Cardiovascular Disease in Women Module I: Epidemiology. Module I: Epidemiology . Statistics on Women and Cardiovascular Disease Comparisons to Men Age Differences Among Women Racial and Ethnic Group Differences. CVD and Other Major Causes of Death for Women in the United States: 2004.
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Cardiovascular Disease in Women Module I: Epidemiology
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Module I: Epidemiology • Statistics on Women and Cardiovascular Disease • Comparisons to Men • Age Differences Among Women • Racial and Ethnic Group Differences
Congestive Heart Failure: Gender Differences • Compared to men, women with heart failure are: • Older • More likely to have hypertension • More likely to have diabetes • More likely to have diastolic dysfunction • Knowledge of diastolic dysfunction prognosis and treatment is limited • Trials of congestive heart failure treatments have included mainly men Source: Stromberg 2003
Racial and Ethnic Groups Cardiovascular disease is the leading cause of death for African Americans, Latinos, Asian Americans, Pacific Islanders, and American Indians African American women are at the highest risk for death from heart disease among all racial, ethnic, and gender groups Source: American Heart Association 2004
African Americans • African American women are at highest risk for death from heart disease among all race, ethnic, and gender groups • African Americans with established CHD are at high risk for cardiac death • The risk of death and morbidity from CHD attributable to HTN is higher in African Americans Sources: American Heart Association 2004, Mosca 2004, ATP III 2002, American Heart Association 2008
Latinas • Latinas have higher rates of many risk factors for heart disease, including obesity, physical inactivity, metabolic syndrome, diabetes, and hypertension, than white women • It is estimated that over 50% of Latinas born in the year 2000 will develop diabetes. CHD is the leading cause of death in diabetics. Sources: American Heart Association 2004, Narayan 2003
Asian Americans and Pacific Islanders • There is limited information on the prevention and treatment of heart disease in Asian Americans and Pacific Islanders • The risk of heart disease varies between different ethnic groups within the Asian American community • South Asians have been reported to have a high prevalence of heart disease at young ages, in part because of a high prevalence of metabolic syndrome Source: ATP III 2002
American Indians • Cardiovascular disease rates vary among American Indian communities • Unlike other ethnic groups, the incidence of CHD is increasing among American Indians Source: ATP III 2002
Summary • Among U.S. women, cardiovascular disease is the leading cause of death • Among U.S. women, cardiovascular disease is the leading cause of death for whites, African Americans, Latinas, Asian Americans, Pacific Islanders, and American Indians Source: American Heart Association 2008
Summary • Mortality from CVD has decreased more for men in the past 20 years than for women • Over 10,000 women under age 45 suffer an acute myocardial infarction every year Source: American Heart Association 2008
Module I: Epidemiology • Statistics on Women and Cardiovascular Disease • Comparisons to Men • Age Differences Among Women • Racial and Ethnic Group Differences
Congestive Heart Failure: Gender Differences • Compared to men, women with heart failure are: • Older • More likely to have hypertension • More likely to have diabetes • More likely to have diastolic dysfunction • Knowledge of diastolic dysfunction prognosis and treatment is limited • Trials of congestive heart failure treatments have included mainly men Source: Stromberg 2003
Racial and Ethnic Groups Cardiovascular disease is the leading cause of death for African Americans, Latinos, Asian Americans, Pacific Islanders, and American Indians African American women are at the highest risk for death from heart disease among all racial, ethnic, and gender groups Source: American Heart Association 2004
African Americans • African American women are at highest risk for death from heart disease among all race, ethnic, and gender groups • African Americans with established CHD are at high risk for cardiac death • The risk of death and morbidity from CHD attributable to HTN is higher in African Americans Sources: American Heart Association 2004, Mosca 2004, ATP III 2002, American Heart Association 2008
Latinas • Latinas have higher rates of many risk factors for heart disease, including obesity, physical inactivity, metabolic syndrome, diabetes, and hypertension, than white women • It is estimated that over 50% of Latinas born in the year 2000 will develop diabetes. CHD is the leading cause of death in diabetics. Sources: American Heart Association 2004, Narayan 2003
Asian Americans and Pacific Islanders • There is limited information on the prevention and treatment of heart disease in Asian Americans and Pacific Islanders • The risk of heart disease varies between different ethnic groups within the Asian American community • South Asians have been reported to have a high prevalence of heart disease at young ages, in part because of a high prevalence of metabolic syndrome Source: ATP III 2002
American Indians • Cardiovascular disease rates vary among American Indian communities • Unlike other ethnic groups, the incidence of CHD is increasing among American Indians Source: ATP III 2002
Summary • Among U.S. women, cardiovascular disease is the leading cause of death • Among U.S. women, cardiovascular disease is the leading cause of death for whites, African Americans, Latinas, Asian Americans, Pacific Islanders , and American Indians Source: American Heart Association 2008
Summary • Mortality from CVD has decreased more for men in the past 20 years than for women • Over 10,000 women under age 45 suffer an acute myocardial infarction every year Source: American Heart Association 2008
Module I: Epidemiology • Statistics on Women and Cardiovascular Disease • Comparisons to Men • Age Differences Among Women • Racial and Ethnic Group Differences
Congestive Heart Failure: Gender Differences • Compared to men, women with heart failure are: • Older • More likely to have hypertension • More likely to have diabetes • More likely to have diastolic dysfunction • Knowledge of diastolic dysfunction prognosis and treatment is limited • Trials of congestive heart failure treatments have included mainly men Source: Stromberg 2003
Racial and Ethnic Groups Cardiovascular disease is the leading cause of death for African Americans, Latinos, Asian Americans, Pacific Islanders, and American Indians African American women are at the highest risk for death from heart disease among all racial, ethnic, and gender groups Source: American Heart Association 2004
African Americans • African American women are at highest risk for death from heart disease among all race, ethnic, and gender groups • African Americans with established CHD are at high risk for cardiac death • The risk of death and morbidity from CHD attributable to HTN is higher in African Americans Sources: American Heart Association 2004, Mosca 2004, ATP III 2002, American Heart Association 2008
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