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❤️ Why Heart Disease Looks Different in Black and Brown Women

black women's health doctor eno advocates doctor eno says health advocacy health tips heart health heart health month independent health advocate women's health Feb 09, 2026
 

🌸 Introduction

Heart disease is the leading cause of death for women in the United States.

However, it may be surprising to learn that, particularly in women, heart disease does not always look the way the public has been taught to expect.

❌  It doesn't always begin with dramatic chest pain.
❌  It doesn't always feel "serious enough" to seek care.

❌ Too often, it isn't taken seriously when women do speak up.

So understanding how heart disease manifests in women—and more importantly, how race and bias influence care—is an essential step in protecting your health as a woman of color.

 

🫀 Heart Disease in Women Often Looks Subtle

Many women do not experience the classic "crushing chest pain" seen in movies.

Instead, their symptoms may include:

✔️ Unusual fatigue
✔️ Shortness of breath
✔️ Nausea or indigestion
✔️ Jaw, neck, or back pain
✔️ Dizziness
✔️ Sleep disturbances
✔️ Anxiety-like sensations

Let's face it, these symptoms are often easy to dismiss—not only by healthcare providers, but also by women themselves. 

For Black and Brown women, these symptoms are even more likely to be minimized by the healthcare system.

 

 

📊 Why Black and Brown Women Face Higher Risk

 

Research consistently shows that Black and Brown women experience:

🔹 Higher rates of high blood pressure and diabetes
🔹 Earlier onset of cardiovascular disease
🔹 More pregnancy-related complications
🔹 Higher exposure to chronic stress
🔹 Greater barriers to consistent care

These factors do not exist in isolation.  They accumulate over time.

Heart disease risk is shaped by biology, environment, access, and lived experience.  These could include family history, hormonal changes, career challenges such as long workdays, caregiving responsibilities, financial pressure, limited access to preventive care, and past experiences of being dismissed or unheard in medical settings.

These experiences have lasting effects on the body, influencing both physical, mental, and emotional health as well as a woman's sense of safety when seeking care.

 

⏱️ The Role of Bias and Time Pressure in Care

 

Let's face it, most clinicians want to provide excellent care; that's why we went through years of grueling medical training.  But our modern healthcare is fast, fragmented, and overloaded.

In  such a fast-paced healthcare environment:

⚠️ Subtle symptoms are easy to miss
⚠️ Women's pain is more likely to be minimized
⚠️ Emotional distress may be mistaken for anxiety
⚠️ Structural bias can influence decisions unconsciously

This can lead to delayed diagnosis and missed prevention opportunities.

 

🌿 Why "Listening to Your Body" Is Not Enough

 

As women, we are often told to "trust our instincts." I frequently advise both my female clients to lean into their intuition.  However, this advice, though important, is not complete. 

You can sense that something is wrong and still struggle to get clear answers.
You can know you don't feel like yourself and still be told that "everything looks normal."You can feel concerned and still leave appointments uncertain about next steps.

That is not because you failed to speak up.
It is because our modern healthcare system is not designed to translate instincts into action without the necessary Support.

In today's system, protecting your health requires more than awareness.


It requires:

Information — understanding what your symptoms and test results actually mean
Contextknowing how your personal history affects your risk for illness
Preparationentering appointments with focused questions
Support — having someone help you connect the dots over time

Most women are never taught how to do this.

 

🌟 The CLEAR™ Navigation Path: A Framework for Navigating Healthcare with Confidence

Over the years—through clinical practice, advocacy work, and my own personal health journey—I began to notice a pattern.

Women were not struggling because they didn't care about their health. They were struggling because they had no clear roadmap. They found they were navigating complex systems without structure, guidance, or continuity.

After careful thought, I developed the CLEAR™ Navigation Path—a proprietary framework designed to help women navigate the healthcare system with clarity, intention, and confidence.

CLEAR™ is not about learning medical jargon or making healthcare mysterious or "difficult."

💡 It is about having a thoughtful process for making sense of care.  YOUR CARE. 

Here's how it works:

C — Clarify the Medical Landscape

Understand what is known, what is uncertain, and what truly requires attention.

L — Lead the Care Strategy

Establish priorities, align providers, and create a coherent plan.

E — Evaluate Options Thoughtfully

Weigh benefits, risks, and personal values before making decisions.

A — Advocate with Confidence

Communicate clearly, ask focused questions, and ensure your concerns are addressed.

R — Regroup and Reassess

Adjust the plan as new Information emerges and life circumstances change.

This proprietary framework ensures that your care is neither reactive nor fragmented. That way, it becomes intentional, coordinated, and aligned with your life.

CLEAR™ reflects the way experienced clinicians think—but in a form that their patients can actually use.

CLEAR™ transforms confusion into clarity, and anxiety into informed action.

CLEAR™ exists because women deserve more than scattered Information. They deserve structured Support.

 

💖 Here's An Invitation

 

If you’ve been feeling uncertain, dismissed, or overwhelmed by your care, you don’t have to carry that alone.

In a free 30-minute Discovery Session, we can have a one-on-one conversation to understand what's happening, what matters most right now, and how to move forward with confidence.

There is no pressure.  No obligation. Just clarity, Support, and thoughtful guidance.

👉 Book your FREE session by clicking here.

 

📖 You may also like Doctor Eno Says- Metabolic Health & Your Heart- What Every Woman Needs to Know.

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