1. Heart Failure in Women Dr. Jennifer Haythe
CRF MINI-MED SCHOOL
Heart Failure in Women
Dr. Jennifer Haythe

2. Heart Disease leading
cause of death for
WOMEN
in the United States

3. Heart Disease kills
1 in 4 women

4. Heart Disease KILLS more WOMEN than ALL CANCERS combined

5. Only 54% of WOMEN identify HEART DISEASE as their #1 killer

6. 64% of WOMEN who DIE suddenly of a heart attack had NO prior symptoms

7. In the 1st Year after a heart attack women are 28% more likely to DIE

8. Women are less likely to be prescribed ACE inhibitors, Beta Blockers and Statins and less likely to receive a defibrillator after a heart disease diagnosis
Women are less likely to be prescribed cardiac rehab after a heart attack

11. 90% of Women Have 1 Risk Factor

12. Heart Failure in Women Coronary Artery Disease (heart attacks)
Hypertension
Diabetes
Valve Disease
Obesity
Chemotherapy
Peripartum
Stress
Sleep Apnea
Toxins
Smoking
Congenital Heart Defects

13. Congestive (systolic) Heart Failure

14. CHF Symptoms

15. Peripartum Heart Failure
Develops in last month or within 5 months of delivery
Ejection Fraction < 45%
No other cause of heart failure found

16. Peripartum Heart Failure
Risk Factors
Advanced maternal age
Obesity
Smoking
Alcoholism
Multiple Pregnancies
African American Descent
Malnourishment

17. Peripartum Heart Failure
Treated with traditional CHF meds: ACE-I, BB, digoxin, diuretics (depending on pregnant state, breastfeeding etc)
Women with a better EF and less dilated hearts more likely to recover their heart function within 6 months
Women who recover to normal EF more likely to tolerate subsequent pregnancy without death or serious consequence

18. Diastolic Heart Failure Heart Failure Preserved Ejection Fraction
Seems confusing
Heart Function is “normal”
Heart is actually impaired
Years of hypertension, diabetes, smoking, poor diet, obesity, sleep apnea make heart stiff and thick

19. Treatment Not so easy – nothing shown to change survival
BUT – can improve symptoms
Diuretics
BP control
Weight loss
Treat sleep apnea
Convert abnormal rhythm like A FIB

20. Pulmonary Hypertension

21. Pulmonary Hypertension
Categorized into 5 groups
PAH
Left sided heart disease
Lungs Diseases
CTEPH (multiple blood clots)
Other, sarcoid, unclear

22. Treatment Depend on type of PAH Medications like Viagra Valve surgery
Oxygen
Surgery to remove blood clots
Lung transplant

23. Be in Charge of YOU

24. Medication

25. Vital Signs
Weight
Blood Pressure
Pulse
Glucose (if Diabetic)

26. Heart Failure Diet

27. Exercise Cardiac PT Walking Bicycle Light weights Yoga
Discuss with your doctor how high you may get your heart rate and what exercise program is appropriate

28. Meditation

29. Depression

30. Family History

31. Talk to Each Other

32. Thank You