Heart Health Archive

People whose spouses have high blood pressure may be more likely to have high blood pressure themselves than people whose spouses do not have the condition, according to a 2023 study.

Aortic stenosis occurs when the heart's aortic valve becomes stiff and calcified, narrowing its opening so blood cannot flow normally. This can cause symptoms such as shortness of breath, fatigue, lightheadedness, fainting, and chest tightness. Neither lifestyle nor medications can slow or reverse aortic stenosis. People born with a bicuspid aortic valve are at high risk, but most people with aortic stenosis have a normal appearing valve. The only treatment is to replace the damaged valve using open heart surgery or a less invasive, nonsurgical approach called transcatheter aortic valve implantation.

A 2023 study suggests that following a healthy vegan diet may improve cardiometabolic risk factors (such as LDL cholesterol and weight) more than eating even a healthy omnivorous diet.

About a third of healthy people-and about 60% of people with high blood pressure-are salt sensitive, meaning they have an exaggerated response to dietary sodium. But an estimated one in 10 people may have inverse salt sensitivity: their blood pressure goes up when they eat less salt. Understanding the genetic basis of these differences may one day improve the treatment of blood pressure.

Many studies suggest that fiber-rich diets may help prevent heart disease. But most Americans eat only about 16 grams of fiber a day-far less than the recommended amounts.

A significant reduction in salt intake may directly lower blood pressure in even more people than previously believed.

The portfolio diet, which emphasizes foods rich in fiber and healthy fats, helps lower LDL cholesterol. A 2023 study suggests that the more closely people follow the diet, the lower their risk of cardiovascular disease. The diet discourages foods from animal sources and features foods from five main categories, including (1) plant protein such as legumes; (2) nuts and seeds; (3) foods rich in viscous fibers such as oatmeal, eggplant, and berries; (4) plant sterols such as phytosterol-enriched margarine; and (5) monounsaturated fats such as olive and canola oils.

Indirect evidence suggests that for people with atrial fibrillation who always take apixaban (Eliquis) every 12 hours as prescribed, it may be slightly better than once daily rivaroxaban (Xarelto).

Metabolic syndrome is a constellation of interrelated health conditions that significantly increases the risk for heart attacks, strokes, diabetes, and more. A diagnosis requires at least three of the following risk factors: obesity, high blood sugar, high triglycerides, low HDL (good) cholesterol, or high blood pressure. Metabolic syndrome can be reversed if it's recognized. Losing weight is central to reducing many of its features. Lowering elevated blood pressure, blood sugar, and cholesterol levels also plays a major role in reducing the risk for heart disease and stroke.

Orthostatic hypotension, a condition that causes blood pressure to drop when a person stands up, can leave people dizzy and lightheaded. It can result from certain medications or health problems and becomes more common with age and frailty. Doctors sometimes worry that intensive blood pressure treatment contributes to the problem, but research suggests the opposite is true. Strategies to cope with symptoms of orthostatic hypotension include drinking plenty of fluids, wearing compression stockings, and taking care when rising from a chair or bed.