Heart Health Archive

There's no good evidence that taking calcium supplements can harm your heart. Still, it's best to get this mineral from foods, not pills.

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For decades, doctors have encouraged people to consume plenty of calcium, a mineral best known for building strong bones. About 43% of people in the United States, including close to 70% of older women, take supplements that contain calcium. Concern about osteoporosis—the bone-weakening disease that leaves older adults prone to fracturing a hip, wrist, or other bone—has driven this trend.

Calcium also keeps your muscles, nerves, and blood vessels working well, and it's one of the key minerals involved in blood pressure control. With regard to heart disease, though, there's one potentially confusing aspect of the calcium story. A test researchers often use to look for early signs of heart disease is known as a coronary artery calcium (CAC) scan (see "Seeing calcium specks inside arteries"). There's no direct connection between the calcium you consume and the amount in your arteries. But in recent years, several studies have observed a link between the use of calcium supplements and a higher risk of cardiovascular disease.

Lifestyle habits such as not smoking, avoiding obesity, exercising, and following a healthy diet may cut a person’s risk of heart disease in half, even if they have genes that put them at a high risk of cardiovascular disease. 

People who bike to work or cycle for pleasure may have a slightly lower risk of heart disease compared with noncyclists. 

A new study found that a minimally invasive stent procedure is just as effective as bypass surgery for people with left main coronary artery disease. Stenting also had a lower risk of complications and death compared with the surgery.

A large international study of people around the world suggests that extreme physical exertion or emotional upset may be triggers for a heart attack. 

Dairy products don't seem to harm the heart. But plant-based fats are probably a better choice than cheese.

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Health-conscious consumers know to steer clear of diets that include lots of meat—especially fatty, salty processed meat. But what's the deal with dairy? Nutrition experts have long recommended low-fat milk and yogurt as good choices for getting the two to three daily servings of dairy recommended by federal dietary guidelines.

Over the past few decades, Americans have been spooning up more yogurt and drinking much less milk. But the biggest change by far has been in our cheese consumption, which has skyrocketed since the 1970s (see "Trends in dairy intake: Less milk, more cheese and yogurt").

Lacunar strokes, which account for about one-fifth of all strokes, occur in small arteries deep within the brain. Although these strokes may not cause symptoms, those that do may cause weakness in the face, arm, or leg on one side of the body. 

Certain cholesterol-lowering medications—namely, ezetimibe (Zetia) and drugs known as bile acid binders—also appear to be effective at lowering cholesterol and reducing the risk of serious cardiovascular events. 

A few simple precautions can minimize your risk.

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Every time you venture out into the bone-shivering, teeth-chattering cold of a Northern winter, your heart and blood vessels kick into overdrive to keep your internal organs cozy. To accomplish this feat, the tiny blood vessels in outlying areas such as the fingers and toes constrict to stem the loss of body heat into the environment. The flip side of this protective maneuver is that the heart must beat against extra force to overcome the resistance it meets in the narrowed vessels.

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