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PREVENTING WOMEN’S HEART ATTACKS:
U-M’S LORI MOSCA CHAIRS PANEL WITH NEW RECOMMENDATIONS


Lori MoscaHeart disease kills more American women each year than all cancers combined.

New guidelines from the American Heart Association and the American College of Cardiology were released April 30, 1999 in hopes of reversing what a University of Michigan physician calls this “alarming trend” in women’s risk for heart disease.

Lori Mosca, M.D., Ph.D., assistant professor of internal medicine and preventative cardiologist, chaired the expert panel for the new guidelines, which she says were created to help women and their physicians reduce the risk of car- diovascular disease and heart attacks. “Heart disease prevention is particularly important for women because 30 to 40 percent of women will die from their first heart attack. There’s often no opportunity for a second chance,” Mosca says. “That’s why prevention is the key.”

The most important recommendations: Women and their doctors must be aware of heart attack risk factors that are critical to women. Women should avoid or quit smoking, exercise for 30 minutes every day, reduce fat and salt in their diet, and eat plenty of fruits and vegetables.

Women also should tackle stress, loneliness and depression with exercise and socializing rather than food or cigarettes. “Heart disease in women is largely preventable, but there are several alarming trends in risk factors for heart disease,” Mosca says. “Only 25 percent of American women get regular sustained physical activity. The rate of smoking decline is less for women than it is for men. Nearly half of all women over the age of 45 have high blood pressure. Forty percent have high cholesterol.

“There is substantial evidence that women are being undertreated in terms of their blood pressure and cholesterol, which are major risk factors for heart attack in women,” Mosca says. “There’s excellent evidence now showing that if women can achieve these lower levels, we can reduce their risk of a future heart attack, or a recurrent heart attack if they already have heart disease.” Cholesterol- lowering drugs may be more beneficial to women than men in reducing the risk of heart attacks, according to the new guidelines.

For further information on clinical or research programs for heart disease prevention at the U-M Health System, please call 734-998-7400.

You may reach Lori Mosca at: mosca@umich.edu

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