Living your best life

As people face their mortality, they often focus on how to live their best life in their remaining time. Two Harvard experts—Dr. Howard LeWine and Dr. Anthony Komaroff—share advice on how they are achieving this during their golden years. Some of their suggestions include embracing the natural changes of aging, doing inspiring activities, learning to live in the moment, and finding one’s sense of purpose.

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Are heart attacks overdiagnosed?

Doctors may diagnose heart attacks in people who have not actually had one, in part because they screen people with subtle symptoms out of fear of missing the diagnosis. Failure to diagnose a heart attack is the No. 1 cause of malpractice payouts in the emergency department. But the blood test used to detect a heart attack is very sensitive, and other conditions such as myocarditis (heart inflammation) may be misdiagnosed as a heart attack. This problem of overdiagnosis can expose people to unneeded risks, high costs, and other downsides.

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Rethinking HDL cholesterol

The scientific understanding of HDL cholesterol has evolved in recent years, and many cardiologists now believe that HDL may be more of a bystander rather than a “good guy” that helps lower heart disease risk. While some types of HDL are great at plucking excess cholesterol from LDL and artery walls (a process referred to as reverse cholesterol transport) other types of HDL don’t do this. In clinical trials, medications to raise HDL levels—including a drug specifically designed to improve reverse cholesterol transport—have not succeeded in lowering heart attacks and strokes.

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Take time to stretch

Contrary to popular belief, stretching probably won’t help people avoid sore muscles or injuries, which often result from overuse. However, short but regular stints of stretching can improve flexibility (the ability to move the joints and muscles through their full range of motion) and help people stay active as they age. Improved flexibility can make it easier to do everyday tasks involving walking, climbing stairs, or reaching. And for people who hike, play pickleball, golf, or other sports, a regular stretching program may improve their performance.

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