
Photo by Rich Schmitt, Staff Photographer
Noel Bairey Merz, M.D., a nationally recognized authority on preventive cardiology and women’s heart health, will receive the inaugural Dr. Carolyn McCue Woman Cardiologist of the Year Award on February 26 in Richmond, Virginia. The award, which includes national publicity and a $10,000 prize, will be presented by the Virginia Commonwealth University Pauley Heart Center. Merz, who lives in the Palisades Highlands, is director of the Women’s Heart Center and the Preventive and Rehabilitative Cardiac Center at the Cedars-Sinai Heart Institute. In addition, she holds the Women’s Guild Endowed Chair in women’s health and is a professor of medicine at Cedars-Sinai. The McCue Award, which honors the memory of one of the few cardiologists of her time and a pioneer in the field of pediatric cardiology, is meant ‘to encourage and inspire other young women to pursue careers in cardiology,’ said the McCue family.   ’Dr. Bairey Merz has devoted her professional life to improving women’s health,’ said Eduardo Marb’n, M.D., Ph.D., director of the Cedars-Sinai Heart Institute. ‘Through her research, we now have a much better understanding of the unique nature of heart disease in women.’ ‘Heart disease is the leading killer in women,’ Merz told the Palisadian-Post in a 2006 interview. ‘As a proportion, there are more strokes in women than in men.’ Every year since 1984, more women than men have died of heart disease in the United States. Both sexes suffer large-artery blockage, which means the artery lining becomes hardened and swollen with plaque (calcium and fatty deposits and abnormal inflammatory cells), minimizing or stopping blood flow. An angiography is used to diagnosis this condition. In women’s arteries, the plaque lining is smooth and even, unlike their male counterparts, which means the condition isn’t diagnosed through an angiogram and, quite often, is misdiagnosed because the symptoms for heart attacks in women are different from those in men. ‘Symptoms in women can include persistent chest pain or pressure,’ Merz said. ‘Patients describe it as a constricting band or ‘elephant on my chest’. They have fatigue and shortness of breath. Often the women have already had an angiogram and were told that nothing is wrong.’ Why do more women have small-artery disease? Women have smaller arteries than men and although size might be part of it, more probably it’s sex-related. ‘If you take a male donor and transplant that heart into a female, the arteries will not change, they will stay large,’ Merz said. ‘If you take a female heart and transplant it into a male, the arteries get larger.’ Available tests over the years have been geared towards the male and large-artery blockage. ‘Dr. Merz has made significant contributions to our understanding of how women’s hearts and arteries differ from men’s, and this award is a recognition of her body of work in this field,’ said P.K. Shah, M.D., a long-time colleague and former mentor of Merz, and director of the Division of Cardiology at the Cedars-Sinai Heart Institute. Merz has authored more than 170 peer-reviewed research papers and has been an invited presenter at more than 300 scientific meetings. ‘Merz truly exemplifies the qualities of McCue,’ said George Vetrovec, M.D., chair of the VCU School of Medicine’s Division of Cardiology. ‘She is a trailblazer, a prolific researcher, an inspiring educator and mentor, and a very fine cardiologist. Her groundbreaking work in both preventive cardiology and women’s heart health has advanced our knowledge base and given serious momentum to these critically important areas of our field.’ Merz and her husband Rob, also a cardiologist, have three daughters: Alexa, a triathlete and senior at Stanford; Caroline, a fencer at Princeton; and Allison, a junior at Harvard-Westlake.=