Blood Pressure Archive

When a smart watch alert suggests that person's heart rate is below 40 beats per minute, it could be an error, especially if no symptoms are present. But it could signal a heart problem called bradycardia that has many possible causes.

Stimulant medications, which are usually prescribed to treat attention deficit disorder in children, are being prescribed increasingly to older adults. These drugs may cause a short-term spike in the risk of heart-related problems, including heart attacks, strokes, and arrhythmias. Dietary supplements that promise weight loss or better physical or mental performance may contain prohibited, unlisted, and potentially dangerous stimulants.

Broken heart syndrome—an uncommon condition linked to severe emotional or physical stress that occurs mostly in women—may be more common than previously thought. The increase in diagnoses may reflect heightened awareness of all forms of heart disease in women. The condition may result from the surge of adrenaline that affects the heart's muscle cells and blood vessels, causing the heart's left ventricle to temporarily change shape. The heart resembles a Japanese clay pot used to trap an octopus, called a tako-tsubo, which is why broken heart syndrome was originally dubbed takotsubo cardiomyopathy.

Moderate-to-vigorous exercise appears to be the best way to boost cardiorespiratory fitness (CRF), which quantifies how well the heart and lungs supply oxygen to the muscles during physical activity. Higher CRF during midlife is linked to a lower risk of conditions closely tied to heart disease (including early signs of atherosclerosis, high blood pressure, and diabetes) later in life.

Up to 7% of people ages 50 and older (mostly male smokers) have abdominal aortic aneurysms (AAAs). In rare cases, these balloon-like pouches can expand and rupture with little warning, which can be life-threatening. Medicare covers screening tests for AAA for men ages 65 to 75 who have smoked at least 100 cigarettes in their lives and for anyone with a family history of AAA.

Nitrates are added to processed meats (such as bacon, ham, and deli meats) and are found naturally in leafy green vegetables (such as spinach and kale). But it's not clear how crucial these molecules are compared with other components of those foods, as dietary nitrate levels don't appear to affect heart disease risk. However, nitrate-based drugs are used to treat angina, a common symptom of coronary artery disease.

A study published online Aug. 26, 2021, by The Lancet found that blood pressure treatment protects against heart attacks, strokes, and other major cardiovascular disease problems in people up to age 85 and possibly older. For people younger than 75, the study confirmed that people taking blood pressure medicines had 10% to 20% fewer cardiovascular disease problems. For people 75 to 84, there still was a 10% reduction. For people older than 85, the results were mixed, but there still appeared to be a benefit from blood pressure treatment.

Dietary fat can both help and hurt heart health, depending on the source. Eating adequate amounts of the "good" fats—monounsaturated and polyunsaturated—can help reduce cholesterol levels and lower blood pressure. "Bad" saturated fat found in many processed foods can have the opposite effect. Following heart-healthy diets like the Mediterranean and DASH diets and making small substitutions in daily eating habits can ensure people get the proper amounts of good fats.

The American Psychiatric Association has recently added prolonged grief disorder to its official list of classified mental disorders. Someone may develop this disorder when someone close has died within the past 12 months. The person may experience intense longing for the deceased or preoccupation with thoughts about him or her. These feelings occur most of the day and nearly every day for at least a month. Recognizing the signs and seeking out help with talk therapy are the best approaches to help prevent it from evolving to depression.

Men are less likely than women to get regular exams and tests, especially when they are younger. But as they age, routine screenings are essential. There are certain tests most men should have at some point, including ones for colon cancer, high blood pressure, hepatitis C, diabetes, and HIV. Other tests men should consider if they are at high risk for specific ailments, such as abdominal aortic aneurysm, hepatitis B, and lung cancer.