MONDAY, May 19 (HealthDay News) -- Women who want to keep their hearts in tip-top shape face the fewest challenges in Minneapolis, Washington, D.C., and San Francisco.

Those three cities top the list of the 10 most heart-healthy U.S. metropolitan areas for women, a list that's dominated by western communities.

But the list, released Monday by the American Heart Association, also found the 10 metropolitan areas -- mostly in the South and the Midwest -- that spell trouble, with Nashville, Tenn., St. Louis and Detroit deemed the least friendly major cities for women's heart health.