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Key takeaways
- Good heart health is essential for your wellbeing. Your heart is part of the cardiovascular system. It has important jobs, such as pumping blood, carrying oxygen around the body and delivering nutrients around the body.
- Common heart attack symptoms include chest pain, shortness of breath and nausea.
- Heart attack symptoms can be different in women, and women have additional risk factors.
- Talk to your doctor about reducing your risk for cardiovascular disease and when you should have heart health checks.
Sections on this page
Key takeaways
- Good heart health is essential for your wellbeing. Your heart is part of the cardiovascular system. It has important jobs, such as pumping blood, carrying oxygen around the body and delivering nutrients around the body.
- Common heart attack symptoms include chest pain, shortness of breath and nausea.
- Heart attack symptoms can be different in women, and women have additional risk factors.
- Talk to your doctor about reducing your risk for cardiovascular disease and when you should have heart health checks.
Cardiovascular disease
Cardiovascular disease (CVD) includes:
- heart disease
- stroke
- blood vessel disease.
Types of cardiovascular disease
Two common types of cardiovascular disease in Australia are coronary heart disease and stroke:
- stroke – when blood supply to the brain is cut off
- coronary heart disease – when fatty plaque on the artery walls (atherosclerosis) blocks blood flow to the heart.
The two main forms of coronary heart disease are heart attacks and angina:
- heart attack – when an artery to the heart becomes completely blocked and stops blood flow to the heart muscle
- angina – temporary chest pain caused by lack of blood flow and oxygen to the heart.
Other types of cardiovascular disease include:
- aneurysm – a widening or bulge in an artery that can burst
- heart failure
- atrial fibrillation
- spontaneous coronary artery dissection.
Learn more about cardiovascular disease on the Heart Foundation website.
Why cardiovascular disease affects women differently
Many people think that cardiovascular disease is a health issue that mainly affects men, but it’s not. More than half a million women in Australia are diagnosed with cardiovascular disease each year.
It’s important to know that heart attack symptoms can be different in women. And women have additional risk factors they need to monitor to reduce their risk for cardiovascular disease.
Symptoms of a heart attack
Common heart attack symptoms that are the same for men and women include:
- chest pain that can feel like pressure, tightness or heaviness in your chest
- shortness of breath or trouble breathing
- indigestion
- nausea (feeling unwell)
- vomiting
- a cold sweat
- dizziness
- tiredness.
Symptoms of a heart attack in women
Symptoms of a heart attack in women can differ from those in men.
Women can also experience pain in the:
- jaw
- neck
- arms
- back
- shoulders.
Call 000 straight away if you have symptoms of a heart attack.
Risk factors for cardiovascular disease
Many cardiovascular risk factors can’t be changed, such as your age, gender, ethnic background and family history. But you can reduce your risk by getting heart health checks when recommended and looking after your heart with a healthy lifestyle. For example:
- avoid drinking alcohol
- don’t smoke
- maintain a healthy weight.
Women may have other risk factors for cardiovascular disease. For example:
- autoimmune conditions – women with conditions such as lupus or rheumatoid arthritis have a higher risk for heart disease
- polycystic ovary syndrome (PCOS) – women with PCOS are more likely to have high blood pressure, high cholesterol, type 2 diabetes and a heavier weight, all of which increase the risk for cardiovascular disease
- pregnancy complications – including pre-eclampsia, premature birth, increased blood pressure during pregnancy and gestational diabetes
- starting periods at a young age
- having a history of absent or irregular periods
- anxiety and depression.
Some medicines may also increase the risk. For example:
- the Pill
- previous breast cancer treatments.
Some women with cardiovascular disease don’t have any risk factors.
Visit the Heart Foundation website to learn more about:
While women can develop cardiovascular disease at any age, their risk increases after menopause. This is because the drop in oestrogen hormone levels can affect:
- blood pressure
- cholesterol
- blood fats.
It’s common for blood pressure to increase with age, so it’s important to have it checked regularly, especially after menopause.
Around the time of menopause, women may gain excess weight around the stomach, which can increase their risk for cardiovascular disease.
Women who have premature or early menopause may have a higher risk for developing cardiovascular disease compared with women who reach menopause at the expected age.
Research suggests that menopausal hormone therapy (MHT) may reduce the risk for cardiovascular disease.
The gender gap in heart health
There are several reasons why women are at a disadvantage when it comes to cardiovascular disease.
In Australia, women who have a serious heart attack are less likely to get the right hospital treatment compared to men.
Women are more likely to get the wrong diagnosis from a health professional when they have a heart attack.
Research suggests that women who have symptoms of cardiovascular disease are not treated as quickly as men, and are less likely to get the same level of care that men do.
There is limited research into how cardiovascular disease affects women. Women are also under-represented in clinical trials. As a result, women are often diagnosed and treated for cardiovascular disease based on research findings about men.
It’s important to understand female-related risk factors and symptoms of cardiovascular disease.
Take control of your heart health by asking your doctor about heart health checks.
Signs of a stroke
A stroke is when blood supply to the brain is interrupted. Signs of a stroke include:
- blurred vision
- numbness
- weakness
- sudden severe headache with no known cause
- trouble speaking or understanding.
The Stroke Foundation recommends using the FAST test to check if someone is having a stroke:
- Face – Check their face – has the mouth dropped?
- Arms – Are they unable to lift both arms?
- Speech – Is their speech slurred or confused?
- Time – Time is critical. Call 000 if any of these signs are present.
Learn more about stroke symptoms, causes and more on the Stroke Foundation website.
How to look after your heart
There are many things you can do to reduce your risk for developing cardiovascular disease.
Research suggests that improving your overall diet, rather than focusing on one nutrient or food, is the best way to reduce the risk for cardiovascular disease.
The Heart Foundation recommends that you:
- eat plenty of vegetables, fruits and wholegrains
- choose healthy protein sources, including fish (and other seafood), legumes, nuts, seeds, eggs and lean poultry
- limit lean red meat to one to three times a week
- choose unflavoured milk, yoghurt and cheese, and reduced-fat varieties if you have high cholesterol
- include healthy fats such as nuts, seeds, avocados, olives (and their oils)
- flavour food with herbs and spices instead of salt
- choose water over other drinks.
This diet helps lower your risk for cardiovascular disease because it’s naturally low in saturated and trans fats, salt and added sugar.
For delicious, healthy recipes, visit Heart Foundation healthy recipes.
It’s important to do regular physical activity throughout your life. Physical activity can:
- lower your blood pressure and cholesterol levels
- help you achieve and maintain a healthy weight.
Aim for about 30 minutes of physical activity on most days. This could be anything from walking to weight training.
You can join a walking group and learn more about the benefits of walking on the Heart Foundation website.
Talk to your doctor about which physical activities might benefit you. Learn more about exercise.
Heart health checks are an important way to check your risk factors for cardiovascular disease. Your doctor may:
- ask about your medical and family history
- ask about your diet, physical activity, weight, smoking and alcohol consumption
- do a blood pressure test
- do a cholesterol test
- do a blood sugar test.
They will use this information to assess your risk for stroke or heart attack.
Depending on your situation, they may suggest lifestyle changes or medicine, or both. They might also refer you to a cardiologist or other healthcare specialists, such as a dietitian or exercise physiologist.
The result of your heart health check will determine how often you might need checks in the future.
It’s important to understand key health measures, such as:
- your blood pressure
- blood sugar
- blood cholesterol results.
You can ask your doctor to check these markers regularly and discuss follow-up plans if needed.
Learn more about heart health checks.
Read the heart health checks brochure on the Heart Foundation website.
More resources to help with your heart
The Heart Foundation website has more information about looking after your heart, including nutrition and different types of physical activities.
Personal stories about heart health and cardiovascular disease
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This information has been reviewed by clinical experts and is based on the latest evidence.
Our content review process ensures our health information is accurate, trustworthy, current and useful.
We regularly check our information to make sure it reflects the latest clinical guidelines and key findings from large, reliable studies.
Where possible, we focus on Australian research to make our information more relevant locally.
Experts play a key role in reviewing our content. Clinicians at Jean Hailes check information for accuracy and real‑world relevance. These include GPs, gynaecologists, endocrinologists, psychologists and allied health professionals.
We also work with partner organisations, independent specialists and people with lived experience to make sure our content reflects both expert knowledge and the experiences of the community.
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