Heart Health Archive

Blood thinners don't "thin" blood; rather, they discourage blood from clotting. Candidates for anti-clotting drugs are people at high risk for dangerous blood clots, such as those with atrial fibrillation or those who have received a stent. Others who can benefit from an anti-clotting drug are people who are immobile after surgery and individuals who have had deep-vein thrombosis (clots in the veins of the legs or arms) or pulmonary embolism (clots in the lungs). A higher risk of bleeding is the main side effect, but most people can tolerate the medication.

Harvard Medical School professor Dr. Eugene Braunwald, known as "the father of modern cardiology," identified five promising future trends in cardiology. They include (1) using polygenic risk scores in newborns for early prevention of heart disease; (2) the emergence of a battery of drugs to treat inflammation; (3) improvements in cardiac cell therapy for repairing damaged hearts; (4) the development of smaller, more powerful, and less expensive left ventricular assist devices; and (5) transplanting genetically modified pig hearts into humans.

A nonsurgical approach for replacing a damaged aortic valve, known as transcatheter aortic valve replacement (TAVR), has become very popular in recent years. But it may not make sense for people in their 60s, who are likely to need a second valve replacement later in life. The valves used in TAVR only last about 10 years, on average. In addition, diagnosing and treating coronary artery disease may be more challenging in people who've had TAVR. Also, the surgery to replace a failed TAVR valve is more complicated than regular valve replacement surgery. So people who are likely to need least one traditional valve surgery are better off having the surgery in their 60s rather than in their 70s. A TAVR can be done the second time around.

Ejection fraction is the fraction (expressed as a percentage) of the blood that the heart "ejects" out to the rest of the body when it contracts. Low ejection fraction signals one form of heart failure. An echocardiogram is the standard test to measure ejection fraction.

Dietary choices can influence weight, blood pressure, cholesterol levels, and blood sugar levels, all factors that can determine a person's risk for heart disease, heart attack, and stroke. Adopting certain eating habits can help manage these factors. These include reducing the intake of saturated fat and refined sugar that are included in many processed foods, eating more healthy monounsaturated and polyunsaturated fats, and following a plant-based diet like the Mediterranean or DASH diet.

Men who report specific types of job-related stress face a higher risk of heart disease than those without such stress, according to a 2023 study.

Older adults who take medications to lower their blood pressure may reduce their risk of dementia, according to a 2023 study. The finding reinforces the connection between heart and brain health.

Despite statements like "promotes heart health" on the labels of fish oil supplements, multiple randomized trials show no evidence of heart-related benefits from using these products. In addition, manufacturing methods might make the products either useless or even harmful. The supplements do provide omega-3 fatty acids, but people can get these essential fats by eating two servings of fatty fish weekly or following a vegetarian diet rich in healthy oils, nuts, and seeds.

Products that encourage healthy eating or exercise can make good holiday gifts for family and friends. Examples include cooking gadgets (such as a food chopper or high-quality knife), a gift basket of fresh fruit or Mediterranean-inspired treats, or home workout equipment (such as dumbbells, resistance bands, or sports-related gear).