The “Silent” Killer for Men

By Dr. Aneley Yegezu Hundae, M.D., FACC

silent killerThe term heart disease refers to several types of heart conditions, including coronary artery disease and heart attack, heart failure; arrhythmia, among others. Heart disease is the leading cause of death for men in the United States, killing 357,761 men in 2019—that’s about 1 in every 4 male deaths.

Heart disease is the leading cause of death for men of most racial and ethnic groups in the United States, including African Americans, American Indians or Alaska Natives, Hispanics, and whites. For Asian American or Pacific Islander men, heart disease is second only to cancer.

About 1 in 13 (7.7%) white men and 1 in 14 (7.1%) black men have coronary heart disease. About 1 in 17 (5.9%) Hispanic men have coronary heart disease.
Half of the men who die suddenly of coronary heart disease had no previous symptoms. Even if you have no symptoms, you may still be at risk for heart disease.

What are the symptoms of heart disease?
Sometimes heart disease may be “silent” and not diagnosed until a man experiences signs or symptoms of a heart attack, heart failure, or an arrhythmia. When these events happen, symptoms may include:

• Heart attack: Chest pain or discomfort, upper back or neck pain, indigestion, heartburn, nausea or vomiting, extreme fatigue, upper body discomfort, dizziness, and shortness of breath.

• Arrhythmia: Fluttering feelings in the chest (palpitations)

• Heart failure: Shortness of breath, fatigue, or swelling of the feet, ankles, legs, abdomen, or neck veins.

Even if you have no symptoms, you may still be at risk for heart disease.

What are the risks for heart disease?
In 2013–2016, 47% of men had hypertension, a major risk factor for heart disease and stroke. Several other medical conditions and lifestyle choices can also put people at a higher risk for heart disease, including diabetes, overweight and obesity, unhealthy diet, physical inactivity, and excessive alcohol use.

How can I reduce my risk of heart disease?
To reduce your chances of getting heart disease, it’s important to do the following:
• Know your blood pressure. Having uncontrolled blood pressure can result in heart disease. High blood pressure has no symptoms so it’s important to have your blood pressure checked regularly. Learn more about high blood pressure.
• Talk to your health care provider about whether you should be tested for diabetes. Having diabetes raises your risk of heart disease.
• Quit smoking. If you don’t smoke, don’t start. If you do smoke, learn ways to quit.
• Discuss checking your cholesterol and triglyceride levels with your health care provider.
• Make healthy food. Having overweight or obesity raises your risk of heart disease.
• Limit alcohol intake to one drink a day.
• Lower your stress level and find healthy ways to cope with stress.

Dr. Aneley Yegezu Hundae, M.D., FACC invasive cardiology and advanced heart failure management Dr. Hundae received his Premedical and Doctor of Medicine Degree from Jimma University School of Medicine. He completed his Internal medicine Residency at Mercer University School of Medicine. His Heart Failure/Heart Transplant fellowship at the University of Miami Cardiovascular Fellowship Program. Cardiovascular fellowship at Baylor University Medical Center.

Board certifications
• Cardiology
• Advanced Heart Failure and Transplant
• Nuclear Cardiology
• Comprehensive Echocardiography
• Internal Medicine