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.
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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.
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Citrus fruits such as oranges and tangerines contain heart-healthy nutrients such as fiber and flavonoids. But grapefruit also contains compounds that may increase the blood level of certain statins.
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People with healthy sleep habits may be less likely to have atrial fibrillation and bradyarrhythmia. Healthy sleep patterns include sleeping seven to eight hours a night and rarely or never having insomnia or daytime drowsiness.
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Swapping regular table salt (sodium chloride) with a salt substitute containing some potassium chloride may lower the risk of strokes and related heart problems.
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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.
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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.
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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.
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Palliative care, which focuses on comfort and quality of life, is gradually becoming more widely used in people with advanced heart failure. The approach includes discussions about advance care planning and is often confused with hospice care. But palliative care can begin at any stage of a serious illness. For heart failure, it may include tiny doses of morphine to ease breathing and help people feel less distressed. Increasing doses of diuretics, which help flush fluid from the body, are often prescribed as well.
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A study published online Sept. 6, 2021, by the journal Gut suggests that people who eat the most fruits, vegetables, and legumes have a lower risk of getting COVID and its complications, compared with people who eat the least.
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