Diabetes is so common that many people fail to understand how serious it is. High sugar levels in the blood silently wreak havoc on blood vessels throughout the body. When large blood vessels are affected, the risk of heart attack, stroke and peripheral vascular disease increases exponentially. When the smaller vessels are affected, patients can […]
Is your snoring legendary? If so, you may suffer from sleep-disordered breathing (SDB). The hallmark of SDB is snoring punctuated by short periods of silence that are followed by a snort or gasp. Although you may be unaware of this sleep pattern, it will bother others within earshot. It may also affect your heart. SDB […]
It’s Safe to Go Home Shortly After Heart Surgery Say goodbye to six or seven days in the hospital after elective open-heart surgery. At the annual meeting of the Society of Thoracic Surgeons in January 2020, researchers presented evidence that a shorter hospital stay is safe. Compared with patients who stayed in hospital longer, those […]
Early Discontinuation of Aspirin After Stenting May Be Okay Following angioplasty and stenting, patients take aspirin plus clopidogrel (Plavix¨), ticagrelor (Brilinta¨) or prasugrel (Effient¨) for up to 12 months to prevent a blood clot from forming inside the stent. This regimen, known as dual antiplatelet therapy (DAPT), can cause unwanted internal bleeding. A study reported […]
SGLT2 inhibitors go above and beyond lowering blood sugar to prevent heart failure-related deaths and hospitalizations. By Holly Strawbridge Patients with diabetes have numerous options for drugs to lower their blood sugar (glucose) levels. But a newer class of diabetes medications known as sodium glucose cotransporter 2 (SGLT2) inhibitors has benefits that far surpass those […]
I recently had valve surgery, and my doctor recommended cardiac rehab. Isn’t that just for people who had a heart attack or bypass surgery? In addition to coronary artery disease and diagnoses such as heart attack, angina, bypass surgery and angioplasty or stenting, other indications for cardiac rehab (CR) include heart valve repair or replacement, […]
If you are a regular reader of Cleveland Clinic Heart Advisor, you know the major modifiable risk factors for heart attack and stroke are diabetes, high blood pressure (hypertension), high cholesterol, obesity, physical inactivity and smoking.
Amainstay of treatment for men who undergo surgery or radiation therapy for prostate cancer is medication to suppress the male hormones that feed the cancer cells. The treatment, known as androgen-deprivation therapy (ADT), plays a vital role in helping the vast majority of patients achieve remission or cure. But the tradeoff is a sharply increased risk of heart disease.
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.
"There's no reason why a heart patient without contradictions to strength training shouldn't do both," says Erik Van Iterson, PhD, Director of Cardiac Rehabilitation at Cleveland Clinic. "Strength training improves musculoskeletal health, which helps slow the loss of bone and muscle associated with aging. Aerobic exercise strengthens the lungs, heart and body-wide circulation. You will benefit from a global approach to cardiovascular health and fitness by doing both."
The duration of DAPT depends on the reason for stenting (stable heart disease versus acute heart attack), the type of stent used and the patient's clotting and bleeding risks. Because the clotting risk is high after a recent heart attack, in your case there is strong data to support DAPT for at least one year. One recent clinical trial demonstrated a lower late clotting risk but more bleeding events with 30 versus 12 months of DAPT. This suggests patients with high clotting risk but low bleeding risk may benefit from taking DAPT longer.
PCSK9 inhibitors are so powerful that 10% of participants achieved LDL levels less than 20 mg/dL; 31% saw their LDL levels drop to 20 to 50 mg/dL. No safety concerns were seen in patients with these low LDL levels, and the rate of side effects was the same in the treatment and placebo groups. As expected, the number of cardiovascular events dropped as LDL levelsplummeted.