Heart Health

The heart beats about 2.5 billion times over the average lifetime, pushing millions of gallons of blood to every part of the body. This steady flow carries with it oxygen, fuel, hormones, other compounds, and a host of essential cells. It also whisks away the waste products of metabolism. When the heart stops, essential functions fail, some almost instantly.

Given the heart's never-ending workload, it's a wonder it performs so well, for so long, for so many people. But it can also fail, brought down by a poor diet and lack of exercise, smoking, infection, unlucky genes, and more.

A key problem is atherosclerosis. This is the accumulation of pockets of cholesterol-rich gunk inside the arteries. These pockets, called plaque, can limit blood flow through arteries that nourish the heart — the coronary arteries — and other arteries throughout the body. When a plaque breaks apart, it can cause a heart attack or stroke.

Although many people develop some form of cardiovascular disease (a catch-all term for all of the diseases affecting the heart and blood vessels) as they get older, it isn't inevitable. A healthy lifestyle, especially when started at a young age, goes a long way to preventing cardiovascular disease. Lifestyle changes and medications can nip heart-harming trends, like high blood pressure or high cholesterol, in the bud before they cause damage. And a variety of medications, operations, and devices can help support the heart if damage occurs.

Heart Health Articles

Beyond the coronary arteries: Possible benefits of statin drugs Part I: Meet the statins

Statins can reduce the risk of heart attacks and other major clinical manifestations of coronary artery disease (CAD) by up to 37%, with the greatest benefit going to men at the highest risk. And since heart disease is America's leading cause of death, it's no wonder that the seven statin drugs are the best-selling prescription medications in the United States. A large body of research suggests they may also have important benefits beyond the coronary arteries. (Locked) More »

Hypertrophic cardiomyopathy: Optimism tinged with caution

Hypertrophic cardiomyopathy is a thickening of the heart's inner dividing wall that can weaken the heart's ability to pump blood effectively. Though its effects vary considerably, many people are able to live normally with the condition. Here are a few general guidelines for living with hypertrophic cardiomyopathy: (Locked) More »

Long-term look at aneurysm repair

A study comparing the two methods of repairing an abdominal aortic aneurysm found differences in survival rates after the first month, but after several years survival rates for both groups were approximately the same. (Locked) More »

Same-day angioplasty feasible, safe

People who undergo an angioplasty typically stay in the hospital overnight, but at some hospitals patients who meet strict criteria are now being allowed to go home the same day. At Mt. Sinai Medical Center in New York, the Mt. Sinai team used these criteria to determine who might safely go home the same day of angioplasty: More »

Study suggests caution on statins after a bleeding stroke

People who take a statin after a hemorrhagic stroke may be at a slightly higher risk of having another stroke, but this potential risk may be outweighed by the protection against heart attack provided by a statin. Talk with your doctor to find out where you stand. (Locked) More »

Take your pills

One of every three adults in our country has high blood pressure which increases the risk of heart attack, stroke, heart failure, and kidney failure. Most cases could be prevented by simple lifestyle measures such as dietary salt restriction, weight control, and moderate exercise. A study of men with newly diagnosed hypertension underlines the importance of regularly taking the medication prescribed by your doctor. (Locked) More »

March 2011 references and further reading

Patel M, Kim M, Karajgikar R, et al. Outcomes of patients discharged the same day following percutaneous coronary intervention. JACC Cardiovascular Interventions 2010; 3:851-8. Chambers CE, Dehmer GJ, Cox DA, et al. Defining the length of stay following percutaneous coronary intervention: an expert consensus document from the Society for Cardiovascular Angiography and Interventions. Endorsed by the American College of Cardiology Foundation. Catheterization and Cardiovascular Interventions 2009; 73:847-58. Schermerhorn ML, O'Malley AJ, Jhaveri A, Cotterill P, Pomposelli F, Landon BE. Endovascular vs. open repair of abdominal aortic aneurysms in the Medicare population. New England Journal of Medicine 2008; 358:464-74. (Locked) More »