Heart Health Archive

In addition to raising blood pressure, too much salt in the diet can have other detrimental effects on the heart, including damaging the inner layer of blood vessels and altering the body's hormonal and inflammatory response. Following the DASH diet, choosing lower-sodium versions of commonly eaten foods, and skipping the saltshaker can help people eat less salt. To boost flavor without salt, options include salt-free herb and spice blends, lemon or lime zest or juice, and flavored vinegars.

Coffee drinking has been linked to a lower risk of dying of heart disease. Coffee contains potent anti-inflammatory substances called polyphenols that may improve blood sugar control and help blood vessels contract and relax. Although the caffeine in coffee may help people control their weight, it can trigger a short-term rise in blood pressure and heart rate. Filtered coffee, which removes substances that may raise LDL (bad) cholesterol, appears to be a better option than unfiltered coffee.

Although uncommon, heart infections may trigger inflammation that can damage the heart. People should be aware of the risks and symptoms of the three main types: pericarditis (swelling and irritation of the protective, double-layered membrane that surrounds the heart, called the pericardium), myocarditis (inflammation in the middle, muscular layer of the heart), and endocarditis (inflammation that affects the heart’s inner lining or one or more of the heart’s valves).

In about half of all cases of heart failure, the heart’s muscles are thin and weak, so the heart can’t pump very well. In the other cases, the muscles are thick and stiff, which prevents the heart from relaxing normally to fill with blood.

Pulmonary hypertension affects the pulmonary arteries, which carry blood from the right side of the heart to the lungs. The vessels tighten, become stiff and thick, or develop blood clots. These changes reduce or block blood flow, raising pressure in the pulmonary arteries.

Exposure to microscopic particles called PM_2.5 in air pollution may increase a person’s risk of heart attack, stroke, and heart rhythm disorders. The tiny particles pass from the lungs into the bloodstream, triggering inflammation and other cell-damaging processes. Air pollution comes mainly from coal-fired power plants, industrial factories, and motor vehicles. To limit exposure, people should try to avoid exercising outdoors near busy roads or industrial areas.

Cutting back on red meat and replacing it with poultry or seafood is a good choice because those are healthier sources of protein — and better for the environment. Choosing seafood that is lower on the food chain can amplify those benefits.

With this issue of the Harvard Heart Letter, Dr. Christopher Cannon, professor of cardiology at Harvard Medical School, becomes editor in chief.

A majority of people in the United States need a large or extra-large blood pressure cuff. To ensure an accurate reading, people should check their arm circumference to make sure they're using the correct cuff size.

Some people who take the anti-clotting drug warfarin (Coumadin) may not need to take low-dose aspirin. Stopping unneeded aspirin use may prevent dangerous bleeding.