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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.

Common questions about medical cannabis

While cannabis is still illegal at the federal level, more than two-thirds of US states have made it partly or fully legal for medical purposes. People who decide to use marijuana for a medical condition often have questions about its safety and proper use — the same considerations doctors weigh when determining whether it should be prescribed for a particular patient.

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.

What's causing the ringing sound in my ear?

A ringing sound in one or both ears is usually a form of an annoying condition called tinnitus. When tinnitus persists, treatment  such as cognitive behavioral therapy, tinnitus retraining therapy or biofeedback, can ease symptoms.

Cancer survivors: A higher risk of heart problems?

If you're among the nearly 17 million adults in this country who's had cancer, pay extra attention to your heart health.

Thanks to advances in early detection and treatment, people with cancer are living far longer than in past decades. But cancer survivors should be aware that cancer and its treatments can compromise cardiovascular health, according to a recent study from the CDC.

Researchers studied more than 840,000 adults, including about 69,000 cancer survivors, to see how much cancer "ages" the heart. They found that adult men treated for cancer had hearts that appeared to be 8.5 years older than their actual age, while the hearts of women who survived cancer appeared to be 6.5 years older.

Harvard finding: Aspirin tied to reduced colorectal cancer risk

News briefs

Regular aspirin use is associated with a reduced risk for developing colorectal cancer in older age — but you won't get the benefit if you start the therapy too late in life, according to a Harvard study published online Jan. 21, 2021, by JAMA Oncology. Researchers combined the results of two large studies involving a total of more than 94,000 people who answered health questionnaires regularly and were followed for three decades. Compared with people who didn't take aspirin, people ages 70 or older who took either 325 milligrams (mg) or 81 mg of aspirin at least twice per week had a 20% lower risk for developing colorectal cancer — but only if they had started the therapy by age 65. Starting aspirin therapy at or after age 70 was not associated with significant protection against colorectal cancer. The study was observational and does not prove whether aspirin can or cannot ward off colorectal cancer. But other observational studies have also shown an association between aspirin use and lower colorectal cancer risk. Like any medicine, aspirin isn't risk-free: regular use increases the risk for gastrointestinal bleeding. If you happen to be taking aspirin regularly for other reasons, this might be an added benefit.

Image: © Jupiterimages/Getty Images

Pills and the planet: Environmentally-friendly steps for your medicine cabinet

The key factor causing climate change is greenhouse gas emissions, and the health care industry plays a significant role, with drugs and chemicals being the biggest contributor. While the benefits of medications to the world can’t be overstated, here’s how to balance the need for them with concern for the environment.

What could cause my breasts to become larger?

On call

Q. My breasts have begun to feel swollen and seem larger. What could cause this, and should I be worried about any potential health issues?

A. Swollen breasts in men are almost always caused by either one or both of two conditions: excess fat deposition in the breasts, or growth of actual glandular breast tissue (gynecomastia). Fatty deposition occurs in overweight men and is always present in both breasts. With gynecomastia, the breasts have a firm or rubbery consistency. While it usually affects both breasts, it can affect one breast much more than the other.

5 tips to help you stay safe during medical treatment

Medication errors and communication problems may put people at risk.

It's been 20 years since the Institute of Medicine published its landmark report To Err is Human. It found that as many as 98,000 people were dying each year from preventable medical errors, prompting an industrywide patient safety effort that has spanned the past two decades.

An editorial published in JAMA Dec. 29, 2020, notes that in the years since that report came out, hospitals and doctors have made numerous changes that have succeeded in reducing preventable problems, such as hospital-acquired infections, falls, and medication-related errors. But more work remains to be done. Mistakes still happen.

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