Heart Health Archive

The 2025 blood pressure guidelines recommend starting drugs to treat hypertension if people don't meet blood pressure goals after three to six months of lifestyle changes. The guidelines also recommend that everyone with high blood pressure be screened for primary aldosteronism, and suggest that people with resistant hypertension (stubbornly high blood pressure) consider renal denervation, a procedure that disrupts some of the nerves around the arteries supplying blood to the kidneys.

An Indian-adapted Mediterranean diet includes vegetarian-focused meals flavored with an array of vibrant spices. The fiber-rich meals contain anti-inflammatory compounds that may provide heart-related health benefits. Healthy protein sources include legumes, featured in dishes such as chana masala (chickpeas in a tomato-based sauce) and dal (a soupy stew made from dried split lentils or peas). Tomatoes, eggplant, and peppers appear often in both the Mediterranean diet and the Indian-adapted version, as do leafy greens such as spinach.

Doctors have long prescribed drugs called beta blockers to all heart attack survivors. These drugs, which slow down the heart and lower blood pressure, include atenolol (Tenormin) and metoprolol (Lopressor, Toprol). Growing evidence suggests that these drugs offer no meaningful benefit for people whose hearts still pump normally after a heart attack. Sometimes, however, a heart attack leaves the left ventricle (the heart's main pumping chamber) unable to contract effectively. When that's the case, beta blockers are still recommended.

Many people with atrial fibrillation (afib) - a rapid, irregular heart rhythm - need to control symptoms, such as the feeling that the heart is racing or fluttering. Medication options include drugs that slow down the heart or help restore its rhythm. Because afib can also increase the risk of blood clots that can lead to a stroke, many of these people also need to take clot-preventing medications.

An apolipoprotein B (apoB) test counts the number of LDL particles in the bloodstream as well as other particles that can contribute to clogged arteries and heart attacks. All of these so-called atherogenic particles carry a single apoB molecule but varying amounts of cholesterol. ApoB values are more closely linked to heart disease risk than LDL cholesterol. People with signs of an unhealthy metabolism-such as prediabetes, a big belly, or elevated triglycerides-are far more likely to have a high apoB.

A 2025 study suggests that more than 99% of people who have a first-time heart attack, stroke, or heart failure have at least one of four risk factors: unhealthy blood pressure, cholesterol, or blood sugar levels, or past or present smoking.

Costochondritis, which is inflammation of the cartilage between the ribs and the breastbone, is one of the most common causes of chest pain and is frequently mistaken for a heart attack.

A 2025 survey suggests that many adults don't have a good understanding of high blood pressure, including not knowing what reading signifies high blood pressure and confusion about symptoms related to the condition.

Insufficient sleep triggers a long list of physiological and hormonal changes that contribute to heart disease. For example, a lack of sleep can cause increases in blood pressure, blood sugar, inflammation, and weight. Doctors recommend getting at least seven hours of uninterrupted sleep per night. Strategies that promote better sleep include going to bed and waking up at the same time every day, creating a healthy sleep environment, and turning off electronics an hour before bedtime.