Heart Attack Archive

Broken heart syndrome—an uncommon condition linked to severe emotional or physical stress that occurs mostly in women—may be more common than previously thought. The increase in diagnoses may reflect heightened awareness of all forms of heart disease in women. The condition may result from the surge of adrenaline that affects the heart's muscle cells and blood vessels, causing the heart's left ventricle to temporarily change shape. The heart resembles a Japanese clay pot used to trap an octopus, called a tako-tsubo, which is why broken heart syndrome was originally dubbed takotsubo cardiomyopathy.

A study published online Aug. 26, 2021, by The Lancet found that blood pressure treatment protects against heart attacks, strokes, and other major cardiovascular disease problems in people up to age 85 and possibly older. For people younger than 75, the study confirmed that people taking blood pressure medicines had 10% to 20% fewer cardiovascular disease problems. For people 75 to 84, there still was a 10% reduction. For people older than 85, the results were mixed, but there still appeared to be a benefit from blood pressure treatment.

A doctor's serious health threat prompts reflection on the power of spirituality, the value of mindfulness practice, and acknowledgment of mortality as a motivator to reassess one's priorities.

Exercise may help to reverse some types of heart damage. Not only can workouts prevent heart problems, but it may help to improve conditions that may raise risk for cardiovascular events. A 2021 study, for example, showed that a yearlong exercise program helped improve heart health in people who were at increased risk for heart failure.

Treating people who have low levels of vitamin D with supplements may reduce their risk for heart attacks and death from any cause.

A draft guideline from a national panel of experts recommends that people without heart disease who are 60 and older should not take low-dose aspirin to prevent a heart attack or stroke.

For people over 60, aiming for a blood pressure target below 130/80 mm Hg may prevent more cardiovascular problems than aiming for the higher target suggested by some physicians. Some feared that the more intensive treatment required to reach the lower target might cause more adverse side effects (such as dizziness and falls) in older people. But side effects do not appear to differ among people taking intensive versus standard therapy.

A large study published online Aug. 29, 2021, by The New England Journal of Medicine found that people who used a salt substitute on their food had a lower risk of stroke, heart attack, and early death, compared with people who used regular salt.

Low-carbohydrate diets have been popular for many years, but due to the high amounts of saturated fat, doctors and nutritionists worry about possible increased risk of cardiovascular disease. A study comparing three diets found that eating a high-fat diet did not necessarily raise heart risk, but the types and quantities of food make a difference.