Heart Health Archive

The Chinese gooseberry — more commonly known as kiwifruit or simply kiwi — is a brown, fuzzy, egg-sized fruit with bright green flesh. You can sometimes find gold kiwis, which have yellow flesh, or kiwi berries, which are the size of a grape and have smooth, green skin. Sweet yet slightly tart, kiwi's flavor has been described as a cross between a strawberry and a banana with a hint of citrus.

One kiwi provides nearly all (about 80%) of an adult's daily vitamin C requirement. It's also a good source of fiber, potassium, and vitamin K.

Whether you're an exercise novice or a gym regular, these tips can help you get the most out of your workout.

When it comes to exercise, timing is everything — but not in the way we normally think about timing. What matters most is making the time to exercise regularly, not when it happens. That said, your personal experience and specific goals may influence what workout schedule works best for you.

"If you're just starting a physical activity routine, any time that you feel motivated and energized enough to exercise is the best time for you," says Dr. Beth Frates, clinical assistant professor of physical medicine and rehabilitation at Harvard Medical School. For some people, that's in the morning; for others, the afternoon works better. But if you can work out with a friend, choose a time that works best for both of you, she suggests. Teaming up with an exercise buddy is more enjoyable, and you can hold each other accountable.

In addition to a prompt assessment and potentially lifesaving treatment, expect a COVID-19 test and extra safety precautions.

Even before the pandemic, people with heart attack symptoms sometimes hesitated to seek emergency care. But during the first wave of COVID-19 infections in early 2020, many more people than usual stayed away. From mid-March to late May 2020, emergency room visits for heart attacks fell by 23% compared with the preceding 10 weeks. And 20% fewer people showed up with strokes, according to the CDC.

Fear of leaving home and risking exposure to the coronavirus likely explains this trend, which has abated over time. "The overall volume at emergency rooms is still somewhat below normal, and we're seeing people who come in many hours or even a day after their heart attack symptoms began," says Dr. Joshua Kosowsky, assistant professor of emergency medicine at Harvard Medical School. These people sometimes have signs of heart damage that might have been easier to reverse or treat if they had come in right away, he adds.

After receiving a stent, people normally take aspirin and another anti-clotting drug for up to a year afterward and sometimes longer. Doctors adjust the timeline depending on an individual's situation.

Keep your heart strong and young by giving it a good, regular workout.

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Your heart, like any other muscle, can weaken over time, especially if you are sedentary. As you age and become less active, the muscle in your heart's left ventricle — the chamber that pumps oxygen-rich blood back out to the body — becomes stiffer.

"This change in the heart muscle, coupled with simultaneous stiffening of the body's arteries that leads to high blood pressure, begins a harmful cardiovascular aging cycle," says Dr. Aaron Baggish, director of the Cardiovascular Performance Program at Harvard-affiliated Massachusetts General Hospital. "Without intervention, this sets the stage for heart failure later in life."

Think of inflammation as the body's natural response to protect itself against harm. There are two types: acute and chronic. You're probably more familiar with the acute type, which occurs when you bang your knee or cut your finger. Your immune system dispatches an army of white blood cells to surround and protect the area, creating visible redness and swelling. The process works similarly if you have an infection like the flu or pneumonia. So in these settings, inflammation is essential—without it, injuries could fester and simple infections could be deadly.

Chronic inflammation

But chronic inflammation can also occur in response to other unwanted substances in the body, such as toxins from cigarette smoke or an excess of fat cells (especially fat in the belly area). Inside arteries, inflammation helps kick off atherosclerosis—the buildup of fatty, cholesterol-rich plaque. Your body perceives this plaque as abnormal and foreign, so it attempts to wall off the plaque from the flowing blood. But if that wall breaks down, the plaque may rupture. The contents then mingle with blood, forming a clot that blocks blood flow. These clots are responsible for the majority of heart attacks and most strokes.

Although no longer routine, this test is still a common, safe way to assess people with heart disease symptoms.

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That chest discomfort you felt during your evening walk disappeared once you got back home. But a week later, you're carrying a laundry basket upstairs and the pain returns, although only briefly. It's time to call your doctor to discuss these symptoms — and possibly undergo an evaluation for coronary disease.

One test you may need is an exercise stress test, also called a treadmill test. As recently as a decade or so ago, doctors ordered these tests as part of a routine check-up in middle-aged and older men, regardless of their symptoms. Today, they're done mainly in people with symptoms that suggest heart disease, says Dr. Hicham Skali, a cardiologist at Harvard-affiliated Brigham and Women's Hospital. "In general, that means stable angina, which refers to chest pain that occurs in predictable patterns during exercise or other exertion," he says. Angina occurs when the heart muscle isn't getting enough blood, which is more likely during physical activity.

Research we're watching

Eating nuts even just a couple of times a week is linked to a lower risk of dying from heart disease, a new study suggests.

The study included 39,000 women who filled out dietary questionnaires at the start of the study and again about 10 years later. During the follow-up, which lasted an average of 19 years, nearly 1,000 of the women died of cardiovascular disease.

Research we're watching

A difference in the blood pressure readings from the left and right arms may herald a higher risk of heart disease, according to an analysis of 24 international studies.

The report, published in the February 2021 issue of Hypertension, included data from more than 57,000 adults in general health clinics who had their blood pressure measured in both arms. Researchers tracked the participants' cardiovascular health for more than a decade.

Research we're watching

Surveys show that about one in five Americans uses a smartphone app or tracker for monitoring exercise. Evidence for the benefits of these tools is mixed, but a new review suggests they may encourage people to move a bit more.

Researchers pooled findings from 28 studies involving a total of nearly 7,500 people who took part in studies using a smartphone app or activity tracker. They found that these tools have a small to moderate effect in boosting physical activity, motivating people to take an average of 1,850 additional steps per day.