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Heart Health Archive

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Device of the month: Body-weight scale

Compared with analog scales, digital scales are more accurate and easier to read. Many smart scales include added features such as smartphone connectivity and body composition estimates.

Treating persistent angina

Treatments for angina include medications to lower LDL cholesterol to very low levels to help reduce artery-narrowing plaque. Drugs that slow the heart rate and widen arteries can improve symptoms.

Does a coronary stent make sense for stable angina?

Tiny mesh tubes called stents, used to prop open heart arteries, can relieve stable angina (chest pain with exertion or emotional stress) in many people with coronary artery disease. But this treatment-which carries a risk of complications and a high cost-should be reserved only for people who don't get relief from drug therapy. Stents do not prevent future heart attacks or improve survival compared with drug therapy. Angina usually results from arteries that are more than 70% blocked, but most heart attacks occur in arteries that are narrowed by only about 40% or less but harbor plaque that ruptures without warning. The resulting blood clot blocks blood flow, triggering a heart attack.

Dietary salt and blood pressure: A complex connection

About a third of healthy people-and about 60% of people with high blood pressure-are salt sensitive, meaning they have an exaggerated response to dietary sodium. But an estimated one in 10 people may have inverse salt sensitivity: their blood pressure goes up when they eat less salt. Understanding the genetic basis of these differences may one day improve the treatment of blood pressure.

Television watching in young adults linked to later heart-related risks

A long-term study published in 2023 found that watching lots of television during young adulthood was linked to increased rates of obesity and other factors that raise heart disease risk in midlife.

Couples often share high blood pressure diagnosis

People whose spouses have high blood pressure may be more likely to have high blood pressure themselves than people whose spouses do not have the condition, according to a 2023 study.

Gene therapy for cardiovascular disease

Clinical trials are under way using gene therapy to treat inherited cardiovascular conditions, including familial hypercholesterolemia (one form of abnormally high cholesterol), hypertrophic cardiomyopathy (a type of heart muscle disease), and transthyretin amyloid cardiomyopathy (a form of heart failure resulting from amyloid deposits). But challenges remain in developing and delivering these therapies.

A new tool to predict heart disease risk

The PREVENT equation is a new online calculator to predict a person's odds of developing heart disease. Compared to previous calculators, the updated tool considers broader measures of health (including biomarkers for kidney and metabolic health) and a longer age span (starting at 30 instead of 40 years of age). The goal is to encourage earlier, more targeted strategies to help people avoid cardiovascular problems.

Eat more fiber-rich foods to foster heart health

Many studies suggest that fiber-rich diets may help prevent heart disease. But most Americans eat only about 16 grams of fiber a day-far less than the recommended amounts.

The portfolio diet: A smart investment for your heart

The portfolio diet, which emphasizes foods rich in fiber and healthy fats, helps lower LDL cholesterol. A 2023 study suggests that the more closely people follow the diet, the lower their risk of cardiovascular disease. The diet discourages foods from animal sources and features foods from five main categories, including (1) plant protein such as legumes; (2) nuts and seeds; (3) foods rich in viscous fibers such as oatmeal, eggplant, and berries; (4) plant sterols such as phytosterol-enriched margarine; and (5) monounsaturated fats such as olive and canola oils.

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