Stroke prevention in atrial fibrillation: Beyond anti-clotting drugs

People with atrial fibrillation who develop or face a high risk of serious bleeding from anti-clotting drugs may be candidates for procedures that block or remove a part of the heart where dangerous blood clots form. About 90% of blood clots in the heart form in the left atrial appendage (LAA), a small pouch that protrudes from the top of the heart. Two procedures prevent clots from escaping from the LAA and causing a stroke. One delivers a device that blocks the opening of the LAA; the other removes most of the LAA during heart surgery done for another reason.

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This unusual syndrome causes your heart to race when you stand up

A rapid heart rate—tachycardia—is a key feature of postural orthostatic tachycardia syndrome, or POTS, a mysterious condition that involves the nervous system and can cause a constellation of symptoms, including fatigue, shortness of breath, headaches, and brain fog, as well as pain in the chest, extremities, or elsewhere in the body. At least half of all cases of POTS are thought to be triggered by an infection (such as mononucleosis), which then spurs inflammation or an autoimmune response. Treatment includes drinking lots of water, eating lots of salt, and graded exercise training.

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When someone you love has heart disease

People can support family members and friends with heart disease by encouraging them to do cardiac rehabilitation, a 12-week program that teaches the fundamentals of a heart-healthy lifestyle and features supervised exercise training. They can also ask about the person’s health goals and ways to help, rather than becoming frustrated if the person appears to be making poor choices. Finally, acknowledging and sharing emotions, such as fear and worry, may improve communication.

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Yoga: A gateway to healthier habits?

Yoga addresses multiple factors that underlie heart disease, including both physical and psychological issues. Yoga can improve strength and fitness, foster better sleep, and encourage slow, deep breathing, which helps lower blood pressure and heart rate. The relaxation aspect of yoga trains the nervous system to be less reactive during times of stress. By cultivating greater mind-body awareness, yoga can help people become more in tune with their bodies and how their daily habits affect how they feel.

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Healthy gut, healthier aging

Keeping the gut microbiome diverse is good for health and may even be tied to healthier aging. To maintain such diversity, it helps to eat a healthy diet that includes lots of fiber, which gut microbes eat. Also, exercise may be helpful to the gut microbiome, since exercise may change the rate at which material moves through the intestines. Other ways to promote a healthy gut microbiome including getting a dog, which exposes us to more microbes; quitting smoking, which relieves stress on gut microbes; and maybe eating more probiotic-rich foods, which may boost beneficial bacteria in the gut.

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“Pandemic posture” hurting your back? You can fix it!

“Pandemic posture” refers to poor posture from slouching at a desk or on a couch during time at home during the pandemic, and it can result in back or neck pain. To reduce pain, doctors recommend exercising every day; working with a physical therapist to learn the right way to sit up straight and how to strengthen the muscles that support the posture; using a chair with cushioning for the buttocks and support for the lower back; using a footrest; keeping a computer monitor at eye level; and using an ergonomically designed mouse and wrist pad.

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