Heart Health Archive

A rapid heart rate—tachycardia—is a key feature of postural orthostatic tachycardia syndrome, or POTS, a mysterious condition that involves the nervous system and can cause a constellation of symptoms, including fatigue, shortness of breath, headaches, and brain fog, as well as pain in the chest, extremities, or elsewhere in the body. At least half of all cases of POTS are thought to be triggered by an infection (such as mononucleosis), which then spurs inflammation or an autoimmune response. Treatment includes drinking lots of water, eating lots of salt, and graded exercise training.

New imaging techniques that use light or sound waves to create images of the inside of coronary arteries have helped researchers better understand the fat-laden plaque that builds up inside artery walls (atherosclerosis). Most heart attacks happen when small, inflamed areas of fatty plaque rupture suddenly, causing a clot that blocks blood flow. This may explain why treating large, obstructive plaques with stents or bypass surgery does not seem to prevent heart attacks or help people live longer.

Pumpkin seeds are one of the best natural sources of magnesium, a mineral that's important for keeping blood pressure in check. They're also a good source of several other minerals, unsaturated fats, and fiber.

For assessing heart disease risk, a standard cholesterol test doesn't always tell the whole story. Some people with "normal" LDL cholesterol levels might benefit from a test that measures apolipoprotein B (apoB). This test, which measures the number of LDL particles as well as other particles that can contribute to clogged arteries, may be a better indicator of heart disease risk than just an LDL cholesterol value.

Peripheral artery disease (PAD), which occurs when fatty deposits clog arteries outside the heart, is underrecognized and potentially dangerous. The hallmark symptom is leg pain that occurs with exercise, called intermittent claudication. PAD is more common among people who are older, who smoke, and who have diabetes. The recommended treatment involves short periods of walking interspersed with rest periods when pain occurs. Walking increases blood flow in the leg's smaller arteries and helps create new channels to move blood around the blockages; it also helps discourage new blockages.

People who sit for long, uninterrupted periods of time may increase their risk of cardiovascular disease, even if they get the recommended 30 minutes of daily exercise. Sedentary behavior appears to make people more prone to developing insulin resistance and inflammation, which are key players in the buildup of fatty plaque inside arteries. Experts say people should add short bursts of movement to their daily routine to break up long periods of sitting.

Most strokes are caused by a clot that blocks a blood vessel in the brain. Those that damage small areas of brain tissue that don't control any vital functions are known as silent strokes because they don't cause any noticeable symptoms.