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If stress itself is a risk factor for heart disease, it could be because chronic stress exposes your body to unhealthy, persistently elevated levels of stress hormones like adrenaline and cortisol. Studies also link stress to changes in the way blood clots, which increases the risk of heart attack.
Although men tend to develop coronary artery disease earlier in life, after age 65 the risk of heart disease in women is almost the same as in men. Women have many of the same risk factors for heart disease as men, such as smoking, high blood pressure, and high cholesterol. Diabetes is a particularly important risk factor for developing heart disease in women. The symptoms of heart disease in diabetic women can be very subtle.