Michelle Sabia, MPH, CPH
Michelle Sabia has a passion for health equity and has dedicated her career to supporting underserved populations through education, direct service programming and advocacy. She is certified in public health and received her master's in public health from George Washington University. She brings over a decade of experience in healthcare nonprofits and healthcare delivery settings to her role at HealthyWomen where she specializes in education programs for military healthcare providers and active-duty servicewomen. Most recently, Michelle managed federal payment programs and community health initiatives at a local health system in Washington state. Her proudest accomplishment was designing and implementing a social determinants of health program to address the social needs of patients in clinical settings.
Michelle's professional passions bleed into her volunteer work where she serves on the board of directors of the Neighborhood Clinic Tacoma, a free clinic serving those who can't access or afford healthcare services.
Though she currently resides in Washington and loves the unique natural beauty of the area, Michelle was born and raised in the Northeast and is quick to tell you that her heart will always be in New York. In her free time, she and her husband enjoy raising backyard chickens, hiking, cooking and traveling. They look forward to welcoming their first child in Spring of 2022.Full Bio
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September is National Atrial Fibrillation (AFib) Awareness Month
Medically reviewed by Nieca Goldberg, M.D.
Cardiovascular disease (CVD) is the no. 1 cause of death in women in the U.S. But only 44 out of 100 women know that CVD is their biggest risk. Knowing the signs and symptoms of CVD and when to talk to your healthcare provider (HCP) can save your life.
What is cardiovascular disease?
CVD includes any disease that affects the heart or blood vessels. There are many different types of CVD, but some of the types that affect women the most are coronary artery disease, arrhythmia and stroke.
- Coronary artery disease (also known as coronary heart disease) is the leading cause of death in women. It’s also the most common type of heart disease and is caused by a buildup of plaque in the walls of coronary arteries, the tube-like vessels that bring blood to the heart.
- Arrhythmia is when the heart beats irregularly, meaning it’s either beating too slow or too fast or in another abnormal way. The most common type of arrhythmia is atrial fibrillation (AFib), when irregular beating in the upper chambers of the heart make it difficult for blood to flow to the lower chambers.
- Stroke is when a burst or blocked blood vessel stops blood flow to the brain, causing the brain cells to die. There are many different types of stroke, but 8 out of 10 strokes are preventable.
How common is cardiovascular disease?
Women are at a higher risk of developing AFib than men. In fact, 1 in 4 women will develop AFib in their lifetime, and the risk increases with age. AFib increases a person’s risk of stroke, which is the third leading cause of death in women in the U.S., affecting 1 out of 5 women ages 55 to 75. People with AFib have a five times greater risk of having an ischemic stroke. Among all races, Black women have the highest rates of stroke.
What are the risk factors for developing cardiovascular disease?
Prevention is key when it comes to reducing your risk of CVD. Some factors that may increase your risk include:
- High blood pressure
- High cholesterol
- Having overweight or obesity
- Eating an unhealthy diet
- Not getting enough exercise
- Drinking too much alcohol
- Stress and depression
The female reproductive system also adds additional risk factors that men don’t have:
- Getting your first period before the age of 11
- Going through menopause before the age of 40
- Having polycystic ovary syndrome (PCOS)
- Experiencing certain pregnancy complications:
- Gestational diabetes (diabetes during pregnancy)
- Preterm delivery or delivering a baby with low or high birth weight
- Hypertensive disorders of pregnancy, such as preeclampsia and hypertension of pregnancy
CVD is the number one cause of death in new moms.
What are the symptoms of cardiovascular disease I should be aware of?
The symptoms of CVD look different in women than men, so it’s important to know what to look out for and when to contact your HCP.
For coronary artery disease, having a heart attack is often the first sign. As with men, the most common heart attack symptom in women is chest pain or discomfort. But in women, signs of having a heart attack may not be obvious. They may experience other symptoms that are typically less associated with heart attack, such as shortness of breath, nausea/vomiting and back or jaw pain.
According to the American Heart Association, call 911 if you have any of these symptoms:
- Uncomfortable pressure, squeezing, fullness or pain in the center of your chest that lasts more than a few minutes, or goes away and comes back.
- Pain or discomfort in one or both arms, the back, neck, jaw or stomach.
- Shortness of breath with or without chest discomfort.
- Breaking out in a cold sweat, nausea or lightheadedness.
Symptoms for AFib might include:
- Racing heart
- Heart palpitations (a feeling that your heart is fluttering or skipping a beat)
- Shortness of breath
- Chest pain
For women, feeling weakness or fatigue is an additional symptom to be aware of. It’s also common for women to experience any of these symptoms more often or for longer periods of time than men.
Stroke symptoms can come on quickly. Using the American Stroke Association’s acronym F.A.S.T. can help you remember what symptoms to look out for:
F = Face Drooping – Does one side of the face droop or is it numb? Ask the person to smile. Is the person's smile uneven?
A = Arm Weakness – Is one arm weak or numb? Ask the person to raise both arms. Does one arm drift downward?
S = Speech Difficulty – Is speech slurred?
T = Time to call 911 – Stroke is an emergency. Every minute counts. Call 911 immediately. Note the time when any of the symptoms first appear.
Some other stroke symptoms might include:
- Confusion, trouble speaking or understanding speech
- Difficulty seeing in one or both eyes
- Difficulty walking, dizziness, loss of balance or coordination
- Severe headache with no known cause
What if my healthcare provider dismisses my symptoms?
There is a misconception, even among some HCPs, that women develop CVD at much lower rates than men. One study found that both gender bias and biological differences between men and women may be to blame for the differences in diagnosis and treatment of CVD in women.
If you experience any symptoms of CVD, talk to your HCP right away. Be clear and direct about what symptoms you’re having, how much pain or discomfort they cause you, how long you’ve had them, and how often you experience them.
If your provider dismisses your symptoms or you don’t feel heard by them, you have the right to get a second opinion from another provider. Ask if you can be referred to a cardiovascular specialist or find a new provider in the same or different practice.
When it comes to your cardiovascular health, don’t wait.
This educational resource was created with support from BMS.