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.

Atrial fibrillation and supraventricular tachycardia are rapid, abnormal heart rhythms that originate in the upper part of the heart. But they tend to arise at different ages, and they require different treatments.

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.

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

Air travel tips for people who have or are at risk for heart disease include bringing extra prescription medications in a carry-on bag and drinking water-but not alcohol-during the flight. When taking medications (especially blood pressure and anti-clotting drugs), people should try to schedule their doses based on their home time zone. On a long flight, walking a little every hour or so will help improve circulation in the legs; so can flexing the feet and circling the ankles. Doing so may reduce the chance of developing a blood clot, although the overall risk of such clots (known as deep-vein thrombosis) is quite low.

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.

Mobile ECG devices are small, handheld devices that people can use to record a simple ECG at home. They are designed to detect heart rhythm disorders such as atrial fibrillation.

Older adults who received interpersonal exercise coaching (which included connecting with peers to learn and share information) improved their step counts and activity levels more than seniors who received intrapersonal coaching that was mostly self-focused, a 2024 study found. Finding an exercise partner (a spouse, friend, or neighbor) may help inspire people to exercise more. A group exercise class may provide the same benefit, in addition to providing structure, a trained instructor, and camaraderie.