Heart Health Archive

Men often confront obstacles that keep them from managing heart disease or lowering their risk for it. Harvard cardiologists share the advice they give patients who face challenges in the areas of weight loss, medication management, exercise, and diet. These include thinking about their future health goals, monitoring blood pressure, scheduling workouts, joining group weight-loss groups, and learning portion control for meals.

Older people who take low-dose aspirin every day may be more likely to develop anemia. Aspirin discourages blood clots, but the drug also blocks substances that help maintain and protect the delicate tissue lining the gastrointestinal tract. Long-term aspirin use can damage this protective layer, making bleeding more likely. Minor bleeding can go unrecognized and contribute to anemia, a condition marked by a reduced number of healthy red blood cells. People currently taking aspirin should check with their doctor to see if the practice still makes sense for them.

Lower temperatures, high wind speed, atmospheric pressure, high precipitation, and high degrees of pollution may raise the risk of being hospitalized for serious heart-related conditions. Modeling these factors may help forecast future heart problems.

The age-related drop in sex hormone levels can cause undesirable symptoms such as hot flashes or a flagging sex drive. Various formulations of estrogen or testosterone can ease those symptoms, but hormone therapy has a mixed record when it comes to cardiovascular safety. A 2023 study suggests that testosterone therapy is safe for men at high risk for heart disease. But women at high risk for heart disease But women at high risk for heart disease considering estrogen-based therapy need to balance menopausal symptom severity versus the greater chance of an adverse cardiovascular problem.

The cholesterol-lowering drug bempedoic acid (Nexletol) can be a good alternative for people who can't take statins. A 2023 study found that compared with a placebo, bempedoic acid can lower the risk of heart attacks and related problems.

Troponins, which are proteins found in heart muscle cells, are released in the bloodstream during a heart attack. Other conditions, such heart muscle inflammation and chronic kidney disease, can also cause troponin levels to rise.

A polygenic risk score for heart disease is based on an analysis of more than three million common DNA variants and is expressed as a percentile. People can have zero, one, or two copies of any variant, each of which may either raise or lower the risk of coronary artery disease. Many of these variants occur in genes known to affect heart disease, such as those related to cholesterol, blood pressure, and blood clotting. Others aren't well understood and may provide targets for future research, potentially fueling new drug discovery efforts. For now, the potential benefits of this test are greatest for people under 50.

Short stints of deep, slow breathing can help calm the nervous system. Slow breathing—anywhere from six to 10 breaths per minute—features a prolonged, rhythmic, and slow exhalation period. A regular breathing practice may reduce blood pressure as much as taking medication. People can practice deep breathing on their own by counting their breaths, doing guided exercises available free online or with a smartphone app, practicing yoga-based breathing (known as pranayama), or using special devices.