Diabetes is a more significant risk factor in women [11]
Quadruples the risk of developing heart disease in women [5]
Doubles the risk of developing heart disease in men [5]
Women may have increased LV wall thickness relative to men with diabetes mellitus [11]
Women suffer greater wall thickening as glucose tolerance worsens [12]
Alcohol and tobacco
More likely to be abused by men with HF [10]
Men have a higher prevalence of alcoholic cardiomyopathy
Female smokers have a 1.57 times greater risk for developing cardiovascular disease than men who smoke [4].

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4. American Heart Association. Heart and Stroke Statistical Update. Dallas, Tex: American Heart Association; 2002.
5. Haffner S. Management of dyslipidemia in adults with diabetes (technical review). Diabetes Care. 1998;1:160-178.
10. Ho KK, Pinsky JL, Kannel WB, Levy D. The epidemiology of heart failure: the Framingham study. J Am Coll Cardiol. 1993;22:6A-13A.
11. Jessup, M. and Pina, I. L. Is it important to examine gender differences in the epidemiology and outcome of severe heart failure? The Journal of Thoracic and Cardiovascular Surgery. 2004;127:5 1247-52
12. Pijna, IL, Buchter C. Heart Failure in Women. Cardiology in Review. 2003;11(6):337-344.