Texas Health Dallas offers heart and vascular screening program for women

Texas Health ResourcesFeb 4 2010

When Mary Gill went to bed that night, nothing would have made anyone think heart disease — not even Mary. She was thin and 42 years old. She exercised regularly, ate a healthy diet and never smoked.

It was the perfect recipe for turning a young mom into a tragic statistic.

"Heart disease never crossed my mind," she said. "Even when I woke up that night with an upset stomach, I wasn't thinking heart attack."

Then pain shot through her shoulder blades, and she started hyperventilating. She knew something was seriously wrong. Within minutes she was in the emergency department at Texas Health Presbyterian Hospital Dallas. She underwent emergency angioplasty to open blockages in her cardiac arteries and restore blood flow to her heart. She eventually completed three months of cardiac rehabilitation and was given a clean bill of health. Today, she takes medications and follows a heart healthy lifestyle in an effort to prevent future heart attacks.

Gill thankfully did not become one of the tragic statistics. But every year, more than 430,000 women aren't so lucky, according to the American Heart Association. They die from heart attacks, congestive heart failure and other forms of cardiovascular disease. Since 1984, the number of cardiovascular disease-related deaths among women in the United States has exceeded those of men. More than one in three female adults has some form of cardiovascular disease.

To better spot cardiovascular disease in North Texans like Gill — before potentially fatal heart attacks or other complications — Texas Health Presbyterian Hospital Dallas has launched a new Heart & Vascular Wellness Program for women.

"These stories are more common than many people think," said nurse practitioner Sharon Hillgartner, who manages the program. "What's more troubling is that according to studies conducted as late as 2005, fewer than 10 percent of primary care physicians were aware of the seriousness and prevalence of female heart disease."

The signs and symptoms of female heart disease can be dramatically different from classic symptoms of heart attack typically seen in men, said cardiologist Dr. Khanh Hoang, co-medical director of program.

"Women with heart disease may experience symptoms which are more vague, such as indigestion, or sudden fatigue and weakness," she said. "Since these are things many people experience, it's difficult to immediately spot the heart attack. And when you factor in a lack of awareness about female heart attacks and heart disease, you're talking about a real problem."

In a recent study by the National Institutes of health, 95-percent of women who had suffered heart attacks said they experienced symptoms a month or more before experiencing their heart attack. The symptoms most commonly reported were unusual fatigue, sleep disturbance, and shortness of breath. Additionally, fewer than 30 percent reported having chest pain or discomfort immediately prior to the heart attack, and 43 percent reported having no chest pain at all — even during the heart attack.

"But many doctors still consider chest pain the most common heart attack symptom in both women and men," said cardiologist Dr. Tulika Jain, co-medical director of the heart and vascular screening program. "That's why the mission to raise awareness about female heart disease is so important. Spotting it early allows us to more effectively treat the condition."

Among the potentially deadly conditions associated with cardiovascular disease, peripheral arterial disease (PAD) is a serious health risk which may lead to limb loss, stroke, heart attack and sudden death, and most people are unaware they even have it until it's too late.

The screening program at Texas Health Dallas provides patients with simple, painless heart risk and vascular screenings. Vascular screenings include carotid ultrasound; aortic ultrasound; PAD screenings; and one-on-one discussions with a medical provider to discuss risk reduction. Heart risk screenings include a detailed heart health history; EKG and ABI (lower-extremity Doppler test); blood pressure check; HbA1C and C-reactive protein blood test; cholesterol and diabetes screenings; and one-on-one discussions with a medical provider.