Heart Disease Archive

Electrical cardioversion is a procedure that uses low-energy shocks to convert a rapid or irregular heartbeat back to a normal rhythm. People remain asleep during the brief procedure, so they don't feel anything.

Mammograms are still the gold standard method for breast screening, but additional imaging tests can help detect cancers that might otherwise be missed in women with dense breasts or other breast cancer risk factors. Ultrasound is inexpensive but has a high false-positive rate if used alone. MRI is expensive but very accurate for tumor detection. Three-dimensional mammograms are highly accurate but have a 50% false-positive rate over a decade of yearly screening in women ages 40 to 79.

About one in 11 men ages 65 and older has atrial fibrillation (afib), a heart rhythm disorder that causes an irregular and often faster-than-normal heartbeat. Afib can be persistent and chronic, or it can happen intermittently. People might have no symptoms with either variety, or afib can cause lightheadedness, shortness of breath, chest pain, or extreme fatigue. But the biggest worry is a fivefold increased risk of stroke. The main treatment choices for people are rate control with medication, or rhythm control, done with medication or a procedure such as electrical cardioversion or catheter ablation.

COVID survivors—even those with mild infections—appear to face a higher risk of cardiovascular problems such as heart failure, heart attack, and stroke for up to one year after their initial infection. People who were hospitalized (especially those who ended up in the intensive care unit) may have the highest risk. The virus that causes COVID can injure blood vessels and triggers an immune response that promotes the formation of blood clots in arteries and veins throughout the body and brain.

The long-held assumption that light to moderate drinking is good for a person's heart is likely inaccurate. A new study using sophisticated genetic tools suggests that the risk of high blood pressure and coronary artery disease rise for any quantity of alcohol consumption. The added risk is low when people consume up to a single drink per day but rises exponentially at levels above seven drinks per week. This added risk applies to a first-time diagnosis of heart disease and not to people already diagnosed with a heart problem (who might well face even greater risk).

Doing 30 to 60 minutes per week of strength training exercises is linked to a lower risk of premature death in general, and from heart disease in particular. Regular strength training may improve heart health by lowering the risk of blood pressure and metabolic syndrome. Body-weight exercises such as standing lunges and bench push-ups are a convenient way to build muscle because they can be done anywhere, without the need for special exercise equipment.

Some studies have found that drinking any amount of alcohol is unhealthy. But more than 100 large studies have found that people who have one drink per day have lower risks of cardiovascular disease. How can both be true? It depends on a person's current state of health, lifestyle habits (such as diet, exercise, and smoking), family history of disease, and the quantity of alcohol consumed. People who don't usually drink have no need to start: there are better ways to achieve a healthy heart.

In a study published online Feb. 14, 2022, by the journal Heart, people ages 65 or older who exercised at least 20 minutes per day—especially men ages 70 to 75—had fewer heart attacks and a lower risk of premature death, compared with people who didn't exercise.

Misperceptions and biases about obesity can derail progress against this common disease, which affects 42% of Americans and is linked to many serious health problems, including heart disease. Bias and stigma against people with obesity is widespread, often due to a belief that poor choices and lack of motivation are the only causes. But a number of interconnected factors are involved, including an obesity-promoting environment, lack of physical activity, genetics, insufficient sleep, mental health issues, and certain medications.

Social isolation and loneliness are other significant risk factors for cardiovascular disease in older women.