For people with stable angina, which occurs in about two-thirds of people with heart disease, optimal medical therapy is almost always the best treatment. It includes all the medications a person needs to get cholesterol, blood pressure, and blood sugar into a healthy range. Certain medications, including beta blockers, calcium-channel blockers, and nitrates, also help relieve the discomfort of angina.
For people over 60, aiming for a blood pressure target below 130/80 mm Hg may prevent more cardiovascular problems than aiming for the higher target suggested by some physicians. Some feared that the more intensive treatment required to reach the lower target might cause more adverse side effects (such as dizziness and falls) in older people. But side effects do not appear to differ among people taking intensive versus standard therapy.
About two-thirds of people over 65 have periodontal disease, which is linked to a higher risk of heart disease. Shared risk factors such as smoking and an unhealthy diet may explain the association, but bacteria and inflammation could be a common thread. The bacteria responsible for periodontal disease can travel to blood vessels throughout the body and have been found in the fatty debris (atherosclerosis) that clogs arteries located far from the mouth—and in blood clots from people who have experienced heart attacks.
Strong core muscles—those in the abdomen, back, sides, pelvis, hips, and buttocks—support cardiovascular health by helping people stay active. Easy core exercises include chair stands, standing leg lifts, and walk-and-carry exercises. The latter are especially helpful because they strengthen many muscles at the same time and simulate real-life activities such as carrying groceries or a laundry basket.
In aortic stenosis, the heart’s aortic valve narrows and can’t open fully. In aortic regurgitation, the valve doesn’t close properly. The cause may be present at birth (congenital) or acquired later in life, and the problems can occur alone or together.
Reducing added sugar in sweetened beverages and packaged foods may help reduce obesity, diabetes, and heart disease in the United States, which could lead to substantial health care cost savings. Most of the added sugar in the typical American diet comes from sugary beverages, which add extra calories that have no nutritional advantages and may contribute to weight gain. Replacing sugar with artificial or non-nutritive sweeteners is one popular option, but it’s not clear that eating such products offers any health advantages. A better option would be to substitute fresh, whole foods such as fruit for processed junk food and to drink sparkling water with a splash of juice instead of a soda.
A review published Oct. 22, 2021, in JAMDA: The Journal of Post-Acute and Long-Term Care Medicine found that people with more tooth loss had, on average, a 48% greater risk for developing cognitive impairment, compared with people who had less tooth loss.
In October 2021, the FDA proposed rules to create a new category of over-the-counter hearing aids that would require special regulations and FDA approval. Approval of the rules is expected sometime in 2022.
A large study published online Aug. 29, 2021, by The New England Journal of Medicine found that people who used a salt substitute on their food had a lower risk of stroke, heart attack, and early death, compared with people who used regular salt.
Older adults must pay special attention to their intakes of calcium, vitamin D, and protein. These important nutrients are crucial for maintaining bone health. Doctors say it’s probably best to take a supplement to get enough vitamin D. Calcium and protein are best when they come from foods, such as canned salmon with bones, sardines, beans, dairy products (cheese, yogurt, cottage cheese, milk), leafy greens, or nuts. Other important nutrients for bone health, such as magnesium, phosphorous, and potassium, can be obtained by simply eating a diet rich in fruits, vegetables, legumes, nuts, seeds, and lean proteins.