Women and Heart Disease
The term heart disease refers to several types of heart conditions, including coronary artery disease and heart attack.
Although heart disease is sometimes thought of as a man’s disease, almost as many women as men die each year of heart disease in the United States.
This map shows death rates from heart disease in women in the United States. The darker red indicates a higher death rate.
The map shows that concentrations of counties with the highest heart disease death rates – meaning the top quintile – are located primarily in Alabama, Mississippi, Louisiana, Arkansas, Oklahoma, Georgia, Kentucky, and Tennessee. Pockets of high-rate counties also were found in Michigan, Ohio, West Virginia, Virginia, North Carolina, South Carolina, Missouri, Texas, Nevada, and Montana.
Despite increases in awareness over the past decades, only about half (56%) of women recognize that heart disease is their number 1 killer.1
Learn more facts about women and heart disease:
- Heart disease is the leading cause of death for women in the United States, killing 314,186 women in 2020—or about 1 in every 5 female deaths.2
- Heart disease is the leading cause of death for African American and white women in the United States. Among American Indian and Alaska Native women, heart disease and cancer cause roughly the same number of deaths each year. For Hispanic and Asian or Pacific Islander women, heart disease is second only to cancer as a cause of death.3
- About 1 in 16 women age 20 and older (6.2%) have coronary heart disease, the most common type of heart disease:4
- About 1 in 16 white women (6.1%), black women (6.5%), and Hispanic women (6%)
- About 1 in 30 Asian women (3.2%)
Although some women have no symptoms, others may have5
- Angina (dull and heavy or sharp chest pain or discomfort)
- Pain in the neck, jaw, or throat
- Pain in the upper abdomen or back
These symptoms may happen when you are resting or when you are doing regular daily activities. Women also may have other symptoms, including5
Sometimes heart disease may be “silent” and not diagnosed until you have other symptoms or emergencies, including5
- Heart attack: Chest pain or discomfort, upper back or neck pain, indigestion, heartburn, nausea or vomiting, extreme fatigue, upper body discomfort, dizziness, and shortness of breath
- Arrhythmia: Fluttering feelings in the chest (palpitations)
- Heart failure: Shortness of breath, fatigue, or swelling of the feet, ankles, legs, abdomen, or neck veins
If you have any of these symptoms, call 9-1-1 right away.
High blood pressure, high LDL (low-density lipoprotein) cholesterol, and smoking are key risk factors for heart disease. About half of all people in the United States (47%) have at least one of these three risk factors.6
Several other medical conditions and lifestyle choices can also put people at a higher risk for heart disease, including
- Having overweight or obesity
- Eating an unhealthy diet
- Physical inactivity
- Drinking too much alcohol
To lower your chances of getting heart disease, it’s important to do the following:7
- Know your blood pressure. Having uncontrolled blood pressure can lead to heart disease. High blood pressure has no symptoms, so it’s important to have your blood pressure checked regularly. Learn more about high blood pressure.
- Talk to your doctor or health care team about whether you should be tested for diabetes. Having uncontrolled diabetes raises your risk of heart disease.8 Learn more about diabetes.
- Quit smoking. If you don’t smoke, don’t start. If you do smoke, learn ways to quit.
- Discuss checking your blood cholesterol and triglycerides with your doctor. Learn more about cholesterol.
- Make healthy food choices. Having overweight or obesity raises your risk of heart disease. Learn more about overweight and obesity.
- Limit how much alcohol you drink to one drink a day. Learn more about alcohol.
- Manage stress levels by finding healthy ways to cope with stress. Learn more about coping with stress.
CDC’s Public Health Efforts Related to Heart Disease
For more information on women and heart disease, visit the following websites:
- Mosca L, Hammond G, Mochari-Greenberger H, Towfighi A, Albert MA, American Heart Association Cardiovascular Disease and Stroke in Women and Special Populations Committee of the Council on Clinical Cardiology, Council on Epidemiology and Prevention, Council on Cardiovascular Nursing, Council on High Blood Pressure Research, and Council on Nutrition, Physical Activity and Metabolism. Fifteen-year trends in awareness of heart disease in women: Results of a 2012 American Heart Association national survey. Circulation. 2013;127(11):1254–63, e1–29.
- Centers for Disease Control and Prevention, National Center for Health Statistics. About Multiple Cause of Death, 1999–2020. CDC WONDER Online Database website. Atlanta, GA: Centers for Disease Control and Prevention; 2022. Accessed February 21, 2022.
- Heron M. Deaths: Leading causes for 2016 [PDF-2.3M]. National Vital Statistics Reports. 2018;67(6).
- Benjamin EJ, Muntner P, Alonso A, Bittencourt MS, Callaway CW, Carson AP, et al. Heart disease and stroke statistics—2019 update: a report from the American Heart Association. Circulation. 2019;139:e1–e473.
- NHLBI. Heart Disease in Women. Accessed October 2, 2018.
- Fryar CD, Chen T, Li X. Prevalence of uncontrolled risk factors for cardiovascular disease: United States, 1999–2010 [PDF-494KB]. NCHS data brief, no 103. Hyattsville, MD: National Center for Health Statistics; 2012.
- HHS, OWH. Heart disease prevention. 2015. Accessed October 2, 2018.
- HHS, OWH. Diabetes. Accessed October 2, 2018.