Heart Failure Archive

Doctors may diagnose heart attacks in people who have not actually had one, in part because they screen people with subtle symptoms out of fear of missing the diagnosis. Failure to diagnose a heart attack is the No. 1 cause of malpractice payouts in the emergency department. But the blood test used to detect a heart attack is very sensitive, and other conditions such as myocarditis (heart inflammation) may be misdiagnosed as a heart attack. This problem of overdiagnosis can expose people to unneeded risks, high costs, and other downsides.

Chemical pollutants such as lead, perfluoroalkyl and polyfluoroalkyl substances (also known as PFAS), and pesticides may contribute to heart disease risk. Possible routes of exposure for all three include drinking water and food. Residue and dust from many common items (such as water-resistant clothing and personal care products) may expose people to PFAS. People can limit their exposure by testing and, if needed, filtering their drinking water; choosing PFAS-free products when possible; using non-chemical pest control methods; and choosing organic foods.

A 2024 study suggests that for people with atrial fibrillation (afib), heart failure may be a more common complication than stroke. People with afib should be vigilant for the early warning signs of heart failure, such as feeling tired and winded.

People can reduce their LDL cholesterol in three ways. One strategy involves dietary changes, such as eating more fiber-rich foods and swapping saturated fats for unsaturated fat. Another is to take one of several dietary supplements, including psyllium, plant sterols, or red yeast rice. The third entails taking a prescription medication, such as a statin. Many factors can affect whether these different strategies are advisable or useful, including a person's age and other risk factors for heart disease, their current dietary habits, and the quality of the supplements they take.

Beta blockers remain effective medicines for treating and managing common heart disease problems. People take them to manage atrial fibrillation (an irregular and rapid heart rhythm) and to prevent chest pain from coronary artery disease. Beta blockers also are used in the initial treatment of heart attacks. However, many people who have a mild heart attack may not need to take one forever.

Chest pain is an indicator of a possible heart attack, but it may also be a symptom of another condition or problem. The type and location of the pain can help doctors determine what is causing it.

A large observational study published in 2024 suggests that stroke isn't the biggest risk of atrial fibrillation (an abnormal heart rhythm condition). The biggest risk seems to be heart failure, a condition in which the heart is unable to pump blood effectively.

Health insurance companies sometimes require prior authorization for new, expensive medications. The high price patients pay for these drugs is related to complexities in health insurance coverage.

Intermittent fasting may help people lose weight and improve their cholesterol levels and other heart-related risks. One form of intermittent fasting is time-restricted eating, during which people eat only during a certain time window (usually eight hours) each day. Another approach, alternate-day fasting, involves fasting or significantly limiting calories for one or two days per week. But it's hard to maintain over the long run due to the challenges of following a strict eating schedule while juggling various work, family, and social commitments.

Cardiac rehabilitation, a personalized program of supervised exercise and heart-healthy lifestyle coaching, helps people recover from heart-related problems, including stable angina, heart attack, heart surgery, and stable heart failure. A 12-week program helps people regain their stamina, enabling them to resume their favorite activities, and may also lessen stress and depression. Cardiac rehab is also proven to lower the risk of future heart-related illness and hospitalization and may help people live longer.