Heart Health Archive

The carotid arteries, which run up the sides of the neck, can become clogged with plaque-a condition called carotid stenosis. But a carotid artery ultrasound to look for this problem is advisable in only a few specific circumstances, mostly in people with signs or symptoms of carotid stenosis. One sign is a distinctive whooshing sound called a bruit that a doctor can hear through a stethoscope placed over the artery. The tests are also routine in people who experience symptoms of a transient ischemic attack (TIA), or ministroke, which usually last only briefly.

A significant reduction in salt intake may directly lower blood pressure in even more people than previously believed.

When participants in a 2023 study ate a low-sodium diet for one week, the vast majority experienced an average 8-point drop in their systolic blood pressure compared to when they ate a high-salt diet for one week.

Metabolic syndrome is a constellation of interrelated health conditions that significantly increases the risk for heart attacks, strokes, diabetes, and more. A diagnosis requires at least three of the following risk factors: obesity, high blood sugar, high triglycerides, low HDL (good) cholesterol, or high blood pressure. Metabolic syndrome can be reversed if it's recognized. Losing weight is central to reducing many of its features. Lowering elevated blood pressure, blood sugar, and cholesterol levels also plays a major role in reducing the risk for heart disease and stroke.

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.

In women, sleep problems-including falling asleep, staying asleep, and insufficient sleep-were associated with a greater risk of high blood pressure.

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.

In contrast to previous studies, several new investigations have been unable to find clear evidence that people who take a drink a day are less likely to develop heart disease than people who don't drink. The new evidence doesn't negate past studies; it simply must be weighed against past studies. And while findings suggest that moderate drinking may offer some heart benefits, drinking is not recommended for the purpose of achieving those unproven benefits. Excessive drinking-averaging three or more drinks a day-causes multiple health problems, including heart problems.

Diets high in added sugars are linked to an increased risk of coronary artery disease, but naturally occurring sugars in fruits and vegetables are not. Nearly 70% of added sugar in the American diet comes from sugary beverages, desserts and sweet snacks, candy, and breakfast bars and cereals. Consuming excess added sugar promotes weight gain and diabetes and also spurs the liver to pump out triglycerides and other fats into the bloodstream.

Walk with a Doc is a nonprofit program founded by a cardiologist that sponsors free, doctor-led walks in mostly outdoor venues (usually public parks) in 560 sites across America. The walks last 30 to 90 minutes, are usually held once per month, and include a five-minute talk about various health topics by the physician. In addition to the exercise and education, participants benefit from the camaraderie and time spent in nature.