Heart Health Archive

A 2024 report suggests that rates of cardiovascular disease, diabetes, and colon cancer would fall substantially if people ate less red and processed meat.

Leadless pacemakers, which are no bigger than a multivitamin pill, are far less prone to complications that traditional pacemakers, which have long leads (wires). These wires may become infected, dislodged, frayed, or broken. Scar tissue or blood clots can form around the leads, which may hinder blood flow and cause pain and swelling. Thanks to recent advances, most people who need pacemakers may now be candidates for leadless devices. However, doctors have less experience with what happens with leadless pacemakers over the long term-and they cost two to three times as much as a traditional pacemaker.

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.

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.

Following a Mediterranean eating pattern is linked to longer life-a finding at least partly explained by such heart-related improvements as decreases in body mass index, inflammation, triglyceride-rich lipoproteins, and insulin resistance.

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.