An unexpected consequence of the COVID-19 pandemic has been the dramatic drop in the number of acute heart attack and stroke patients seen in emergency departments worldwide. Depending on their location, hospitals report 30% to 60% fewer patients with heart attack symptoms and nearly the same drop in patients admitted with symptoms of stroke. What […]
If you have heart failure, you know it often takes a lot of work—and a strong patient-physician partnership—to maintain a good quality of life. Staying well usually requires making dietary adjustments, such as adopting a low-sodium diet and restricting fluid intake. Multiple medications are usually required, as well. Yet many heart-failure patients are plagued by […]
Q: I am 67 and had a heart attack. I am beginning to experience fatigue and sexual problems. Would you advise testosterone replacement? A: The prevalence of age-related low testosterone (T) ranges from 20% in men over age 60 to 50% in those over age 80. Symptoms may include low sex drive, erectile dysfunction, low […]
An efficient heartbeat relies on the walls of the heart’s main pumping chamber (left ventricle) contracting and relaxing in sync. When a heart weakened by heart failure loses this ability, a treatment called cardiac resynchronization therapy (CRT) may be recommended. In CRT, a biventricular pacing device is implanted and programmed to stimulate the walls of […]
Exposure to Common Pesticides Connected to Cardiovascular Death People exposed to high levels of a common household insecticide are three times more likely to die of cardiovascular disease than people with little or no exposure, found the authors of a study published Dec. 31, 2019, in JAMA Internal Medicine. The researchers analyzed urine samples collected […]
Q: I got a stent after a heart attack. Now I hear that medical therapy is just as good. Was the stent unnecessary? A: In the ISCHEMIA study, more than 5,000 patients with stable coronary artery disease (CAD), at least moderate ischemia on stress testing and mild symptoms were randomized to catheterization followed by stenting […]
If you have heart failure, you might want to give careful consideration as to whether the potential benefits of a surgical or interventional procedure are likely to outweigh the risks. “Heart failure is a known risk factor for postoperative complications, including death,” says Cleveland Clinic heart failure specialist David O. Taylor, MD. “Unfortunately, there are […]
The American Heart Association recommends a minimum of 150 minutes of moderate activity or 75 minutes of vigorous activity weekly. Moderate is often defined as 50 to 70 percent of maximally predicted heart rate (MPHR); vigorous is 70 to 85 percent.
When patients are involved in competitive sports, activity restrictions should be tailored to the risk of dissection or rupture. "We may recommend exercise stress testing to assess a patient's heart rate and blood pressure response to exercise," says Dr. Roselli. "We are developing research protocols to learn more about the interaction between these variables so activity recommendations can be tailored to the individual."
The FDA mandated a cardiovascular safety trial of celecoxib (Celebrex). This trial, spearheaded by Dr. Nissen, compared moderate doses of celecoxib to ibuprofen and naproxenin 24,081 arthritis patients at increased cardiovascular risk needing daily pain relief. The cardiovascular risks from celecoxib were no greater than those conferred by the other NSAIDs.
According to the Centers for Disease Control and Prevention, more than 30.3 million people in the U.S. have diabetes. Another 84.1 million have pre-diabetes, a condition that can lead to type 2 diabetes within five years, if its not treated. Diabetes is a major risk factor for early death from heart attack, stroke and many cancers. It also increases the risk of kidney disease, blindness and amputation. But these outcomes are not inevitable, if you learn about the disease and your role in managing it.
A rare, but serious, problem can occur when a DVT blood clot breaks off and is carried into a heart that has a hole between its upper chambers (patent foramen ovale, or PFO). If the clot passes from the right side of the heart into the left and is pumped into the arteries supplying the brain, it can cause a stroke.