Plant-based meat alternatives: How do they stack up?

Meatless burgers, which contain protein from plant sources such as peas, mung beans, and soy, may be better for cardiovascular health than regular hamburgers, especially if eaten with sides and drinks that are healthier than typical fast-food fare. Plant-based burgers are highly processed and contain more sodium than regular hamburgers. But blood levels of factors linked to heart disease, such as TMAO and LDL, may decrease when people eat plant-based meat instead of red meat.

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Does early heart disease run in your family?

People with a family history of premature or early coronary artery disease (defined as a heart attack that occurs before age 55 in a man or before age 65 in a woman) face a higher risk of heart disease than people without that family history. Some of this elevated risk comes from genetic factors linked to higher cholesterol and blood pressure values. But unhealthy habits—such as smoking and poor eating and exercise habits—also tend to run in families and may contribute as well.

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When imaging tests reveal unexpected findings

Heart imaging tests sometimes reveal potentially worrisome abnormalities in or near the heart that are unrelated to the original reason for the test. These “incidentalomas” are usually harmless, but not always. Before undergoing heart imaging tests, people should understand how the results may change their treatment and if they are willing to receive that therapy. If a test reveals an incidentaloma, a second opinion from a highly experienced cardiologist or radiologist may help patients feel more confident that a concerning finding is treated appropriately.

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Gentle exercises for older, frail people

Older, frail people with a history of heart problems may benefit from sessions with a physical therapy. Gentle, personalized exercise to improve strength and balance can help them avoid falls and preserve their independence. Falls are especially dangerous for people taking anti-clotting medications (which are prescribed for many heart problems) because these drugs increase the risk of bleeding. Physical therapists can check a person’s heart rate, breathing rate, blood pressure, and oxygen saturation at rest and then after a short period of exercise to make sure they’re exercising at an appropriate level.

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In your eyes: Clues to heart disease risk?

The eyes may provide clues to the presence of cardiovascular disease. Ocular (eye) strokes can foreshadow a more serious stroke, and early damage to tiny eye blood vessels can be a harbinger of heart problems. Diabetes and high blood pressure (both common risk factors for heart disease) can damage vessels that supply the retina. Some middle-aged and older adults develop soft, yellowish, cholesterol-filled bumps on or around their eyelids. Called xanthelasmas, they can be a sign of high levels of cholesterol, triglycerides, or other fats in the blood, which also raises heart disease risk.

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