All the risk factors that lead to heart attacks and stroke in men – poor diet, physical inactivity, smoking – also cause cardiovascular disease in women. But heart disease is different in women, clinically and symptomatically.
For example, in women affected by coronary artery disease it is usually the smaller blood vessels that show damage, the disease is more diffuse, and there tends to be fewer arterial blockages. But women have a similar or worse prognosis than men with the disease.
Symptoms differ between the sexes too: in women the crushing chest pain typically associated with a heart attack is often absent. Women experiencing a stroke may have, in addition to the typical one-sided symptoms, hiccups, pain in the limbs, and a pounding, racing heart.
Failure to appreciate these differences can cause problems. Traditional diagnostic tests for coronary artery disease have been developed and tested in men. This can lead to women being given the all clear when they actually do have disease because the tests can’t pick it up.