Constipation: A connection to cardiovascular disease?

People with chronic constipation may be more prone to heart disease, but the connection remains unclear. Straining and bearing down to have a bowel movement can temporarily boost blood pressure, putting the cardiovascular system at risk. And a possible link between constipation and blood clots may be worth further study. In rare cases, clots form in the veins that serve the gastrointestinal organs, including the large intestine (colon). Known as splanchnic venous thrombosis, the problem seems to be far more common in people with constipation than in those without.

Content restricted. Requires subscription

Over-the-counter drugs that can boost blood pressure

People with high blood pressure should avoid certain popular over-the-counter drugs used to treat cold and flu symptoms and pain. The problematic products are those that contain decongestants such as oxymetazoline, pseudoephedrine, and phenylephrine; and nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen sodium. Because drugstores contain an overwhelming number of products that feature those drugs, people should ask their pharmacist to recommend a product.

Content restricted. Requires subscription

Gifts that promote relaxation and resilience

An array of products that encourage people to relax can be good holiday gifts for friends and loved ones who need to reduce their stress levels. Suggestions include a year’s subscription to a meditation app; yoga props such as a mat, blocks, and straps; devices that enable self-massage of the upper body; and products that may foster sound sleep, such as a weighted blanket, a noise machine, and scented bath salts.

Content restricted. Requires subscription

Measuring ejection fraction

Ejection fraction is the fraction of the blood that the heart “ejects” out to the rest of the body each time it contracts. A normal ejection fraction is about 55% to 70%. Levels below 40% indicate reduced ejection fraction and may result in heart failure symptoms.

Content restricted. Requires subscription

High-intensity exercise and your heart

High-intensity interval training (HIIT) may improve fitness faster because people exercise harder rather than longer. HIIT features short bursts of high-intensity exercise (usually lasting one to four minutes) interspersed with periods of lower-intensity activity or rest. People who are older or who have heart disease should check with their doctors before trying HIIT. HIIT may produce equal or greater improvements in blood pressure and blood sugar compared with moderate-intensity exercise. But in terms of longevity, both exercise strategies seem to be equally beneficial.

Content restricted. Requires subscription