Heart Health Archive

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Rethinking low-dose aspirin

New studies shed light on the role of aspirin for people without a previous heart attack or stroke.


 Image: © dszc/Getty Images

It costs just pennies per pill, doesn't require a prescription, and may be lifesaving for some people. But daily low-dose aspirin doesn't make sense for everyone. Now, three major studies that examined the benefits and risks of this widely used drug may alter the advice about who should take aspirin.

"Aspirin remains a cornerstone of treatment after a heart attack or stroke. But the question of whether people with a low to moderate risk of heart disease should take aspirin is a really important one," says Dr. Christopher Cannon, a cardiologist at Brigham and Women's Hospital and professor of medicine at Harvard Medical School. Tens of millions of people in the United States fall into that low-to-moderate-risk category. But until now, there weren't many large trials that included those people, he notes.

How to lower your cholesterol without drugs

You can begin to reduce your "bad" LDL cholesterol naturally by making a few simple changes in your diet.

If your cholesterol is creeping upward, your doctor has probably told you that diet and exercise—the traditional cornerstones of heart health—could help to bring it down. And if you'd prefer to make just one change at a time to lower your cholesterol naturally, you might want to begin with your diet. A major analysis of several controlled trials involving hundreds of men and women found that dietary changes reduced LDL and total cholesterol while exercise alone had no effect on either. (However, adding aerobic exercise did enhance the lipid-lowering effects of a heart-healthy diet.)

Think running is not for you? Try this

Not a fan of running? Good news: You don’t need to run fast, far, or that often to reap benefits. And you can ease into running by doing a run/walk program, where you alternate periods of running and walking and gradually increase the time spent running.

Eating can cause low blood pressure

Postprandial hypotension, low blood pressure that occurs after eating, can cause dizziness, chest pain, nausea, or other issues, particularly in the elderly.

Recognizing and treating depression may help improve heart health

Depression often occurs alongside cardiovascular disease, or may already exist and worsens with it, but frequently the symptoms go unrecognized. The American College of Cardiology recommends screening patients to identify symptoms of depression.

How to lower your cholesterol without drugs

Trans fats and saturated fats can raise LDL cholesterol levels. A diet rich in unsaturated fats, whole grains, and fruits and vegetables can lower them.

Aspirin for heart attack: Chew or swallow?

Immediate first aid works to minimize blood clotting triggered by plaque ruptures

How should you take aspirin for a heart attack? You've always been healthy, but you seemed to run out of steam at your wife's 60th birthday dinner last week. And now your chest feels heavy, as if you're in a vise. You take some antacids, even though it's 7:00 a.m. and you haven't even had breakfast. But you get no relief, and the pain is spreading to your jaw and shoulder. You call your wife, who takes one look at you and rushes to the phone. After calling 911, she brings you an aspirin and some water.

Your wife got it right: You may be having a heart attack, and you need to get to the hospital fast. You also need to get some aspirin into your system quickly — but should you chew the tablet or swallow it?

Lifestyle changes are important even if you take medications

People who are prescribed medication for high cholesterol or high blood pressure may be more likely to gain weight and less likely to exercise, but for those who are on such medications, it’s even more important to commit to making healthier lifestyle choices.

How does cardiovascular disease increase the risk of severe illness and death from COVID-19?

Initial investigation into COVID-19 focused on its respiratory effects, but a more recent report describes serious cardiovascular complications in people with pre-existing heart disease. How does this underlying condition increase risk for these people?

The dairy dilemma

How much dairy should you consume each day? And are some dairy products or milk alternatives better for heart health than others?

These days, the supermarket dairy aisle can be tricky to navigate. Along with the nonfat, 2%, and full-fat cow's milk lining the refrigerated shelves, you'll often find a dizzying array of plant-based milk alternatives made from different nuts, beans, and grains. Even the yogurt and cheese sections now feature nondairy products, such as coconut yogurt and cashew cheese.

The expanded choices reflect the growing trend toward plant-based diets, which people embrace for a range of reasons. Some people minimize or avoid meat, dairy, and other animal-based foods because of religious reasons or concerns about environmental sustainability or animal welfare. People who are focused mainly on a heart-healthy diet know to steer clear of red and processed meat. But when it comes to dairy products, the story isn't quite as straightforward.

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