Heart Health Archive

Articles

Throughout life, heart attacks are twice as common in men than women

Throughout life, men seem to be twice as likely to have a heart attack as women. This risk appears to persist even after accounting for risk factors such as high cholesterol, high blood pressure, and diabetes. 

Low levels of HDL (the “good” cholesterol) appear connected to many health risks, not just heart disease

Low LDL cholesterol and high HDL cholesterol lower your risk for cardiovascular disease. That is what the studies have always shown us. But a new study suggests that low HDL itself may not be the risk factor for heart disease we thought it was. It could merely be a sign of an unhealthy lifestyle, or other health risk factors, that also contribute to heart disease. Trying to find medications to raise HDL cholesterol may not be as effective as encouraging people to adopt healthier habits.

Calcium supplementation linked to dementia risk in some women

Calcium supplementation was associated with three to seven times the risk for dementia among older women with cerebrovascular disease.

Should I worry about a heart murmur?

Heart murmurs can occur when people are young and then return in older age. There are three main causes in adults: increased volume or speed of blood flowing through a normal heart, a stiff heart valve, or a leaky heart valve. Most do not lead to heart problems, but a change in the murmur’s intensity or the appearance of symptoms like shortness of breath, light-headedness, or chest pain would prompt a further medical evaluation.

The lowdown on low sodium

Here's how to keep your daily salt intake in check.


Image: Mark Poprocki/Thinkstock

Most men probably consume too much sodium, and new federal guidelines are aimed at helping them curb their habit.

The FDA advises no more than 2,300 milligrams (mg) of sodium daily—the amount in about 1 teaspoon of salt. (People with prehypertension and hypertension should limit their intake to 1,500 mg, roughly the amount in 3/4 tea-spoon of salt.)

Hidden tooth infections may be warning sign of heart disease

A common tooth infection often caused by cavities and usually found by chance on dental x-rays is associated with a higher risk of acute coronary syndrome, an umbrella term for a sudden blockage in the blood supply to the heart.

How to avoid the health risks of too much salt

Stick to fresh foods, and fill your salt allotment from healthy sources like whole-grain breads.


 Image: Michael Carroll Photography

As we reported in August 2016, the FDA is encouraging the food industry to cut back on added sodium in commercially processed and prepared food. It's a good reminder for all of us that too much salt in the diet is risky for health. How much is too much? "It's controversial, although I don't think anyone is in favor of unlimited salt intake," says Dr. Randall Zusman, a cardiologist with Harvard-affiliated Massachusetts General Hospital.

Salt risks

How much is too much?

So what's the controversy about? It centers on how much salt is safe for consumption, and it's still being debated. The American Heart Association recommends a limit of 1,500 milligrams (mg) per day. The FDA recommends a limit of 2,300 mg of sodium per day. The U.S. Dietary guidelines used to recommend a limit of 1,500 mg per day for a wide swath of people (everyone 51 and older, all African Americans, and anyone with high blood pressure, kidney disease, or diabetes), but this year changed it to 1,500 mg per day only for people with high blood pressure, and 2,300 mg for everyone else.

Common sources of sodium

What you should do

It's best to avoid processed food. Choose fresh, frozen (no sauce or seasoning), or no-salt-added canned vegetables, and opt for fresh poultry, seafood, and lean meat, rather than processed meat and poultry.

Krivitsky recommends limiting sodium to 500 or 600 mg per meal, and making sure it comes from healthy sources, like whole-grain breads and cereals.

How can you find out about sodium content? Start reading Nutrition Facts labels. You really can find low-sodium options. For example, one cup of Post Shredded Wheat has no sodium, and half a cup of Prego No Salt Added pasta sauce has just 40 mg of sodium.

Krivitsky also recommends ditching saltshakers and flavoring food instead with spices, such as cumin, rosemary, basil, ginger, or dill; flavored vinegars; and lime or lemon juice. "Low salt doesn't mean less flavor," points out Krivitsky. "It just means less salt."

How about a salt substitute?

When you want to add something salty to food, a salt substitute may do the trick. Substitutes are made from potassium chloride, which is similar to table salt (sodium chloride).

Substitutes fall into two categories: low-sodium or "light" salt, which replaces up to half of the sodium chloride with potassium chloride, and no-sodium or "salt-free" salt, which contains only potassium chloride.

For some people, potassium chloride can leave a bitter aftertaste. People with certain types of heart or kidney disease, or taking certain potassium-retaining medicines, may be told to avoid potassium-based substitutes. For others, potassium chloride is advisable: it not only helps avoid excess sodium, but also helps lower blood pressure.

 

 

 

Treatment options for obstructive sleep apnea

A range of choices may help you get a better night's sleep.


Image: Courtsey of Carpenter Co.

When the doctor says you have obstructive sleep apnea (OSA), you'll likely hear about the gold standard in treatment: continuous positive airway pressure (CPAP), which uses forced air, pushed through a tube connected to a face mask, to keep your airway unblocked. Yet many people have trouble adjusting to a bulky CPAP mask. "We often see people who say they tried CPAP and didn't like it, and now it's been years since they've had treatment," says Dr. Stuart Quan, the Gerald E. McGinnis professor of sleep medicine at Harvard Medical School.

You may be able to adjust to CPAP by trying relaxation exercises, practicing wearing the mask during the day, and gradually increasing CPAP pressure. But if it doesn't work out, you do have alternatives.

Move more and sit less, urges the American Heart Association

A scientific advisory published online in Circulation Aug. 15, 2016, suggests that sedentary behavior may be putting people at risk for chronic disease and early death. 

Heart disease and brain health: Looking at the links

Poor blood flow in the brain can chip away at thinking skills.


Image: RootsBeforeBranches/Thinkstock

Just like in the rest of your body, advancing years can take a toll on your brain function. Much of this slowing down is predictable and can be chalked up to normal aging. However, when thinking skills become increasingly fuzzy and forgetfulness gets to be a way of life, an early form of dementia known as mild cognitive impairment may be setting in (see "Normal aging vs. mild cognitive impairment").

Often, the first reaction is to attribute these changes to the beginning of Alzheimer's disease. But blood flow problems may be to blame, as well. "An estimated one-third of all cases of dementia, including those identified as Alzheimer's, can be attributed to vascular factors," says Dr. Albert Hofman, chair of the department of epidemiology at the Harvard T.H. Chan School of Public Health.

Free Healthbeat Signup

Get the latest in health news delivered to your inbox!

Sign Up
Harvard Health Publishing Logo

Thanks for visiting. Don't miss your FREE gift.

The Best Diets for Cognitive Fitness, is yours absolutely FREE when you sign up to receive Health Alerts from Harvard Medical School

Sign up to get tips for living a healthy lifestyle, with ways to fight inflammation and improve cognitive health, plus the latest advances in preventative medicine, diet and exercise, pain relief, blood pressure and cholesterol management, and more.

Harvard Health Publishing Logo

Stay on top of latest health news from Harvard Medical School.

Plus, get a FREE copy of the Best Diets for Cognitive Fitness.

Harvard Health Publishing Logo

Stay on top of latest health news from Harvard Medical School.

Plus, get a FREE copy of the Best Diets for Cognitive Fitness.