Heart Disease Archive

For most people, statins are still the best way to lower harmful LDL cholesterol. But two newer drugs may be promising additions or alternatives for those with stubbornly high LDL levels. Bempedoic acid, which lowers LDL by about 25%, works in a manner similar to statins but may help reduce muscle-related side effects seen with statins. Inclisiran interferes with a protein that's involved with regulating LDL production in the liver; it lowers LDL by about 50%.

According to the "active grandparent" hypothesis, humans evolved to be physically active throughout life. That frequent movement helps ward off chronic disease (including heart disease) and promotes longevity. While hunter-gatherers had to be active to survive, they also had a natural instinct to avoid unnecessary activity to preserve energy when food was scarce. Modern humans don't need to expend physical effort to meet their basic needs for food and survival. Instead, they must exercise (defined as discretionary activity for the sake of health) to stay healthy and live a long life.

Traditional Southern cuisine features side dishes based on vegetables, beans, and whole grains that, when served together, can make a complete, meat-free meal that’s both filling and tasty.

For people in their 80s and beyond, the advice for preventing and treating heart disease is similar to that for young people, especially with respect to staying physically active. But octogenarians may need to adjust their medication regimens. Low-dose aspirin is not recommended after age 70, and doses of anti-clotting medications may need to be reduced. Some people may also need to dial back their blood pressure medications if they experience side effects such as dizziness.

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.

The American Heart Association released updated dietary guidelines in November 2021. Instead of focusing on certain nutrients, the guidelines emphasize healthy eating patterns that include fruits, vegetables, whole grains, plant-based proteins, and plant-based oils. The guidelines also urge people to avoid foods and drinks that are ultra-processed or that have lots of added sugars; to choose or prepare foods with little or no salt; to limit alcohol consumption; and to follow the rules for a heart-healthy diet no matter what the setting.

People who follow a low-carbohydrate/high-fat diet for weight loss often eat high amounts of saturated fat. Even though saturated fat can contribute to cardiovascular disease, a 2021 study suggests that eating higher amounts might not be bad for heart health in the short term.

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.

Being exposed to even low levels of certain toxic metals, including arsenic, cadmium, and titanium, may raise a person's risk for clogged arteries.