5 leading causes of heart attacks in Black women under 35

It’s crucial to recognize signs of heart disease early and take proactive steps to manage risk factors
heart attacks
Photo credit: Shutterstock.com / Antonio Guillem

Heart disease is often viewed as an issue primarily affecting older adults. However, the alarming rise in heart attacks among Black women under 35 challenges this misconception. This demographic faces unique health challenges, leading to an increased risk of heart disease and related complications at a young age. Understanding these leading causes is crucial for prevention and early intervention.


1. Hypertension

Hypertension — commonly known as high blood pressure — is a significant contributor to heart attacks in Black women under 35. Often referred to as the “silent killer,” hypertension frequently goes undiagnosed until it manifests as a more severe condition, like a heart attack. The prevalence of hypertension in Black communities is notably higher due to a combination of genetic, socioeconomic and lifestyle factors. For young Black women, this risk is compounded by stress, poor dietary habits and limited access to preventive health care.


Managing hypertension requires a proactive approach, including regular monitoring, dietary changes and stress management techniques. Unfortunately, many young women are unaware of their condition until it’s too late, making education and regular health screenings vital components of prevention.

2. Diabetes

Diabetes is another significant risk factor for heart disease, particularly in Black women. This chronic condition leads to high blood sugar levels, which can damage blood vessels and the heart over time. Black women are at a higher risk of developing diabetes due to genetic predisposition and lifestyle factors, such as diet and physical inactivity.


Young Black women with diabetes often face challenges in managing the disease, including limited access to health care resources, cultural dietary preferences and a lack of awareness about the condition’s seriousness. As diabetes progresses, it significantly increases the risk of heart attacks, making early diagnosis and effective management critical.

3. Stress and mental health

The impact of stress on heart health cannot be overstated, especially in the context of young Black women. This group often faces unique stressors, including racial discrimination, economic challenges and the pressure to balance multiple roles within their families and communities. Chronic stress can lead to harmful behaviors, such as poor dietary choices, smoking and alcohol consumption, all of which increase the risk of heart disease.

Moreover, the stigma around mental health in the Black community often prevents young women from seeking help. This can lead to untreated anxiety and depression, further exacerbating stress levels and increasing the likelihood of heart-related issues. Addressing mental health with the same urgency as physical health is essential in reducing the risk of heart attacks.

4. Obesity and sedentary lifestyle

Obesity is a well-known risk factor for heart disease, and it is particularly prevalent among Black women under 35. A sedentary lifestyle, combined with poor dietary habits, contributes significantly to weight gain and associated health risks. Obesity increases the strain on the heart, leading to conditions such as hypertension, diabetes and eventually, heart attacks.

The cultural acceptance of larger body sizes within some communities can also play a role in the underestimation of the risks associated with obesity. Encouraging a balanced diet, regular physical activity and an understanding of the health implications of obesity is vital in combating this issue.

5. Lack of access to health care and preventive measures

Access to health care is a critical factor in preventing heart attacks, yet many young Black women face barriers in obtaining the care they need. Socioeconomic factors, lack of health insurance and systemic biases within the health care system often result in inadequate care. This can lead to the underdiagnosis of conditions like hypertension and diabetes, which are key contributors to heart disease.

Moreover, preventive measures, such as regular checkups, screenings and education about heart health, are less accessible to this demographic. The lack of preventive care means that many young Black women only discover they have a serious heart condition when it’s too late. Expanding access to health care and creating culturally sensitive educational programs are essential steps in addressing this issue.

Prioritizing heart health in young Black women

The rising incidence of heart attacks among Black women under 35 is a serious public health concern that requires immediate attention. Hypertension, diabetes, stress, obesity and lack of access to health care are all significant contributors to this troubling trend. Addressing these factors involves more than just treating the symptoms; it requires a comprehensive approach that includes education, preventive care and addressing the social determinants of health that disproportionately affect Black women.

As a community, it’s crucial to recognize the signs of heart disease early and take proactive steps to manage the risk factors. This includes advocating for better access to health care, encouraging healthy lifestyle choices and breaking the stigma around mental health. By prioritizing heart health, we can help reduce the incidence of heart attacks in young Black women and ensure they lead long, healthy lives.

In an era where heart disease is increasingly impacting younger generations, especially within the Black community, we must all work together to raise awareness and promote heart health from a young age. This means fostering environments where Black women have the resources, support, and knowledge they need to protect their hearts and, ultimately, their futures.

This story was created using AI technology.

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