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New guidelines for managing atrial fibrillation focus on lifestyle habits to prevent and control the disorder. One recommendation is for people to limit alcohol to one drink per day, or ideally less. Another is for people who are overweight or obese to lose weight, either by striving for a body mass index no greater than 27 or by shedding at least 10% of their body weight. The guidelines also suggest that people get three to four hours of exercise per week. And people with afib who snore should consider getting tested for sleep apnea.

Whole or minimally processed foods tend to be best for heart health. But many processed foods—and even some that are ultra-processed—are also good options, provided people choose wisely. In three large studies, ultra-processed whole-grain bread, breakfast cereals, and yogurt were linked to a lower risk of type 2 diabetes and cardiovascular disease. Artificially and sugar-sweetened beverages, processed meats, and ready-to-eat dishes were linked to higher risks of those conditions.

A calcium score is a good indicator of how much plaque is inside the heart's arteries. Treatments can replace cholesterol in plaque with scar tissue, which contains calcium and produces a higher calcium score, but this stabilized plaque lowers heart attack risk.

Resistance training (also called strength training or weight training) can improve heart-related risk factors such as blood pressure, blood sugar, blood lipids, and body composition. It's especially beneficial for older adults and people with an elevated risk for heart problems. A 2024 scientific statement from the American Heart Association recommends focusing on eight to 10 different exercises that target all the body's major muscle groups. Examples include chest presses, biceps curls, squats, and abdominal crunches.

Certain foods, such as beans, oats and whole grains, fatty fish, and fruits and vegetables that are high in fiber, can lower "bad" LDL cholesterol.

Treatments for angina include medications to lower LDL cholesterol to very low levels to help reduce artery-narrowing plaque. Drugs that slow the heart rate and widen arteries can improve symptoms.

Replacing just five minutes of sitting with moderate-to-vigorous physical activity may lead to tangible improvements in cardiovascular health. Adding longer, more intense bouts of exercise can reap greater rewards. But even modest changes such as replacing sitting with standing may lead to positive changes in health parameters, including improvements in body mass index, waist circumference, cholesterol, triglycerides, and blood sugar levels.

Calcium deposits in the coronary arteries surrounding the heart may be a sign of fatty plaque buildup in arteries. Dietary calcium is not a cause of these calcium deposits. While people can't reverse the effect of calcium deposits, they can slow the process by managing blood pressure and "bad" LDL cholesterol.

Aortic stenosis occurs when the heart's aortic valve becomes stiff and calcified, narrowing its opening so blood cannot flow normally. This can cause symptoms such as shortness of breath, fatigue, lightheadedness, fainting, and chest tightness. Neither lifestyle nor medications can slow or reverse aortic stenosis. People born with a bicuspid aortic valve are at high risk, but most people with aortic stenosis have a normal appearing valve. The only treatment is to replace the damaged valve using open heart surgery or a less invasive, nonsurgical approach called transcatheter aortic valve implantation.