The Silent Threat: Why Heart Disease Remains Women’s No. 1 Killer in 2026
For Lori Sepich, a 64-year-old from Memphis, Tennessee, the reality of heart disease didn’t register until it was almost too late. Diagnosed with extremely high blood pressure at 17, she spent years downplaying the risks, even skipping medication and smoking. It took two heart attacks, 13 years apart, to finally confront the severity of her condition.
Beyond the Hollywood Heart Attack: Recognizing the Signs
Sepich’s story isn’t unique. Many women experience heart attacks differently than men, often with subtler symptoms that can be easily dismissed. While chest pain or discomfort is a common indicator, women are more likely to experience other symptoms, including back pain, shortness of breath, cold sweats, nausea, lightheadedness, and even jaw or finger tingling. These symptoms may also come and go, leading to delayed action.
The Unique Risks Facing Women’s Hearts
Cardiovascular disease affects over 60 million women in the U.S., and is responsible for 1 in 5 female deaths annually, with 37,000 fatalities resulting from heart attacks alone. Beyond traditional risk factors like high blood pressure and cholesterol, women face unique challenges. Autoimmune conditions like lupus and rheumatoid arthritis, which cause inflammation, can increase heart disease risk. Depression, often linked to inflammation and unhealthy behaviors, is also a contributing factor.
a history of high blood pressure or diabetes during pregnancy, as well as miscarriages or stillbirths, can elevate cardiovascular risk. Even hormonal changes during menopause, such as hot flashes and night sweats, have been linked to increased blood pressure and other risk factors.
Prevention is Paramount: Life’s Essential 8
The American Heart Association emphasizes proactive prevention through its “Life’s Essential 8”: eat a healthy diet, quit tobacco, get sufficient sleep, be physically active, control cholesterol, manage weight, regulate blood sugar, and maintain healthy blood pressure. Regular checkups are crucial for discussing these measures with a healthcare provider and monitoring overall health.
Dr. Stacey Rosen, president of the American Heart Association, advises women to openly discuss their family history of heart problems with their doctors.
The Critical Importance of Immediate Action
When a heart attack is suspected, every minute counts. Experts strongly recommend calling 911 immediately rather than driving to urgent care or a doctor’s office. Ambulances are equipped to provide life-saving interventions during transport. Delaying care can lead to more significant heart damage and potentially fatal outcomes.
Lori Sepich learned this lesson the hard way. Initially, she dismissed the symptoms of her first heart attack, attending Mass and a family lunch before finally seeking medical attention. She now advocates for women to be honest with themselves about their health and to take symptoms seriously.
Don’t Fall Into Denial: A Matter of Life and Death
“I could justify my actions from denial,” Sepich shared. “Well, it does hurt you. It can kill you.” Her experience underscores the importance of recognizing and addressing heart disease risk factors, and avoiding the dangerous trap of denial.
Frequently Asked Questions
- What are the common symptoms of a heart attack in women?
- Symptoms can include chest pain, shortness of breath, back pain, nausea, lightheadedness, and pain in the jaw or arms.
- Why are women more likely to have different heart attack symptoms than men?
- The exact reasons are still being researched, but physiological differences may play a role.
- What is the best course of action if you suspect a heart attack?
- Call 911 immediately. Do not drive yourself to the hospital.
- What are “Life’s Essential 8”?
- They are eight key factors for improving and maintaining cardiovascular health: diet, exercise, sleep, tobacco cessation, weight management, cholesterol control, blood sugar control, and blood pressure management.
Resources: For more information on heart health, visit the American Heart Association and the CBS42 Health.
Have you or a loved one been affected by heart disease? Share your story in the comments below.
