Our evolving understanding of the problem with plaque

New imaging techniques that use light or sound waves to create images of the inside of coronary arteries have helped researchers better understand the fat-laden plaque that builds up inside artery walls (atherosclerosis). Most heart attacks happen when small, inflamed areas of fatty plaque rupture suddenly, causing a clot that blocks blood flow. This may explain why treating large, obstructive plaques with stents or bypass surgery does not seem to prevent heart attacks or help people live longer.

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Cooking from — and for — the heart this holiday season

Preparing lighter or alternative versions of foods and drinks traditionally served during the December holidays may help curb year-end weight gain. Examples include baked latkes made with added vegetables (such as zucchini, cauliflower, or beets) and nonalcoholic cocktails make with sparkling water, a splash or fruit juice, and fresh fruit.

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Blood pressure medications may affect your mood

Contrary to what doctors have long assumed, blood pressure drugs may not raise the risk of depression. Some have even been linked to a lower risk of depression, including enalapril (Vasotec), ramipril (Altace), verapamil (Verelan), verapamil combination drugs, propranolol (Inderal), atenolol (Tenormin), bisoprolol (Zebeta), and carvedilol (Coreg). But because people have very diverse reactions to medications, large-scale trends of side effects don’t necessarily apply to an individual’s experience. People who notice mood changes or other side effects after starting a new medication should tell their physicians.

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Can a smart watch diagnose a heart attack?

ECG readings taken with a smart watch may be just as accurate as a traditional ECG done in a medical setting. But the notion of using a smart watch to diagnose a heart attack is still years away. One main reason: obtaining an ECG with a smart watch requires carefully holding the back of the watch on the wrist and at eight specific locations on the chest and abdomen. Quality control and regulatory issues are other important hurdles that need to be addressed. But experts believe improved smart watches with enhanced diagnostic ability may be on the market within a decade.

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When you take these popular pain relievers, proceed with caution

Over-the-counter and prescription drugs known as NSAIDs pose a risk to the cardiovascular system. They include over-the-counter drugs such as ibuprofen (Motrin, Advil) and prescription drugs such as celecoxib (Celebrex). NSAIDs can cause the kidneys to hold on to salt and water, which tends to raise blood pressure. They also appear to affect the inner linings of blood vessels and alter other blood substances in a manner that promotes blood clots. People who need these pain-relieving medications should take the smallest dose for the shortest possible period of time.

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