Heart Health Archive

Research we're watching

Most of the evidence supporting olive oil as a heart-healthy fat comes from people living in Mediterranean countries, where olives are abundant. On average, Americans don't consume much olive oil. But those who swap in even a little olive oil to replace less healthful fats appear to lower their risk of heart disease, a new study finds.

Researchers relied on health and diet data from nearly 93,000 adults in two studies beginning in 1990. Over the next 24 years, there were nearly 10,000 cases of heart disease in the group. After adjusting for other dietary habits, age, and other heart-related risks, the researchers found that people who consumed at least a half-tablespoon of olive oil a day had a 14% lower risk for heart disease compared with people who used no olive oil.

Research we're watching

Healthy lifestyle changes may lower blood levels of a marker linked to heart disease risk, a new study finds. The substance, C-reactive protein (CRP), is a byproduct of inflammation, an immune-related response involved in the formation of artery-clogging plaque. CRP levels of 3 milligrams per liter (mg/L) and higher are associated with an elevated risk of heart disease.

The study involved people at risk for heart disease who were part of an ongoing study in the Netherlands. Researchers looked at 1,794 people with known heart disease who had CRP levels between 0.8 and 3.1 mg/L at their first visit. At the second visit, after a median follow-up period of nearly 10 years, the participants' CRP levels had dipped only slightly on average. However, CRP levels fell more substantially among people who quit smoking, lost weight, or increased their physical activity levels. The results suggest that healthy lifestyle changes help to lower inflammation, which in turn may lower cardiovascular risk, according to the authors. Their study appeared in the May 2020 issue of the journal Atherosclerosis.

Research we're watching

Regular, moderate-to-vigorous exercise may help prevent atrial fibrillation (afib), according to a study in the May 2020 issue of The American Journal of Cardiology.

Previous studies looking at the connection between afib (which causes a rapid, irregular heart rate) and exercise have produced conflicting results. But those studies relied on participants to self-report their exercise habits. For the new study, the 5,147 participants wore devices that measured their activity levels for four to seven consecutive days.

Ask the doctor

Q. A recent electrocardiogram showed that I have a right bundle branch block. My doctor says it's fairly common and nothing to worry about, but I'm a bit concerned. What is it, exactly? And what specifically can cause this problem?

A. Bundle branch block refers to a small glitch in the heart's electrical conduction system. The term "bundle" refers to a collection of nerve fibers that receive the "contract now" signal from the atrioventricular node and relay it to the ventricles, the heart's lower chambers (see illustration).

Active-play video games may encourage adults — including those with heart disease — to be more active.

Looking to liven up your indoor exercise routine? You might want to try exergaming — a fitness trend that incorporates exercise into a video game. Also called gamercising, the workouts may be more motivating and fun than a traditional exercise video.

"One advantage to exergaming is that the game choices are so broad, you can tailor the exercise to your own particular interest," says Dr. Ashwin Babu, a sports medicine physiatrist at Harvard-affiliated Massachusetts General Hospital. Depending on the video gaming system, you can choose from a wide array of simulated sports and recreational activities, including baseball, bowling, boxing, cycling, football, golf, table tennis, track and field events, skateboarding, skiing, tennis, and volleyball. Some offer muscle-strengthening workouts, balance and stretching, aerobic exercises, dancing, and martial arts. Others feature adventure games that you "play" with your body movements, such as moving your arms, jumping, squatting, running in place, and sidestepping.

The latest recommendations focus on newer medications, lifestyle changes, and procedures.

If you have heart disease, following a healthy diet and getting regular exercise should be a top priority. Both habits can help you reach and stay at a healthy weight and lower your blood pressure and cholesterol level. Chances are you'll also need to take medications to further improve those common heart-related risk factors. But if you also have diabetes, you may need even more aggressive treatment, according to new advice from the American Heart Association.

The recommendations, published May 12, 2020, in the journal Circulation, detail the latest evidence about treatments for people with both heart disease and diabetes. Diabetes, which affects about one in 10 adults, doubles the odds of having a heart attack or stroke (see "Why is diabetes hard on your heart?").

Cardiac CT angiography is gaining ground as a fast, effective way to diagnose coronary artery disease.

If you experience a short-lived squeezing sensation or discomfort in your chest when you exercise or feel stressed, one possible cause is inadequate blood flow to the heart. Known as stable angina, this condition suggests you have heart disease and may be at risk for a heart attack.

Doctors can use a number of different tests to diagnose (or rule out) inadequate blood flow to the heart muscle. The first step is frequently a type of stress test, which checks the heart's electrical activity, muscle function, or blood flow patterns while the heart is under stress from exercise or medication. Stress tests can identify areas of reduced blood flow, which suggest a narrowing in the artery that supplies that part of the heart.

You may be familiar with the claims featured on packages of old-fashioned oatmeal, which note that "As part of a heart-healthy diet, the soluble fiber in oatmeal can help reduce cholesterol." Guess what? Back in 2008, the FDA also approved the equivalent health claim for barley products.

In fact, barley contains about three times as much fiber per serving as oats. Barley is particularly rich in a type of soluble fiber known as beta glucan, which is recognized for its cholesterol-lowering abilities. Barley is also a good or excellent source of several vitamins and minerals.

Many lifestyle factors can influence the development of atrial fibrillation, and doctors now better understand the importance of these factors in treating afib. Those who are at risk of developing afib can take action to improve their health, and in some cases they may be able to reduce their symptoms.

Many foods—from the everyday to the exotic—are rich in nutrients that may help keep your arteries clear and your heartbeat stable.

Start your day with a bowl of oatmeal and some orange wedges. Enjoy a hearty bowl of bean soup for lunch. Grab a handful of peanuts for a midafternoon snack. For dinner, tuck into some grilled salmon and spinach salad drizzled with extra-virgin olive oil.

This menu features common foods full of nutrients associated with better heart health.