Heart tests before surgery: When are they necessary?

A preoperative evaluation (sometimes called “clearance” for surgery) helps assess a person’s chances of experiencing a heart-related problem during surgery. These check-ups typically involve a physical exam and may include blood tests, x-rays, and an electrocardiogram (ECG). Some major surgeries, such as a hip replacement, can tax the cardiovascular system, possibly uncovering previously undiagnosed heart disease. Other minor, low-risk procedures, such as cataract removal, put very little strain on the heart and usually don’t require a preoperative ECG.

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New hope for an unusual form of heart failure

Long summary: Up to 15% of people with a stiff, thickened heart (known as heart failure with preserved ejection fraction) may have cardiac amyloidosis. Advances in cardiac imaging have improved the ability to diagnose the condition, which is caused by clumps of an abnormal protein (amyloid) deposited in heart tissue. Most cases are known as ATTR amyloidosis, which has an inherited form and a non-inherited form. Tafamidis (Vyndaqel), the first drug to treat ATTR cardiac amyloidosis, was approved by the FDA last year.

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5 ways to prevent a heart attack

The average age of a first heart attack among men is 65. However, many people don’t take steps to protect themselves. Reducing the risk of cardiovascular disease is the best way to guard against heart attacks and includes avoiding tobacco, managing cholesterol and blood pressure levels, getting proper sleep, and lowering stress.

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The dating game

One downside to aging is the higher likelihood that people may be without a partner at some point. No matter what the reason for an individual’s singlehood, an excellent remedy is to begin dating again. Older people can find potential partners using Internet dating sites or by interacting with various group and community activities.

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Testing for dementia

There is no cure for dementia, and people cannot substantially reverse its effects, but there are ways to possibly slow its progression. But first, people need to know if they may have a memory disorder. Testing to confirm Alzheimer’s or other forms of dementia is a multilayered process that includes several types of neuropsychological evaluations and biomarker testing.

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