Welcome  to  public  health  moments from  the  University  of  Minnesota. Women  with  peripheral  artery  disease  or  AD  are two  to  three  times  more  likely  to  have a  stroke  or  heart  attack  than  those  without  it. Yet,  it's  often  unrecognized  and  untreated, especially  in  women  that's according  to  the  American  Heart  Association, AD  is  a  circulatory  disease  that  left untreated  can  increase  heart  attack  and  stroke  risk. University  of  Minnesota  cardiologist  Dr. Alan  Hirsch  says  relatively  few  women  are  aware  of  PAD. Currently,  the  burden  of peripheral  heart  disease  is as  high  or  higher  in  women  than  men. Less  than  1.4  women  are  at  risk  of  PAD, are  aware  of  it  and  the  risk  of  heart  attack  and stroke  is  as  high  as  it  would be  if  someone  had  already  suffered  a  heart  attack. Hirsch  provides  advice  for  women  and  for  providers. The  first  call  to  action  is  to  assure  that  women  at  risk. In  general,  women  over  the  age  of  50  or  with heart  disease  risk  factors  are  tested  for  PAD. One  of  the  call  to  actions, to  primary  care  clinicians and  to  women's  heart  health  programs  is to  recognize  that  the  risk  women is  not  only  the  direct  cardiac  risk, but  the  risk  of  PA  D.  This  is  a  message to  practice  holistically  and  to recognize  that  Aru  disease, whether  in  the  brain,  heart  or  legs, is  more  or  less  equal  for  public  health  moment. I'm  Mark  Abritton.