Heart Health Archive

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

Mounting evidence paints a worrisome picture of the potential health consequences of nontraditional shift work schedules. So how can people who are required to work during the night and sleep during the day protect their health and well-being?

The human heart normally keeps a predictable pace, but occasionally you might notice a sensation that feels like your heart is racing, fluttering, or has skipped a beat. While this can be alarming, it's usually not a cause for concern.

Statins were more effective at lowering cholesterol levels compared with six dietary supplements touted for heart health benefits, including managing cholesterol.

The gut is home to trillions of microbes, collectively known as the gut microbiota, which help with digestion, manufacture certain nutrients, and release various substances that have wide-ranging health effects, including on cardiovascular health. As diet plays a significant role in the composition of the gut microbiota, people's diet can indirectly affect heart health. Following a plant-based diet that emphasizes less red meat and more fiber can support the gut and its heart-healthy benefits.

A 2022 study found that taking supplements for four weeks to treat "bad" LDL cholesterol was ineffective, compared with taking a statin drug for four weeks. Supplements studied included fish oil, cinnamon, garlic, turmeric, plant sterols, and red yeast rice.

Stroke survivors who take their blood pressure drugs as prescribed may be less likely to experience a serious fall compared with those who don't take their medications on schedule.

Increasing the volume or intensity of daily physical activity helps lower a person's risk of cardiovascular disease. Boosting both appears to lower risk even further.

Arm curls, which strengthen your biceps, can be done with dumbbells or household items such as cans of soup or water bottles.

Microvascular disease refers to problems in the network of tiny blood vessels in the heart. Doctors suspect this condition in people who have angina (chest) pain with no evidence of blockages in the heart's larger arteries. In the most common form of microvascular disease, the inner walls of small arteries thicken, and the layer of cells closest to the blood lose their ability to expand and contract in response to the demand for increased blood flow, such as during exercise. In another form of the problem, vasospastic angina, muscles within the heart's arteries suddenly clamp down, causing a temporary spasm that blocks blood flow to heart muscle.