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Plant-based diet quality linked to lower stroke risk

People who ate healthy plant-based foods had a 10% reduction in stroke risk, compared with people who ate unhealthy plant-based foods, according to a Harvard study published online March 10, 2021, by the journal Neurology.

Expand your healthy cooking oil choices

The healthiest fats for cooking and using on food come from plants. Plant oils consist mostly of unsaturated fat, which in limited amounts is good for the heart. One can enjoy a wide variety of plant oils, such as avocado, canola, corn, flaxseed, grapeseed, olive, peanut, rice bran, safflower, soybean, sunflower, and walnut oils. But high heat can break down plant oil molecules and reduce health benefits. The most fragile plant oils include extra-virgin olive oil and nut oils, such as walnut oil.

Fruit of the month: Berries

Strawberries and blueberries are rich in beneficial plant compounds known as anthocyanins, which give berries their vibrant red, blue, and purple hues. Several studies have linked diets with anthocyanin-rich foods to better heart health.

A longevity formula: Three vegetables plus two fruits a day

Eating two servings of fruit and three servings of vegetables daily is linked to a lower risk of dying of cardiovascular disease. The healthiest choices include leafy greens, carrots, berries, and citrus fruits.

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).

Are you wasting money on supplements?

Taking multivitamins doesn’t prevent heart attacks or strokes, and most dietary supplements (such as fish oil, red yeast rice, and coenzyme Q10) offer no or limited benefits for avoiding heart-related problems. For people who don’t have heart disease, eating two servings of fatty fish weekly or following a healthy vegetarian diet rich in nuts, legumes, and healthy oils makes more sense than spending money on over-the-counter fish oil supplements. People with heart disease would be better off asking their doctor about the prescription drug icosapent ethyl (Vascepa), a high-dose, purified EPA that lowers cardiovascular risk when taken with a statin.

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.

Get savvy about sauces

Many commercial sauces and dressings contain a lot of sodium, added sugars, and saturated fats. For example, two tablespoons of an average supermarket barbeque sauce has more sugar than a glazed donut. But there are a number of healthier toppings that can be used on salads, fish, chicken, and pasta, such as homemade fruit salsa, pesto sauce, and olive oil and vinegar–based dressing.

Five a day for better health

Eating two fruits and five veggies a day may lead to a longer life, according to a recent study.

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.

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