A new scientific statement from the American Heart Association, published in its flagship journal Circulation, projects that by 2050, 6 in 10 U.S. women will have at least one type of cardiovascular disease (CVD). The rising threat is fueled by increasing rates of high blood pressure, diabetes, and obesity, with nearly 32% of girls ages 2-19 expected to have obesity by 2050. The report highlights that CVD, including heart disease, heart failure, atrial fibrillation, and stroke, remains the leading cause of death for women.
Dr. Stacey E. Rosen, volunteer president of the American Heart Association and executive director of the Katz Institute for Women’s Health at Northwell Health, emphasized that risk factors begin early in life and are exacerbated by social determinants such as poverty, low literacy, and rural residence. However, the statement also notes positive trends: rates of high cholesterol are expected to decline, and improvements in healthy eating, physical activity, and smoking cessation are anticipated.
The most effective approach to reducing CVD prevalence is prevention, focusing on the American Heart Association's Life’s Essential 8: four health behaviors (eat better, be more active, quit tobacco, get healthy sleep) and four health factors (manage weight, control cholesterol, manage blood sugar, manage blood pressure). The statement recommends promoting healthy choices in schools, community centers, and clinics, using digital tools to reinforce positive changes.
Managing chronic conditions early, especially for women at higher risk, is crucial. Coordinated care across life stages—from pediatricians recognizing early menstrual periods as a risk signal to integrated care before, during, and after pregnancy—can help. Research on menopause and hormone therapy’s impact on heart health should continue. Health systems must address social challenges like access to healthy food, transportation, and safe housing to design effective interventions.
For the full report and more advice, visit Heart.org.
