Heart Disease Archive

People with atrial fibrillation (afib) often wonder whether certain habits—such as drinking coffee or not getting sufficient sleep—might trigger their episodes. Some notice that disruptions to their normal routine are likely to trigger a bout of afib—for example, exhaustion due to jet lag or indigestion after eating a rich, heavy meal. Evidence increasingly suggests that smaller amounts of alcohol (even just one drink) may also raise a person's risk of afib, and some people may be more susceptible than others. But for many people, trying to identify afib triggers can be an exercise in frustration.

Mental stress ischemia occurs when emotional stress causes a decline in blood flow to the heart. The condition, which affects about one in six people with heart disease, may more than double a person's risk of heart attack. Mental stress ischemia appears to be caused in part by changes in the wall and inner lining of the heart's smallest blood vessels. Known as microvascular disease, this problem tends to be more prevalent in women. In contrast, a more common cause of chest pain is narrowing of the large arteries of the heart.

A study found that women who regularly dine alone may be at elevated risk for heart disease, possibly because they were found to have less nutritional knowledge and ate less nutritious meals.

Certain devices that use magnetic chargers may interfere with cardiac devices such as pacemakers. A doctor should advise people on which ones to avoid or to use caution when operating.

Research shows that a diet rich in anti-inflammatory foods, such as fruits and vegetables, healthy oils, and whole grains, may help prevent some joint problems, such as gout or even osteoarthritis. The benefit is less pronounced if a person has joint problems already. Diet cannot reverse joint problems completely, but it may help with disease management in combination with other treatments.

A test called a coronary artery calcium (CAC) scan uses a special type of x-ray to look for plaque in the arteries of the heart, which raises the risk of heart-related problems. While CAC scans can be valuable for detecting people at higher risk of heart problems from plaque buildup, this test isn't right for everyone. It's typically most useful for people who don't yet have symptoms of heart disease, but who do have some risk factors. Determining how much plaque is in the arteries can help guide decision making about preventive strategies. The test is less useful for people at very low or very high risk for heart disease.

Many people still struggle with healthy eating, even though they know the basic guidelines to follow. This often is due to misperceptions that following a healthy diet is too difficult and too expensive. Making small changes in one's diet can help many people change their attitude about healthier eating and make it easier to embrace.

People who fall asleep between 10 and 11 p.m. may be less likely to develop heart disease than those who start their slumber earlier or later.

Stimulant medications, which are usually prescribed to treat attention deficit disorder in children, are being prescribed increasingly to older adults. These drugs may cause a short-term spike in the risk of heart-related problems, including heart attacks, strokes, and arrhythmias. Dietary supplements that promise weight loss or better physical or mental performance may contain prohibited, unlisted, and potentially dangerous stimulants.

Moderate-to-vigorous exercise appears to be the best way to boost cardiorespiratory fitness (CRF), which quantifies how well the heart and lungs supply oxygen to the muscles during physical activity. Higher CRF during midlife is linked to a lower risk of conditions closely tied to heart disease (including early signs of atherosclerosis, high blood pressure, and diabetes) later in life.