Why Midlife Matters for Women

Woman wearing a bright yellow sweater holding a red heart up to her chest

When we think about health concerns, heart disease might not be the first thing that comes to mind for many women, but it really should be. A new study suggests that by measuring the levels of three specific biomarkers in blood during midlife, women can gain a clearer picture of their risk for major cardiovascular events, like heart attacks and strokes, decades before these risks typically become apparent.

The Silent Risk: Heart Disease in Women

Heart disease is the leading cause of premature death for women in the United States and Canada. In 2021 alone, it claimed the lives of over 310,000 US women, accounting for one in every five female deaths. Despite these alarming numbers, only about half of women recognize heart disease as their most significant health risk. This is particularly concerning given that 80% of women aged 40 to 60 are living with at least one risk factor for coronary artery disease.

A New Approach to Predicting Risk

The study in question highlights a potential game-changer for women’s heart health. Researchers found that three biomarkers—low-density lipoprotein (LDL) cholesterol, high-sensitivity C-reactive protein (CRP), and lipoprotein(a) or LP(a)—could predict cardiovascular risk in seemingly healthy women as much as 30 years before a major event like a heart attack or stroke. This means that with just a simple blood test, women could gain valuable insight into their future heart health.

Why These Biomarkers Matter

Let’s break down these three biomarkers:

  1. LDL Cholesterol: Often referred to as “bad cholesterol,” LDL contributes to the buildup of fatty deposits in arteries, a well-known risk factor for heart disease.
  2. High-Sensitivity CRP: This marker measures inflammation in the body, which can indicate the presence of atherosclerosis—a condition where the arteries become narrowed and hardened due to plaque buildup.
  3. LP(a): This is a type of lipid that can accumulate in blood vessels and form artery-clogging plaques, similar to LDL cholesterol. What makes LP(a) particularly tricky is that its levels are largely inherited, and many people with high levels of LP(a) may not have any symptoms.

The Power of Early Detection

One of the most striking findings of the study was how these biomarkers, when considered together, provide a more comprehensive picture of cardiovascular risk. Women with high levels of all three biomarkers were nearly three times more likely to experience a major heart event and almost four times more likely to suffer a stroke compared to those without elevated levels.

This tells us that these risk factors are not just individual red flags but work together to significantly increase the risk of heart disease. By understanding this, women and their healthcare providers can take proactive steps to monitor and proactively manage heart health much earlier in life.

Taking Action

What’s encouraging is that these tests are widely available and relatively inexpensive, costing about $10 to $12 each. Yet, despite their availability, many doctors don’t routinely check these markers, particularly CRP and LP(a). So, if you’re a woman in midlife, it might be worth discussing these tests with your doctor during your next visit.

The implications of this study are clear: women’s heart health needs to be a priority. Early detection and proactive management are key to preventing heart disease. As women, we often take care of everyone around us, but it’s time to put our heart health at the forefront. By being informed and advocating for comprehensive testing, we can better manage our risks and lead healthier, longer lives.