Hearts and minds

Vascular dementia, which arises from longstanding, cumulative damage to small blood vessels in the brain, may cause or contribute to up to half of cases of dementia. The vessels may thicken or become blocked by blood clots, causing tiny strokes that damage specific parts of the brain important for various thinking abilities. Keeping blood pressure in the recommended range of 120/80 or lower is the best way to prevent vascular dementia.

Content restricted. Requires subscription

More protection for your heart? It’s just a shot away

A yearly influenza vaccine may help lower the risk of serious cardiovascular complications, especially among people who’ve had a recent heart attack. Pneumonia and shingles vaccines also help reduce heart attack and stroke risks. Early fall is a good time to get back on track with these vaccines. Several different types of flu shots are available; experts advise getting whichever one is most readily available. For those ages 65 and older who have a choice, three vaccines (Fluzone High-Dose Quadrivalent, Flublock Quadrivalent recombinant, and Fluad Quadrivalent adjuvanted) may offer slightly better protection than the regular-dose shot and are the preferred choice.

Content restricted. Requires subscription

A virtual approach to healing the heart

Cardiac rehabilitation, which teaches heart-healthy habits coupled with supervised exercise, can help people with heart conditions prevent future problems. Some parts of the program can be done at home, delivered through a computer, tablet, or smartphone. Known as virtual cardiac rehab, this approach offers several advantages over conventional rehab, such as avoiding the time and expense of traveling to multiple sessions during the week.

Content restricted. Requires subscription

The dirt on soil and water pollution

Soil and water pollution from heavy metals, pesticides, and microplastics may affect a person’s risk of cardiovascular disease. These pollutants can enter the body when people eat crops grown in dirty soil, drink water contaminated by dirty soil, or inhale soil dust. Lead, cadmium, and arsenic are among the most pressing concerns. Potentially helpful actions include testing one’s drinking water, buying organic foods, and minimizing plastic use.

Content restricted. Requires subscription

The case of the bad placebo

A trial from 2019 showed a medication dramatically reduced triglyceride levels in participants, but subsequent analysis found that the placebo used in the trial may have negatively affected those assigned to take it.

Content restricted. Requires subscription