Heart Attack Archive

Consuming less sodium and more potassium may be linked to better heart health, according to a November 2021 study published in the New England Journal of Medicine. After controlling for other risk factors, the researchers found that for every extra 1,000 milligrams (mg) of sodium detected in the urine, there was an 18% increase in the risk of cardiovascular disease. For every extra 1,000 mg of potassium in the urine, there was an 18% decrease in risk.

Air pollution is an often overlooked yet important contributor to cardiovascular disease. Tiny particles known as PM_2.5 travel deep into the lungs, where they irritate receptors and trigger nerves involved in the autonomic nervous system. This irritation also contributes to inflammation, which accelerates atherosclerosis. Climate change can worsen the damaging effects of air pollution in several ways, such as by promoting wildfires and dust storms, which creates more PM_2.5. To reduce pollution's harmful effects, people can check air quality information and use portable indoor air cleaners when pollution levels are elevated.

The first-ever guidelines to diagnose chest pain document the range of possible heart attack symptoms. They include a sense of pressure, tightness, squeezing, or heaviness in the chest but also in the shoulders, arms, neck, back, upper abdomen, or jaw. The report also provides a road map to help doctors assess chest pain with selective use of the latest available tests. Chest discomfort can also result from other conditions that affect the heart (such as pericarditis) and nearby organs. These include acid reflux, muscle or joint issues, and lung problems.

Two main complications can occur with coronary stents: the gradual renarrowing of the area inside the stent, known as restenosis, and the formation of clots inside the stent, called stent thrombosis.

Mental stress ischemia occurs when emotional stress causes a decline in blood flow to the heart. The condition, which affects about one in six people with heart disease, may more than double a person's risk of heart attack. Mental stress ischemia appears to be caused in part by changes in the wall and inner lining of the heart's smallest blood vessels. Known as microvascular disease, this problem tends to be more prevalent in women. In contrast, a more common cause of chest pain is narrowing of the large arteries of the heart.

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.

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.

A doctor's serious health threat prompts reflection on the power of spirituality, the value of mindfulness practice, and acknowledgment of mortality as a motivator to reassess one's priorities.