Heart Failure Archive

Higher blood levels of omega-3 fatty acids—specifically, eicosapentaenoic acid (EPA) from fish and alpha-linolenic acid (ALA) from plants—may help lower the odds of a poor prognosis in the years following a heart attack. Fatty fish such as salmon and mackerel are good sources of EPA. Flaxseeds, chia seeds, and walnuts are good sources of ALA, which is also found in soybean and canola oil.

People should be cautious about weight-loss diets that restrict a specific category of food (such as carbohydrates, fats, or even animal products) without focusing on the overall quality of the foods. Diets with lots of ultra-processed foods or red meat may contribute to poor heart health. But people can lose weight on less-extreme versions of either low-carb or low-fat diets, as long as they focus mostly on unprocessed or minimally processed foods.

In people with obesity, a high-dose weekly injection of the diabetes drug semaglutide caused a 15% weight loss and improved other heart-related risk factors. Semaglutide works by mimicking a substance called GLP-1, which is made naturally by the gut and the brain. It prods the pancreas to release insulin when blood sugar rises too high, reduces appetite, and makes people feel full following a meal.

Many older people with orthostatic hypotension (a sharp drop in blood pressure upon standing) have no related symptoms such as dizziness or lightheadedness. But they may face an elevated risk of unexplained falls.

People who increase their drinking in later midlife—consuming 21 or more drinks per week—may raise their risk of atrial fibrillation compared with those who maintain low to moderate alcohol intake.

Breaking up long periods of sitting with a short walk every half-hour may have health benefits. Walking even as little as one minute per hour may lower blood pressure, but a notable drop in blood sugar may require a five-minute walk every 30 minutes.

A standing side leg raise helps strengthen muscles in the outer thighs, hips, and backside, which can improve the range of motion in the hips and improve stability.

New guidelines about aortic disease highlight the risks and screening recommendations for these uncommon but life-threatening conditions, which include abdominal and thoracic aortic aneurysms. Cigarette smoking and high blood pressure can heighten the risk of aortic disease, as can genes and certain other medical conditions, which can weaken the wall of the aorta. As a result, the aortic wall may tear (aortic dissection) or bulge outward (aortic aneurysm) and possibly rupture.

A gene editing technique that permanently shuts down a cholesterol-raising protein called PCSK9 is being tested in heart attack survivors with an inherited form of high cholesterol. The one-time infusion contains tiny particles that contain the editing tools, which travel through the blood to the liver and changes the cells that produce the protein. If early data show the treatment to be safe and effective, the therapy potentially could be used in people who have "garden variety" high cholesterol.

Running can boost cardiovascular fitness faster and better than walking, but this high-impact activity comes with a higher risk of injuries than walking. Beginning runners should start slow and alternate walking and running at first. Doing strength training and increasing mileage gradually may help. People who sustain minor injuries when running should rest for a few days and consult a physical therapist if the injury doesn't get better.