Heart Disease Archive

Stimulant medications, which are usually prescribed to treat attention deficit disorder in children, are being prescribed increasingly to older adults. These drugs may cause a short-term spike in the risk of heart-related problems, including heart attacks, strokes, and arrhythmias. Dietary supplements that promise weight loss or better physical or mental performance may contain prohibited, unlisted, and potentially dangerous stimulants.

Moderate-to-vigorous exercise appears to be the best way to boost cardiorespiratory fitness (CRF), which quantifies how well the heart and lungs supply oxygen to the muscles during physical activity. Higher CRF during midlife is linked to a lower risk of conditions closely tied to heart disease (including early signs of atherosclerosis, high blood pressure, and diabetes) later in life.

Up to 7% of people ages 50 and older (mostly male smokers) have abdominal aortic aneurysms (AAAs). In rare cases, these balloon-like pouches can expand and rupture with little warning, which can be life-threatening. Medicare covers screening tests for AAA for men ages 65 to 75 who have smoked at least 100 cigarettes in their lives and for anyone with a family history of AAA.

Nitrates are added to processed meats (such as bacon, ham, and deli meats) and are found naturally in leafy green vegetables (such as spinach and kale). But it's not clear how crucial these molecules are compared with other components of those foods, as dietary nitrate levels don't appear to affect heart disease risk. However, nitrate-based drugs are used to treat angina, a common symptom of coronary artery disease.

A study published online Oct. 4, 2021, by the journal Medicine & Science in Sports & Exercise found that about 46,000 U.S. cancer cases per year can be attributed to getting less than 300 minutes of moderate-intensity exercise per week.

A study published Nov. 16, 2021, in PLOS Medicine found that drinking two to three cups of coffee as well as two to three cups of tea per day was associated with substantially lower risks for dementia and stroke, compared with drinking no coffee or tea.

A study published online Aug. 26, 2021, by The Lancet found that blood pressure treatment protects against heart attacks, strokes, and other major cardiovascular disease problems in people up to age 85 and possibly older. For people younger than 75, the study confirmed that people taking blood pressure medicines had 10% to 20% fewer cardiovascular disease problems. For people 75 to 84, there still was a 10% reduction. For people older than 85, the results were mixed, but there still appeared to be a benefit from blood pressure treatment.

Increasingly, tests that measure C-reactive protein are marketed to health-conscious consumers as a way of determining if they have chronic inflammation. However, the test is just one piece of evidence and should be interpreted by one's doctor. Without that expertise, a customer might not understand what the CRP test result means, and as a result might suffer unnecessary anxiety or pursue unnecessary tests. It's best to talk to one's doctor before seeking tests that measure CRP levels.

Exposure to chemicals called phthalates, found in commonly used plastics, may be linked to a higher risk of dying from cardiovascular disease.

For people with stable angina, which occurs in about two-thirds of people with heart disease, optimal medical therapy is almost always the best treatment. It includes all the medications a person needs to get cholesterol, blood pressure, and blood sugar into a healthy range. Certain medications, including beta blockers, calcium-channel blockers, and nitrates, also help relieve the discomfort of angina.