Navigating “doctor speak”

Doctors around the world use standardized medical terms for a common frame of reference. Laypeople don’t always know what that medical jargon means, which can lead to poor health outcomes. When a patient doesn’t understand what a doctor is saying, it’s important for the patient to ask for clarification. It may help to prepare a list of questions in advance and bring it to the medical appointment; bring a friend along who can take notes and ask questions; and repeat the doctor’s advice before the end of the appointment, to make sure it’s understood.

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Do you fall down when you stand up?

People with orthostatic hypotension experience a drop in blood pressure when they stand, which increases the risk for falls. Ways to manage the condition include keeping up blood volume by taking in at least 3 liters of fluid and 4 to 6 grams of salt per day; taking medication to alleviate lightheadedness; avoiding hot environments; getting up slowly from a sitting or standing position; and sleeping with the bed on a slant. Someone who feels lightheaded upon standing should sit down immediately. If that’s not possible, it may help to tense the muscles.

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Hybrid exercise training

Hybrid exercise training combines heart-pumping aerobic action with muscle-strengthening moves in the same exercise session. The strategy has the advantage of meeting two key goals of the federal Physical Activity Guidelines in one fell swoop. And it also appears to be one of the best—and most time-efficient—ways for people who are overweight to lower their risk of cardiovascular-related risk factors. Strong muscles boost a person’s basal metabolic rate—the amount of energy the body needs to keep working during rest. That improves weight-loss efforts by ramping up the number of calories burned.

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Are you headed for a fall?

Cardiovascular conditions can increase a person’s risk of falling. Such falls are usually related to a lack of blood flow to the brain that causes a person to faint. The most common cause is orthostatic hypotension, but severe aortic stenosis and the heart rhythm disorder known as atrial fibrillation can also cause a person to faint. Other falls may result from cerebral microvascular disease, a type of blood vessel damage in the brain that develops over time.

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The heart disease gender gap

Women don’t fare as well as men when it comes to getting treatment for coronary artery disease. Social and cultural factors may help explain this discrepancy. Women tend to downplay their symptoms and delay seeking treatment. But health care providers may be contributing to this problem, too A major underlying issue may be the underrepresentation of women in clinical trials of heart-related conditions.

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