Surgical treatments and procedures Archive

Since its introduction in 1998, catheter ablation for atrial fibrillation has greatly improved, thanks to advances in the instruments, imaging techniques, and energy sources used during the procedure. The resulting increases in safety and effectiveness have transformed ablation into a routine procedure. For many people newly diagnosed with this heart rhythm disorder, ablation is now the first treatment offered.

In the last few years, the prescribing rate for zolpidem, a popular sleeping pill, has been declining in favor of the "off-label" use of an antidepressant called trazodone, which is known for its ability to make people drowsy. But doctors are concerned that trazodone hasn't been well studied for insomnia, it is not FDA-approved to treat the condition, and there are sparse data showing that it is safe or that it works for patients with insomnia. Experts advise choosing medications based on a patient's specific needs, not a trend.

In its 2025 guidelines for treating restless legs syndrome (RLS), the American Academy of Sleep Medicine stopped recommending the long-term use of dopamine agonist drugs, since they can eventually make RLS symptoms worse. Instead, the guidelines strongly recommend another class of medications as the first-line treatment: alpha-2-delta ligands, such as gabapentin (Neurontin), gabapentin enacarbil (Horizant), and pregabalin (Lyrica). Alpha-2-delta ligands do not make RLS symptoms worse.

About one in every 20 people over age 65 has a stiff, narrowed aortic valve. A Harvard physician describes his experience with this condition, called aortic stenosis, from the heart murmur detected at age 66 to his open-heart surgery a decade later. After his diagnosis, he received echocardiograms every one to two years to check the valve, and later a stress echocardiogram. Because the echocardiogram revealed an aortic aneurysm, he had open-heart surgery so the surgeon could repair the valve and the aneurysm during the same operation.

Most men can resume regular sexual activity after a heart attack once they can engage in mild-to-moderate physical activity without experiencing marked fatigue, chest pain, or shortness of breath. For heart-related procedures like angioplasty with stent placement (to open a blocked artery and restore blood flow), coronary artery bypass surgery, or open-heart surgery, men should wait until surgical sites have fully healed before resuming sex. At the same time, men should address any lingering heart disease risk factors, such as high blood pressure and excess weight.

Certain medications can leave people more vulnerable to heat-related effects or the sun's rays. The medications can raise the risk of dehydration, make people sweat too much or too little, impair the body's ability to regulate temperature, or raise the risk of getting a bad sunburn. In addition, higher temperatures may damage some medicines, including diuretics, blood pressure drugs, some antidepressants, thyroid replacement hormones, and some over-the-counter antihistamines.

The US Preventive Services Task Force recommends against screening for prostate cancer in men older than 70, but as life expectancy for this group increases and treatment options evolve, it's important for men to be aware of their options.

Surgery is usually warranted when bunion pain becomes disabling, a skin ulcer develops, or it's necessary to prevent a bunion from dislocating the second toe. However, recovery can be long and painful, and there's no guarantee that bunions won't come back. Prior to surgery, it might help to use strategies that reduce bunion pain, such as adding cushioning to shoes, stretching shoes where a bunion rubs against them, getting roomier shoes or shoes made with stretchy fabrics, and using toe spacers.

A 2025 analysis suggested that GLP-1 medications used for diabetes and weight loss are associated with lower risks for an array of conditions, but that they increase risks for several others.