March 2006
Improving
Your Chances -- Heart Disease Leading
Cause of Death Miramichi Women

Often
times many people think of heart disease as a male health problem. The result is that many women either ignore the
warning signs or do not take precautions in preventing heart disease. This can have devastating results. In fact, according
to the New Brunswick Department of Health and Wellness statistics, diseases of the circulatory system are the leading cause
of death and hospital care days for women in the region. Our region also boasts higher than the provincial average in the
majority of risk factors for heart disease such as smoking, high blood pressure, diabetes, obesity, poor dietary practices,
and alcohol consumption.
“Women
with heart disease represent a unique group and often differ from men in their presenting symptoms,” says registered
nurse Brandy Donald who works in the concentrated care unit at the Miramichi Regional
Hospital. Donald has also conducted extensive research into the topic
of women and heart disease in the Miramichi as part of her Masters of Nursing - Nurse Practitioner program.
“Traditional
care-giving roles in women make seeking treatment for symptoms and initiating lifestyle changes especially challenging,”
says Donald. She says women play many roles that include family member, spouse, mother, daughter, caregiver, co-worker and
volunteer. “Women often spend so much time balancing these roles that they do not pay attention to their own health
needs.” She says this can place them at a higher risk of developing heart disease risk factors. “Women over the
age of 50 are also more prone to heart disease as a result of menopause.”

The warning signs of a heart attack can also differ between males and females. “The symptoms of a heart attack
include pain, shortness of breath, nausea, sweating, and the feeling of fear,” says Donald. She says the most common
sign of a heart attack is chest pain or discomfort for both males and females. “Studies have found that women may be
more likely to describe the pain as radiating up their neck, into the jaw or into the back.” She says women also may
be more likely than men to report nausea. Men, on the other hand, are more likely to report sweating. “It is important
for women to know all the warning signs of a heart attack and seek immediate medical attention if any of them occur.”
She says signs may be mild or severe and may come and go. “Don’t take chances, seek medical help.”
Geraldine Tweedie is well aware of these warning signs. Thirteen years ago, Tweedie underwent quadruple bypass heart
surgery. “I began to notice that I was always losing my breath to the point where I had a hard time to breath,”
says Tweedie. When it got to the point that she lost her breath by walking a short distance, she sought medical attention.
“The internal medicine specialist sent me for a number of tests and I found out I had high cholesterol.” It was
a short time later that she began to experience intense pain. “I went to the doctor and within a few days I was in the
New Brunswick Heart Centre in Saint John, NB undergoing heart surgery.”
In hindsight Tweedie realized she had been experiencing symptoms of angina for a long time before she sought medical treatment.

Prevention
of heart disease
So
what can be done to prevent heart disease?
Donald
recommends women learn about their risk factors and take the necessary steps to reduce those that can be controlled. “Some
risk factors such as age, ethnicity and family history can not be controlled however the majority of them can be changed.”
These risk factors include smoking, inactivity, dietary practices, high blood pressure, elevated cholesterol, diabetes,
stress, excessive alcohol consumption and being overweight. “The more risk factors you have the higher risk you have
of developing heart disease.”
“The
best place to start is to speak to your family doctor or health care provider. Together, you can create a plan to change each
one of the risk factors.” She says one small change can make a huge difference in your heart health.
“Since
my heart surgery thirteen years ago, I have made many lifestyle changes,” says Tweedie. She says she continues to be
active by walking in the summer and cross country skiing in the winter. “I also watch what I eat.” She says she
has significantly cut back on fried foods, eats more fruits and vegetables and lean meats. “These lifestyle changes
have made a difference. I am at a healthy weight and my cholesterol has been lowered. I feel so much better.”
Donald says it’s time women start to take care of their
needs and look after their health. “In doing so, they will be better able to fulfill their roles as family member, spouse,
mother, daughter, caregiver, co-worker and volunteer.”
Heart Health Facts (Heart and Stroke Foundation)
Ø
Heart disease and stoke are responsible for more female deaths in Canada
than any other disease.
Ø
In 1999, 39,000 Canadian women died from heart disease and stroke.
Ø
Heart disease and stroke accounted for 37% of all female deaths in Canada in 1999. In other words, out of every 100 women who
died in 1999, 37 of these women died from heart disease or stroke.
Ø
Women who smoke have a greater chance of having a stroke compared to non-smoking women.
Ø
Women smokers who use birth control pills are significantly more likely to have heart
attacks or strokes than non-smoking women.
Ø
A woman’s risk of heart disease and stroke increases after menopause.
Ø
Women of South Asian and First Nations descent have higher rates of heart disease than
women of European or Chinese descent.
For more information about heart disease contact:
·
Your family physician or health care provider
· Heart and Stroke Foundation of New Brunswick 110 Crown Street Suite 340 Saint John, New Brunswick E2L 2X7 Telephone
(506) 634-1620 or 1-800-663-3600 Fax (506) 648-0098 heart.strokemail@nb.aibn.com
http://www.heartandstroke.ca
·
Health Canada
http://www.hc-sc.gc.ca/english/diseases/heart.html
Tell
us what you think about the Improving Your Chances health column by contacting us through E-Mail region7@rha7.ca,
phone (506) 623-3003 or mail the Miramichi Regional Health Authority, 500 Water St., Miramichi, NB, E1V 3G5.
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