Heart Health Archive

Ask the doctor

Q. I recently had an echocardiogram because my doctor heard a murmur, and I was told that my heart valves and heart function were both normal. But when I looked at the report, it indicated that I had an enlarged left atrium. What does that mean?

A. The left atrium is one of your heart's four chambers. Located in the upper half of the heart on the left side of your body, it receives freshly oxygenated blood from your lungs. This blood then surges down through the mitral valve into the left ventricle (the lower left chamber of the heart). Then, the blood travels up through the aortic valve and finally out to supply the body with oxygen.

Strength training may be just as good as aerobic activity for reducing cardiovascular risk.

Any type of movement that makes your heart work harder than usual — brisk walking, dancing, or cycling — will benefit your heart health. But many people don't realize that targeted exercises to strengthen muscles throughout your body may also help stave off heart disease.

"In the past, strong muscles were considered beneficial mainly from a functional standpoint — that is, they make tasks such as carrying groceries and doing laundry easier," says Dr. I-Min Lee, a professor of medicine at Harvard Medical School who studies the role of physical activity in disease prevention. Those perks are particularly important as people age.

Heart attacks are responsible for most cases of cardiac arrest. Know the warning signs—and what to if you witness a cardiac arrest.

Recently, a Harvard Heart Letter reader sent us an email asking about sudden cardiac arrest. This much-feared event occurs when the heart abruptly and unexpectedly stops beating. Each year, nearly 380,000 people in the United States experience cardiac arrest, and only about 10% survive.

"What are the causes and contributing factors? Are there early symptoms before the arrest occurs? And can it occur in a seemingly healthy middle-aged person?" she asked. Sudden cardiac arrest remains challenging to both predict and prevent. But there are definitely ways to lower your risk — and things that everyone should know (see "Recognize and react to sudden cardiac arrest").

Most people don't need an electrocardiogram before a minor, low-risk procedure. Major surgery is different.

If you've ever had surgery, you may recall having a preoperative evaluation, sometimes referred to as "clearance" for surgery. These check-ups often occur days or weeks prior to a planned, non-cardiac surgery and typically involve a physical exam. You also may get blood tests, x-rays, and an electrocardiogram (ECG) — a quick, painless test that records your heart's electrical activity.

"These evaluations are designed to assess your chances of experiencing a heart-related problem during the surgery," says Dr. Brendan Everett, director of the general cardiology inpatient service at Harvard-affiliated Brigham and Women's Hospital. The term "clearance" is misleading, as there is no way to guarantee you won't have complications. Still, knowing ahead of time about any heart-related risks you may have enables the surgeon to better prepare for possible complications and have a backup plan available, says Dr. Everett.

Until recently, cardiac amyloidosis was considered rare and untreatable.

As America's population ages, heart failure diagnoses are on the rise — especially the type caused by a stiff, thickened heart muscle. The heart pumps adequately but can't relax, causing fluid to back up into the lungs, leading to symptoms such as breathlessness and fatigue.

Doctors refer to this form of heart failure as "heart failure with preserved ejection fraction," or HFpEF. About half of all heart failure diagnoses fall into this category, yet the condition has proved challenging to treat. But cardiologists are now recognizing that about 10% to 15% of people with stiff, failing hearts may have cardiac amyloidosis.

Sunflower seeds, which are harvested from the centers of large, yellow-petaled flowers, have a long and interesting history. Native American Indians cultivated sunflowers some 8,000 years ago, using the seeds to make meal for bread.

Today, farmers grow two main types of sunflowers. Those with solid black hulls have extra-oily seeds, which are pressed into sunflower oil or used in bird feeders. Those with black-and-white-striped hulls are used in food. In the late 1960s, chewing a mouthful to extract the small seeds became popular among baseball players, allegedly as a substitute for chewing tobacco. In the 1970s, hulled sunflower seeds gained a following among vegetarians and natural-food enthusiasts.

The COVID-19 pandemic has shown that people are capable of changing their behavior— surprisingly fast—when the stakes are high. Can we apply that resolve to other persistent issues that affect our health and quality of life?

People with disease of the left main coronary artery usually have the option of bypass surgery or angioplasty and placement of a stent. Two recent studies comparing these choices came to different conclusions about which is more effective.

Millions of Americans have trouble sleeping, a factor that is key to cardiovascular health. Two recent studies examined the relationship between sleep and heart health, and between sleep and dietary choices.

Most people with type 2 diabetes also have obesity. Weight-loss surgery has a positive impact on risk factors for heart disease, and a recent study found that this surgery significantly reduced the risk of death in people with obesity and diabetes.