Heart Health Archive

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.

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.

What we eat plays an important role in health and quality of life - but is there a single best diet? One newer choice is the largely plant-based portfolio diet, which combines aspects of highly regarded eating patterns and focuses on foods proven to lower harmful blood lipids and enhance cardiovascular health.

Getting an electrocardiogram (ECG) prior to undergoing noncardiac surgery should be the exception rather than the rule. About half of surgeries are low-risk and pose very little danger for the heart. Asking about a person's symptoms during physical activity-for example, whether they can walk up a flight of stairs without feeling winded-is a better gauge of their risk than the findings from an ECG. But presurgical ECGs make sense for older, inactive people with heart disease. The results can reveal signs of reduced blood flow to the heart or an unstable electrical heart rhythm that may require treatment before surgery.

Contrary to previous recommendations, people who think they are having a heart attack or stroke should not take an aspirin on their own. Their symptoms might be caused by a different problem that might be made worse by taking aspirin.

Compared with people who eat out frequently, people who eat meals made at home tend to weigh less, have healthier cholesterol and blood sugar values, and are less likely to develop diabetes. Lack of time, not lack of skills, may be the biggest barrier. Tips for creating healthy, home-cooked meals include smart ways to stock a pantry, fridge, and freezer with legumes and whole grains. For example, people can use an electric pressure cooker to make a dozen or more half-cup servings of brown rice that can then be stored in the freezer. This technique, called batch cooking, can be used with dried beans as well as with flavor enhancers such as minced garlic and ginger.

High levels of lipoprotein(a), or Lp(a)-a variant of LDL (bad) cholesterol- may triple the risk of a heart attack, even among healthy people with no other known risks for heart disease.

In a 2024 study by Harvard researchers, people who reported feeling persistently lonely had a 56% higher risk of experiencing a stroke compared with people who did not report feelings of loneliness.