GradedHealth

Heart disease and stroke

Damage to the heart or the blood supply to the brain, such as heart attacks and strokes.

34 findings across 22 topics. Strongest evidence: Fatty Fish (B), Mediterranean Diet (B), Coenzyme Q10 (B).

Grades show how certain the evidence is, not how big the effect is. How we grade evidence

What helps

Fatty Fish

  • Linked to lower risk of heart disease — Benefit, grade B: Moderate
  • Linked to lower risk of heart attack — Benefit, grade C: Limited
  • Linked to lower risk of stroke — Benefit, grade C: Limited

Mediterranean Diet

  • Lowers the risk of heart attacks and strokes — Benefit, grade B: Moderate
  • Reduces the risk of dying from heart disease — Benefit, grade B: Moderate

Coenzyme Q10

  • Reduces mortality and hospitalisation in chronic heart failure — Benefit, grade B: Moderate

Coffee

  • Linked to a lower risk of heart disease and heart deaths — Benefit, grade B: Moderate
  • Fewer recurrences of atrial fibrillation in people who drink coffee — Benefit, grade C: Limited

Salt

  • Salt substitutes reduce strokes, heart attacks and deaths (higher-risk adults) — Benefit, grade B: Moderate

Red Yeast Rice

  • Reduces repeat heart attacks and heart-related deaths after a heart attack — Benefit, grade B: Moderate

Magnesium

  • Higher intake is linked to lower diabetes, stroke and heart failure risk — Benefit, grade B: Moderate

Sauna

  • Helps the heart in heart failure — Benefit, grade C: Limited
  • Linked to lower risk of dying from heart disease — Benefit, grade C: Limited
  • Linked to lower risk of stroke — Benefit, grade C: Limited

Pet Ownership

  • Linked to a lower risk of dying — Benefit, grade C: Limited

Olive Oil

  • A Mediterranean diet with extra virgin olive oil lowered major heart events — Benefit, grade C: Limited

Nuts

  • A Mediterranean diet including nuts lowered major heart events — Benefit, grade C: Limited
  • Linked to lower risk of heart disease deaths — Benefit, grade C: Limited

Poultry

  • Lowers heart disease risk when it replaces red meat — Benefit, grade C: Limited

Blueberries

  • Linked to lower heart attack risk — Benefit, grade C: Limited

Fish Oil

  • Eating fish lowers heart disease risk — Benefit, grade C: Limited

Mixed evidence

Fish Oil

  • Lowers the risk of heart attacks — Mixed results, grade C: Limited
  • Prevents heart attacks, strokes and other major cardiovascular events — Mixed results, grade C: Limited

Napping

  • Good for your heart — Mixed results, grade C: Limited

Eggs

  • Linked to lower stroke risk — Mixed results, grade C: Limited

Red Wine

  • Linked to less heart disease — but genetic studies don't confirm it — Mixed results, grade C: Limited

Green Tea

  • Linked to lower risk of death — Mixed results, grade C: Limited

Doesn't seem to help

Vitamin D

  • Prevents heart attacks and strokes — No effect, grade A: Strong

Beetroot Juice

  • Improves exercise capacity in heart, lung and metabolic disease — No effect, grade C: Limited

Eggs

  • Up to one egg a day is not linked to heart disease or stroke — No effect, grade C: Limited

Sleep

  • Catch-up sleep on weekends protects the heart and lengthens life — No effect, grade C: Limited

Risks and things that may make it worse

Fish Oil

  • Raises the risk of irregular heartbeat (atrial fibrillation) — Harm, grade B: Moderate

Red Meat

  • Raises cardiovascular disease risk — Harm, grade B: Moderate

Sleep

  • Irregular sleep is linked to heart and blood sugar problems — Harm, grade C: Limited