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Women have always thought that cancer is their worst health threat. Much so the Filipinas, there is a myth that women aged 45 and below are immune to heart disease because hormones seem to play a protective role before menopausal according to the Philippine Heart Association (PHA).

As Laura Bush puts it, “Women just don’t expect to have a heart attack. They think heart attacks are for men. So women seek help a lot later than men do… And because of that, they suffer more damage because they get to the hospital later…”

PHA reiterates that cardiovascular disease (CVD) is not mainly men’s problem.

Cardiologist Esperanza Cabral stresses, “The leading cause of death in women, and an important cause of their disability is CVD.”

She defines CVDs as “diseases of the heart and blood vessel system, such as coronary heart disease, heart attack, high blood pressure, stroke, lupus-induced, and rheumatic heart disease.”

Worldwide, one in every three deaths is caused by cardiovascular diseases. It is estimated this year that 25 million men and women will be its global prevalence of mortality, and more than half of them will be women.



In the Philippines, the Department of Health (DOH) reported that more than 45,000 women died from CVDs and less than 6,000 died from female specific cancers in year 2000.

“It is clear that preventive efforts targeting women must be increased and the discrepancy between what we know and what we actually do to prevent and treat cardiovascular disease in women should be reduced,” enthuses Dr. Cabral, chairperson of the PHA’s Council on Women’s Heart Health.

Likewise, cardiologist Benjamin Manlutac explains that the presentation and risk factors of coronary artery disease or CAD, a type of CVD, is somewhat different for women. “CAD is often difficult to diagnose in perimenopausal women because it may present with a mix of typical and atypical symptoms.

Dr. Manlutac elaborates, “Typical symptoms such as substernal pressure on exertion are less predictive of coronary artery disease in women than in men. Atypical symptoms such as shortness of breath, abdominal pains and nausea, shoulder or jaw pains confuse the picture even more.”


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