Do men and women heart beat differently? Does being more sensitive cause heart disease in women?

Cardiology Specialist Dr. Aslıhan Eran Ergöknil talked about the differences between male and female hearts. Dr. Ergöknil said, “There are many differences between men and women. We can say that the hearts of men and women ‘beat’ differently. There are important distinctions in the heart and circulatory system in terms of both disease risk and symptoms, and response to medication. However, although women seem a little unlucky in terms of cardiovascular health, they can prevent risks with a healthy lifestyle. For example, even just avoiding exercise and smoking can protect women from these diseases, ”he says.

The structure and mode of action of the heart is basically the same in both men and women, but there are various differences in size, function and response to risk factors. Dr. Aslıhan Eran Ergöknil lists these differences as follows:

1. Men’s hearts are bigger than women. Heart weight is calculated based on weight. In males, the heart is approximately 5.7 g / kg body weight, while in females it is only 4.8 g / kg. Accordingly, while the average heart weight of women is 200-280 grams, it varies between 250-390 grams for men.

2. A woman’s heart beats faster than a man’s heart to meet her oxygen needs. While the female heart beats approximately 70 times a minute, this number decreases to 60 in men.

3. 57.8 percent of those diagnosed with heart disease are men and 42.2 percent are women. However, heart disease progresses more severely in women.

4. Women are 8 percent more likely to die from heart disease than men. The most important reason for this is that many women are not aware of the risk and cannot interpret heart attack symptoms correctly.

5. Heart attack shows different symptoms in women. Classical symptoms such as sharp pain and severe tension in the left chest cavity are less common in them. However, shortness of breath, pain between the shoulder blades and upper abdomen, nausea and vomiting are more likely. For this reason, women can be late when they cannot accurately detect the signs of a heart attack.

6. Women with diabetes are 50 percent more likely to die from heart disease than men. Researches; It shows that diabetes, smoking, obesity, and psychological and social stress factors affect women more negatively.

7. Vascular diseases are caught later in women. Among diagnosed patients, women are, on average, 10 years older than men.


Emphasizing that in addition to the differences in the male and female hearts, the blood and vascular structure also have gender-specific characteristics.

“Women’s blood contains almost a quarter less hemoglobin (the iron-rich protein stored in red blood cells). Since hemoglobin carries oxygen in the blood, oxygen transport to the organs is lower than that of men. Oxygen supply decreases with age. While this rate is 1 percent per year for men, it decreases by 0.8 percent for women. ”


Since the vascular structure of women is thinner and more sensitive than men, even small pieces of plaque (fat accumulated in the vein) cause shrinkage. Small thrombi (the mass that adheres to the heart and vascular surface) can completely cover the veins. Providing information about the effects of female hormones on diseases, Cardiology Specialist Dr. Aslıhan Eran Ergöknil draws attention to the following points:

“Natural estrogen has a positive effect on fat metabolism and therefore on cholesterol level. This is one of the reasons young women are less prone to vasoconstriction (narrowing of the arteries). In addition, female hormones have a vasodilating effect. This effect also helps protect women from coronary heart disease, at least until menopause. However, women entering menopause should be careful with hormone replacement therapy. Because these hormones have effects on blood coagulation. There is an increased risk of thrombosis, especially if there are other risk factors such as smoking, high cholesterol or blood pressure. It should not be forgotten that depending on the dose, hormones given through birth control pills may increase the risk of thrombosis, heart attack and stroke. “


An unhealthy lifestyle strikes women more often. Noting that the risk of heart disease is higher in women who smoke, Dr. “In addition, diabetes increases the risk of heart attack in women more than twice compared to men. “Daily stress and depression also have a big impact on women,” he says.


The approach to the disease is one of the differences between men and women. Stating that women generally tend to underestimate their heart problems, Dr. Aslıhan Eran Ergöknil said, “He is tired of chest pain and palpitations, extraordinary emotional situations. It is considered as a temporary and insignificant discomfort. However, men pay more attention to their complaints than women and follow the doctor’s recommendations better, ”he says.

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