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Answering your questions about the COVID-19 vaccine

People who get the COVID-19 vaccine may experience arm pain, rashes, aches, fever, or fatigue. Doctors say it's worth the risk, since an older adult's risk of dying from COVID is 3% to 11%.

Alternatives to warfarin may be safer, more effective for afib

For people with certain types of valvular atrial fibrillation, drugs known as direct oral anticoagulants (DOACs) may be safer and more effective than warfarin (Coumadin). DOACs include apixaban (Eliquis), dabigatran (Pradaxa), and rivaroxaban (Xarelto).

Diastolic blood pressure: Worth a second look?

A diastolic blood pressure reading lower than 60 mm Hg may be linked to an increased risk of heart attack and stroke in people at high cardiovascular risk. Diastolic pressure tends to fall with age. Some people with a low reading have a leaky aortic valve, which interferes with normal blood circulation throughout the heart and causes diastolic pressure to fall. But in people with healthy aortic valves who can be physically active without any symptoms (such as chest pressure, shortness of breath, or lightheadedness), a low diastolic blood pressure should not pose a problem.

Is a "normal" blood pressure reading too high for women?

A study published Feb. 16, 2021, in Circulation found that women with blood pressure readings in a normal range may still be at higher risk for cardiovascular events. For example, heart attack risk in women rose at a systolic (the upper number) reading of 110 to 119 millimeters of mercury (mm Hg) and was the same at this level as men with a systolic pressure of 160 mm Hg. But experts say it’s too soon to change blood pressure recommendations for women until more research confirms the results.

The pandemic isn't over — particularly for people with disabilities

While the pandemic has disrupted everyone's lives, its effects on the lives of people with disabilities are especially evident. And COVID-19 may pose a greater risk to some people with intellectual and physical disabilities, though this may depend on a variety of factors.

American Heart Association issues statement on cardiovascular side effects from hormonal therapy for prostate cancer

The American Heart Association issued a statement addressing cardiovascular risks from hormonal therapy for prostate cancer, emphasizing the need to identify men with pre-existing cardiac risk factors or a family history of cardiovascular diseases who should be monitored closely during treatment.

Transient ischemic attacks: Varied symptoms, all important

A transient ischemic attack is a temporary change in nerve function due to disrupted blood flow. It may affect speech, vision, or movement for a short time, and is considered a warning sign for a stroke. Some symptoms of a TIA may go unnoticed, so knowing all the signs could help you recognize a risk factor for an imminent stroke.

Is IBD an underrecognized health problem in minority groups?

Inflammatory bowel disease (IBD) is a treatable condition once considered a disease that largely affects people who are white, although in recent years it has been diagnosed more often in other racial and ethnic groups, in the US and around the world. Recognizing this condition early can make a difference in care and quality of life.

Sleep well — and reduce your risk of dementia and death

Although it has been known for some time that individuals with dementia frequently have poor, fragmented sleep, two new studies suggest that if you don't get enough sleep in midlife, you are at increased risk for dementia later in life.

Most COVID-19 cases are spread by people without symptoms

Research we're watching

You may be more likely to get COVID-19 from someone without symptoms than from someone who is feverish and coughing, according to a study published online Jan. 7, 2021, by JAMA Network Open. Study authors calculated that more than half of all COVID-19 cases were likely spread by someone without symptoms of the disease. Drawing on data from eight Chinese COVID-19 studies, the researchers developed a model that could estimate how people were infected, specifically looking at whether an infection would likely have come from someone with or without symptoms. They broke the asymptomatic people into two groups: those who were infected but hadn't yet developed symptoms (presymptomatic), and those who were infected but never got symptoms. Study authors assumed that it took five days from exposure for symptoms to develop or for someone to receive a positive test. The model also assumed that people were infectious for 10 days. Using these assumptions, they determined that 59% of people were infected by someone without symptoms. Thirty-five percent of the total would have been infected by someone who was presymptomatic, and 24% by someone who would never develop symptoms. These numbers rose when the researchers modified their model to assume that everyone was infectious a day earlier. Under this second model, 67% of cases were spread by someone without symptoms.

The researchers said their findings show the importance of public safety measures such as mask use, avoiding gatherings, distancing, and handwashing, all of which can reduce the spread of COVID-19 by people who don't know they have it.

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