Eggs yolks may be cholesterol bombs, but egg whites are packed with healthy protein. "Egg whites are one of the best protein sources we have. I tell patients to hard boil a dozen eggs, shell them, throw away the yolks and add the whites to oatmeal, salads and soups. The protein prevents them from getting hungry a couple hours after eating, and I've never seen anyone gain weight from eating too many egg whites," says Dr. Hazen.
Low-dose dietary supplements of omega-3 fatty acids have little effect on lowering cardiovascular risk (see article on page 6). However, high doses of omega-3, either eicosapentaenoic acid (EPA) alone or EPA plus docosahexaenoic acid (DHA), can significantly lower cardiovascular risk in patients with high triglyceride levels. The U.S. Food & Drug Administration (FDA) has approved several products-Lovaza, Omtryg, Vascepa and Epanova-that are now available by prescription. Results of the REDUCE-IT trial, presented at the American Heart Association (AHA) 2018 Scientific Sessions, showed that in patients with elevated triglyceride levels and cardiovascular disease or diabetes plus one additional risk factor, 4 grams per day of purified EPA reduced the risk of a major cardiovascular event by 25%. In a science advisory issued Aug. 19 online in Circulation, the AHA summarized the findings of 17 clinical trials in which high-dose EPA or EPA plus DHA reduced triglyceride levels by 30 to 36%. The AHA concluded they are a safe and effective option for reducing triglycerides whether used alone or in combination with other lipid-lowering drugs.
Fostering a sense of gratitude is one way to counter negative emotions, such as anger and depression. There are plenty of studies linking these and other chronic forms of negative psychosocial stress to coronary artery disease. In the INTERHEART study, which included 25,000 people from more than 50 countries, individuals who experienced negative stress on a daily basis had more than twice the risk of heart attack than those without chronic stress.
But when blood pressure regularly spikes higher than normal, it's a sign that something is not right. Doctors call the condition labile hypertension, and it merits investigation.
"It is important for anyone who receives this warning to go immediately to the emergency room for treatment to prevent a stroke from occurring," says M. Shazam Hussain, MD, Director of Cleveland Clinic's Cerebrovascular Center."The highest risk for stroke is within two days after the TIA, so no one should wait to get checked."
Many people take glucosamine supplements to relieve joint pain from osteoarthritis. The good news is that this practice may offer some protection against heart attack and stroke, as well. British researchers surveyed more than 466,000 patients, none of whom had been diagnosed with cardiovascular disease at the time. As reported in BMJ May 14, 2019, during the next seven years there were 5,745 heart attacks, 3,263 strokes and 3,060 cardiovascular deaths in the group. After adjusting for other risk factors, habitual glucosamine use was associated with a significantly lower risk of all types of fatal and nonfatal cardiovascular events.
We all know people who seem younger or older than the number of birthdays theyve had. Youll hear someone say, Shes a young 80, or He looks 10 years older than he is. Thats because chronological age-the number of years you have been alive-does not always correspond with physiological age, or how fast your body is aging.
The survey polled a cross section of 1,002 adults. The majority (88 percent) said they were aware of the connection between a healthy weight and a healthy heart, and 65 percent said they were worried about getting heart disease. Yet when the researchers probed further, smaller percentages understood the relationship between individual risk factors for heart disease and obesity:
Eliminate added sugar. If you are already restricting salt intake, make sure you are eating high-quality carbohydrates, such as whole grains. Eliminate added sugar in the form of sugar-sweetened beverages, jelly, syrup, candy, baked goods and desserts. "It's tempting to reach for sugary treats for the quick energy they provide, but in the long run, they will cause your blood sugar to drop and you'll feel more tired," Zumpano explains.
If a first-degree male relative (father, uncle or brother) was diagnosed with coronary artery disease or cerebrovascular disease, or had a heart attack or stroke before age 55, or a first-degree female relative (mother, aunt or sister) was diagnosed before age 65, you have a significant family history of cardiovascular disease and are at increased risk yourself. You should be screened for blood pressure and cholesterol as early as possible and have regular checkups.
What's your systolic blood pressure? The answer may depend on whether the reading is taken in your upper arm or wrist. Researchers have found the variation to be as large as 20 mmHg in 14 percent of the people tested. On average, a reading taken in the radial artery at the wrist was 5.5 mmHg higher than that taken in the brachial artery on the bicep. This could have implications for who is given anti-hypertension drugs, the authors said online March 25, 2019, in Hypertension.
A key differentiator is the intensity of pain.In the movies, heart-attack victims often clutch their chest and grimace in pain before collapsing. But it is unusual for a heart attack to produce intense pain. Heart-attack pain is generally described as an unrelenting sensation of pressure, like an elephant sitting on your chest.