Sarah Batts minded her diet. She exercised regularly. She made sure her waistline never exceeded 35 inches.
She was, in her own estimation, a health nut, and she had reason to be. Both her father and an older sister, who at age 50 had stents placed in her heart, had suffered
And yet, Batts, 41, said she always thought of
For instance, in 2008 alone, the last year for which statistics are available, Ballard said that more than 10 times the number of women died from cardiovascular disease than from
"Though no one wants to downplay how serious breast cancer is, in real incidences, heart disease is by far more common," Ballard said. "It kills more women than all forms of cancer combined. One in two women die of heart disease, whereas one in nine die of breast cancer."
Last July, Batts found herself in a fetal position on the floor of her Atlanta living room with excruciating jaw pain, pain she had been ignoring for weeks because she associated the symptom with running.
Even when Batts finally went to the emergency room, it was only because a friend insisted, she said recently.
She was in Piedmont Atlanta Hospital's cardiac observation area when she had a heart attack.
"That's what really saved her," said Ballard, who treated Batts. "Her artery was open within an hour of her heart attack."
Know the risk factors
When Batts arrived at the emergency room, her
"I wanted to go home, but the doctors insisted I stay," she recalled recently. "They were monitoring me when they realized that I was having a heart attack." Doctors were able to see her coronary (heart) arteries with a dye they injected into her bloodstream. Her right coronary artery was 99 percent blocked.
According to Ballard, "You could have all your heart arteries 80 percent blocked and have a normal EKG until a heart attack occurs." Batts clearly had. In fact, he said, one in three female adults have some form of cardiovascular disease, including hypertension, stroke and coronary artery disease.
The reason? Cigarette smoking and an epidemic of
But Batts didn't fit in either category. While doctors are seeing a rising trend among younger women such as Batts, Ballard said genetics is clearly the strongest single risk factor for both men and women. Complications during pregnancy such as
Given the vagaries and challenges of diagnosis, he said, it is crucial for women to pay attention to their own bodies and be aware of heart attack symptoms, including chest pain, nausea, shortness of breath and fatigue.
"Those should be loud alarm bells," Ballard said.
During a break from work recently, Batts talked about how the heart attack changed her life, and how she hopes other women benefit from her experience.
She credits the coordinated care she received — from Ballard, a nurse practitioner and a nutritionist — with saving her life and keeping her on the straight and narrow.
"I am surrounded by a team of people dedicated to making me do a lifestyle shift," she said.
Batts said it is important for women to listen to their bodies and know their blood pressure, cholesterol and triglyceride levels because being young doesn't exempt them from having a heart attack.
"This is a silent disease. It is not a disease that you can see," she said. "It takes out a lot of women. It takes out young women, and we don't present in the normal way. It's not always the giant elephant on the chest."