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COVID-19 and cardiovascular concerns: An evolving story

Physicians’ understanding of how a COVID-19 infection affects the heart is still evolving. More definitive answers require long-term, randomized clinical trials that control for different factors (including varied medical histories and medication use) to study how COVID-19—and possible therapies—affect people who have or are at risk for heart disease. Like other infectious organisms, SARS-CoV-2 (the virus that causes COVID-19) can increase the risk of blood clots and may damage the heart, but the danger is less common than initial reports suggested.

Plant-based diet quality linked to lower stroke risk

People who ate healthy plant-based foods had a 10% reduction in stroke risk, compared with people who ate unhealthy plant-based foods, according to a Harvard study published online March 10, 2021, by the journal Neurology.

Diastolic blood pressure: Worth a second look?

A diastolic blood pressure reading lower than 60 mm Hg may be linked to an increased risk of heart attack and stroke in people at high cardiovascular risk. Diastolic pressure tends to fall with age. Some people with a low reading have a leaky aortic valve, which interferes with normal blood circulation throughout the heart and causes diastolic pressure to fall. But in people with healthy aortic valves who can be physically active without any symptoms (such as chest pressure, shortness of breath, or lightheadedness), a low diastolic blood pressure should not pose a problem.

Is a "normal" blood pressure reading too high for women?

A study published Feb. 16, 2021, in Circulation found that women with blood pressure readings in a normal range may still be at higher risk for cardiovascular events. For example, heart attack risk in women rose at a systolic (the upper number) reading of 110 to 119 millimeters of mercury (mm Hg) and was the same at this level as men with a systolic pressure of 160 mm Hg. But experts say it’s too soon to change blood pressure recommendations for women until more research confirms the results.

Pandemic weight gain: Not your imagination

A study described in a research letter published March 22, 2021, by JAMA Network Open found that participants steadily gained weight during the first part of the pandemic, from February to June 2020.

Fruit of the month: Berries

Strawberries and blueberries are rich in beneficial plant compounds known as anthocyanins, which give berries their vibrant red, blue, and purple hues. Several studies have linked diets with anthocyanin-rich foods to better heart health.

A longevity formula: Three vegetables plus two fruits a day

Eating two servings of fruit and three servings of vegetables daily is linked to a lower risk of dying of cardiovascular disease. The healthiest choices include leafy greens, carrots, berries, and citrus fruits.

American Heart Association issues statement on cardiovascular side effects from hormonal therapy for prostate cancer

The American Heart Association issued a statement addressing cardiovascular risks from hormonal therapy for prostate cancer, emphasizing the need to identify men with pre-existing cardiac risk factors or a family history of cardiovascular diseases who should be monitored closely during treatment.

Can you avoid macular degeneration?

You have the power to reduce certain risk factors for the disease.

We've come a long way in our understanding and treatment of age-related macular degeneration (AMD), the leading cause of vision loss for people ages 50 or older in the United States. We've learned that certain genes and lifestyle factors increase the risk for developing AMD, and discovered treatments that often slow the disease's progression.

Yet for all our advances, we still don't have a guaranteed way to prevent AMD. You are at greater risk if one of your parents had the condition. "One needs to be concerned, but it doesn't mean you're destined to get it. It's a complex disease, and it takes a combination of factors for it to develop," says Dr. Joan W. Miller, chief of ophthalmology at Harvard-affiliated ­Massachusetts Eye and Ear and ophthal­mology chair at Harvard Medical School.

Excess weight linked with worse heart health even if you exercise

In the journals

Can you be "fat and fit" — that is, overweight but still healthy because of regular exercise? There is no simple answer. But one study says that activity does not entirely reverse the effects weight has on heart health. The findings were published online Jan. 26, 2021, by the European Journal of Preventive Cardiology.

The study involved more than 527,000 adults, almost 70% of whom were men. People were placed into three groups based on their body mass index (BMI): normal, overweight, and obese. They also were grouped by activity level: regularly active (the minimum requirement from the World Health Organization, or WHO); insufficiently active (less than the WHO minimum, but some moderate to vigorous physical activity every week), and no exercise.

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