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Heart Health Archive

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Is it safe to stop aspirin a year after a stent?

After a heart attack or stent placement, people typically take a combination of aspirin and another antiplatelet drug. After one year, the new standard practice is to stop the aspirin, in contrast to the previous practice of stopping the other drug.

Seeding doubt: The truth about cooking oils

Social media sources may share misleading information about canola, soybean, and other seed oils. But these oils, which consist mostly of unsaturated fat, can be a good source of heart-healthy fat when combined with whole, fresh foods rather than in processed foods like crunchy, salty, or sweet snack foods. Consuming unsaturated fat in place of saturated fat (found mainly in animal-based foods) is linked to a lower risk of heart attack and death from heart disease.

Lipoprotein(a): An update on testing and treatment

High levels of Lp(a)-a fatty particle similar to LDL cholesterol-may double or triple a person's risk of a heart attack. About one in five adults may have elevated levels, which also raises the risk of stroke and aortic stenosis. Unlike LDL, which rises with age and is influenced by diet and exercise, Lp(a) remains largely constant over a person's lifetime, so a one-time test suffices for screening. Lp(a) testing is becoming more common now that five promising new Lp(a) therapies are in development.

A heart disease trigger that lurks inside bone marrow

A condition caused by spontaneous genetic mutations in bone marrow cells, known as clonal hematopoiesis of indeterminate significance (CHIP), is linked to an increased risk of cardiovascular disease. Some of these mutations are clearly related to inflammation, a well-known contributor to the buildup of fatty plaque inside arteries. Experts hope that future research on CHIP will eventually lead to genetically directed therapies to address the condition.

Boosting share of protein from plants in diet may lower heart disease risk

A 2024 study found that people who follow a diet with a higher ratio of plant-based protein to animal-based protein may have a lower risk for cardiovascular disease and coronary artery disease compared with individuals who eat a lower plant-to-animal protein ratio.

Intensive lowering of blood pressure may protect people with type 2 diabetes from heart disease

People with type 2 diabetes may have greater protection from cardiovascular problems if they keep their systolic blood pressure (the first number in a reading) to 120 mm Hg or lower, according to a 2024 study.

No cognitive effects seen after years of very low LDL cholesterol

Having an extremely low LDL level from aggressive cholesterol-lowering therapy was not associated with cognitive impairment, according to a 2024 study.

Fluctuating sleep times might boost your heart attack and stroke risk

A 2024 study involving more than 72,000 healthy people ages 40 to 79 found that those whose sleep and wake times fluctuated most had a 26% higher risk of having a heart attack, stroke, or similar problem, compared with those whose sleep patterns fluctuated least.

Getting fiber while avoiding gluten

A gluten-free diet (which omits wheat, rye, and barley) may be low in fiber, a nutrient that's important for cardiovascular health. People who avoid gluten should try to include gluten-free grains and seeds in their menus, such as amaranth, buckwheat, millet, sorghum, teff, and quinoa. Carrots, celery, kale, and kiwis contain mostly insoluble fiber, which helps you feel full and encourages regular bowel movements. Beans, nuts, seeds, and fruits (such as berries, apples, pears, and citrus fruits) are good sources of soluble fiber, which helps lower cholesterol and blood sugar.

New clues about "broken heart" syndrome

Broken heart syndrome (officially known as takotsubo syndrome) causes symptoms similar to a heart attack. While intense emotional stress can trigger the condition, physical stressors such as surgery or severe illness are more common causes. Most cases occur in women, but proportion of cases recognized in men has risen in recent decades. Most people fully recover within weeks to months. But those who also have other serious health conditions may face a higher risk of dying within two months after being diagnosed with takotsubo syndrome.

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