### Heart Health Risks for American Indian/Alaska Native Women During Pregnancy Heart disease is the leading cause of death among U.S. adults, and American Indian/Alaska Native (AI/AN) women face particularly high risks during pregnancy. To address this, the American Heart Association (AHA) has released guidelines focusing on cardiovascular health for AI/AN women of childbearing age. These guidelines cover common risk factors like high blood pressure, high LDL cholesterol, type 2 diabetes, obesity, and smoking. They also consider the impact of intergenerational trauma and mistrust in the healthcare system. Dr. Jason Deen, a pediatric cardiologist and one of the guideline authors, emphasizes the need to address these issues holistically. He notes that systemic racism and historical trauma have contributed to health disparities, affecting economic stability, healthcare access, and social conditions. For example, unhealthy diets resulting from forced relocations have led to obesity and related health issues. The AHA's guidelines include “Life’s Essential 8,” which are modifiable health risk factors crucial for preventing cardiovascular disease. Additionally, addressing intergenerational trauma and building trust within AI/AN communities are essential steps. This involves shifting from a Western model of healthcare, which focuses on treating disease, to a more holistic approach that emphasizes prevention and community well-being. Dr. Deen also highlights the importance of involving Native communities in research and healthcare planning. Building relationships and understanding community needs are key to effective interventions. Increasing the number of Native healthcare professionals and researchers can also help improve health outcomes. Ultimately, improving heart health for AI/AN women requires systemic changes and a focus on creating healthier environments. This includes addressing social determinants of health and fostering a sense of cultural identity and community support.