From the wrist to the heart: A safer route for angioplasty?

At least half of all artery-opening angioplasties done in the United States now begin at the wrist instead of the top of the thigh. The wrist (or transradial) approach is easier on patients, safer, and less expensive. After the procedure, people can sit up right away instead of lying flat for several hours, and they are much less likely to experience bleeding, including serious bleeding in the abdomen. The lower complication rates mean people can leave the hospital sooner, which translates to decreased costs.

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Post-traumatic stress disorder: When fear strikes the heart

Post-traumatic stress disorder (PTSD) can be triggered by many harrowing events, including serious car accidents, violent personal trauma, and military combat. Over a lifetime, about 8% of adults develop PTSD, which is linked to an increased risk of heart disease. Many factors closely linked to heart disease—such as smoking, high blood pressure, and diabetes—are also common in people with PTSD, so untangling the true nature of the association has proven challenging. But repeated, long-term stress can increase blood pressure, heart rate, and inflammation, all of which can encourage clogged heart arteries. Ongoing research looking at the genetics and epidemiology of PTSD, cardiovascular disease, and their shared, related risks is under way.

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Fruit of the month: Pears

Pears are a good source of fiber and several beneficial plant compounds (phytochemicals), including catechins. Also found in apples and cocoa, catechins may help lower blood pressure, improve blood vessel health, and discourage blood clots.

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What’s your daily budget for saturated fat?

To help prevent high LDL cholesterol, experts recommend limiting saturated fat to 7% of total daily calories. Changes such as avoiding red and processed meats, cheese, and other full-fat dairy products can help. People can look up the saturated fat content of foods with free apps such as Lose It! or MyFitnessPal. To replace lost calories, the best choices are unsaturated fats such as liquid vegetable oils from vegetables, nuts, and seeds, as well as avocados, nuts, and nut butters.

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Cycling: A low-impact exercise that helps the heart

Cycling outdoors may help people with diabetes (a strong predictor of heart disease) lower their odds of premature death. If inclement weather or traffic make outdoor cycling unsafe, using an indoor cycling machine can be a convenient way to stay fit. These machines are also ideal for people with physical limitations (such as mobility or balance issues) that make riding a traditional bike challenging. Different types that can accommodate people with varied fitness levels and physical abilities include under-desk cycles and recumbent or upright stationary bikes.

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Steps to stay safe when you push or pull an object

Pushing or pulling heavy objects requires strong core and leg muscles as well as the proper stance and technique. Pushing an object is generally safer than pulling an object. To push an object properly, one should stand close to it; keep the knees slightly bent, with one leg slightly behind the other; brace the elbows against one’s sides; tighten the abdominal muscles; and then push the object forward. People who have significant balance issues or use an assistive walking device should not attempt pushing or pulling heavy objects.

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