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Heart Health Archive

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When the doctor needs a new heart valve

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.

Stand up for your heart

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.

Cushing's: A master of disguise

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.

A faster, safer treatment for a common heart rhythm disorder?

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.

Cold plunges: Healthy or harmful for your heart?

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.

Smart watch alerts about heart health

Smart watches can monitor different parameters simply by measuring a person's pulse and body movements. Potentially helpful features include those to detect very low or high heart rates, irregular heart rhythms, and breathing disruptions during sleep.

Common gynecological disorders linked to higher risks for heart and brain

A 2025 research review suggested that women with certain gynecological disorders, such as polycystic ovary syndrome, endometriosis, heavy periods, and irregular menstrual cycles, have higher risks of cardiovascular and cerebrovascular disease.

Take back your blood pressure control!

When blood pressure remains high despite treatment, making certain lifestyle changes can help. Examples include reducing dietary sodium and increasing dietary potassium, losing weight, limiting alcohol intake to no more than one drink per day, exercising (doing aerobics and strength training), using tools that improve medication adherence (such as an automatic pill dispenser, a medication diary, a smartphone alarm, or a reminder app), quitting smoking, getting more sleep, managing stress, and reducing caffeine intake.

Are salt substitutes a smart choice?

Substituting potassium-containing salt substitutes for regular salt can help lower blood pressure as well as the risk of stroke. But people should also check the sodium content in foods and eat more potassium-rich produce.

A three-pronged approach to exercise

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.

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