Heart disease is the leading cause of death for men, women, and people of most racial and ethnic groups in the United States. One person dies every 37 seconds in the United States from cardiovascular disease. About 647,000 Americans die from heart disease each year—that’s 1 in every 4 deaths.
The following is from the T.H. Chan School of Public Health at Harvard.
When heart experts talk about prevention, they usually refer to one of three types: secondary, primary and primordial prevention.  All three have similar elements, but different starting times and different effects.
Despite the power of individual behavior change, it must be noted that unfavorable eating patterns are driven by a variety of biological, social, economic, and psychological factors. This is acknowledged in a 2018 review paper, which recommends that “governments should focus on cardiovascular disease as a global threat and enact policies that will reach all levels of society and create a food environment wherein healthy foods are accessible, affordable, and desirable.”  The central illustration of the paper (below) highlights several policy strategies that may help boost healthy eating, such as improving nutrition labels, regulating food marketing, and promoting healthy school and work environments.Continue reading →
Study shows Plaque HD® significantly reduces inflammation throughout the body
For decades, researchers have suggested a link between oral health and inflammatory diseases affecting the entire body — in particular, heart attacks and strokes. Inflammation is intimately involved in the pathogenesis of atherosclerosis and is accurately measured by high sensitivity C-reactive protein (hs-CRP), a sensitive marker for future risks of heart attacks and strokes.
Researchers from Florida Atlantic University’s Schmidt College of Medicine, Marshfield Clinic Research Institute, and the University of Wisconsin School of Medicine and Public Health, collaborated on a randomized trial titled, “Correlation between Oral Health and Systemic Inflammation” (COHESION), to further explore whether Plaque HD®, a plaque identifying toothpaste, reduces hs-CRP. Continue reading →
Most people realize getting medical help quickly is crucial in response to a heart attack or stroke. But you need to know the signs so you can act, according to the American Heart Association.
“It is an emergency. People need to call 911,” said Dr. Erin Michos, associate director of preventive cardiology at the Johns Hopkins Ciccarone Center for the Prevention of Cardiovascular Disease in Baltimore.
Emergency medical responders can begin evaluating a potential heart attack or stroke, and start treatment before arriving at a hospital, she said.
Heart disease is the nation’s leading killer, and every 40 seconds someone has a heart attack. Continue reading →
The most comprehensive analysis of its kind suggests that there is a strong link between non-HDL cholesterol levels and long-term risk for cardiovascular disease in people aged under 45 years, not just at older ages., according to The Lancet.
Study is the most comprehensive analysis of long-term risk for cardiovascular disease related to non-high-density lipoprotein (non-HDL) cholesterol – including almost 400,000 people from 19 countries who were followed for up to 43.5 years (median 13.5 years follow-up) between 1970 to 2013.
This longer-term evidence may be particularly important in people aged under 45 years.
Depending on cholesterol level and number of cardiovascular risk factors, men and women aged under 45 years have a 12-43% or 6-24% risk (respectively) of having fatal or non-fatal heart disease or stroke by the age of 75 years.
If non-HDL cholesterol levels were halved, women and men younger than 45 years with starting levels of non-HDL cholesterol between 3.7-4.8 mmol/liter and who had two additional cardiovascular risk factors could reduce their risk from around 16% to 4%, and from around 29% to 6%, respectively.
The observational and modelling study which used individual-level data from almost 400,000 people, published in The Lancet, extends existing research because it suggests that increasing levels of non-HDL cholesterol may predict long-term cardiovascular risk by the age of 75 years. Past risk estimates of this kind are based on 10-year follow-up data.
Researchers reviewed data from CONSTANCES, a French population-based study group started in 2012, for information on age (18-69), sex, smoking and work hours derived from questionnaires from 143,592 participants. Cardiovascular risk factors and previous stroke occurrences were noted from separate medical interviews. Continue reading →
Nearly two-thirds of people at high risk of heart disease and stroke have excess belly fat, according to results of the European Society of Cardiology (ESC) EUROASPIRE V survey presented today at the World Congress of Cardiology & Cardiovascular Health in Dubai, United Arab Emirates.
What we all should strive for … Photo by Public Domain Pictures on Pexels.com
Excess fat around the middle of the body (central obesity) is a marker of abnormal fat distribution. This belly fat is bad for the heart, even in people who are not otherwise overweight or obese.
Cardiovascular diseases are the leading cause of death in Europe. Each year in Europe there are more than 11 million new cases of cardiovascular disease and 3.9 million deaths caused by cardiovascular disease. Elimination of risk behaviours would prevent at least 80% of cardiovascular diseases.
The study also found that less than half (47%) of those on antihypertensive medication reached the blood pressure target of less than 140/90 mmHg (less than 140/85 mmHg in patients with self-reported diabetes). Among those taking lipid-lowering drugs, only 43% attained the LDL cholesterol target of less than 2.5 mmol/L. In addition, many participants not taking any antihypertensive and/or lipid-lowering therapy had elevated blood pressure and elevated LDL cholesterol. Among patients being treated for type 2 diabetes, 65% achieved the blood sugar target of glycated haemoglobin (HbA1c) less than <7.0%.
Professor Kornelia Kotseva, chair of the EUROASPIRE Steering Committee from Imperial College London, UK, said: “The survey shows that large proportions of individuals at high risk of cardiovascular disease have unhealthy lifestyle habits and uncontrolled blood pressure, lipids and diabetes.”Continue reading →
I confess, I love it when new discoveries meet my bias. I created the Page – Do you know the dangers of too much sitting? nine months ago. What follows is the latest information on prolonged sitting from the American Cancer Society (ACS).
A new ACS study links prolonged sitting time with a higher risk of death from all causes, including 14 of 22 measured causes of death and 8 of the 10 most common causes of death. The link existed even after adjusting for levels of moderate-vigorous intensity physical activity. The study appears early online in the American Journal of Epidemiology.
Advancements in technology have led to a significant increase in the amount of time spent sitting. In addition, sedentary time increases with aging, a time when the risk of chronic disease also increases. In the United States, most leisure time is spent in sedentary behaviors such as television viewing. In one Australian study, it was estimated that 90% of total non-occupational time was spent sedentary, and that 53% of sedentary time was spent on screen time (computer or television).Continue reading →
I have written about the dangers of obesity almost more times than I can remember, yet it remains a nightmare for us. As we tell our children over and over – actions have consequences. When will we learn that everything we eat and drink becomes a part of us. We don’t just get to enjoy the taste with no physical effects afterwards.
Obesity-related conditions include heart disease, stroke, type 2 diabetes and certain types of cancer, some of the leading causes of preventable death. [Read guidelines]
The estimated annual medical cost of obesity in the U.S. was $147 billion in 2008 U.S. dollars; the medical costs for people who have obesity were $1,429 higher than those of normal weight. [Read summary]
I wrote a post several years ago on what you need to know about stroke. Here is the opening graf: “The National Stroke Association (NSA) says, “A stroke or heart attack of the brain occurs when a blood clot blocks an artery (a blood vessel that carries blood from the heart to the body) or a blood vessel (a tube through which the blood moves through the body) breaks, interrupting blood flow to an area of the brain. When either of these things happens, brain cells begin to die and brain damage occurs.”
Patients suffer stroke-like symptoms such as paralysis on one side or difficulty speaking. While symptoms typically go away in less than a few minutes and there’s no brain damage, TIAs often are followed by severe strokes.
TIAs are an “ominous prelude to an impending cerebrovascular catastrophe, but also the opportunity to prevent a disabling event,” Loyola Medicine neurologists Camilo R. Gomez, MD, Michael J. Schneck, MD and José Biller, MD report in the journal F1000 Research. However, the neurologists add that rapid evaluation and treatment can reduce the risk of stroke by about 80 percent during the dangerous first week following a TIA.
Most strokes are ischemic, meaning they are caused by blood clots that block blood flow to a part of the brain. TIAs also are caused by blood clots, but the clots quickly dissolve or are dislodged. However, there’s a 5 to 10 percent risk of suffering a stroke during the 30 days following a TIA, and 15 to 20 percent of ischemic stroke patients report having experienced an earlier TIA.
A TIA requires urgent management, but there is controversy about how to accomplish this: Should patients be temporarily hospitalized, which may be safer, or should they be evaluated on an outpatient basis, which may be more convenient and cost effective? The existing literature is inconclusive. “Both approaches have advantages and disadvantages,” the Loyola neurologists wrote. Continue reading →
I have written time and again about the link between exercise and brain health. The Harvard Heart Letter has a nice post on how heart disease and brain health are tied together.
“Just like in the rest of your body, advancing years can take a toll on your brain function. Much of this slowing down is predictable and can be chalked up to normal aging. However, when thinking skills become increasingly fuzzy and forgetfulness gets to be a way of life, an early form of dementia known as mild cognitive impairment may be setting in,” so writes Julie Corliss, Executive Editor, Harvard Heart Letter.
“Often, the first reaction is to attribute these changes to the beginning of Alzheimer’s disease. But blood flow problems may be to blame, as well. “An estimated one-third of all cases of dementia, including those identified as Alzheimer’s, can be attributed to vascular factors,” says Dr. Albert Hofman, chair of the department of epidemiology at the Harvard T.H. Chan School of Public Health. Continue reading →
According to the American Heart Association (AHA): • Poor sleep – even if you don’t have sleep apnea – may be linked to higher risks of developing an irregular heartbeat. • In addition, getting less rapid-eye movement (REM) sleep may also be linked to higher atrial fibrillation risks.
Disruptions in sleep may be raising your risks of an irregular heartbeat, known as atrial fibrillation (AF), according to preliminary research presented at the American Heart Association’s Scientific Sessions 2016. Continue reading →
If you’re like many people, no trip to the grocery store is complete until you add a bunch of bananas to your cart.
Bananas are inexpensive, tasty, and versatile, but the best reason to eat them is their health benefits. Read on to learn how this curvy, yellow wonder can help you stay well.
1. Tames Your Tummy
If you’ve ever had the stomach flu or food poisoning, you’ve probably been told to eat the BRAT diet during recovery. BRAT stands for bananas, rice, applesauce, and toast. Bananas are included in the acronym for good reason. They are bland enough to pass through the digestive tract easily, their potassium helps replenish lost electrolytes, and their fiber adds bulk to your stool to help calm diarrhea.
Some pregnant women report that bananas help ease morning sickness. It makes sense since bananas are high in vitamin B-6. One medium banana provides about…
Finally, it appears that there is some good news on the health front in regard to less people smoking.
A new study indicates that Finland’s national tobacco policies seem to be radically reducing the incidence of subarachnoid haemorrhage, the most fatal form of stroke.
Previously it was thought that in Finland approximately a thousand people suffer subarachnoid haemorrhage (SAH) every year – most of them adults of working age. Up to half of those afflicted die within a year. Subarachnoid haemorrhage is typically caused by a ruptured cerebral aneurysm, which leads to a sudden increase in the intracranial pressure. Smoking is a key risk factor for SAH.
A Finnish study published in the journal Neurology looked at changes in the incidence of subarachnoid haemorrhage over a period of 15 years (1998-2012), and these were contrasted with changes in the prevalence of smoking. The results indicated that the number of people afflicted with SAH was nearly half of the previously assumed figure and that the number was in rapid decline, a trend which was particularly apparent in younger generations. Continue reading →
Regardless of your age or family history, a stroke doesn’t have to be inevitable. Here are some ways to protect yourself starting today, Harvard Health Publications said.
But , what is a stroke?
A stroke is a “brain attack.” It can happen to anyone at any time. It occurs when blood flow to an area of brain is cut off. When this happens, brain cells are deprived of oxygen and begin to die. When brain cells die during a stroke, abilities controlled by that area of the brain such as memory and muscle control are lost, according to the National Stroke Association.
Stroke by the Numbers • Each year nearly 800,000 people experience a new or recurrent stroke. • A stroke happens every 40 seconds. • Stroke is the fifth leading cause of death in the U.S. • Every 4 minutes someone dies from stroke. • Up to 80 percent of strokes can be prevented. • Stroke is the leading cause of adult disability in the U.S.
Age makes us more susceptible to having a stroke, as does having a mother, father, or other close relative who has had a stroke.
You can’t reverse the years or change your family history, but there are many other stroke risk factors that you can control—provided that you’re aware of them. “Knowledge is power,” says Dr. Natalia Rost, associate professor of neurology at Harvard Medical School and associate director of the Acute Stroke Service at Massachusetts General Hospital. “If you know that a particular risk factor is sabotaging your health and predisposing you to a higher risk of stroke, you can take steps to alleviate the effects of that risk.”
Here are seven ways to start reining in your risks today, before a stroke has the chance to strike. Continue reading →
“It’s too early to draw firm conclusions from our small study, and patients should discuss the need for vitamin D supplementation with their physician,” Henninger said. “However, the results do provide the impetus for further rigorous investigations into the association of vitamin D status and stroke severity. If our findings are replicated, the next logical step may be to test whether supplementation can protect patients at high risk for stroke.”
Stroke patients with low vitamin D levels were found to be more likely than those with normal vitamin D levels to suffer severe strokes and have poor health months after stroke, according to research presented at the American Stroke Association’s International Stroke Conference 2015.
Low vitamin D has been associated in past studies with neurovascular injury (damage to the major blood vessels supplying the brain, brainstem, and upper spinal cord).
“Many of the people we consider at high risk for developing stroke have low vitamin D levels. Understanding the link between stroke severity and vitamin D status will help us determine if we should treat vitamin D deficiency in these high-risk patients,” said Nils Henninger, M.D., senior study author and assistant professor of neurology and psychiatry at University of Massachusetts Medical School in Worchester.
Henninger and colleagues studied whether low blood levels of 25-hydroxyvitamin D, a marker of vitamin D…