Cardiovascular disease in women is often under-diagnosed and under-treated. Our specialists provide leading-edge heart care designed for women’s needs.
Medically reviewed by Amparo Villablanca, M.D. on July 14, 2025.
Cardiovascular disease kills more women than men and all forms of cancer combined. But there is hope. With a team of experts on your side, you can prevent heart disease, treat existing issues, and help your heart be its healthiest.
Specialists at UC Davis Women’s Cardiovascular Medicine Program understand the unique ways heart disease affects women. Our compassionate, experienced team provides state-of-the-art therapies and education to help you live your healthiest life.
Types of cardiovascular disease that are unique to women, more common in women, or present differently in women include:
Heart disease symptoms in women can differ from those in men. They are often less obvious, typically last longer, and are not always brought on by physical effort. This makes them easily overlooked.
While chest pain is a predominant symptom, women are more prone to experience less severe discomfort. They’re more likely to experience shortness of breath, nausea, fatigue, and pain or discomfort between the shoulder blades or below the breast. That’s why regular checkups with your health care provider are vital for all women.
If you have cardiovascular disease, you may notice symptoms such as:
Symptoms that are severe or that don’t go away with rest may be a sign of a medical emergency. It could be a heart attack, stroke, or severe arrhythmia. Seek immediate medical treatment or call 911 if you notice:
Certain factors increase a woman’s chances of developing cardiovascular disease. Our team helps you understand these factors so you can make informed decisions about your lifestyle and medical care. Heart disease risk factors for women include:
High blood pressure is the top risk factor for cardiovascular disease in women, and many women don’t know they have it.
High levels of LDL (“bad”) cholesterol and low levels of HDL ("good") cholesterol can lead to heart disease.
Diabetes can damage your heart and blood vessels over time, increasing women’s risk for heart disease.
A diet that is not heart-healthy can increase a woman’s risk of heart disease. This includes eating foods that are high in saturated or trans fats, sugar, and sodium.
Women who don’t get enough regular exercise are more at risk for heart disease.
Having excess weight can increase a woman’s risk for heart disease.
Women who smoke are up to four times more likely to develop heart disease than those who don’t.
Women who get less than 7-9 hours of sleep each night are at increased risk for heart disease.
There are also a number of female-specific risk factors for heart disease that include reproductive factors, such as:
Some women may be at increased risk if they have these:
Identifying and addressing these female-specific risk factors as part of a comprehensive cardiovascular risk assessment is crucial for timely intervention and prevention.
Diagnosing cardiovascular disease usually starts with a physical exam and discussion of your medical history. Our women’s heart health specialists may recommend tests to help detect heart disease early, including:
Routine blood tests look for signs of cholesterol imbalance, diabetes, and thyroid conditions, which can contribute to heart disease in women.
Specialized imaging tests, including an echocardiogram, cardiac MRI, and a coronary calcium scan, can show signs of heart or vascular disease.
Heart disease is treatable, and your therapy should be tailored to your medical needs. Our women’s heart and vascular specialists focus on the unique needs of women with heart disease. We discuss your options and listen to your preferences and concerns. Treatment options include:
We may recommend changes to your diet and activity to help lower blood pressure, improve cholesterol or manage diabetes. Our team, led by our cardiac dietitians, provides clear guidance and support so you can make these changes part of your everyday habits.
Certain medicines can lower blood pressure, cholesterol or blood sugar, which can help control major heart disease risk factors. We have extensive knowledge of which medications work best for women and more common side effects in women.
Minimally invasive catheter procedures can treat many cardiovascular conditions without surgery. Our specialists guide a catheter (thin tube) with tiny instruments to the heart using only small incisions.
Surgery can be a life-saving option for cardiovascular disease in women. Our heart and vascular surgeons are leaders in heart surgery, from traditional to minimally invasive options. They can offer advice on reducing scar size.
Eighty percent of heart disease is preventable. Identifying and addressing these female-specific risk factors is crucial for timely intervention and preventative care. You can greatly lower your risk if you:
Up to 70% of U.S. women have excess weight, but even small amounts of weight loss have a powerful impact on their cardiovascular health. Losing 5 to 10% of your body weight can significantly benefit your heart.
Women can lower their risk of heart disease with regular physical activity (PDF) tailored to their abilities. A combination of cardiovascular activity, like walking and strength training, can lower heart disease risk factors and help you lose excess weight.
Smoking is especially harmful to women. Women who smoke have a 25% higher risk of heart disease than men who smoke. If you smoke, make an effort to quit (PDF).
A diet rich in fruits, vegetables, whole grains, and lean protein can help you prevent heart disease. Try to minimize processed foods and those high in added sugar and salt.
Your provider can detect or treat problems like high blood pressure, high cholesterol, or diabetes during your visits. Treating these problems early can help you prevent serious complications from heart disease.
Regular, quality sleep can lower your risk of high blood pressure and heart disease. Talk to your provider about your sleep and consider a sleep study if you have sleep issues.
Your provider may recommend cardiac rehab as you recover from a heart condition, including a heart attack, heart failure, or cardiac surgery. Enrolling and fully participating in cardiac rehab can improve your physical function, mood, and quality of life, reduce your risk of a cardiac event, and help you better manage your heart condition.
"Women & CVD," World Heart Federation, https://world-heart-federation.org/what-we-do/women-cvd/
"Lose Weight and Lower Heart Disease Risk," American Heart Association, https://www.heart.org/en/healthy-living/go-red-get-fit/lose-weight-lower-heart-disease-risk
"Smoking and Heart Disease in Women," American Heart Association Go Red For Women, https://www.goredforwomen.org/en/know-your-risk/risk-factors/smoking-and-heart-disease
#1Killer of women.
45%Of women ages 20+ have some form of heart disease.
Source: American Heart Association: Go Red for Women
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