How to avoid catastrophic thinking

People trapped in catastrophic thought patterns are convinced everything is awful and won’t improve, which creates a constant sense of helplessness, anxiety, and stress. One way to stop this doomsday thinking is learning how to mentally pivot. Mental pivoting is the action of consciously deciding to deflect thoughts when they arise, so they don’t fester and grow. By doing this, people can feel more in control of invasive thoughts when they arise.

Content restricted. Requires subscription

Is your heart ready for sex?

Most men can resume regular sexual activity after a heart attack once they can engage in mild-to-moderate physical activity without experiencing marked fatigue, chest pain, or shortness of breath. For heart-related procedures like angioplasty with stent placement (to open a blocked artery and restore blood flow), coronary artery bypass surgery, or open-heart surgery, men should wait until surgical sites have fully healed before resuming sex. At the same time, men should address any lingering heart disease risk factors, such as high blood pressure and excess weight.

Content restricted. Requires subscription

Stand up for your heart

A 2025 study found that people who are sedentary for 10.6 hours per day or more may face a higher risk of heart failure or dying from heart disease—even if they follow recommended exercise guidelines. Uninterrupted sitting has harmful effects on metabolism, leading the body to burn fewer calories and less fat. It can also cause blood sugar levels to rise, triggering the release of insulin, the hormone that regulates blood sugar. Over time, sedentary habits cause the body to become less sensitive to insulin. The resulting insulin resistance promotes inflammation, a key player in the buildup of fatty plaque inside arteries.

Content restricted. Requires subscription

When the doctor needs a new heart valve

About one in every 20 people over age 65 has a stiff, narrowed aortic valve. A Harvard physician describes his experience with this condition, called aortic stenosis, from the heart murmur detected at age 66 to his open-heart surgery a decade later. After his diagnosis, he received echocardiograms every one to two years to check the valve, and later a stress echocardiogram. Because the echocardiogram revealed an aortic aneurysm, he had open-heart surgery so the surgeon could repair the valve and the aneurysm during the same operation.

Content restricted. Requires subscription