Heart Health Archive

Can you improve your health by changing your diet, even if you are unable to lose weight? Three studies examined different variations on the DASH diet, and all found improvements in blood pressure, plus lower LDL cholesterol and triglycerides in one instance — even without weight loss.

But use is primarily a concern for people who take them over a long period or who have certain health risks.

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Numerous studies in recent years have raised concerns that common pain relievers known as nonsteroidal anti-inflammatory drugs (NSAIDs) increase the risk of cardiovascular problems, such as heart attack and stroke.

A study published September 4 in The BMJ seems to confirm the risks associated with NSAIDs and notes that one medication in particular — diclofenac (Voltaren) — is associated with even higher risks to cardiovascular health than others in the same category.

Most lack evidence of any health benefit — and some contain stimulants that could affect your heart.

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Of the nearly $37 billion Americans spend on dietary supplements each year, about two-thirds are for vitamins and minerals. The rest are pills, powders, and tinctures that contain various substances isolated from an array of sources — mainly plants but also animals and microorganisms.

Why are these products so popular? Some people believe that our food supply has been stripped of important nutrients, so they take supplements to replace what's "missing" (although many foods are already fortified to replace vitamins that are destroyed during processing). Others feel that Western medicine relies too heavily on pharmaceuticals and prefer to take natural substances instead. (However, a number of common drugs are derived from plants.)

Ask the doctor

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Q. I recently got a coronary artery calcium scan and the results showed that I have quite a bit of calcium in my heart arteries (my score was 900). Should I have an angiogram to confirm the results? I don't have any heart-related symptoms, but I'm worried about having a heart attack.

A. That is a very high coronary artery calcium score. But the short answer to your question is no. The main reason to have an angiogram is to locate a narrowed heart artery that is causing chest pain or other symptoms. For the test, a cardiologist injects a dye that is visible on x-rays into the blood vessels of your heart, then takes a series of x-ray images. This is done in preparation for angioplasty, in which a narrowed artery is opened, or as a prelude to referral for coronary artery bypass surgery.

When it comes to carbohydrates, quality and quantity matter — just as with everything else you eat.

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These days, low-carb diets are more popular than ever. But this weight-loss strategy is hardly new. It began in the 1960s with the Atkins diet, followed by the South Beach, paleo, and keto diets. All of these diets — which swap carbohydrates for protein or fat — can help some people lose weight, at least over the short term.

But as is true for most diets that require you to avoid many popular foods, low-carb diets are often hard to maintain over the long haul. And if you do keep your carb intake low, the long-term effects on your heart and overall health remain something of a mystery so far. But a new study provides some clues.

Common mental health disorders are linked to a higher risk of heart attack and stroke. Learn to spot the warning signs.

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Heart disease and mental health issues are both common. So it's not surprising that these problems often occur together. But are people with depression or anxiety more prone to developing cardiovascular disease?

Teasing out the answer to that question has proved tricky. Some factors known to contribute to a higher risk of heart disease (for example, an unhealthy diet, lack of exercise, and smoking) are also common in people with mental health issues. Now, new research that adjusts for those potentially confounding factors suggests the answer is yes.

Swimming or doing water aerobics can be a good way to keep your heart in good shape.

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Looking for an activity to boost your heart health that's easy on your joints and doesn't leave you all sweaty? Swimming might be just the ticket. If you have access to an indoor pool, you can swim or do water aerobics year-round — and throughout much of your life.

"If you were to envision an exercise you could start during childhood and continue well into your later years, swimming has to be near the top of the list," says Dr. Meagan Wasfy, a cardiologist at the Cardiovascular Performance Program at Harvard-affiliated Massachusetts General Hospital. Swimming also works many different muscles in the arms, legs, and torso. The buoyancy of the water takes the stress off your joints. That can make exercising a little easier if you have arthritis, are overweight, or are recovering from an injury.