Cholesterol and lipids Archive

A large study published online Aug. 29, 2021, by The New England Journal of Medicine found that people who used a salt substitute on their food had a lower risk of stroke, heart attack, and early death, compared with people who used regular salt.

Many people who start a cholesterol drug wind up discontinuing its use. That's because statins, a common type of medication that lowers cholesterol, have both real and perceived side effects, such as muscle aches. To stay on a statin, one can ease into use with a low-dose or an alternate-day dose strategy, consider if other medications or circumstances are to blame for discomfort, try gentle stretching, take coenzyme Q₁₀, or replenish low vitamin D levels. Another strategy is to take a non-statin drug that lowers cholesterol.

Reducing added sugar in sweetened beverages and packaged foods may help reduce obesity, diabetes, and heart disease in the United States, which could lead to substantial health care cost savings. Most of the added sugar in the typical American diet comes from sugary beverages, which add extra calories that have no nutritional advantages and may contribute to weight gain. Replacing sugar with artificial or non-nutritive sweeteners is one popular option, but it's not clear that eating such products offers any health advantages. A better option would be to substitute fresh, whole foods such as fruit for processed junk food and to drink sparkling water with a splash of juice instead of a soda.

Common pain relievers known as nonsteroidal anti-inflammatory drugs (NSAIDs) carry an added risk of heart problems. Use only what you need and for only as long as you need it. Men with heart problems should be extra cautious.

Statin therapy can help lower the risk of developing new plaques in the arteries and having a heart attack, although the effect may not show up on coronary artery calcium scans that measure the amount of calcium in the walls of the heart's arteries.

Ejection fraction is the fraction of the blood that the heart "ejects" out to the rest of the body each time it contracts. A normal ejection fraction is about 55% to 70%. Levels below 40% indicate reduced ejection fraction and may result in heart failure symptoms.