Nieca Goldberg, MD
Medical Director of Atria New York City
Clinical Associate Professor, NYU Grossman School of Medicine
A National Spokesperson for the American Heart Association
Former Medical Director of NYU Women's Heart Program
Senior Advisor, Women's Health Strategy, NYU Langone Health
Founder and Former Medical Director, Joan H. Tisch Center for Women's Health
Dr. Nieca Goldberg is medical director of Atria New York City and former NYU Women's Heart Program senior advisor women's health strategy NYU Langone Health; the founder and former medical director of the Joan H. Tisch Center for Women's Health at the NYU Langone Medical Center; and clinical associate professor, NYU Grossman School of Medicine. She is also the co-medical director of the 92nd Street Y's Cardio Rehab Program, a cardiologist, author, radio show host on Doctor Radio SIRIUS XM 81 of "Beyond the Heart," and a nationally recognized pioneer in women's heart health. Dr. Goldberg is a national spokesperson for the American Heart Association and started the "Go Red for Women" campaign.
Dr. Goldberg is the author of "Dr. Nieca Goldberg's Complete Guide to Women's Health." She has also authored the award-winning and highly acclaimed book, "Women Are Not Small Men," which was updated and titled "The Women's Healthy Heart Program — Lifesaving Strategies for Preventing and Healing Heart Disease," published by Ballantine Books.
A graduate of Barnard College and SUNY Downstate Medical Center, Brooklyn, Dr. Goldberg completed her medical residency at St. Luke's-Roosevelt Hospital Center and a cardiology fellowship at SUNY Downstate.
Dr. Goldberg's research and medical publications focus on cardiovascular disease in women, exercise imaging and exercise. She is often asked by the media for her expert interpretation of current studies and medical news. Dr. Goldberg has made numerous appearances on programs such as The Today Show, The View, Good Morning America, The Early Show and CBS Evening News. In addition, she has been featured and interviewed by reporters from The Wall Street Journal, The New York Times, New York Post, New York Daily News, Fitness Magazine, More, Glamour, Good Housekeeping and many others discussing woman's health and heart disease. She serves on the Woman's Day Editorial Advisory Board.
Through the years Dr. Goldberg was celebrated, again and again, on New York Magazine's "Best Doctors" list, In 1999, she was the only woman in its top 10 "Hall of Fame of Physicians." The recipient of numerous awards for her advocacy for women's heart health, she received the American Heart Association's "Dr. with Heart" award, Woman's Day magazine's "Red Dress" award, Jewish Women International's "Women to Watch" award and The Women at Heart 2006 Honoree Award from the Links Greater New York Chapter.Full Bio
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Any woman over the age of 50 knows the symptoms—hot flashes, night sweats, fatigue, lower sex drive, infrequent periods, vaginal dryness, mood swings and trouble sleeping. They’re the eight cranky dwarfs that accompany perimenopause, although many of them persist into menopause. Less well known are the changes in cardiovascular health due to the depletion of estrogen, including the slowing of the metabolism and the resulting weight gain and additional belly fat, blood vessels losing their flexibility, higher blood pressure, and more LDL (bad) cholesterol and more less HDL (good) cholesterol.
In the past, women sought relief from symptoms and a way to protect their heart by asking for hormone replacement therapy (HRT), which consists of estrogen with or without progesterone. For healthy women looking for symptom relief, this is still an option. However, HRT is contraindicated for women with established heart disease and some physicians are reluctant to prescribe it due to findings from the Women’s Health Initiative study, the largest women’s health study ever done, which reported that post-menopausal women who took HRT were at a greater risk of breast cancer, heart disease, stroke, blood clots and urinary incontinence.
Fortunately, there is a lot you can do to keep your body healthy after menopause. It’s important to understand that HRT may be appropriate for a limited time during perimenopause before actual menopause—which is defined as the end of your menstrual cycle. However, there is a lot you can do instead of, or after, HRT. Here are some healthy solutions to combat each one of the symptoms of menopause:
Loss of Blood Vessel Flexibility: Regular aerobic exercise will keep things flowing. Walking counts!
Vaginal Dryness: Topical estrogen ointment can bring relief.
Bone Loss: Weight lifting or another weight-bearing exercise can help keep your skeleton healthy. And there’s a bonus—it helps reduce body fat, improves muscle mass and core strength and prevents the loss of muscle.
Weight Gain: Cut back on simple carbohydrates such as sugar, white flour and white rice. One thing NOT to do is to start drinking. Alcohol is sugar, which is bad for your metabolism and can raise triglycerides.
Higher Blood Pressure: Reduce your salt intake, increase your fiber, exercise regularly, get your blood pressure checked on a regular basis and if your doctor assigns medications, be sure you take them.
Higher Cholesterol: The DASH and the Mediterranean diets are delicious and sustainable ways to eat well and control your cholesterol. However, some people are genetically predisposed to high cholesterol. Be sure to get yours evaluated by your doctor and take any medications that are prescribed.
Mood Swings: Talk to your doctor about antidepressants. Certain medications can also relieve some menopausal symptoms.
Menopause is a natural part of life and not a disease. By taking charge of your health now and starting healthy habits you will lower your risk of cardiovascular disease and reap ongoing benefits throughout the rest of your life.