#Cardiology

Public health experts are sounding a clear message: heart attacks don’t always announce themselves with dramatic scenes. New research and expert synthesis highlight a spectrum of warning signs—many subtle, some silent—and they all demand swift action. For Thai readers, the takeaway is practical and urgent: learn the signs, don’t delay, and seek emergency care immediately if something feels off. Experts emphasize that time matters more than the drama of symptoms, because every minute without blood flow to the heart increases the risk of permanent damage. In an era of increasingly diverse risk profiles and aging populations, this evolving understanding is already reshaping how families, clinics, and communities respond to chest discomfort, shortness of breath, and the other less obvious signals of a heart attack.

A new analysis suggests that using a newer cardiovascular risk model could dramatically shrink the number of middle-aged adults who should consider aspirin for heart disease prevention. The study, which applied the Predicting Risk of Cardiovascular Disease EVENTS (PREVENT) equations to a national sample, found that far fewer people would be eligible for aspirin than when using older risk calculators. In the United States, among adults aged 40 to 59 without cardiovascular disease, 8.3% were identified as aspirin candidates under the traditional pooled cohort equations, but only 1.2% qualified under PREVENT. Among those who met the older criteria, nearly nine in ten would not meet PREVENT’s threshold, and of the roughly 7.6 million adults who reported taking aspirin for prevention, about 97% did not meet PREVENT’s eligibility.

In a focused study led by researchers in Japan and published online in late 2025, a striking 44% of people with systemic sclerosis (SSc) who report exercise intolerance showed exercise-induced pulmonary hypertension (PH). Even more notable, about 30% of the same group had PH at rest. The study also found that nailfold capillary density—an accessible skin-based measure—was notably lower among those with PH and exercise-induced PH, offering a potential early clue for clinicians. The researchers emphasize that a small set of clinical features during exertion, together with a simple nailfold capillary assessment, might help identify patients at risk who would benefit from more definitive testing, such as exercise right heart catheterization.

A new clinical trial suggests there may be a precise potassium target that helps high-risk heart patients avoid dangerous rhythm problems and hospitalization, but only if clinicians can safely manage a delicate balance. In a 3.3-year study of about 1,200 people with implanted cardioverter defibrillators, those kept at high-normal potassium levels fared better overall than those not targeted for potassium. The key message from the trial is both hopeful and cautious: boosting potassium within a narrow range might reduce events such as sustained ventricular tachycardia and the need for ICD therapies, while not significantly increasing major potassium-related side effects when closely monitored. The findings, released at a major cardiology conference and published in a leading medical journal, have already generated discussion about how such an approach could be translated into everyday clinical practice in Thailand, where heart disease remains a major health challenge and hospital resources vary widely.

In what researchers are calling a world-first, a randomized controlled trial suggests that Takotsubo syndrome—the so-called broken heart condition—may respond significantly to two accessible therapies: tailored cognitive behavioral therapy and a structured heart-recovery exercise program. The study, involving 76 patients and unveiled at a major cardiology congress, found that both interventions improved heart energy use, physical fitness, and functional capacity over 12 weeks compared with usual care. The findings herald a potential shift in how doctors support patients after the emotional or physical stress that triggers Takotsubo, offering hope for faster recovery and better long-term outcomes.

The idea that the body houses a second heart in the legs may sound like a medical metaphor, but growing research suggests the calf muscle pump plays a real, vital role in circulatory health, especially when the heart weakens. In patients with heart failure or significant cardiac disease, the calf and ankle muscles act as a powerful auxiliary pump that helps push blood back toward the heart, offsetting some of the burden that the aging or compromised heart cannot manage alone. While the phrase “you have two hearts” captures attention, the science lies in the simple, repetitive actions of walking, standing, and gentle ankle motions that rhythmically squeeze veins, guiding blood upward through a maze of valves and toward the chest.

Recent updates from major heart health organizations emphasize a clear message: for many people, blood pressure can be meaningfully lowered without medications through everyday lifestyle changes. The lead article from a widely watched health video explores how people can address hypertension by dietary choices, physical activity, stress management, and smarter daily habits. While medicines remain essential for some, the new guidelines push prevention and early, personalized non-drug strategies as frontline steps. This shift has immediate relevance for Thai readers, where hypertension remains a major public health challenge and where everyday choices at home and in communities can have outsized effects on health outcomes.

A cardiologist tells people to take 10 minutes of quiet before appointments to lower stress. ( Cardiologist Shares Simple Tip To Reduce Stress In 10 Minutes )

Stress can harm the heart. ( Cardiologist Shares Simple Tip To Reduce Stress In 10 Minutes )

Cardiologists say short breaks can reset the nervous system. ( Cardiologist Shares Simple Tip To Reduce Stress In 10 Minutes )

The tip is simple. ( Cardiologist Shares Simple Tip To Reduce Stress In 10 Minutes )

A ten-minute daily practice endorsed by leading cardiologists could meaningfully cut cardiovascular risk for millions. This easy, evidence-based routine fits neatly into Thai daily life and cultural values, making heart health more approachable for many readers.

In Thailand, cardiovascular disease remains a major health concern, with stress identified as a key modifiable factor. Medical literature shows chronic stress triggers inflammatory processes in blood vessels, accelerating arterial plaque formation and increasing the strain on the heart. Stress also tends to raise blood pressure, further stressing the cardiovascular system.

Leading cardiologists worldwide are recommending a remarkably simple daily practice that could significantly reduce cardiovascular risk for millions of people. This evidence-based approach requires just ten minutes and fits seamlessly into Thai lifestyles and cultural values.

The Medical Foundation

Cardiovascular disease remains a leading health concern across Thailand, with stress serving as a major modifiable risk factor. Medical researchers have established clear connections between chronic stress and heart disease through multiple biological pathways.

A major shift in blood pressure management is rippling through health systems worldwide. The American Heart Association and American College of Cardiology have released updated hypertension guidelines that change when medication starts, emphasize cognitive protection, and advocate alcohol abstinence as the safest approach for heart health. For Thai families, these changes carry immediate implications for prevention, diagnosis, and treatment.

Under the new framework, the blood pressure categories remain familiar, but treatment timing changes significantly. People with systolic readings at or above 130 mm Hg may begin earlier intervention that combines lifestyle changes with medication when needed. The guidelines also introduce risk-based decision tools, allowing clinicians to tailor treatment to an individual’s cardiovascular risk profile rather than applying a one-size-fits-all plan.

The American Heart Association and American College of Cardiology this week released major new high blood pressure guidance that urges clinicians to start therapy earlier, places fresh emphasis on preventing cognitive decline, and for the first time lists abstaining from alcohol as the ideal for blood‑pressure control. The guidance keeps the familiar blood‑pressure categories but recommends more aggressive treatment for people with systolic readings at or above 130 mm Hg, combines lifestyle-first strategies with earlier medication when needed, and highlights new tools such as the PREVENT risk calculator to tailor care (AHA/ACC newsroom release) and reporting on the update summarized the headlines for consumers (CNN summary).

Cardiac health professionals worldwide are reevaluating their treatment approaches following groundbreaking recommendations from America’s leading heart organizations. The American Heart Association and American College of Cardiology unveiled comprehensive blood pressure guidelines that fundamentally shift when doctors initiate medication therapy, emphasize cognitive protection strategies, and establish alcohol abstinence as the gold standard for optimal cardiovascular health. These evidence-based changes represent the most significant hypertension treatment evolution in nearly a decade, directly impacting how Thai families should approach blood pressure management.

A growing number of cardiologists say both avocado oil and olive oil are heart-healthy choices, but olive oil still carries the stronger evidence base; avocado oil is a promising alternative, especially for high‑heat Thai cooking, though larger human trials and better quality standards are needed. Recent reporting and reviews summarising cardiologists’ views note that both oils are rich in monounsaturated fats and antioxidants, but long-term cardiovascular outcome data favour olive oil—largely through evidence from Mediterranean‑diet trials—while avocado oil scores points for its neutral flavour and very high smoke point (EatingWell feature; systematic review of avocado oil; PREDIMED trial, NEJM).

A growing chorus of cardiologists is urging Thai families to rethink cooking oils to protect heart health while honoring beloved Thai flavors. Extra-virgin olive oil and avocado oil both offer heart-healthy benefits, but they suit different cooking methods in Thai cuisine. Olive oil is renowned for its role in Mediterranean dietary patterns and polyphenol-rich composition, while avocado oil is valued for its thermal stability in high-heat cooking such as wok stir-fries and deep-frying.

Thai kitchens face a critical decision that could determine family health outcomes for generations: selecting cooking oils that protect against cardiovascular disease while honoring traditional culinary methods that define authentic Thai cuisine. Leading cardiologists now advocate for strategic oil selection, recognizing both extra-virgin olive oil and avocado oil as scientifically proven heart-protective options, though each serves distinct purposes in Thai cooking applications. Extra-virgin olive oil brings decades of clinical research demonstrating remarkable cardiovascular benefits through landmark Mediterranean diet studies, while avocado oil offers exceptional thermal stability crucial for high-heat cooking methods including intense wok stir-frying and traditional deep-frying techniques that require oils capable of withstanding extreme temperatures without creating harmful compounds that accelerate heart disease.

A good night’s sleep could play a bigger role in heart health than most Thais realize. As hypertension rates continue to rise across Thailand and the world, recent research highlighted by a leading American cardiologist demonstrates that simple changes before bedtime can be surprisingly effective in managing blood pressure — potentially reducing risk for heart disease and stroke, which remain leading causes of death in the Kingdom.

Blood pressure management has often centered on daytime choices, such as diet and exercise. Yet according to a March 2025 report shared by a US cardiologist and featured in EatingWell, small shifts in evening routines can deliver outsized benefits (EatingWell). This advice, based in recent medical studies and endorsed by cardiovascular experts, translates well for Thai readers keen to care for their health with practical, low-cost strategies at home.

A good night’s sleep could be a powerful ally for heart health in Thailand. With hypertension on the rise, recent insights from a leading cardiologist show that small evening changes can meaningfully manage blood pressure and reduce the risk of heart disease and stroke.

Traditionally, guidance focuses on daytime choices like diet and exercise. Yet new work summarized by a senior cardiologist highlights simple nightly routines that benefit both Western and Thai populations. The guidance translates into practical, affordable steps that people can adopt at home.

A new international review, released May 31, 2025, synthesizes cardiology perspectives to highlight eight clear signs that should prompt a visit to a heart specialist. The findings are particularly relevant for Thailand, where cardiovascular disease remains a leading cause of death and disability. Data from Thailand’s public health system show heart disease continues to impose a heavy burden, underscoring the need for earlier detection and prevention. Research from leading institutions and local guidelines emphasize that cardiovascular risk is not limited to older adults; awareness must span all ages in Thai communities.

Emerging research and expert consensus warn that many early signs of heart problems go undetected until serious health consequences arise, urging Thai readers to take seemingly mild symptoms more seriously. A new review featuring leading cardiologists, published on May 31, 2025, details the top eight signs that should prompt a visit to a heart specialist and contextualizes the relevance for Thai society, where cardiovascular disease remains one of the primary causes of death and disability (EatingWell, Statista, WHO, RCPT Guidelines).

For fitness enthusiasts and athletes alike in Thailand, tracking heart rate has become a popular way to measure workout intensity and safeguard heart health. Yet, fresh concerns—and new research—are sparking vital questions: What really happens when your heart rate climbs too high during exercise? And is there such a thing as too much workout for your heart? The latest findings indicate both benefits and risks, making heart rate monitoring more crucial than ever for Thai exercisers.

For many fitness enthusiasts in Thailand, tracking heart rate is now a daily habit to measure workout intensity and protect heart health. New research raises important questions: what happens when your heart rate climbs too high during exercise, and is there such a thing as pushing the heart too far? The latest findings show both benefits and risks, underscoring the need for mindful monitoring.

Understanding how exercise affects heart rate helps people train effectively and safely. Heart rate measures how many times the heart beats each minute. Exercise naturally raises this rate to deliver more oxygen-rich blood to working muscles, boosting cardiovascular health and endurance. Medical guidelines describe a resting heart rate typically between 60 and 100 beats per minute, with trained athletes sometimes at rest around 37–38 bpm. When heart rate exceeds safe limits during activity, risks can outweigh rewards. For healthy adults, maximum heart rate is often estimated as 220 minus age.