Smart snack strategies

Between-meal snacks can either help or hinder people’s efforts to eat a heart-healthy diet. Simple strategies such as upgrading food choices can help. Instead of low-quality carbs like candy or potato chips, people should choose high-quality carbs like fruit or whole-grain crackers, along with a little protein or healthy fat (such as half an apple with a handful of nuts). They should also try to avoid eating simply out of habit when they’re not actually hungry.

Content restricted. Requires subscription

The changing landscape of LDL lowering drugs

For most people, statins are still the best way to lower harmful LDL cholesterol. But two newer drugs may be promising additions or alternatives for those with stubbornly high LDL levels. Bempedoic acid, which lowers LDL by about 25%, works in a manner similar to statins but may help reduce muscle-related side effects seen with statins. Inclisiran interferes with a protein that’s involved with regulating LDL production in the liver; it lowers LDL by about 50%.

Content restricted. Requires subscription

Staving off heart problems in your 80s and beyond

For people in their 80s and beyond, the advice for preventing and treating heart disease is similar to that for young people, especially with respect to staying physically active. But octogenarians may need to adjust their medication regimens. Low-dose aspirin is not recommended after age 70, and doses of anti-clotting medications may need to be reduced. Some people may also need to dial back their blood pressure medications if they experience side effects such as dizziness.

Content restricted. Requires subscription

Stay active as you age to extend your health span

According to the “active grandparent” hypothesis, humans evolved to be physically active throughout life. That frequent movement helps ward off chronic disease (including heart disease) and promotes longevity. While hunter-gatherers had to be active to survive, they also had a natural instinct to avoid unnecessary activity to preserve energy when food was scarce. Modern humans don’t need to expend physical effort to meet their basic needs for food and survival. Instead, they must exercise (defined as discretionary activity for the sake of health) to stay healthy and live a long life.

Content restricted. Requires subscription