Stroke Archive

When it comes to managing blood pressure, doctors tend to focus on lowering the top (systolic) number, but the bottom (diastolic) number also plays an essential role in heart health. Diastolic pressure is the pressure during the resting phase between heartbeats, and helps coronary vessels supply oxygen to the heart muscle. It’s important to keep both blood pressure numbers low per guidelines, but research suggests the diastolic number should not fall too low.

A study of Black adults living in the Atlanta area suggests that feeling rooted in community and socializing with neighbors may strongly contribute to better cardiovascular health, which might lower risk for heart attacks and strokes.

Consuming less sodium and more potassium may be linked to better heart health, according to a November 2021 study published in the New England Journal of Medicine. After controlling for other risk factors, the researchers found that for every extra 1,000 milligrams (mg) of sodium detected in the urine, there was an 18% increase in the risk of cardiovascular disease. For every extra 1,000 mg of potassium in the urine, there was an 18% decrease in risk.

High blood pressure not only can raise risk for a heart attack, but also can affect the brain. Keeping blood pressure normal can make brain injury from stroke less likely to happen and perhaps slow the natural decline in cognitive function. Just like with the heart, the best way to protect the brain from high blood pressure is to lower blood pressure if it's high and keep it as close to a normal level as possible.

Older adults who eat fish several times a week may be less likely to develop early signs of cerebrovascular disease, a category that includes strokes, aneurysms, and related problems.

Anger or emotional upset may be linked to an increased risk of stroke within an hour of experiencing those negative emotions.

Air pollution is an often overlooked yet important contributor to cardiovascular disease. Tiny particles known as PM_2.5 travel deep into the lungs, where they irritate receptors and trigger nerves involved in the autonomic nervous system. This irritation also contributes to inflammation, which accelerates atherosclerosis. Climate change can worsen the damaging effects of air pollution in several ways, such as by promoting wildfires and dust storms, which creates more PM_2.5. To reduce pollution's harmful effects, people can check air quality information and use portable indoor air cleaners when pollution levels are elevated.

Dietary fat can both help and hurt heart health, depending on the source. Eating adequate amounts of the "good" fats—monounsaturated and polyunsaturated—can help reduce cholesterol levels and lower blood pressure. "Bad" saturated fat found in many processed foods can have the opposite effect. Following heart-healthy diets like the Mediterranean and DASH diets and making small substitutions in daily eating habits can ensure people get the proper amounts of good fats.

People who sip several daily cups of both coffee and tea may be less likely to have a stroke than people who don't drink either beverage.