Sixty percent of people in the world have fainted at least once in their life. In most cases, the underlying reason is a benign condition called vasovagal syncope (the medical word for fainting). It occurs when blood pressure suddenly plummets, causing a drop in blood flow to the brain.
The average life expectancy in the United States is estimated to be 79 for a woman and 75.5 for a man-lower than that of other developed nations. A prosperous life with too much food and too little exercise is to blame. Experts say the rapid rise in obesity and decline in physical activity are mainly responsible for high levels of cardiovascular disease in this country and many cancers. They say three-fourths of premature deaths from cardiovascular disease and half of premature deaths from cancer can be attributed to lack of a low-risk lifestyle.
Fasting: Intermittent fasting has been shown to be effective for both weight loss and diabetes resolution. With this approach, you eat a very low-calorie diet (500 calories if youre a woman, 600 if youre a man, split between two meals) two days a week, but not on successive days. Just make sure you talk with your physician first to ensure fasting will not interact with your medications, she advises.
In clinical trials, certain newer diabetes medications have been shown to reduce CVD events in addition to lowering blood sugar in diabetics at high risk for CVD. The GLP-1 receptor agonists liraglutide (Victoza, Saxenda) and semaglutide (Ozempic), and the SGLT2 inhibitors empagliflozin (Jardiance) and canagliflozin (Invokana) have been shown to be superior to placebo at preventing CVD death, heart attack, stroke and heart failure in patients with known CVD. Both drug classes are associated with lower risk of symptomatic low blood sugar levels (hypoglycemia) and weight loss.
Cleveland Clinic offers heart-failure education classes designed to teach patients and their families what they need to know about the condition, its progression, its impact on day-to-day life and its medications. Ask your cardiologist if theres a similar program in your area. If not, ask for information in writing.
If you have risk factors for cardiovascular disease, or have been diagnosed with heart or vascular disease, what are you doing to lessen the likelihood you will suffer a heart attack or stroke? Are you eating a heart-healthy diet and exercising? Keeping your blood pressure, blood sugar and cholesterol levels under control? Have you tossed your cigarettes to the curb.
A Chinese study (included in the JACC paper) found that folic acid supplements reduced the risk of stroke 22 percent overall and 73 percent in participants who took folic acid in addition to their blood pressure medication. But those findings might be different if a similar study were conducted in the U.S., where cereals, breads, pasta and rice are fortified with folic acid. The Chinese diet is lower in folate than our diet. It is unclear whether additional dietary folate would be beneficial here, says Dr. Hazen.
Its no surprise that bacon, sausage and lunchmeats are sky-high in sodium. But many top offenders dont taste salty. These include ketchup, bread, processed cheese, breakfast cereals, bottled salad dressings, canned soups and nearly any frozen, boxed food. That means you have to make an extra effort to read labels in order to understand the sodium content of what you areeating.
If you have risk factors for cardiovascular disease, or have been diagnosed with heart or vascular disease, what are you doing to lessen the likelihood you will suffer a heart attack or stroke? Are you eating a heart-healthy diet and exercising? Keeping your blood pressure, blood sugar and cholesterol levels under control? Have you tossed your cigarettes to thecurb?
Frailty is not necessarily associated with older age alone. More often than not, its a consequence of poor lifestyle choices that lead to deconditioning. Thats why there are 60-year-olds whose descent into frailty is preceded by years of high blood pressure, diabetes, and other cardiovascular risk factors that cause them to become increasingly sedentary and at risk for heart attack and stroke.
Various types of CIEDs are used to restore a normal rhythm when a heart starts beating too slowly, too fast or irregularly. They range in sophistication from a simple, single-chamber pacemaker with one lead to a biventricular pacemaker with defibrillator, which has three leads. Regardless of the number of leads, all CIEDs have a battery that sends electrical impulses down the wires into the heart muscle to make itcontract.
Porcine valves typically fail suddenly and unpredictably by tearing. If this were to happen in the aortic position, the patient would require emergency surgery. Thats why we use porcine valves in the mitral position. If a mitral valve fails, we can lower the patients blood pressure or use a balloon pump to hold the patient until the valve can be replaced, heexplains.