Heart Health Archive

Most people don't need to fast before a lipid test because the difference between LDL cholesterol values when fasting or not fasting is very small. But people who have had high triglyceride levels should fast prior to the test.

Leg pain may be caused by deep-vein thrombosis (DVT), a blood clot that forms in a deep vein, usually in the leg. Left untreated, the clot may break off, travel to the lungs, and cause blockage in a lung artery, known as pulmonary embolism (PE), which can be life threatening. Diagnosis of DVT and PE may include a review of symptoms, a D-dimer blood test, a leg ultrasound, or a chest CT scan. Both conditions are most often treated with direct-acting oral anticoagulants.

Varicose veins are not just unsightly and uncomfortable; they can also be harbingers of more serious conditions, including deep-vein blood clots and venous ulcers. Ablation therapies to eradicate varicose veins can lower these risks. People can also try simple strategies to prevent and improve varicose veins, including doing exercises that work their calf muscles, elevating their legs, and wearing compression stockings.

Strokes fall into two main categories: ischemic (which result from a blockage inside one of the brain's arteries and account for 87% of all strokes) and hemorrhagic (also known as bleeding strokes, usually from a ruptured blood vessel). Three main types of ischemic strokes are those that result from atherosclerosis in a large artery supplying the brain (large-artery atherothrombotic strokes); those caused by clots in the heart that travel to the brain (cardioembolic strokes); and those in the brain's smallest vessels (small-vessel strokes).

Having type 2 diabetes doubles a person's odds of heart disease, and this risk may be present as early as 30 years prior to the diabetes diagnosis, according to a 2024 study. The findings support the long-held observation of the shared underlying causes of diabetes and heart disease. These include factors that contribute to both conditions, especially the tendency to accumulate fat in the middle of the body, known as abdominal obesity. This problem tends to occur in tandem with high blood pressure, unhealthy lipid levels, and elevated blood sugar-a cluster of signs and symptoms called metabolic syndrome.

People who follow a healthy lifestyle can still have the early stages of coronary artery disease (CAD), the most common type of heart disease. There are many ways people can find out if they have CAD. This includes paying attention to whether exercise causes discomfort, doing a 10-year heart risk assessment, and seeing their doctor for diagnostic testing, such as a coronary artery calcium scan, a resting electrocardiogram, a walking stress test, or an echocardiogram. A doctor uses this information to determine the best treatment path.