Heart Health Archive

Many people with atrial fibrillation (afib) — a rapid, irregular heart rhythm — need to control symptoms, such as the feeling that the heart is racing or fluttering. Medication options include drugs that slow down the heart or help restore its rhythm. Because afib can also increase the risk of blood clots that can lead to a stroke, many of these people also need to take clot-preventing medications.

An apolipoprotein B (apoB) test counts the number of LDL particles in the bloodstream as well as other particles that can contribute to clogged arteries and heart attacks. All of these so-called atherogenic particles carry a single apoB molecule but varying amounts of cholesterol. ApoB values are more closely linked to heart disease risk than LDL cholesterol. People with signs of an unhealthy metabolism—such as prediabetes, a big belly, or elevated triglycerides—are far more likely to have a high apoB.

Doctors have long prescribed drugs called beta blockers to all heart attack survivors. These drugs, which slow down the heart and lower blood pressure, include atenolol (Tenormin) and metoprolol (Lopressor, Toprol). Growing evidence suggests that these drugs offer no meaningful benefit for people whose hearts still pump normally after a heart attack. Sometimes, however, a heart attack leaves the left ventricle (the heart’s main pumping chamber) unable to contract effectively. When that’s the case, beta blockers are still recommended.

A 2025 study suggests that more than 99% of people who have a first-time heart attack, stroke, or heart failure have at least one of four risk factors: unhealthy blood pressure, cholesterol, or blood sugar levels, or past or present smoking.

A free online tool that estimates your heart’s age suggests that most adults have a heart that is older than their chronological age, according to a 2025 study.

A diet high in ultra-processed foods is linked to higher burden of fatty plaque in the carotid arteries, according to a 2025 study.

Circadian rhythms, which are hardwired into nearly every cell of the body, regulate the heart and blood vessels. Disruptions to this rhythm—from shift work, poor sleep, or unhealthy habits—can raise the risk of cardiovascular disease. For example, heart attacks are more likely to occur on Mondays than any other day of the week. That’s because people tend to stay up later than usual and then sleep in the next day. On Monday morning, when they have to wake up early again for work, the change may cause subtle changes in blood pressure, hormone secretion, and metabolism that raise heart attack risk.

A 2025 study finds that smoking and high blood pressure are the two most important factors driving heart disease risk. Together with high cholesterol, excess weight (or being underweight), and diabetes, these five factors account for about 50% of the burden of cardiovascular disease. Compared to people with all five risk factors at age 50, those who had none of the factors were far less likely to develop cardiovascular disease or die early. On average, women with none of the risks at midlife lived 13 more years without heart disease, while men lived an additional 11 years.

A diet low in sodium and rich in plant-based foods promotes a diverse, balanced population of gut microbes, which may help people maintain a healthy blood pressure. A salty diet increases the prevalence of bad microbes and reduces the number of beneficial microbes. When bad microbes accumulate in the gut, they form  breakdown products and toxins that promote inflammation. Beneficial microbes feed on fiber, which is why a diet that provides a mix of healthy fiber from plant-based foods helps. These microbes produce short-chain fatty acids, which interact with specific receptors on cells that help regulate blood pressure.

A 2025 study suggests that higher fitness levels may help protect people from developing atrial fibrillation.