Heart Health Archive

The association between alcohol and cardiovascular disease is both complex and controversial. There’s no evidence of an increased risk for the most common forms of heart disease in people who stay within the limits for moderate drinking. Whether light to moderate drinking can lower a person’s risk is impossible to answer with currently available evidence. But there is clear, consistent evidence that heavier drinking—an average of three or more drinks per day—is linked to worse outcomes for every type of heart disease.

Many devices that measure blood pressure without an inflatable arm cuff are in development, including a wristband recently cleared by the FDA for over-the-counter sale. It relies on a light-based sensor to detect changes in the amount of blood flowing through the vessels of the inner wrist, a technique known as photoplethysmography. But the devices have to be periodically calibrated, and as yet, there are no standards to validate the accuracy of cuffless devices.

Coronary artery disease, the most common form of heart disease, occurs when cholesterol-laden debris narrows the arteries that supply blood to the heart. It is treated with lifestyle changes and medications. However, sometimes people also need a procedure called angioplasty to open a blocked or narrowed artery to improve blood flow to the heart, along with insertion of a stent to hold it open. Most people need this if they experience a heart attack or unstable angina, when chest discomfort occurs repeatedly and unexpectedly, often at rest.

Hospital discharge instructions about medications can be complicated and confusing. Having a family member or friend along as a second set of ears during the discharge meeting can be helpful.

Getting vaccinated against influenza (flu), COVID-19, and pneumonia is especially important for people who have cardiovascular disease. The coughing and congestion that commonly occur with respiratory infections can make breathing more difficult, and the potential drop in oxygen puts added stress on the heart. Serious infections sometimes trigger sepsis, which happens when the immune system is overwhelmed or goes into overdrive, causing symptoms such as a rapid heart rate, very fast breathing, and low blood pressure. These complications can lead to a heart attack.

After common heart procedures or surgeries, medications to help prevent heart attacks and strokes are essential. These include a combination of drugs to prevent blood clots (which is known as dual antiplatelet therapy and usually taken for just one year); drugs to lower LDL cholesterol down to 70 milligrams per deciliter or lower; and drugs to keep blood pressure and blood sugar in a healthy range.

People commonly experience heart palpitations, which feel like the heart flutters or skips a beat, or beats at a faster rate or in an irregular rhythm. They often last only seconds and can be unsettling. For the most part, palpitations are nothing to worry about. Still, these unusual heart sensations may indicate something more serious, such as atrial fibrillation, supraventricular tachycardia, or ventricular tachycardia. Palpitations that persist or cause other symptoms (such as lightheadedness) should be evaluated by a doctor.

For people with diabetes, a modified version of the Dietary Approaches to Stop Hypertension (DASH) diet can lower their blood pressure. Called DASH4D, it has fewer carbohydrates, more unsaturated fat, and slightly reduced amounts of potassium.

An inexpensive blood test that checks for a genetic variant of Lp(a)—a fatty particle similar to LDL cholesterol—may help clarify who might benefit from a daily low-dose aspirin, according to a 2025 review of study findings.

According to a 2025 study, people living near coastlines with high levels of marine microplastics had higher rates of heart disease than those living close to coastlines with less plastic pollution.