Heart Attack Archive

People who get migraines with aura have a slightly higher risk of heart attack, stroke, or death from cardiovascular disease than people who get migraines without aura or no migraines. But migraines are most common in younger women, whose baseline risk of cardiovascular problems is very low in the first place. Still, those who get migraine with aura should be sure to tell their primary care provider or gynecologist. Taking estrogen-containing birth control pills or hormone therapy may further raise stroke risk in these women.

A 2023 Harvard study found that regularly squeezing a week's worth of exercise (150 minutes) into just one or two days—a "weekend warrior" approach—is linked to the same heart-healthy benefits as daily exercise.

A polygenic risk score for heart disease is based on an analysis of more than three million common DNA variants and is expressed as a percentile. People can have zero, one, or two copies of any variant, each of which may either raise or lower the risk of coronary artery disease. Many of these variants occur in genes known to affect heart disease, such as those related to cholesterol, blood pressure, and blood clotting. Others aren't well understood and may provide targets for future research, potentially fueling new drug discovery efforts. For now, the potential benefits of this test are greatest for people under 50.

Older people who take low-dose aspirin every day may be more likely to develop anemia. Aspirin discourages blood clots, but the drug also blocks substances that help maintain and protect the delicate tissue lining the gastrointestinal tract. Long-term aspirin use can damage this protective layer, making bleeding more likely. Minor bleeding can go unrecognized and contribute to anemia, a condition marked by a reduced number of healthy red blood cells. People currently taking aspirin should check with their doctor to see if the practice still makes sense for them.

A 2023 study suggests taking testosterone replacement therapy does not raise the risk for heart attacks or stroke among men with cardiovascular disease or a high risk for it, but it could increase the risk of atrial fibrillation, acute kidney injury, and pulmonary embolism.

A 2023 study suggests eating enough of six categories of food common in popular heart-health diets is associated with a lower risk of cardiovascular disease, including heart attacks and strokes. The six groups are fruits, vegetables, legumes, nuts, fish, and dairy products.

Lower temperatures, high wind speed, atmospheric pressure, high precipitation, and high degrees of pollution may raise the risk of being hospitalized for serious heart-related conditions. Modeling these factors may help forecast future heart problems.

The cholesterol-lowering drug bempedoic acid (Nexletol) can be a good alternative for people who can't take statins. A 2023 study found that compared with a placebo, bempedoic acid can lower the risk of heart attacks and related problems.

Accelerated cognitive decline may be more common after a heart attack, probably because the same factors that lead to narrowed heart arteries (the root cause of most heart attacks) can also cause tiny, silent strokes. An accumulation of these strokes shows up as bright areas (called white matter lesions) on an MRI scan. These lesions are markers of typical cognitive changes that occur with age. But people who have heart attacks likely have more white matter lesions and experience even greater cognitive decline.