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Mental stress, gender, and the heart

Research we're watching

Mental stress can cause arteries throughout the body to constrict. In people with heart disease, this effect can reduce blood supply to the heart muscle, a phenomenon known as mental stress–induced ischemia. New research suggests that this problem may affect women differently from men.

For the study, 678 adults (average age 63) delivered a speech while researchers measured their blood pressure and heart rate, took imaging pictures of their hearts, and measured the constriction of tiny arteries in their fingers. In women, mental stress–induced ischemia mostly resulted from constriction of tiny arteries. The resulting greater resistance requires the heart to use more force in pumping blood. In contrast, the ischemia seen in men was mostly due to a rise in blood pressure and heart rate. The findings are yet another reminder for people to find ways to avoid and manage mental stress. But they also hint that women's hearts may be more vulnerable to this problem. The study was published online Dec. 21, 2017, by the journal Arteriosclerosis, Thrombosis, and Vascular Biology.

Forgetful? When to worry about memory changes

If you are noticing problems in yourself or a loved one, here's where to turn for help and support.


 Image: © simarik/Getty Images

You're talking with a friend about a movie you saw recently, but can't remember the actor's name. Last week you found yourself upstairs, but couldn't remember what you came up to look for. Your keys are always missing. You worry: are these normal memory lapses or early signs of Alzheimer's disease or another form of dementia?

"Because there has been so much attention paid lately to the aging baby boomer population, I think Alzheimer's disease is getting a lot of attention, which is leading a lot of people to believe they may have the condition," says Dr. Suzanne Salamon, associate chief of the gerontology division at Beth Israel Deaconess Medical Center and assistant professor of medicine at Harvard Medical School.

Antidepressants not always effective in people with chronic disease

In the journals

Some antidepressants may not offer much relief for people who battle both depression and a chronic disease, according to research in the Nov. 21, 2017, Journal of the American Medical Association.

Nearly half of Americans live with a chronic condition, according to the CDC, and many also suffer from depression, including more than half of Parkinson's disease patients, 41% of cancer patients, and more than 25% of those with diabetes.

Is your drinking becoming a problem?

Here are some signs of an alcohol use disorder — and ways to find the help you need if you suspect you're drinking too much.


 Image: © Thomas Northcut/Thinkstock

The thought of hangovers and binge drinking may conjure an image of a college-age student or a 20-something out on the town. But increasingly, those terms apply to people who probably look a lot like you.

Alcohol use problems often start innocently enough in older women. A problem may begin with a drink at night to combat insomnia, says Dr. Olivera Bogunovic, assistant professor of psychiatry at Harvard Medical School. But then one drink turns into two, and a 9 p.m. cocktail turns into all-day drinking, she says.

Mindfulness can improve heart health

Research suggests a regular meditation practice could protect against heart disease. Here's how to begin one.


 Image: © Wavebreakmedia Ltd/Thinkstock

What's good for the mind also tends to be good for the heart.

The mind-calming practice of meditation may play a role in reducing your risk of heart disease, according to a scientific statement published in the Sept. 28, 2017, Journal of the American Heart Association.

Finding purpose in life

You may no longer play the role of breadwinner and family man, but there are still ways to stay engaged with life.


 Image: © Ildo Frazao/Thinkstock

For most of their adult lives, men are defined by what they do and how they do it, from their chosen career to their role in the family. However, as you age, you can lose your once-defined sense of purpose — the desire to pursue goals, feel life is worth living, and have a general enthusiasm for living.

You retire, the nest empties out, and you may have accomplished most of your personal and professional goals. "What do I do for the rest of my life?" becomes a nagging question.

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