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Harvard Heart Letter: February 2009

Articles in this issue:

Heart beat: Trial gives nod to home warfarin monitoring

Home monitoring devices for use by people taking warfarin compared favorably to regular blood tests done at a medical facility.

Heart beat: When success leads to failure

More people are surviving heart attacks and receiving better care afterward, which has led to an increase in the number of people living with heart failure.

Heart beat: C+E get an F for heart protection

Another large study adds to the evidence that taking vitamin C and vitamin E to protect against heart disease is not effective.

Heart beat: Beware cardiac arrest after heart attack

In the first month after surviving a heart attack, people are four times more likely to have a cardiac arrest than in the following months.

Follow-up

Using a special garment to squeeze the legs in time with the heart can ease chest pain. The inflammation that causes rheumatoid arthritis affects the heart as well as the joints.

Ask the doctor: What does an enlarged heart signify?

My doctor told me I have an enlarged heart. What is this? What causes it and what does it mean for my health?

Ask the doctor: Could my statin or exercise be affecting my kidneys?

Can muscle damage from a statin, or from strenuous exercise, elevate creatinine even after I stopped taking the statin and exercising but continue to take Zetia and Diovan HCT?

Bypass results vary by hospital

Checking up on hospitals and surgeons before bypass surgery may pay off.

A quarter of a million Americans have bypass surgery each year. Most of these operations are elective procedures, scheduled in advance to ease chest pain or other symptoms of cholesterol-clogged coronary arteries. Even though it's a big operation, the vast majority of people who undergo bypass surgery survive it, recover, and live better lives because of it. The sad fact is, though, that between 2% and 3% of people die during or soon after having bypass surgery, according to numbers from the federal Agency for Health Care Quality. ...

Spotlight on heart tests: C-reactive protein testing comes of age

Spotlight on heart tests C-reactive protein testing comes of age Measuring low-grade inflammation can help refine cardiovascular risk.

Blood pressure and tests for various types of cholesterol help spot hidden heart disease, but they also miss a substantial number of people who are on the road to having a heart attack or stroke. Evidence that inflammation is an integral part of atherosclerosis, the artery-clogging disease at the root of most heart attacks and strokes, is prompting the use of a new test to check for C-reactive protein (CRP). The liver makes this protein in response to infection, tissue injury, and ...

Generic heart drugs as good as brand names

"You get what you pay for" doesn't apply to prescription drugs.

Open your medicine cabinet or pill drawer, and you're likely to find at least one generic drug. That's a good thing for your bank account — generics cost less than their brand-name counterparts. But some people worry that these low-profile drugs aren't as effective or as safe as brand-name drugs. An analysis of head-to-head comparisons of generic and brand-name cardiovascular drugs shows no cause for concern.

Generic drugs are chemical clones of their brand-name counterparts. By law, a generic drug must

contain the same active ingredients as the brand-name ...

Read More »

Two-way street between depression and heart disease

Lifting depression can help the heart and mind; exercise is essential.

When your cardiologist opens a visit with "How are you feeling?" the question usually refers to how your body is doing. But he or she should be asking about your moods and emotions, too. Your answer can offer an important glimpse into both your general and cardiovascular health.

Mind and body, once thought to be entirely separate entities, are really two halves of the same whole. Each profoundly influences the other. Depression and heart disease are a good example of this duality. People who are depressed are more likely ...

Heart beat: Preeclampsia poses later heart risk

Women who experience preeclampsia during a pregnancy may be at higher risk of a heart attack, stroke, or other heart disease later in life.

Heart beat: Statins, aspirin affect prostate cancer test

Two studies found that use of a statin or daily low-dose aspirin may artificially lower the reading of a prostate-specific antigen (PSA) test.

Web Extras:

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