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Heart Failure Archive

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Chronic loneliness linked to higher risk of stroke

In a 2024 study by Harvard researchers, people who reported feeling persistently lonely had a 56% higher risk of experiencing a stroke compared with people who did not report feelings of loneliness.

High lipoprotein(a) raises heart attack risk even in healthy people

High levels of lipoprotein(a), or Lp(a)-a variant of LDL (bad) cholesterol- may triple the risk of a heart attack, even among healthy people with no other known risks for heart disease.

Study links Mediterranean diet to living longer

Following a Mediterranean eating pattern is linked to longer life-a finding at least partly explained by such heart-related improvements as decreases in body mass index, inflammation, triglyceride-rich lipoproteins, and insulin resistance.

Device of the month: Mobile ECG device

Mobile ECG devices are small, handheld devices that people can use to record a simple ECG at home. They are designed to detect heart rhythm disorders such as atrial fibrillation.

Upcoming surgery? You may not need any heart tests beforehand

Getting an electrocardiogram (ECG) prior to undergoing noncardiac surgery should be the exception rather than the rule. About half of surgeries are low-risk and pose very little danger for the heart. Asking about a person's symptoms during physical activity-for example, whether they can walk up a flight of stairs without feeling winded-is a better gauge of their risk than the findings from an ECG. But presurgical ECGs make sense for older, inactive people with heart disease. The results can reveal signs of reduced blood flow to the heart or an unstable electrical heart rhythm that may require treatment before surgery.

How to avoid heart failure

New research has found that Americans are now dying from heart failure at a higher rate than 25 years ago, making prevention more important than ever. The best strategy to lower one's risk from heart failure is to address its top underlying contributors: high blood pressure, abnormal blood lipid levels, and weight gain. Addressing these risk factors can also protect against developing coronary artery disease and diabetes, two of the main medical conditions that cause heart failure.

Can you self-titrate your blood pressure drugs?

People with hypertension who monitor their blood pressure at home may be able to successfully self-titrate their blood pressure medications, a 2024 study suggests. First, they need to know their target blood pressure. Readings that remain above goal requires consultation with their doctor to create a plan for better BP control, such as specific steps for medication self-titration.

When fear strikes the heart: Post-traumatic stress disorder

People with post-traumatic stress disorder (PTSD) are especially vulnerable to cardiovascular problems, including a 40% increased risk of heart attack. The amygdala, a brain structure involved in processing anxiety, fear, and stress, is overactive in people with PTSD. But these people also have decreased activity in the ventromedial prefrontal cortex, which is responsible for regulating emotions and dampening the fear response. This brain activity imbalance triggers chronic activation of the body's "fight-or-flight" response. The resulting physiological changes appear to underlie the development of atherosclerosis.

Need more inspiration to exercise? Don't go it alone

Older adults who received interpersonal exercise coaching (which included connecting with peers to learn and share information) improved their step counts and activity levels more than seniors who received intrapersonal coaching that was mostly self-focused, a 2024 study found. Finding an exercise partner (a spouse, friend, or neighbor) may help inspire people to exercise more. A group exercise class may provide the same benefit, in addition to providing structure, a trained instructor, and camaraderie.

Should I take an aspirin if I think I'm having a heart attack?

Contrary to previous recommendations, people who think they are having a heart attack or stroke should not take an aspirin on their own. Their symptoms might be caused by a different problem that might be made worse by taking aspirin.

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