Heart Health Archive

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.

Calcium deposits in the coronary arteries surrounding the heart may be a sign of fatty plaque buildup in arteries. Dietary calcium is not a cause of these calcium deposits. While people can't reverse the effect of calcium deposits, they can slow the process by managing blood pressure and "bad" LDL cholesterol.

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.

Tiny mesh tubes called stents, used to prop open heart arteries, can relieve stable angina (chest pain with exertion or emotional stress) in many people with coronary artery disease. But this treatment-which carries a risk of complications and a high cost-should be reserved only for people who don't get relief from drug therapy. Stents do not prevent future heart attacks or improve survival compared with drug therapy. Angina usually results from arteries that are more than 70% blocked, but most heart attacks occur in arteries that are narrowed by only about 40% or less but harbor plaque that ruptures without warning. The resulting blood clot blocks blood flow, triggering a heart attack.

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.

The weight-loss drug semaglutide is the first obesity treatment shown to help people live longer and have fewer cardiovascular problems. Developed as a drug for type 2 diabetes, semaglutide was first marketed as Ozempic; a higher-dose version for weight loss is called Wegovy. But because the drug is so popular, it can be hard to find, and it might not be covered by insurance.

The carotid arteries, which run up the sides of the neck, can become clogged with plaque-a condition called carotid stenosis. But a carotid artery ultrasound to look for this problem is advisable in only a few specific circumstances, mostly in people with signs or symptoms of carotid stenosis. One sign is a distinctive whooshing sound called a bruit that a doctor can hear through a stethoscope placed over the artery. The tests are also routine in people who experience symptoms of a transient ischemic attack (TIA), or ministroke, which usually last only briefly.

Compared with people who sit for eight hours daily, people who sit more than 12 hours a day may be more likely to die prematurely. But just 22 minutes of brisk walking or similar activity daily may offset that risk, according to a 2023 study.

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).

A 2023 study found that a mindfulness training program that improves self-awareness may help people with high blood pressure follow a heart-healthy diet.