Heart Health Archive

Research we're watching

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Electronic cigarettes, which are battery-operated devices that create a nicotine-filled vapor, are often touted as a less-risky alternative to conventional cigarettes. But daily e-cigarette use may nearly double a person's risk of a heart attack, according to a study in the October 2018 American Journal of Preventive Medicine.

The data came from nearly 70,000 people who took part in two National Health Interview Surveys. Compared with nonsmokers, people who smoked regular cigarettes daily nearly tripled their heart attack risk, compared with a nearly doubled risk among people who used only e-cigarettes. However, about two-thirds of current e-cigarette users also smoked regular cigarettes. Using both products daily was linked to a nearly fivefold increase in heart attack risk.

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Research we're watching

As some people age, the valve leading to the heart's largest vessel (aorta) can become clogged with calcium deposits, causing the valve to stiffen and narrow. A study in the Oct. 3, 2018, JAMA Cardiology looked at strategies for treating the condition, known as aortic stenosis.

Aortic stenosis — which generally causes no symptoms for many years — is usually detected during a routine check-up. Doctors usually recommend replacing the aortic valve soon after symptoms such as chest pain, shortness of breath, or fainting occur, as these can foretell sudden cardiac death. However, the best strategy for people who have severe aortic stenosis but no symptoms is less clear.

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In the journals

People with atrial fibrillation, or afib, a type of irregular heartbeat that is linked with stroke, also may have a greater risk of dementia than those without the condition, according to a study published online Oct. 10, 2018, by Neurology.

Researchers recorded medical data from 2,685 people, average age 73. None of them had dementia and 243 had afib. After nine years, another 279 people developed afib. The researchers found that people with afib showed a faster rate of decline in thinking and memory skills than those without the condition, and were 40% more likely to develop dementia.

Moderate workouts on most days of the week may be enough for heart-healing benefits.

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Good news: If you've spent most of your life as a competitive master athlete who trains more than six days a week (in addition to competitions) your heart probably looks and performs like one that is much younger than its chronological age.

Doesn't sound like you? Don't worry, there's also some good news for the rest of us. Even if you've spent more time hanging out than working out over the past few decades, starting an exercise program in middle age might earn you a younger-looking heart too.

Can you improve your health by changing your diet, even if you are unable to lose weight? Three studies examined different variations on the DASH diet, and all found improvements in blood pressure, plus lower LDL cholesterol and triglycerides in one instance — even without weight loss.

But use is primarily a concern for people who take them over a long period or who have certain health risks.

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Numerous studies in recent years have raised concerns that common pain relievers known as nonsteroidal anti-inflammatory drugs (NSAIDs) increase the risk of cardiovascular problems, such as heart attack and stroke.

A study published September 4 in The BMJ seems to confirm the risks associated with NSAIDs and notes that one medication in particular — diclofenac (Voltaren) — is associated with even higher risks to cardiovascular health than others in the same category.

Most lack evidence of any health benefit — and some contain stimulants that could affect your heart.

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Of the nearly $37 billion Americans spend on dietary supplements each year, about two-thirds are for vitamins and minerals. The rest are pills, powders, and tinctures that contain various substances isolated from an array of sources — mainly plants but also animals and microorganisms.

Why are these products so popular? Some people believe that our food supply has been stripped of important nutrients, so they take supplements to replace what's "missing" (although many foods are already fortified to replace vitamins that are destroyed during processing). Others feel that Western medicine relies too heavily on pharmaceuticals and prefer to take natural substances instead. (However, a number of common drugs are derived from plants.)

When it comes to carbohydrates, quality and quantity matter — just as with everything else you eat.

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These days, low-carb diets are more popular than ever. But this weight-loss strategy is hardly new. It began in the 1960s with the Atkins diet, followed by the South Beach, paleo, and keto diets. All of these diets — which swap carbohydrates for protein or fat — can help some people lose weight, at least over the short term.

But as is true for most diets that require you to avoid many popular foods, low-carb diets are often hard to maintain over the long haul. And if you do keep your carb intake low, the long-term effects on your heart and overall health remain something of a mystery so far. But a new study provides some clues.

Common mental health disorders are linked to a higher risk of heart attack and stroke. Learn to spot the warning signs.

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Heart disease and mental health issues are both common. So it's not surprising that these problems often occur together. But are people with depression or anxiety more prone to developing cardiovascular disease?

Teasing out the answer to that question has proved tricky. Some factors known to contribute to a higher risk of heart disease (for example, an unhealthy diet, lack of exercise, and smoking) are also common in people with mental health issues. Now, new research that adjusts for those potentially confounding factors suggests the answer is yes.