5 trends in cardiology to watch

Harvard Medical School professor Dr. Eugene Braunwald, known as “the father of modern cardiology,” identified five promising future trends in cardiology. They include (1) using polygenic risk scores in newborns for early prevention of heart disease; (2) the emergence of a battery of drugs to treat inflammation; (3) improvements in cardiac cell therapy for repairing damaged hearts; (4) the development of smaller, more powerful, and less expensive left ventricular assist devices; and (5) transplanting genetically modified pig hearts into humans.

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Time for your annual health review

The start of a new year is always a great opportunity for people to re-engage with their health. One of the first steps is to conduct a personal health review. It’s a way to measure where a person’s health stands now, outline the goals, and create a strategy to reach them. A personal health review follows a three-step process: gathering all current health information, listing short- and long-term goals, and sharing everything with a doctor during a scheduled wellness visit.

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Fixing a faulty aortic valve

A nonsurgical approach for replacing a damaged aortic valve, known as transcatheter aortic valve replacement (TAVR), has become very popular in recent years. But it may not make sense for people in their 60s, who are likely to need a second valve replacement later in life. The valves used in TAVR only last about 10 years, on average. In addition, diagnosing and treating coronary artery disease may be more challenging in people who’ve had TAVR. Also, the surgery to replace a failed TAVR valve is more complicated than regular valve replacement surgery. So people who are likely to need least one traditional valve surgery are better off having the surgery in their 60s rather than in their 70s. A TAVR can be done the second time around.

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A sugary diet may harm your heart

Diets high in added sugars are linked to an increased risk of coronary artery disease, but naturally occurring sugars in fruits and vegetables are not. Nearly 70% of added sugar in the American diet comes from sugary beverages, desserts and sweet snacks, candy, and breakfast bars and cereals. Consuming excess added sugar promotes weight gain and diabetes and also spurs the liver to pump out triglycerides and other fats into the bloodstream.

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Why you should “Walk with a Doc”

Walk with a Doc is a nonprofit program founded by a cardiologist that sponsors free, doctor-led walks in mostly outdoor venues (usually public parks) in 560 sites across America. The walks last 30 to 90 minutes, are usually held once per month, and include a five-minute talk about various health topics by the physician. In addition to the exercise and education, participants benefit from the camaraderie and time spent in nature.

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Should you worry about your waistline?

A large waistline — 35 inches or more in women or 40 inches or more in men — can signal the presence of visceral fat. Located deep within the abdominal cavity, visceral fat pads the space around the organs and is closely linked to cardiovascular problems. Getting regular exercise (both aerobic and strength-based) and following a healthy, reduced-carbohydrate diet can help reduce visceral fat. Time-restricted eating may also help.

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