Medical Director & Cardiologist
Atria Institute
Clinical Associate Professor, NYU Grossman School of Medicine
A National Spokesperson for the American Heart Association
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 Clinical Associate Professor of medicine at NYU Grossman School of Medicine. She was the Co-Medical Director of the 92nd Street Y’s Cardio Rehab Program. Dr. Goldberg is a cardiologist, author, and podcast host of “Beyond the Heart – Improving Your Health One Conversation at a Time,” 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. Before joining Atria New York City, she was medical director of NYU Women’s Heart Program, Senior Advisor of Women’s Health Strategy NYU Langone Health, the founder, and Medical Director of the Joan H. Tisch Center for Women’s Health at the NYU Langone Medical Center.
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Young women rarely worry about having a heart attack. They assume they're not at risk, but nothing could be further from the truth. Heart disease is not just something your mother or grandmother needs to be concerned about.
You may be at increased risk of heart disease if you have or have had certain conditions, including:
An autoimmune disease, such as lupus or psoriatic arthritis
Gestational diabetes
Hypertension of pregnancy
Preeclampsia during pregnancy
Fibromuscular dysplasia
Autoimmune diseases create inflammation, which in turn triggers a buildup of plaque in the arteries.
Fibromuscular dysplasia, which affects blood vessels, is found with far greater frequency in women. It increases the chances of a rare type of heart attack called a spontaneous coronary artery dissection (SCAD). Instead of a heart attack caused by a clot—a myocardial infarction—a SCAD is caused by an acute tear in a coronary artery. Women with fibromuscular dysplasia should be monitored regularly by their health care professional and avoid high-intensity interval exercise and extreme emotional stress.
Warning signs of a SCAD are similar to other heart attack symptoms in women, including tightness or pressure in the chest, shortness of breath, fainting and extreme fatigue. It's important to note that a SCAD can happen to women who do not live with fibromuscular dysplasia and having the disorder doesn't mean you will have a SCAD heart attack.
Problems during pregnancy also increase risk for younger women, particularly gestational diabetes, high blood pressure and preeclampsia. African-American women and older mothers are particularly vulnerable. If you have high blood pressure during your pregnancy, it's important to be monitored frequently while pregnant and get regular checkups afterward. High blood pressure often returns after the baby is born.
With regular care and good maintenance, risk to your heart can be reduced. A lifestyle that includes a heart-healthy diet, regular exercise, proper medication and reducing sodium and alcohol can help you and your heart have a long and healthy life.
