Think you live in a heart healthy city? The results of a recent study may surprise you. The American Heart Association’s Go Red for Women campaign, in association with Sperlings BestPlaces, ranked the best and worst heart health cities for women.

Topping the list of heart friendly cities for women include Minneapolis, Washington, DC and San Francisco. And the worst cities? With some of the highest female cardiac death rates in the country, Nashville, St. Louis and Detroit metro areas were among the most challenging places for women to lead a heart healthy lifestyle. In contrast, Minneapolis has the lowest female cardiac death rates, San Francisco women are among the thinnest and Washington, DC reported the lowest stress rates in the country.

The rankings were based on a number of factors. For instance, heart friendly cities had the lowest cardiac death rates for women, low hypertension and high exercise rates. The least friendly cities had high smoking and obesity rates and were not conducive to walking.

Top 10 Heart-Friendly Cities for Women

1.  Minneapolis—St. Paul-Bloomington
2.  Washington D.C.—Arlington, Va.—Alexandria, W.Va.
3.  San Francisco-San Jose-Oakland, Calif.
4.  Denver—Aurora, Colorado
5.  Boston—Cambridge—Quincy, Mass.
6.  Seattle—Tacoma—Bellevue, Wash.
7.  Portland—Vancouver—Beaverton, Ore.-Wash.
8.  San Diego—Carlsbad—San Marcos, Calif.
9.  Los Angeles—Long Beach-Santa Ana, Calif.
10.  Phoenix-Mesa-Scottsdale, Ariz.

Ten Least Heart-Friendly Cities for Women

1. Nashville-Davidson—Murfreesboro, Tenn.
2. St. Louis, Mo.
3. Detroit—Warren—Livonia, Mich.
4. Pittsburgh, Penn.
5. Dallas—Fort Worth—Arlington, Texas
6. Columbus, Ohio
7. Cincinnati—Middletown, Ohio—Ky.—Ind.
8. Las Vegas-Paradise, Nev.
9. Cleveland-Elyria-Mentor, Ohio
10. Indianapolis, Indiana

Source: American Heart Association; Fox News