Heart Health Archive

About one in every 20 people over age 65 has a stiff, narrowed aortic valve. A Harvard physician describes his experience with this condition, called aortic stenosis, from the heart murmur detected at age 66 to his open-heart surgery a decade later. After his diagnosis, he received echocardiograms every one to two years to check the valve, and later a stress echocardiogram. Because the echocardiogram revealed an aortic aneurysm, he had open-heart surgery so the surgeon could repair the valve and the aneurysm during the same operation.

Cushing's is marked by elevated blood levels of the hormone cortisol. Far more common in women, the condition is categorized as a disease or syndrome based on what factors trigger it, which can include using corticosteroids or having a tumor on the brain's pituitary gland or elsewhere. Symptoms include a swollen face, excess belly weight, fatigue, a fatty hump between the shoulders, stretch marks, easy bruising, and slow wound healing. Cushing's can also lead to health problems such as cardiovascular disease, bone loss, and diabetes.

For people with a family history of early heart disease, getting a coronary artery calcium (CAC) scan plus intensive coaching and a statin may help limit the progression of the plaque in their arteries, according to a 2025 study.

The purported health benefits of cold plunges include less stress, better sleep, and enhanced immunity, but the evidence is thin. While the practice may ease muscle soreness after intense exercise, it may have detrimental effects on gains in muscle power and strength. Because the shock of cold water on the skin can raise heart rate and blood pressure, people with cardiovascular disease (especially heart rhythm abnormalities) should avoid the practice.

Since its introduction in 1998, catheter ablation for atrial fibrillation has greatly improved, thanks to advances in the instruments, imaging techniques, and energy sources used during the procedure. The resulting increases in safety and effectiveness have transformed ablation into a routine procedure. For many people newly diagnosed with this heart rhythm disorder, ablation is now the first treatment offered.

A 2025 study found that people who are sedentary for 10.6 hours per day or more may face a higher risk of heart failure or dying from heart disease-even if they follow recommended exercise guidelines. Uninterrupted sitting has harmful effects on metabolism, leading the body to burn fewer calories and less fat. It can also cause blood sugar levels to rise, triggering the release of insulin, the hormone that regulates blood sugar. Over time, sedentary habits cause the body to become less sensitive to insulin. The resulting insulin resistance promotes inflammation, a key player in the buildup of fatty plaque inside arteries.

Blood pressure problems might contribute to glaucoma, a condition that damages the optic nerves and causes vision loss. If blood pressure is too low, for example, blood flow to the optic nerves might decrease. That could deprive the optic nerves of oxygen and nutrients, resulting in nerve damage. High blood pressure might also reduce blood flow to the optic nerves, by damaging the blood vessels that supply the nerves. If glaucoma gets worse despite treatment, blood pressure should be considered as a factor.

TV medical dramas often portray treatments for heart attacks and cardiac arrest. While the timelines are often accelerated and certain aspects may be dramatized to engage viewers, the medical details are, for the most part, factual and authentic. Writers and producers routinely rely on health care experts - including Harvard doctors - to make sure the information is accurate. For people with heart disease, seeing how emergency physicians treat urgent conditions may show them what to expect.

To optimize cardiovascular health, the best strategy may be a workout that combines three types of exercise: moderate-intensity aerobic exercise, vigorous-intensity aerobic exercise, and strength training. Moderate activity burns calories and boosts metabolism, which helps control weight. Moderate-to-vigorous exercise also helps dampen the body's "fight or flight" response, which plays a role in chronic stress and anxiety. Aerobic exercise in general also helps the heart to become more efficient and blood vessels to become more flexible. Strength training makes the body more efficient at burning fat for energy and helps improve insulin sensitivity.

People with a family history of heart disease and high LDL cholesterol should consult their doctor about lowering their LDL levels to less than 70 milligrams per deciliter, which often means taking a statin, eating a healthier diet and exercising regularly.