Tag Archives: heart attack

Prediabetes in young adults may raise heart attack risk

Young adults diagnosed with prediabetes may be more likely to be hospitalized for heart attacks than their peers with normal blood sugar levels, according to preliminary new research.

Prediabetes occurs when a person’s blood sugar levels are higher than normal but not high enough for a diagnosis of Type 2 diabetes. It is defined as having fasting blood sugar levels between 100 and 125 mg/dL. About 88 million U.S. adults have prediabetes, 29 million of whom are under 45 years old.

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“Prediabetes, if left untreated, can significantly impact health and can progress to Type 2 diabetes, which is known to increase a person’s risk for cardiovascular disease,” researcher Dr. Akhil Jain said in a news release. He is a resident physician at Mercy Catholic Medical Center in Darby, Pennsylvania.

“With heart attacks happening increasingly in young adults, our study was focused on defining the risk factors pertinent to this young population, so that future scientific guidelines and health policies may be better able to address cardiovascular disease risks in relation to prediabetes,” he said.

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These Heart Risk Factors Are a Recipe for Dementia

The faster you pile up heart disease risk factors, the greater your odds of developing dementia, a new study suggests.

Previous research has linked heart health threats such as high blood pressure, diabetes and obesity with mental decline and dementia.

Amassing those risk factors at a faster pace boosts your risk for Alzheimer’s disease and vascular dementia, according to findings published online April 20 in the journal Neurology.

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Air pollution exposure may cause heart attack within an hour – AHA

Exposure to air pollutants – even at levels below World Health Organization air quality guidelines – may trigger a heart attack within the hour, according to a new study from China that found the risks were highest among older people and when the weather was colder.

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The study found exposure to any level of four common air pollutants could quickly trigger the onset of acute coronary syndrome. ACS is an umbrella term describing any situation in which blood supplied to the heart muscle is blocked, such as in a heart attack or unstable angina, chest pain caused by blood clots that temporarily block an artery. The strongest risk occurred within the first hour of exposure and diminished over the course of the day.

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Undiagnosed heart disease may be common in people with heart attacks not caused by clots – AHA

More than two-thirds of people who have a type of heart attack not caused by a blood clot also may have undiagnosed heart disease, according to a small study from Scotland.

The study, published Monday in the American Heart Association journal Circulation, focused on people who had what’s known as Type 2 heart attacks, which result from strain caused by an illness such as infections or fast heart rates that can lower blood pressure or oxygen in the blood. But when researchers conducted advanced heart imaging, they discovered study participants also had conditions such as narrowed arteries or weakened heart muscles that were frequently undiagnosed. Fewer than a third of those patients were being treated for heart disease.

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“This is the first evidence from a study to demonstrate underlying heart artery disease and heart weakness is common in this condition,” said the study’s senior author Dr. Andrew Chapman of the BHF Centre for Cardiovascular Science at the University of Edinburgh in Scotland.

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Heart attack survivors could experience more rapid brain function declines

Cognitive function declines faster in people who have heart attacks than in those who don’t, new research shows, suggesting that preventing heart attacks could help preserve brain health.

The study is one of the first to look at how sudden cardiac events such as heart attacks affect brain function over the short and long term. The findings will be presented next week at the American Stroke Association’s International Stroke Conference. The research is considered preliminary until the full findings are published in a peer-reviewed journal.

“For too long, we have thought about and addressed heart disease and brain disease as two separate conditions,” lead study author Dr. Michelle C. Johansen said in a news release. She is an assistant professor of cerebrovascular neurology at the Johns Hopkins University School of Medicine in Baltimore.

“We need to realize that what’s going on in the heart and brain are related. Managing risk factors to prevent a heart attack is actually good for your brain as well,” she said.

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New guidelines may help doctors diagnose chest pain – AHA

Chest pain is about more than pain in the chest. But when it comes on suddenly, experts behind new guidelines on evaluating and diagnosing it don’t want you pondering nuances. They want you to act. Now.

“The most important thing people need to know about chest pain is that if they experience it, they should call 911,” said Dr. Phillip Levy, a professor of emergency medicine and assistant vice president for research at Wayne State University in Detroit. “People shouldn’t waste time trying to self-diagnose. They should immediately go to the nearest hospital. And if they’re going to go to the nearest hospital to get evaluated for chest pain, ideally, it should be by an ambulance.”

Levy helped lead the committee that wrote the new guidelines from the American Heart Association and American College of Cardiology. The recommendations aim to help patients and health care professionals act faster, make smarter choices and communicate better about chest pain.

Part of that is spreading the word that some people may not report chest “pain” but rather chest “discomfort,” which may include pressure or tightness in the chest but also in other areas, including the shoulders, arms, neck, back, upper abdomen or jaw.

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Soft Skin Patch Could Provide Early Warning for Strokes, Heart Attacks – UC San Diego

Engineers at the University of California San Diego developed a soft and stretchy ultrasound patch that can be worn on the skin to monitor blood flow through major arteries and veins deep inside a person’s body.

Knowing how fast and how much blood flows through a patient’s blood vessels is important because it can help clinicians diagnose various cardiovascular conditions, including blood clots; heart valve problems; poor circulation in the limbs; or blockages in the arteries that could lead to strokes or heart attacks.

This soft, stretchy skin patch uses ultrasound to monitor blood flow to organs like the heart and brain. This image was selected as the cover image for the July 2021 issue of Nature Biomedical Engineering.

The new ultrasound patch developed at UC San Diego can continuously monitor blood flow—as well as blood pressure and heart function—in real time. Wearing such a device could make it easier to identify cardiovascular problems early on.

A team led by Sheng Xu, a professor of nanoengineering at the UC San Diego Jacobs School of Engineering, reported the patch in a paper published July 16 in Nature Biomedical Engineering.

The patch can be worn on the neck or chest. What’s special about the patch is that it can sense and measure cardiovascular signals as deep as 14 centimeters inside the body in a non-invasive manner. And it can do so with high accuracy.

“This type of wearable device can give you a more comprehensive, more accurate picture of what’s going on in deep tissues and critical organs like the heart and the brain, all from the surface of the skin,” said Xu.

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Flu may play part in plaque-rupturing heart attacks – AHA

Getting a flu vaccine can reduce the risk of a common type of heart attack in people 60 and older, according to new research that suggests the virus plays a role in rupturing plaque.

In a study published Thursday in the Journal of the American Heart Association, researchers in Spain used data from five consecutive flu seasons and zeroed in on 8,240 people who had Type 1 heart attacks. They found flu and cold temperatures were each independently associated with an increased risk of that kind of heart attack, and flu shots could reduce that risk among people 60 and up.

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“Our results suggest influenza viruses play a major role in plaque rupture,” said study author Dr. J Alberto García-Lledó, head of cardiology at Hospital Universitario Príncipe de Asturias in Madrid. “The study reinforces the need to conduct prevention campaigns during cold waves and influenza seasons. The most important prevention tool we have is influenza vaccination.”

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Exhaustion linked to higher risk of heart attack in men

Men experiencing vital exhaustion are more likely to have a heart attack, according to research presented at ESC Acute CardioVascular Care 2021, an online scientific congress of the European Society of Cardiology (ESC).1 The risk of a myocardial infarction linked with exhaustion was particularly pronounced in never married, divorced and widowed men.

“Vital exhaustion refers to excessive fatigue, feelings of demoralization and increased irritability,” said study author Dr. Dmitriy Panov of the Institute of Cytology and Genetics, Novosibirsk, Russian Federation. “It is thought to be a response to intractable problems in people’s lives, particularly when they are unable to adapt to prolonged exposure to psychological stressors.”

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This study examined the relationship between vital exhaustion and the risk of myocardial infarction in men with no history of cardiovascular disease. The study used data from the World Health Organization (WHO) MONICA Project.2 A representative sample of 657 men aged 25 to 64 years in Novosibirsk was enrolled in 1994.

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Could this plaque identifying toothpaste prevent a heart attack or stroke?

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.

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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

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Heart Attacks Striking Younger Women

Being a senior citizen I have to admit that I fall prey to accepting the cliche that you youngsters don’t have any physical problems. However, this item from Johns-Hopkins says otherwise.

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Younger women are having more heart attacks, says a recent study. Researchers were surprised to find that while the heart attack rate has decreased among older adults, it’s risen among those ages 35-54, especially women. The Atherosclerosis Risk in Communities study reviewed more than 28,000 hospitalizations for heart attacks in four cities.

“This observational study found a trend in young women,” says Virginia Colliver, M.D., cardiologist with Johns Hopkins Community Physicians-Heart Care in Bethesda, Maryland. “But the research doesn’t provide insight into why the uptick in heart attacks is happening to younger people. I suspect it has to do with more people having risk factors for heart disease at an earlier age.”

Heart Attack Risk Factors for Women

There are several factors that increase your chance of developing heart disease. Almost 50% of all Americans have at least one of three major risk factors for the condition: Continue reading

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Signs of a heart attack or stroke – Do you know them?

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.

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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

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Omega-3 fish oil supplements linked with lower cardiovascular disease risk – Harvard

People who received omega-3 fish oil supplements in randomized clinical trials had lower risks of heart attack and other cardiovascular disease (CVD) events compared with those who were given placebo, according to a new meta-analysis from Harvard T.H. Chan School of Public Health and Brigham and Women’s Hospital. Researchers found an association between daily omega-3 supplementation and reduced risk of most CVD outcomes, including heart attack, death from coronary heart disease, and death from CVD, but did not see benefit for stroke. In addition, higher doses of omega-3 fish oil supplements appeared to provide even greater risk reduction.

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The study was published online September 30, 2019 in the Journal of the American Heart Association.

“This meta-analysis provides the most up-to-date evidence regarding the effects of omega-3 supplementation on risk of multiple CVD outcomes. We found significant protective effects of daily omega-3 supplementation against most CVD outcome risks and the associations appeared to be in a dose-response manner,” said first author Yang Hu, a postdoctoral fellow in the Department of Nutrition at Harvard Chan School. Continue reading

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Tips from Tufts on eating eggs …

I count myself as one of those confused about whether and to what extent eggs are a healthy addition to my diet. Love the protein, not so thrilled with the fats… Here is what the Tufts Health & Nutrition Letter has to say about it.

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Heart Attack Patients with Mild Cognitive Impairment Get Fewer Treatments

I guess this would be an example of the old adage, “When it rains, it pours.”

A new study finds people who have mild cognitive impairment (MCI), which lies on the continuum of cognitive decline between normal cognition and dementia, are less likely to receive proven heart attack treatment in the hospital.

dementia

Researchers found no evidence that those with MCI would derive less benefit from evidence-based treatment that’s offered to their cognitively normal peers who have heart attacks, says lead author Deborah Levine, M.D., MPH.

“Patients should get the treatments they would want if they were properly informed,” says Levine, an associate professor of internal medicine and neurology at Michigan Medicine.

Some people with thinking, memory and language problems have MCI. Unlike dementia, which severely interferes with daily functioning and worsens over time, MCI does not severely interfere with daily functioning and might not worsen over time. Although people with MCI have an increased risk of developing dementia, it’s not an inevitable next step, Levine says.

“While some may progress to dementia, many will persist in having MCI, and a few will actually improve and revert to normal cognition,” says Levine, also a member of the University of Michigan Institute for Healthcare Policy and Innovation. “Many older adults with MCI live years with good quality of life, and so face common health risks of aging like heart attack and stroke.

“Clinicians, patients and families might be overestimating the risk of dementia after a mild cognitive impairment diagnosis even without realizing it. These older adults with MCI should still receive evidence-based treatments when indicated.” Continue reading

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Gain years keeping heart disease at bay – AHA

Heart disease is the nation’s No. 1 cause of death, killing about 650,000 people every year. Life expectancy is cut short by the disease and the health problems that stem from it. But by how much – and what can people do to take those years back?

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For heart attacks alone, more than 16 years of life are lost on average, according to American Heart Association statistics. Researchers estimate people with heart failure lose nearly 10 years of life compared to those without heart failure.

“In the past few years, there have been tremendous gains in reducing cardiovascular disease and increasing life expectancy, but we’ve hit a plateau,” said Paul Muntner, an epidemiologist at the University of Alabama at Birmingham.

Some people are at greater risk than others.

African Americans, for example, are more likely to have high blood pressure, obesity and diabetes, and they live 3.4 years less than their white counterparts. Among the six largest Asian American subgroups, research shows Asian Indian, Filipino and Vietnamese populations lose the most years of life to heart disease – up to 18 years for some – compared with white people.

The risk of early death also is high for people with a history of diabetes, stroke and heart attack. Reporting in the Journal of the American Medical Association in 2015, researchers found people with all three conditions had their life expectancy cut by 15 years compared to those without any of the health problems. Even having just two of the conditions reduced life expectancy by 12 years.

But there is hope. Continue reading

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