Heart Failure Archive

COVID-19 may increase the risk of cardiovascular problems, including heart attack, stroke, pulmonary embolism, atrial fibrillation, and heart failure, up to a year after the infection. But vaccination appears to lower these risks. Getting just one dose of a COVID vaccine may halve the risk of myocarditis, a rare condition that causes inflammation of the heart muscle that can arise after viral infections.

People with diabetes who take pain relievers known as nonsteroidal anti-inflammatory drugs (NSAIDs) may be at higher risk of heart failure, according to a 2023 study. NSAIDs include ibuprofen, which is sold over the counter as Advil and Motrin.

A 2023 study suggests that the type of technology used in smart watches to measure the heart's electrical activity may have the potential to detect early signs of heart failure or atrial fibrillation.

Over-the-counter and prescription drugs known as NSAIDs pose a risk to the cardiovascular system. They include over-the-counter drugs such as ibuprofen (Motrin, Advil) and prescription drugs such as celecoxib (Celebrex). NSAIDs can cause the kidneys to hold on to salt and water, which tends to raise blood pressure. They also appear to affect the inner linings of blood vessels and alter other blood substances in a manner that promotes blood clots. People who need these pain-relieving medications should take the smallest dose for the shortest possible period of time.

People who take an average of 4,500 steps each day may have a lower risk of heart disease, stroke, and heart failure than those who take less than 2,000 steps per day.

Hospital at home provides care in a person's home for common conditions such as heart failure. Health care providers visit at least twice daily and can draw blood, provide intravenous medication delivery, and take portable ultrasounds and chest X-rays. Patients are constantly monitored via a small patch on the chest that measures heart rate and rhythm, breathing rates, and activity. The program also provides a tablet used for videoconferencing with the doctor and specialists, if needed.

In about half of all cases of heart failure, the heart’s muscles are thin and weak, so the heart can’t pump very well. In the other cases, the muscles are thick and stiff, which prevents the heart from relaxing normally to fill with blood.

Cardiac rehabilitation, which teaches heart-healthy habits coupled with supervised exercise, can help people with heart conditions prevent future problems. Some parts of the program can be done at home, delivered through a computer, tablet, or smartphone. Known as virtual cardiac rehab, this approach offers several advantages over conventional rehab, such as avoiding the time and expense of traveling to multiple sessions during the week.

Most people with heart failure (or those at high risk for it) need several medications to treat their symptoms. New guidelines from the American College of Cardiology/American Heart Association have added another drug class to the treatment list: a group of diabetes drugs called sodium-glucose cotransporter-2 (SGLT-2) inhibitors. SGLT-2 inhibitors offer multiple benefits, such as helping to reduce swelling, lowering high blood pressure, assisting with weight loss, reducing complications associated with heart failure, and preventing hospitalization.