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The Heart Beat

with James Beckerman, MD, FACC

Heart disease can be prevented! Your personal choices have a big impact on your risk of heart attacks and strokes. Dr. James Beckerman is here to provide insights into how making small, livable lifestyle changes can have a real impact on your heart health.


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Tuesday, February 8, 2011

Barbra Streisand: Heart-to-Heart With WebMD

Barbra Steisand

Barbra Streisand reached out to WebMD for a heart-to-heart about her quest to transform women’s cardiac health research. The two-time Academy Award–winning actor, director, and singer has taken on a new, highly public role to help raise funds for research at Cedars-Sinai’s Women’s Heart Center in Los Angeles. Here she explains her passion for matters of the heart.

Women have broken through some of the hardest glass ceilings. We’ve had women explore the depths of outer space, a woman run for President of the United States, and we’ve had a woman serving as Speaker of the House, a position that is just two heartbeats away from the Presidency. Many consider politics as one of the last bastions of the boys club and thankfully — although slowly — women are finally making real inroads.

But there is another boys club that until recently many people either didn’t know about or talk about. It came as a big shock to me to discover that gender inequality still prevails in the medical sciences when it comes to research and treatment of some illnesses. I consider myself a well-informed person, but I only became aware of this fact when learning about women and heart disease, and I was stunned.

Heart disease is the number one killer of women in our country, more than all cancers combined. When I started to think about this, it was not surprising. More women are taking on the stresses of juggling household demands, of being wife, mother and breadwinner. All of these modern day strains add to higher blood pressure, lack of physical activity, quick and unhealthy food choices, and weight gain — all major contributors to heart disease.

Despite the statistics, for years, most of the medical community has been treating our mothers, wives, daughters, sisters and friends inadequately because they based their treatment protocols on research outcomes done mostly on male patients. Cardiologists treating women certainly intended to provide their patients with quality care, but they could only depend on the research that was available and known to them.

In 1991, Dr. Bernadine Healy, the first woman director of the National Institutes of Health, studied the gender bias in the treatment of coronary heart disease. Termed the Yentl syndrome (a surprising coincidence), the study revealed that “once a woman showed that she was just like a man by having severe coronary artery disease, she was then treated as a man would be.” This would make sense if women’s hearts were biologically the same as men’s hearts — but they aren’t! And because of the biological differences, heart attacks sometimes present differently in women than they do in men. Instead of the classic attack — clutching a painful chest — women often have indigestion and fatigue. Plus, women are more likely than men to develop micro-vascular disease, which affects the heart’s smallest arteries.

We can no longer afford to naively assume that this is only a man’s disease — it’s now a woman’s epidemic. We are behind in our knowledge that informs diagnosis and treatment regimens for women with heart disease, but we are finally starting to close that gap. The Women’s Heart Center at Cedars Sinai Medical Institute is helping to lead the way in this effort as one of few institutions in the country on the cutting edge of this research.

The Center is led by Dr. C. Noel Bairey Merz, a Harvard Medical School graduate. Dr. Merz has published more than 180 scientific publications and more than 200 abstracts and has received numerous awards recognizing her as one of the field’s leading experts on preventive cardiology, women’s heart disease and mental stress. It was clear to me that I had to get involved when I heard that this brilliant woman was doing lifesaving work that would ultimately impact women all over the world — right in my own backyard!

But it’s all our responsibility to be advocates on this issue and to demand that gender inequality, especially when it comes to life and death issues, is not acceptable. This is a call to action and I hope you all will join me in supporting the new and vital work that is being done on women’s heart health. If you want to learn more, visit:

Read more about Barbra Streisand and her crusade to transform women’s heart health in WebMD The Magazine digital edition

Posted by: WebMD Blogs at 4:47 pm


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