Heart Health Archive

Many older people with orthostatic hypotension (a sharp drop in blood pressure upon standing) have no related symptoms such as dizziness or lightheadedness. But they may face an elevated risk of unexplained falls.

New guidelines about aortic disease highlight the risks and screening recommendations for these uncommon but life-threatening conditions, which include abdominal and thoracic aortic aneurysms. Cigarette smoking and high blood pressure can heighten the risk of aortic disease, as can genes and certain other medical conditions, which can weaken the wall of the aorta. As a result, the aortic wall may tear (aortic dissection) or bulge outward (aortic aneurysm) and possibly rupture.

Certain drugs, supplements, or foods can interact with common heart medications. Known as drug-drug or drug-nutrient interactions, these can occur at any point of the drug’s "life cycle:" absorption, metabolism, or excretion. When a drug or other substance alters the absorption or metabolism of another drug, this may reduce or increase its effects. For example, grapefruit juice can elevate blood levels of certain statins and potentially increase the risk of side effects.

Breaking up long periods of sitting with a short walk every half-hour may have health benefits. Walking even as little as one minute per hour may lower blood pressure, but a notable drop in blood sugar may require a five-minute walk every 30 minutes.

A gene editing technique that permanently shuts down a cholesterol-raising protein called PCSK9 is being tested in heart attack survivors with an inherited form of high cholesterol. The one-time infusion contains tiny particles that contain the editing tools, which travel through the blood to the liver and changes the cells that produce the protein. If early data show the treatment to be safe and effective, the therapy potentially could be used in people who have "garden variety" high cholesterol.

A standing side leg raise helps strengthen muscles in the outer thighs, hips, and backside, which can improve the range of motion in the hips and improve stability.

A coronary artery calcium scan (often called a calcium scan) uses a special type of CT scan to look for calcium deposits in the lining of the heart's arteries. The results can help people decide whether to start taking a statin.

Running can boost cardiovascular fitness faster and better than walking, but this high-impact activity comes with a higher risk of injuries than walking. Beginning runners should start slow and alternate walking and running at first. Doing strength training and increasing mileage gradually may help. People who sustain minor injuries when running should rest for a few days and consult a physical therapist if the injury doesn't get better.

In addition to raising blood pressure, too much salt in the diet can have other detrimental effects on the heart, including damaging the inner layer of blood vessels and altering the body's hormonal and inflammatory response. Following the DASH diet, choosing lower-sodium versions of commonly eaten foods, and skipping the saltshaker can help people eat less salt. To boost flavor without salt, options include salt-free herb and spice blends, lemon or lime zest or juice, and flavored vinegars.

Coffee drinking has been linked to a lower risk of dying of heart disease. Coffee contains potent anti-inflammatory substances called polyphenols that may improve blood sugar control and help blood vessels contract and relax. Although the caffeine in coffee may help people control their weight, it can trigger a short-term rise in blood pressure and heart rate. Filtered coffee, which removes substances that may raise LDL (bad) cholesterol, appears to be a better option than unfiltered coffee.