Heart Disease Archive

A large waistline - 35 inches or more in women or 40 inches or more in men - can signal the presence of visceral fat. Located deep within the abdominal cavity, visceral fat pads the space around the organs and is closely linked to cardiovascular problems. Getting regular exercise (both aerobic and strength-based) and following a healthy, reduced-carbohydrate diet can help reduce visceral fat. Time-restricted eating may also help.

A nonsurgical approach for replacing a damaged aortic valve, known as transcatheter aortic valve replacement (TAVR), has become very popular in recent years. But it may not make sense for people in their 60s, who are likely to need a second valve replacement later in life. The valves used in TAVR only last about 10 years, on average. In addition, diagnosing and treating coronary artery disease may be more challenging in people who've had TAVR. Also, the surgery to replace a failed TAVR valve is more complicated than regular valve replacement surgery. So people who are likely to need least one traditional valve surgery are better off having the surgery in their 60s rather than in their 70s. A TAVR can be done the second time around.

Harvard Medical School professor Dr. Eugene Braunwald, known as "the father of modern cardiology," identified five promising future trends in cardiology. They include (1) using polygenic risk scores in newborns for early prevention of heart disease; (2) the emergence of a battery of drugs to treat inflammation; (3) improvements in cardiac cell therapy for repairing damaged hearts; (4) the development of smaller, more powerful, and less expensive left ventricular assist devices; and (5) transplanting genetically modified pig hearts into humans.

A 2023 analysis suggests that men older than age 70 can fight declining testosterone levels by engaging more in healthy lifestyle behaviors like increasing exercise, losing weight, and managing high blood pressure.

Dietary choices can influence weight, blood pressure, cholesterol levels, and blood sugar levels, all factors that can determine a person's risk for heart disease, heart attack, and stroke. Adopting certain eating habits can help manage these factors. These include reducing the intake of saturated fat and refined sugar that are included in many processed foods, eating more healthy monounsaturated and polyunsaturated fats, and following a plant-based diet like the Mediterranean or DASH diet.

Men who report specific types of job-related stress face a higher risk of heart disease than those without such stress, according to a 2023 study.

A 2023 study suggests that a "weekend warrior" exercise pattern, in which people concentrate their exercise into one or two days weekly, can lower cardiovascular risks as effectively as a pattern of spreading exercise out over the week.

People who climb more than five flights of stairs—about 50 steps—daily may lower their risk of cardiovascular disease, according to a 2023 study.

For people with chronic coronary disease who do not have symptoms, new guidelines recommend against routine testing with cardiac CT angiography, echocardiography, and stress testing. The results are unhelpful—and in some cases harmful. Unclear results often general additional testing or unnecessary procedures, including some that expose people to radiation for no reason. In addition, the tests add expense without any corresponding benefit, and these costs are increasingly being passed back to patients, in the form of copayments or higher premiums.

A 2023 study found that the more steps people take, the lower their risk of dying from cardiovascular disease, with the benefits starting with as few as 2,300 steps per day.