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Heart Disease Archive

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Artificial intelligence: Advancing into cardiology

Machine learning, a key aspect of artificial intelligence (AI), may improve the diagnosis of heart disease by analyzing large amounts of data from chest CT scans, echocardiograms, and electrocardiograms. By recognizing patterns, the machine "learns" and becomes more accurate over time. Current projects include diagnosing coronary artery disease with stress echocardiography and detecting multiple heart rhythm disorders from electrocardiograms in different formats and layouts.

Too little sleep may be hard on your heart

Not getting sufficient sleep may harm the cardiovascular system by triggering physiological and hormonal changes that increase blood pressure, blood sugar, and blood levels of substances that indicate inflammation. People who don't regularly get at least seven hours of sleep a night should assess their daily habits to look for ways to improve, such as by establishing an earlier bedtime and turning off all electronic devices at least an hour before bedtime.

A safer way to diagnose coronary artery disease?

Cardiac CT angiography (CCTA), a noninvasive test to check for clogged heart arteries, is now considered a first-line test for people with suspected heart disease. This test uses a CT scanner, which takes multiple, rapid x-rays that are merged together to create a detailed, three-dimensional view of the heart's arteries. CCTA appears to be just as effective as traditional angiography for detecting and preventing heart attacks, strokes, and death from heart disease, but with fewer procedure-related risks.

What happens during electrical cardioversion?

Electrical cardioversion is a procedure that uses low-energy shocks to convert a rapid or irregular heartbeat back to a normal rhythm. People remain asleep during the brief procedure, so they don't feel anything.

What type of breast screening do you need?

Mammograms are still the gold standard method for breast screening, but additional imaging tests can help detect cancers that might otherwise be missed in women with dense breasts or other breast cancer risk factors. Ultrasound is inexpensive but has a high false-positive rate if used alone. MRI is expensive but very accurate for tumor detection. Three-dimensional mammograms are highly accurate but have a 50% false-positive rate over a decade of yearly screening in women ages 40 to 79.

The ABCs of atrial fibrillation

About one in 11 men ages 65 and older has atrial fibrillation (afib), a heart rhythm disorder that causes an irregular and often faster-than-normal heartbeat. Afib can be persistent and chronic, or it can happen intermittently. People might have no symptoms with either variety, or afib can cause lightheadedness, shortness of breath, chest pain, or extreme fatigue. But the biggest worry is a fivefold increased risk of stroke. The main treatment choices for people are rate control with medication, or rhythm control, done with medication or a procedure such as electrical cardioversion or catheter ablation.

How COVID-19 can compromise your heart health

COVID survivors—even those with mild infections—appear to face a higher risk of cardiovascular problems such as heart failure, heart attack, and stroke for up to one year after their initial infection. People who were hospitalized (especially those who ended up in the intensive care unit) may have the highest risk. The virus that causes COVID can injure blood vessels and triggers an immune response that promotes the formation of blood clots in arteries and veins throughout the body and brain.

A daily drink: Not as harmless as you might think

The long-held assumption that light to moderate drinking is good for a person's heart is likely inaccurate. A new study using sophisticated genetic tools suggests that the risk of high blood pressure and coronary artery disease rise for any quantity of alcohol consumption. The added risk is low when people consume up to a single drink per day but rises exponentially at levels above seven drinks per week. This added risk applies to a first-time diagnosis of heart disease and not to people already diagnosed with a heart problem (who might well face even greater risk).

Stronger body, healthier heart?

Doing 30 to 60 minutes per week of strength training exercises is linked to a lower risk of premature death in general, and from heart disease in particular. Regular strength training may improve heart health by lowering the risk of blood pressure and metabolic syndrome. Body-weight exercises such as standing lunges and bench push-ups are a convenient way to build muscle because they can be done anywhere, without the need for special exercise equipment.

Does alcohol harm the heart?

Some studies have found that drinking any amount of alcohol is unhealthy. But more than 100 large studies have found that people who have one drink per day have lower risks of cardiovascular disease. How can both be true? It depends on a person's current state of health, lifestyle habits (such as diet, exercise, and smoking), family history of disease, and the quantity of alcohol consumed. People who don't usually drink have no need to start: there are better ways to achieve a healthy heart.

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