the typewriter to the computer over a ten-year period has added an additional ten pounds on women,” she says.

According to Beato, culture also influences Latina health. “Gordita in the culture has always meant healthy, but it’s not” she says. “In some parts of Latin America, for example, they even associate gordita with being wealthy.”

In addition, the prevalence of high blood pressure for Mexican women over 20 years old is almost 30 percent. About two-thirds of those with diabetes die of a heart or blood vessel disease. “Know your measurements,” advises Beato. “Know your weight, your blood pressure and your cholesterol levels.”

Other factors that affect heart disease are smoking, postmenopausal hormonal therapy, stress, depression and heavy drinking.

Heart disease develops over many years and affects the blood vessels of the heart, possibly resulting in a heart attack, disability and death.

For Rochelle Rodriguez, a court reporter in Southern California, open heart surgery came at age 24. When she discovered she would need surgery that could eliminate the prospects of bearing her own children, she was shocked. “I’m 23 years old. I’m too young,” she cried.

At age two, doctors had found a leaky valve in little Rochelle’s heart, but they dismissed it as something minor that wouldn’t affect her. Later, she became the first recipient of a new surgical procedure to repair her heart valve, hopefully eliminating the need for future surgeries. She still remains on blood thinners and is motivated by her experience to stay healthy. “Sometimes when I’m at the gym, I think. … I don’t want to go through that again.”

“Nobody is immune from heart disease, not young or old, not male or female,” says Teresa Rodriguez, the Spanish-language representative for the American Heart Association. She is best known as the main co-host and correspondent for Univisión’s award-winning prime-time newsmagazine program Aqui y Ahora. “Heart disease doesn’t respect anyone, and unfortunately, it took a loss for me to learn that,” says Rodriguez.

Frances Peña

Two years ago, her husband died suddenly from a heart attack at age 51. “He died in my arms,” she says. “It was a shock and a wake-up call for many people. He was tall, in shape and thin.” Her husband’s unexpected death prompted many colleagues, both men and women, to get a physical. They told her, “If it happened to him, it could happen to anyone.”

Since Rodriguez, like her husband, also has a family history of heart disease, she took immediate action soon after her husband’s death and ensured that both of her sons, ages 12 and 17, underwent a thorough physical exam that included cardiovascular testing.

Left behind as both a mom and dad for her children, in the midst of a hectic work schedule that sometimes requires long hours and travel, Rodriguez takes her health even more seriously now. Despite her long hours at the network, Rodriguez prioritizes daily walks — even if it’s just climbing up and down the stairs in her office building.

Teresa Rodriguez

In addition, Rodriguez recognizes the powerful role Latinas play in shaping the future health of their families. “Women are the ones who determine what the family will eat, so instead of cooking with manteca, use olive oil,” she suggests. “There are also so many choices for salt substitutions. Start on the path to health now.”

Rodriguez encourages Latinas to try creative ways to exercise. “Try to go outdoors more with your friends, or, instead of taking the elevator, take the stairs. Play kickball or basketball,” she says. “You will look better and healthier.”

Even though heart disease cannot be “cured” with surgery, women can lower their heart disease risk by as much as 82 percent just by leading a healthy lifestyle. After her heart attack, Frances Peña took action to improve her health by joining WomenHeart, a support group for women living with heart disease. She still works long hours at work, but now she always makes time for exercise. “I get back late from work … but I then walk with my brother and daughter one mile per day,” she says proudly.

“If you’re not going to do it for yourself, do it for your family,” Beato urges. “They depend on you.”

Six Steps to Reduce Heart Attack Risk
You can reduce your risk of having a heart attack — even if you already have coronary heart disease (CHD) or have had a previous heart attack. The key is to take steps to prevent or control your heart disease risk factors.

· Stop smoking
· Lower high blood pressure
· Reduce high blood cholesterol
· Aim for a healthy weight
· Be physically active each day
· Manage diabetes

Source: National Heart, Lung, and Blood Institute

 

To learn more…

National Heart, Lung, and Blood Institute
Information Line:
1-800-575-WELL
www.nhlbi.nih.gov
www.Nhlbi.nih.gov/health/hearttruth


American Heart Association
www.americanheart.org

National Women’s Health Information Center, Office on Women’s Health, U.S Department of Health and Human Services
www.4woman.gov

WomenHeart: the National Coalition for Women with Heart Disease
www.womenheart.org


Sister to Sister: Everyone Has a Heart Foundation, Inc.
www.sistertosister.org

by Myrna Gutierrez

[This article has been edited for www.latinastyle.com. For the full version, check out the January/February issue of LATINA Style.]

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