Heart Health Archive

Paroxysmal supraventricular tachycardia is caused by an electrical glitch in the heart's upper chamber that causes the heart rate to suddenly soar for no apparent reason-sometimes as high as 200 beats per minute. The condition, which people describe as palpitations or a fluttering sensation in the chest, is usually not dangerous. But long-lasting bouts can lead to lightheadedness, breathlessness, and fainting.

High-dose niacin (vitamin B₃) is no longer recommended to improve cholesterol and triglyceride levels. Different forms of niacin, such as niacinamide (nicotinamide), are sold as supplements; the potential benefits and risks remain unclear.

Direct-acting oral anticoagulants (so-called "blood thinners") are prescribed to treat atrial fibrillation, deep-vein thrombosis, or blood clots in the lung. Doctors also prescribe antiplatelet drugs to prevent blood clots in arteries that can lead to heart attacks or strokes.

RNA-targeted drugs work by preventing the synthesis of proteins involved in different diseases. One, called inclisiran (Leqvio), dramatically lowers LDL cholesterol with just two injections per year. Additional RNA-targeted drugs to lower elevated lipoprotein (a) and high blood pressure are currently in late-stage clinical trials.

When choosing a home blood pressure monitor, people should select one that has an easy-to-read display and a well-fitting upper arm cuff that inflates automatically. It should appear on the U.S. Blood Pressure Validated Device Listing.

In addition to the Mediterranean diet, other European eating patterns-namely, the Nordic diet and the Atlantic diet-feature heart-healthy fare. All three diets feature seafood, vegetables, fruits, whole grains, legumes, and nuts, with an emphasis on seasonal and local foods. Such foods also support environmental health and sustainability. People in the United States can follow this trend by shopping at a farmer's market or joining a community-supported agriculture program.

High-intensity interval training (HIIT) is a time-efficient way for people to improve their fitness and cardiovascular health. Even short bursts of high-intensity activity may trigger the release of mood-boosting brain chemicals. Traditionally, HIIT features 30 to 90 seconds of high-intensity effort followed by an equal or longer period of lower-intensity activity or rest. HIIT variations include fartlek (Swedish for "speed play"), which uses environmental cues to set intervals, and Tabata, which features 20-second intervals of intensity followed by 10-second recovery intervals.

A 2024 study found that people with microplastics in the plaque clogging their neck arteries were about four times more likely to have a heart attack or stroke than people with plastic-free plaque.

Migraines and cardiovascular disease share certain common features, including changes in blood vessels, blood flow, and inflammation. Migraine with aura is linked to an increased risk of stroke, and common migraine drugs called triptans are linked to a higher risk of stroke and heart attack in people at risk for cardiovascular disease. Although both of these risks are extremely small, migraine sufferers with heart-related risks should seek out a personalized approach for treatment and know the warning signs of a stroke.

People with atrial fibrillation (afib) worry that drinking alcohol or caffeine might trigger a flare-up of the condition. Afib is characterized by erratic beating of the heart's two upper chambers. The chambers quiver, causing blood to pool and sometimes form clots, which can cause a heart attack or stroke. Evidence strongly suggests that drinking alcohol can cause a flare-up of afib. Drinking caffeine in usual amounts does not increase that risk. However, doctors note that people who are especially sensitive to caffeine should avoid it.