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Fixing a leaky tricuspid valve

In 2024, the FDA approved two catheter-based devices for treating a leaky tricuspid valve. Both relieve symptoms and improve quality of life for people with moderate to severe tricuspid regurgitation, which affects about 4% of people ages 75 and older. One device is a modification of a system to treat mitral valve regurgitation that works by bringing the valve leaflets together at the areas of most severe leakage. The other device delivers a new valve made of cow heart tissue, which is commonly used in surgical valve replacements.

Psychological factors can improve heart disease risk calculations

An online tool to predict heart disease risk might be more accurate if it included a psychological health assessment. Including depression screening results appears to strengthen the tool's ability to predict heart disease deaths.

What's your Brain Care Score?

The Brain Care Score is a quiz developed to help people identify proven, actionable steps to lower their risk of stroke, dementia, and depression. It includes four physical components (blood pressure, blood sugar, cholesterol, and body mass index); five lifestyle components (nutrition, alcohol intake, smoking, aerobic activities, and sleep); and three social-emotional components (stress management, social relationships, and meaning in life). Each response is given a point value, with the highest possible score totaling 21. Higher scores mean better brain care.

Short bursts of intense exercise may benefit stroke survivors

For stroke survivors, workouts that alternate high- and low-intensity exercise (known as high-intensity interval training or HIIT) may boost fitness more than moderate-intensity workouts.

Eating more plant-based fat may help your heart

Over a 24-year span, people whose diets favored plant-based fat lived longer than people who ate more animal-based fat, according to a 2024 study. The same distinction appeared specifically for deaths from heart disease.

Calcium and heart disease: What's the connection?

People sometimes wonder if the calcium they consume affects their calcium score, a test that measures calcium in the heart's arteries to predict heart disease risk. But a 2024 study linked higher calcium intake to a lower risk of heart calcifications. Calcium helps lower blood pressure, possibly by improving the function of the lining of blood vessels. Older adults should make sure they're getting the recommended amount of calcium in their diets. Good sources include dairy products, tofu made with calcium sulfate, almond or oat milk, canned sardines or salmon, collard greens, and kale.

Carbs: Cutting through the confusion

Carbohydrates include fiber, starches, and sugars. The healthiest sources include whole grains, legumes, vegetables, and fruits, which are rich in fiber as well as vitamins and minerals. Starches, the most commonly consumed form of carbohydrate, make up a large part of cereal grains such as rice, wheat, and corn; root vegetables such as potatoes and sweet potatoes; and vegetables like peas and winter squashes. Low-quality carbohydrate choices include sodas, candy, and sugary desserts.

Time for a medication check-up?

About one in five medications taken by older people is inappropriate. Many of these are heart drugs that are potentially harmful, have no clear benefit, or aren't as good as other options. These should be stopped or switched. One common example is low-dose aspirin, which is advised only for people who've had or are at high risk for a heart attack. Other drugs that may need to be stopped or replaced include beta blockers, warfarin, and older diabetes drugs.

What does it mean to have a heart attack?

Heart attack symptoms can be severe or subtle. The underlying process that causes a heart attack can differ, and people may experience significant heart damage or little to none. Doctors diagnose a heart attack based on symptoms, a person's cardiovascular risk profile, electrocardiogram findings and the blood troponin level. Troponin is a protein released when heart damage occurs. Immediate and long-term treatment depend upon the type of heart attack and its impact on heart function.

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