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Harvard Heart Letter: September 2009

Articles in this issue:

Ask the doctor: Are there radiation-free tests for checking my arteries?

Are there any noninvasive, radiation-free tests that can give the same information about possible blockages in my coronary arteries as a nuclear stress test? I've had so many CT scans for other conditions that I'd prefer to go non-nuclear for a while.

Pain relief balancing act

For people with heart disease, naproxen may be the best choice for easing pain.

Choices abound for easing the nagging pain of arthritis, a sore shoulder, bad back, or other ongoing problems. For this sort of long-term pain relief, most people reach for an over-the-counter painkiller like aspirin, acetaminophen (Tylenol, generic), ibuprofen (Motrin, generic), or naproxen (Aleve, generic). Some rely on prescription drugs such as celecoxib (Celebrex). A study supports the idea that one of these — naproxen — is easiest on the heart.

Key points Pain relievers in the class known as nonsteroidal anti-inflammatory drugs (NSAIDs) have different ...

Walk often, walk far

That's the latest advice for getting your heart back in shape.

Signing up for, and sticking with, a cardiac rehabilitation program is one of the best things you can do for an ailing heart. These structured programs include exercise; psychological and social support; and efforts to reduce risks such as smoking, high blood pressure, high cholesterol, and a less-than-healthy diet. A good program can strengthen your heart and lungs, improve circulation, cut your chances of having another heart attack or stroke, and generally get you back to normal — or better. It may even add a few years to ...

Heart Beat: Treating sleep apnea may pay off for the heart

Sleep apnea can damage the heart or cause rhythm problems. Treating the apnea may stop or reverse this damage.

Heart Beat: Double treatment for heart attack

People who receive a clot-destroying drug after a heart attack may also benefit from a subsequent angioplasty.

Heart Beat: Anxious about angina

Anxiety and depression greatly increase the probability of developing angina.

In Brief

Brief reports on the use of compression stockings by stroke survivors, and the benefit of adding a second blood pressure medication.

Special section: Cardiovascular connections: Two-way street between heart and health

Special section: Cardiovascular connections

Two-way street between heart and health The thigh bone's connected to the knee bone,
The knee bone's connected to the leg bone…

If there were such a thing as the heart bone, it would be smack in the middle of each line of the old spiritual, "Dem Bones." Once thought of as a solitary, aloof pump, the heart is now known to affect, and be affected by, all parts of the body. Some of the connections reflect the widespread impact of artery-clogging atherosclerosis. Others underscore the intimate relationships between body parts. In this special section, ...

Special section: Cardiovascular connections: Body fat: The good, the bad, the…

Abdominal fat cells are responsible for many cardiovascular problems.

Special section: Cardiovascular connections: Two-way street between head, heart

Stress, anxiety, and negative emotions can bring on or worsen heart disease, and cardiovascular problems can contribute to dementia. Read More »

Special section: Cardiovascular connections: Psoriasis is more than skin deep

Psoriasis, which is not a skin disease but an immune disorder, may be linked to heart disease, possibly through inflammation.

Special section: Cardiovascular connections: Testosterone, sex, and the heart

Low levels of testosterone have been linked to many health problems in men.

Special section: Cardiovascular connections: The ovarian connection

Hormones produced by the ovaries are beneficial, but taking a hormone medication increases certain health risks.

Special section: Cardiovascular connections: Skeleton key

Taking measures to protect the heart, such as exercising and eating a healthy diet, can also help prevent osteoporosis.

Special section: Cardiovascular connections: Odd associations

A number of odd connections exist between body parts and the cardiovascular system.

Ask the doctor: Does exercise help damaged heart muscle?

After my heart attack, my doctor told me that damaged heart muscle cannot be replaced. If this is true, why am I walking on a treadmill five days a week? Is this helping repair the damage or strengthen what's left?

Web Extras:

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You can get instant online access to all of the articles from the September 2009 issue of Harvard Heart Letter for only $5.00.


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