Living with heart disease? Avoid unnecessary testing

For people with chronic coronary disease who do not have symptoms, new guidelines recommend against routine testing with cardiac CT angiography, echocardiography, and stress testing. The results are unhelpful—and in some cases harmful. Unclear results often general additional testing or unnecessary procedures, including some that expose people to radiation for no reason. In addition, the tests add expense without any corresponding benefit, and these costs are increasingly being passed back to patients, in the form of copayments or higher premiums.

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The false promise of fish oil supplements

Despite statements like “promotes heart health” on the labels of fish oil supplements, multiple randomized trials show no evidence of heart-related benefits from using these products. In addition, manufacturing methods might make the products either useless or even harmful. The supplements do provide omega-3 fatty acids, but people can get these essential fats by eating two servings of fatty fish weekly or following a vegetarian diet rich in healthy oils, nuts, and seeds.

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Holiday gifts that keep the heart in mind

Products that encourage healthy eating or exercise can make good holiday gifts for family and friends. Examples include cooking gadgets (such as a food chopper or high-quality knife), a gift basket of fresh fruit or Mediterranean-inspired treats, or home workout equipment (such as dumbbells, resistance bands, or sports-related gear).

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The best strength-building exercise to lower blood pressure?

Isometric exercises that engage the muscles without movement—such as wall squats and planks—may help lower blood pressure more than other types of strength training. Experts have speculated about a possible mechanism: During isometric exercise, clenched muscles temporarily constrain blood flow. The following surge of blood may stimulate the release of factors that help relax the vessels and ultimately contribute to a reduction in blood pressure.

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