Heart Health Archive

Although uncommon, heart infections may trigger inflammation that can damage the heart. People should be aware of the risks and symptoms of the three main types: pericarditis (swelling and irritation of the protective, double-layered membrane that surrounds the heart, called the pericardium), myocarditis (inflammation in the middle, muscular layer of the heart), and endocarditis (inflammation that affects the heart’s inner lining or one or more of the heart’s valves).

In about half of all cases of heart failure, the heart’s muscles are thin and weak, so the heart can’t pump very well. In the other cases, the muscles are thick and stiff, which prevents the heart from relaxing normally to fill with blood.

Pulmonary hypertension affects the pulmonary arteries, which carry blood from the right side of the heart to the lungs. The vessels tighten, become stiff and thick, or develop blood clots. These changes reduce or block blood flow, raising pressure in the pulmonary arteries.

Exposure to microscopic particles called PM_2.5 in air pollution may increase a person’s risk of heart attack, stroke, and heart rhythm disorders. The tiny particles pass from the lungs into the bloodstream, triggering inflammation and other cell-damaging processes. Air pollution comes mainly from coal-fired power plants, industrial factories, and motor vehicles. To limit exposure, people should try to avoid exercising outdoors near busy roads or industrial areas.

With this issue of the Harvard Heart Letter, Dr. Christopher Cannon, professor of cardiology at Harvard Medical School, becomes editor in chief.

A majority of people in the United States need a large or extra-large blood pressure cuff. To ensure an accurate reading, people should check their arm circumference to make sure they're using the correct cuff size.

Some people who take the anti-clotting drug warfarin (Coumadin) may not need to take low-dose aspirin. Stopping unneeded aspirin use may prevent dangerous bleeding.

Popular brands of dark chocolate (which is often touted as heart-healthy) may contain potentially worrisome levels of lead and cadmium. Consistent, long-term exposure to these heavy metals has been linked to cardiovascular disease.

The core muscles include those of the abdomen, lower back, front of hips, and spine. Many popular sports such as cycling, golf, tennis, and swimming depend on a stable, flexible core.

Video visits and other forms of telehealth, which were commonplace during the COVD-19 surge, can be good options for treating people with heart disease. Telehealth delivery options can be synchronous or asynchronous, and they may also include remote monitoring or measurements such as weight and blood pressure. Blended care that combines in-person appointments with virtual visits may be the wave of the future.