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Heart & Circulation

Heart & Circulation verdicts ranked by evidence score. 252 verdicts in this category.

83 foods and supplements claimed to help heart and circulation, ranked by evidence
Drugs and procedures removed — only what you swallow, ordered by how strong the evidence is.

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Heart & Circulation Evidence Ranking

Within this category, verdicts with higher evidence scores appear first. Verdicts without a score stay lower in the same list.

A 94 Spironolactone (mineralocorticoid receptor antagonist and potassium-sparing diuretic, Aldactone, prescription drug) Reduced all-cause mortality and hospitalization for worsening heart failure in severe symptomatic heart failure with reduced ejection fraction
A 94 Enalapril (oral prescription angiotensin-converting enzyme inhibitor) Reduced all-cause mortality and heart-failure hospitalization in symptomatic heart failure with reduced ejection fraction
A 94 Low-dose aspirin (acetylsalicylic acid, antiplatelet drug available by prescription and over the counter) Prevention of recurrent myocardial infarction, stroke, and vascular death in patients with established myocardial infarction or ischemic stroke
A 92 Simvastatin (statin, Zocor, prescription medicine) Reduced myocardial infarction, stroke, and vascular death in people at high cardiovascular risk
A 92 Bisoprolol (a prescription beta-1-selective beta blocker marketed as Concor) Reduced all-cause mortality, sudden death, and heart-failure hospitalization in stable symptomatic HFrEF
A 92 Streptokinase (plasminogen-activating thrombolytic, prescription injection) Reduced short-term and one-year mortality with early intravenous treatment of acute myocardial infarction
A 90 Plant sterols and stanols Reduction in LDL cholesterol
A 90 Warfarin (prescription vitamin K antagonist anticoagulant; Coumadin) Prevention of ischemic stroke and systemic embolism in nonvalvular atrial fibrillation
A 90 Implantable cardioverter-defibrillator (ICD, prescription cardiac electrical-therapy device and procedure) Reduced all-cause mortality in patients at least 40 days after myocardial infarction with LVEF of 30% or less
A 90 Medical intermittent pneumatic compression (sequential compression medical device; prescribed inpatient procedure) Prevention of proximal deep-vein thrombosis and death in immobile patients with acute stroke
A 88 Oat beta-glucan Blood cholesterol improvement (LDL-C and total cholesterol)
A 88 Atorvastatin (HMG-CoA reductase inhibitor, Lipitor, prescription medicine) Additional reduction of major cardiovascular events with high-intensity dosing in established coronary disease
A 88 Pravastatin (prescription HMG-CoA reductase-inhibiting statin; Mevalotin) Primary prevention of coronary heart disease death and nonfatal myocardial infarction in adults with hypercholesterolemia and no prior myocardial infarction
A 88 Exercise-based cardiac rehabilitation (an exercise-and-education healthcare delivery program) Reduced recurrent myocardial infarction and hospitalisation in people with coronary heart disease
A 88 Cardiac resynchronization therapy (CRT, an implantable biventricular pacing device) Reduced mortality and heart-failure hospitalization in eligible patients with heart failure and reduced ejection fraction
A 86 Intensive blood-pressure control (strategy targeting systolic pressure below 120 mmHg) Reduction of major cardiovascular events and death in high-risk hypertension
A 86 Primary percutaneous coronary intervention (primary PCI or primary coronary angioplasty) Reduction of death, reinfarction, and disabling stroke versus fibrinolysis in ST-segment elevation myocardial infarction
A 86 Percutaneous patent foramen ovale closure Reduction of recurrent stroke after a carefully evaluated cryptogenic ischemic stroke
A 84 Amlodipine (prescription long-acting dihydropyridine calcium-channel blocker; Norvasc) Sustained blood-pressure reduction and cardiovascular-risk reduction in adults with hypertension
A 84 Reduced-sodium, potassium-enriched salt substitute Reduced stroke and major cardiovascular events
A 84 Transcatheter aortic-valve replacement (TAVR; transfemoral catheter-based bioprosthetic valve procedure) Reduction of death, stroke, and rehospitalization in severe symptomatic aortic stenosis
A 84 Mediterranean dietary pattern emphasizing extra-virgin olive oil, nuts, vegetables, legumes, whole grains, and fish Reduced myocardial infarction, stroke, and cardiovascular death in high-risk adults
A 82 Clopidogrel (prescription P2Y12 antiplatelet agent) Reduced recurrence of myocardial infarction, ischemic stroke, and vascular death in patients with atherosclerotic disease
B 79 Apixaban (prescription factor Xa inhibitor anticoagulant, Eliquis) Prevention of stroke and systemic embolism in nonvalvular atrial fibrillation
B 79 Tafamidis (TTR stabilizer, Vyndamax, prescription medicine) Reduction in all-cause mortality and cardiovascular hospitalization in transthyretin amyloid cardiomyopathy
B 79 Sotatercept-csrk (Winrevair, a prescription subcutaneous activin-signaling inhibitor biologic) Reduced composite risk of death, lung transplantation, or hospitalization for worsening disease in high-risk pulmonary arterial hypertension despite maximally tolerated background therapy
B 78 Evolocumab (PCSK9 monoclonal antibody; prescription Repatha) Reduced recurrent myocardial infarction and stroke in statin-treated atherosclerotic cardiovascular disease
B 78 Dapagliflozin (SGLT2 inhibitor, Farxiga, prescription) Reduced composite risk of worsening heart failure or hospitalization and cardiovascular death regardless of diabetes status
B 78 Dabigatran etexilate (direct thrombin-inhibitor DOAC, Pradaxa, prescription) Prevention of stroke and systemic embolism in nonvalvular atrial fibrillation
B 78 Alirocumab (PCSK9-inhibiting monoclonal antibody, Praluent, prescription) Reduction of recurrent major cardiovascular events after a recent acute coronary syndrome
B 78 Ivabradine (oral prescription sinoatrial If-channel inhibitor; Procoralan) Reduced combined risk of hospitalization for worsening heart failure and cardiovascular death in HFrEF with sinus rhythm and elevated heart rate
B 78 Vutrisiran (Amvuttra, quarterly subcutaneous prescription siRNA) Reduced mortality and recurrent cardiovascular events in transthyretin amyloid cardiomyopathy
B 77 Sacubitril/valsartan (Entresto, prescription angiotensin receptor-neprilysin inhibitor) Reduced cardiovascular death and heart-failure hospitalization in heart failure with reduced ejection fraction
B 77 Edoxaban (oral factor Xa inhibitor direct oral anticoagulant, Lixiana, prescription drug) Prevention of stroke and systemic embolism in nonvalvular atrial fibrillation
B 77 Tirzepatide, a prescription injectable dual GIP and GLP-1 receptor agonist marketed as Mounjaro Reduced composite risk of cardiovascular death or worsening heart failure and improved health status in HFpEF with obesity
B 76 Low-dose rivaroxaban 2.5 mg plus aspirin (Xarelto combination, prescription) Reduction in cardiovascular death, stroke, or myocardial infarction in stable coronary or peripheral artery disease
B 76 Enoxaparin (low-molecular-weight heparin, Clexane, prescription injection) Reduced composite risk of death or nonfatal recurrent myocardial infarction versus unfractionated heparin in fibrinolysis-treated STEMI
B 76 Prasugrel (P2Y12 inhibitor; Effient; prescription medicine) Reduced composite risk of cardiovascular death, myocardial infarction, or stroke versus clopidogrel in acute coronary syndrome scheduled for PCI
B 76 Cilostazol (PDE3-inhibiting antiplatelet drug, Pletal, prescription medicine) Prevention of recurrent stroke after noncardioembolic ischemic stroke
B 76 Dispatcher-assisted compression-only cardiopulmonary resuscitation (an emergency medical dispatch-system intervention) Increased survival to hospital discharge after non-asphyxial out-of-hospital cardiac arrest
B 76 Lisinopril, an angiotensin-converting-enzyme inhibitor Reduced early mortality and severe ventricular dysfunction after acute myocardial infarction
B 76 Catheter ablation of atrial fibrillation Lower all-cause death or worsening-heart-failure hospitalization in atrial fibrillation with HFrEF
B 76 Cardiovascular polypill (fixed-dose aspirin 100 mg, atorvastatin 20 or 40 mg, and ramipril 2.5, 5, or 10 mg) Reduction of recurrent major cardiovascular events after recent myocardial infarction
B 76 Coronary artery bypass grafting (CABG) Reduction of death, myocardial infarction, or stroke versus PCI in diabetes with multivessel coronary disease
B 76 Empagliflozin 10 mg, a prescription SGLT2 inhibitor Reduced cardiovascular death or heart-failure hospitalization in chronic heart failure with ejection fraction above 40%
B 76 Total trans-fat intake during a period dominated by industrial trans fat More myocardial infarction and coronary death
B 76 Coronary CT angiography added to standard care Prevention of coronary death or nonfatal myocardial infarction in stable chest pain
B 76 Cardiovascular polypill containing simvastatin, atenolol, hydrochlorothiazide, and ramipril Primary prevention in people without cardiovascular disease
B 76 Early transcatheter aortic-valve replacement for asymptomatic severe aortic stenosis Reduced death, stroke, or unplanned cardiovascular hospitalization
B 76 Once-weekly subcutaneous semaglutide 2.4 mg Reduction of major cardiovascular events in adults with overweight or obesity, established cardiovascular disease, and no diabetes
B 76 Propranolol 180 or 240 mg/day started 5-21 days after myocardial infarction Reduction in long-term all-cause mortality
B 76 Epinephrine 1 mg during standard resuscitation for adult out-of-hospital cardiac arrest Increased 30-day survival
B 76 Acute-heart-failure mortality-risk stratification plus 30-day rapid specialist transitional care Reduced all-cause death or cardiovascular hospitalization after an emergency visit
B 76 Twenty-four-hour structured home remote patient management for selected patients with heart failure Reduced days lost to unplanned cardiovascular hospitalization or all-cause death
B 76 A bypass-first strategy using adequate single-segment great saphenous vein in chronic limb-threatening ischemia Reduction in major adverse limb events or death versus an endovascular-first strategy
B 76 Restrictive perioperative red-cell transfusion threshold Reduced red-cell use while keeping major clinical events within an acceptable margin in moderate- to high-risk cardiac surgery with cardiopulmonary bypass
B 76 Aspirin 81 mg twice daily for thromboprophylaxis after fracture Noninferior 90-day mortality compared with low-molecular-weight heparin
B 74 Potassium Blood pressure
B 74 Rosuvastatin (HMG-CoA reductase inhibitor; Crestor; prescription drug) Primary prevention of a first major cardiovascular event in adults without high LDL cholesterol but with elevated hs-CRP
B 74 Public-access automated external defibrillator (AED, an automated emergency defibrillation device) Increased survival to hospital discharge after out-of-hospital cardiac arrest
B 73 Low-dose colchicine (Colkin, prescription anti-inflammatory medicine) Reduced recurrence of myocardial infarction, stroke, and other major cardiovascular events in coronary disease
B 73 Finerenone (nonsteroidal mineralocorticoid receptor antagonist, oral prescription tablet) Reduced composite risk of worsening heart failure and cardiovascular death in heart failure with mildly reduced or preserved ejection fraction
B 72 Eplerenone (selective mineralocorticoid receptor antagonist; prescription medicine) Reduced all-cause mortality, cardiovascular mortality, and cardiovascular-event hospitalization after acute myocardial infarction complicated by left ventricular dysfunction and heart failure
B 72 Ticagrelor (reversible P2Y12 receptor inhibitor; prescription drug, Brilinta) Reduced composite risk of cardiovascular death, myocardial infarction, or stroke and reduced all-cause mortality versus clopidogrel when combined with aspirin in acute coronary syndrome
B 72 Ramipril (prescription ACE inhibitor; Tritace) Reduced cardiovascular death, myocardial infarction, and stroke in adults at high cardiovascular risk
B 72 Extended-release metoprolol succinate (metoprolol succinate CR/XL, selective beta-1 blocker, prescription medicine) Reduction of all-cause mortality and heart-failure hospitalization in stable symptomatic HFrEF
B 72 Candesartan cilexetil (oral prescription angiotensin-receptor blocker; Atacand) Reduced cardiovascular death and heart-failure hospitalization in ACE-inhibitor-intolerant heart failure with reduced ejection fraction
B 72 Hydralazine/isosorbide dinitrate (fixed-dose combination, BiDil, prescription medicine) Reduced all-cause mortality and heart-failure hospitalization in Black patients with severe HFrEF receiving standard therapy
B 72 Pitavastatin, a prescription HMG-CoA reductase inhibitor statin Prevention of major cardiovascular events in people with HIV receiving antiretroviral therapy
B 72 Empagliflozin (prescription SGLT2 inhibitor; Jardiance) Reduced cardiovascular events and mortality in type 2 diabetes with established cardiovascular disease
B 72 Acute aspirin 160 mg (antiplatelet drug used in prescription and emergency care) Reduced early vascular mortality in acute myocardial infarction
B 72 Supervised walking exercise (structured exercise therapy under clinical supervision) Improved intermittent claudication and walking ability in peripheral artery disease
B 72 Impella CP microaxial flow pump Reduced 180-day all-cause mortality in STEMI-related cardiogenic shock
B 72 Seasonal inactivated influenza vaccine given shortly after myocardial infarction Reduced cardiovascular events over one year
B 72 Smoking cessation Reduction in all-cause mortality versus continued smoking
B 72 The absorbable TYRX minocycline-and-rifampin-eluting envelope added to standard antibiotic prophylaxis Reduced major CIED infection within 12 months after higher-risk device procedures
B 72 FIRE physiology-guided complete revascularization after myocardial infarction in adults aged 75 years or older Reduced death, myocardial infarction, stroke, or ischemia-driven revascularization
B 72 Selective switch to oral antibiotics after an initial intravenous course Reduced hospitalization and intravenous-treatment burden without an unacceptable increase in six-month major clinical events in stable left-sided infective endocarditis
B 72 PERC no-testing rule-out strategy Noninferior exclusion of three-month missed thromboembolism in very-low-risk emergency patients
B 72 Everolimus-eluting stent PCI Noninferior three-year death, stroke, or myocardial infarction versus CABG in left main coronary disease of low or intermediate anatomic complexity
B 72 Left atrial appendage closure with Watchman FLX Noninferior death, stroke, or systemic embolism versus anticoagulation after atrial fibrillation ablation
B 70 Bempedoic acid (oral prescription ATP citrate lyase inhibitor; Nexletol) Reduced major adverse cardiovascular events in statin-intolerant patients at high cardiovascular risk
B 70 Colchicine, an oral prescription anti-inflammatory drug Prevention of additional recurrent pericarditis episodes
B 70 Occupational standing or walking for at least 75% of work time Increased hospitalization for lower-limb varicose veins
B 70 Early tailored multidomain physical rehabilitation Improved three-month physical function in older adults hospitalized with acute decompensated heart failure
B 70 Intravenous alteplase selected by MRI DWI-FLAIR mismatch Increased functional independence at 90 days after acute ischemic stroke of unknown onset
B 70 Mobile health-supported ABC integrated care pathway Reduced composite thromboembolism, death, and rehospitalization in atrial fibrillation
B 68 Ezetimibe (cholesterol-absorption inhibitor, Ezetrol, prescription medicine) Reduced recurrent cardiovascular events when added to a statin after acute coronary syndrome
B 68 Vericiguat (soluble guanylate cyclase stimulator; prescription drug, Verquvo) Reduced risk of the composite of cardiovascular death or first heart-failure hospitalization when added to standard therapy in symptomatic chronic heart failure with a left ventricular ejection fraction below 45% after recent worsening
B 68 Acoramidis (Attruby, oral prescription TTR stabilizer) Improved composite outcome of mortality, cardiovascular hospitalization, and functional decline in ATTR-CM
B 68 Endovascular thrombectomy for anterior-circulation large-vessel occlusion with an established large infarct Improved 90-day disability distribution and function
B 64 Nitroglycerin (glyceryl trinitrate, a prescription organic-nitrate vasodilator in sublingual form) Rapid short-term relief within minutes of an acute angina attack caused by coronary artery disease
B 63 Digoxin (cardiac glycoside; prescription medicine) Reduced hospitalization for worsening heart failure in patients with HFrEF and normal sinus rhythm
B 62 Red yeast rice (monacolin K, red yeast rice) Cholesterol improvement
B 60 Lactotripeptides IPP and VPP Blood-pressure reduction in mild hypertension
C 59 Baxdrostat (oral aldosterone synthase inhibitor) Reduced systolic blood pressure in uncontrolled or resistant hypertension
C 58 Hibiscus (Hibiscus sabdariffa/roselle) Blood pressure
C 58 Olive leaf extract Improvement in blood pressure
C 58 Horse chestnut seed extract standardized to aescin Relief of leg pain, edema, and heaviness in chronic venous insufficiency
C 58 Soy protein and isolated soy protein Reduction in LDL cholesterol
C 58 Magnesium (essential mineral supplement; blood-pressure efficacy axis) Reduced blood pressure in adults with hypertension or borderline hypertension
C 58 Telmisartan, a prescription angiotensin II receptor blocker Prevention of myocardial infarction, stroke, and cardiovascular death in high-risk patients
C 58 Dietary Approaches to Stop Hypertension diet Reduced systolic and diastolic blood pressure
C 57 AB-LIFE probiotic blend Improved LDL and total cholesterol
C 56 Butcher's broom root extract (Ruscus aculeatus) Relief of leg edema, heaviness, and tension in chronic venous insufficiency
C 56 Continuous positive airway pressure (CPAP, a positive-airway-pressure device used during sleep) Reduced 24-hour blood pressure in resistant hypertension with obstructive sleep apnea
C 56 Habitual whole-natto intake Lower cardiovascular mortality
C 56 Tofu at least once weekly Lower incidence of coronary heart disease
C 56 Tuna, tuna salad or casserole, and other broiled or baked fish Reduced incidence of heart failure in older adults
C 56 Isocaloric replacement of one serving/day of red meat with one serving/day of nuts, legumes, and soy Reduced coronary heart disease incidence
C 56 Combined intake of instant ramen, wheat noodles, udon, jajangmyeon, jjamppong, naengmyeon, and buckwheat noodles Increased incidence of hypertension
C 56 Frequency of fried-food intake Increased heart-failure incidence
C 56 TOHP dietary sodium-reduction intervention Reduced long-term cardiovascular events
C 56 Domestic water hardness of 121-180 mg/L as CaCO3 Lower incidence of atrial fibrillation, heart failure, coronary heart disease, and stroke
C 56 Self-rated brisk or fast walking Lower cardiovascular and all-cause mortality than self-rated slow walking
C 56 Climbing roughly 6 to 20 flights of stairs per day Lower first atherosclerotic cardiovascular disease events
C 56 Working at least 55 hours per week, mainly self-reported once at baseline, versus 35 to 40 hours Increased incidence of first stroke
C 56 Habitual hot-water tub bathing Lower incidence of cardiovascular disease
C 56 Oral-anticoagulant prescription coverage of 80% or less during the first 180 days Increased ischemic stroke and systemic embolism in atrial fibrillation
C 56 Nurse-led hospital-to-home transitional-care bundles Reduced heart-failure-specific readmission within six months after discharge
C 56 Calcium-only supplement Increased myocardial-infarction risk
C 56 Long-haul air travel lasting at least 4 hours Association with increased symptomatic venous thromboembolism within 8 weeks
C 56 Expectant management instead of early ibuprofen Death, necrotizing enterocolitis, or bronchopulmonary dysplasia in extremely preterm PDA
C 55 Garlic (including allicin and aged garlic extract) Blood pressure and cholesterol
C 55 Artichoke leaf extract Cholesterol, digestion, and liver
C 55 Almond (Prunus dulcis) Lower LDL cholesterol and reduced heart-disease risk
C 55 Inclisiran (PCSK9-synthesis-inhibiting siRNA, Leqvio, prescription) Approximately 50% lower LDL-C leading to fewer myocardial infarctions and ischemic strokes
C 55 Mavacamten (cardiac myosin inhibitor, Camzyos, prescription drug) Improved exercise capacity, dyspnea, and NYHA functional class in symptomatic obstructive hypertrophic cardiomyopathy
C 55 Renal denervation (catheter-based ablation of sympathetic nerves around the renal arteries) Blood-pressure reduction in hypertension uncontrolled by medication
C 54 Omega-3 (EPA/DHA) cardiovascular and blood-flow improvement
C 54 Home blood-pressure self-monitoring linked to clinical care and telemonitoring Improved blood-pressure control in treated hypertension
C 54 Sildenafil, a prescription phosphodiesterase type 5 inhibitor Improved six-minute walk capacity and reduced clinical worsening in pulmonary arterial hypertension
C 54 Small purple potatoes microwaved with the skin Lower blood pressure in overweight adults with hypertension
C 54 Whole-eggplant juice-dried powder Reduction of office blood pressure
C 54 Three daily servings of whole wheat and oats Reduced systolic blood pressure
C 54 Farmed trout, 250 g twice weekly as food Improved blood lipids in people with hyperlipidemia
C 54 Circulating erythritol concentration Higher circulating concentration and increased major cardiovascular events comprising death, nonfatal myocardial infarction, or stroke
C 54 Very-low-sodium diet estimated as less than 3 g sodium per day Increased death or major cardiovascular events
C 54 Self-reported habitual napping once or twice per week Prevention of fatal and nonfatal cardiovascular events such as myocardial infarction and stroke
C 54 Dog ownership recorded in Swedish national registers, observed for up to 12 years Lower cardiovascular and all-cause mortality
C 54 High job demands combined with low job control by baseline questionnaire Increased incidence of coronary heart disease
C 54 Residential road-traffic noise Increased ischemic heart disease and stroke
C 54 Prehospital extremity tourniquet use Reduced in-hospital mortality after civilian peripheral vascular trauma
C 54 Below-knee graduated compression stockings worn during long-haul flights Reduction in asymptomatic deep-vein thrombosis detected by post-flight ultrasound
C 54 Home blood-pressure self-monitoring with prespecified medication self-titration Reduced office systolic blood pressure in high-risk hypertension
C 54 Pharmacist prescribing and follow-up in community barbershops Reduced systolic blood pressure in uncontrolled hypertension
C 54 Real-time video home cardiac rehabilitation Noninferior improvement in 12-week six-minute walk function versus centre-based rehabilitation in stable chronic heart failure
C 54 Pelacarsen Reduction in six-month lipoprotein(a) concentration in patients with cardiovascular disease and elevated Lp(a)
C 52 Pomegranate (pomegranate) Antioxidant, vascular, blood pressure, and skin effects
C 52 Pantethine Reduction in LDL cholesterol and triglycerides
C 52 Coenzyme Q10 (ubiquinone or ubiquinol supplement) Reduced all-cause mortality and heart-failure hospitalization in patients with chronic heart failure receiving standard therapy
C 50 Coenzyme Q10 (ubiquinone/ubiquinol) antioxidant and blood-pressure improvement
C 50 Niacin (vitamin B3) Cholesterol and lipids
C 50 Raw cucumber slices Lower LDL cholesterol in mildly hyperlipidemic postmenopausal women
C 50 Two whole raw apples with skin, 340 g daily Lower LDL cholesterol
C 50 Whole gochujang Improved triglycerides and ApoB
C 50 Milled flaxseed, 30 g daily Lower blood pressure in peripheral artery disease
C 50 Dark chocolate above 85% cocoa, a single 40-g serving Improved maximal walking distance and time in peripheral artery disease
C 50 Hibiscus tea brewed from Hibiscus sabdariffa calyces Improvement in LDL, total cholesterol, triglycerides, and other blood lipids
C 50 One gram per day of whole air-dried ground coriander seed Reduced fasting glucose and LDL in adults with type 2 diabetes
C 50 Red-meat and white-meat diets matched for saturated fat LDL and apoB versus nonmeat protein, and red-versus-white meat differences
C 50 Replacing animal meat with processed plant-based meat alternatives Lower LDL cholesterol
C 50 Low-AGE diet emphasizing boiling and steaming Improvement in circulating AGEs and cardiovascular risk markers
C 50 Alcohol reduction from a baseline of about 62-64 g/day Lower blood pressure
C 50 Felodipine extended-release 10 mg taken with about 200-250 mL grapefruit juice A clinically important increase in felodipine exposure
C 50 Black tea, either 500 mL with 10% skim milk acutely or consumed with milk for four weeks Loss of the tea-associated flow-mediated dilation response
C 50 A single meal of tomato sauce at 3.5 g/kg containing 5% refined olive oil Six-hour changes in leukocyte adhesion molecules and circulating inflammatory markers
C 50 Coenzyme Q10 120 mg/day plus purified piperine 5 mg/day for twenty-one days Higher absolute plasma coenzyme Q10 increase and concentration-time area
C 50 Olezarsen 80 mg, an APOC3-targeted antisense oligonucleotide Reduced fasting triglycerides at six months in familial chylomicronemia syndrome
C 50 Artificial-intelligence ECG screening alert Increased detection of previously undiagnosed low ejection fraction
C 50 Subcutaneous zilebesiran Change in 24-hour mean ambulatory systolic blood pressure at month 3 in mild-to-moderate hypertension
C 50 Mipomersen 200 mg by weekly subcutaneous injection Reduced LDL-C laboratory values in homozygous familial hypercholesterolaemia
C 49 Black raspberry extract (Rubus occidentalis) Blood-pressure control
C 48 Non-micronized single-ingredient diosmin Relief of venous-insufficiency leg edema, pain, and heaviness
C 47 Arjuna bark (Terminalia arjuna extract capsules) Improvement of angina symptoms, exercise tolerance, and cardiac function
C 46 Raw unsalted crushed cashews, 30 g daily Lower systolic blood pressure in type 2 diabetes
C 46 Black-tea beverage, three cups daily Lower 24-hour ambulatory blood pressure in adults with normal to high-normal pressure
C 46 Cookies providing 5.88 g/day kombu powder boiled for 60 minutes to reduce iodine Lower blood pressure in adults with overweight
C 46 Culinary sesame oil, 35 g daily Lower blood pressure in hypertensive men versus the usual diet or existing olive-oil and corn-oil comparators
C 46 An isocaloric controlled diet containing conventional canola oil Lower LDL when replacing an oil blend with a Western fatty-acid profile
C 46 Sitting or walking in a forest, usually a single exposure lasting no more than about two hours Sustained control of hypertension
C 45 Sacha inchi oil (Plukenetia volubilis, omega-rich oil) Cardiovascular disease prevention through improved LDL cholesterol and triglycerides
C 44 Bergamot polyphenolic fraction Improvement in LDL and triglycerides
C 44 Fruitflow water-soluble tomato concentrate (branded ingredient) Prevention of cardiovascular disease through inhibition of platelet aggregation
C 43 Aronia (aronia/chokeberry) Antioxidant, blood pressure, and vascular effects
C 43 Lycopene Cardiovascular, prostate
C 43 Lumbrokinase, a group of earthworm-derived enzymes Thrombolysis and prevention of myocardial infarction and stroke
C 43 Coenzyme Q10 (ubiquinone or ubiquinol; a mitochondrial quinone antioxidant supplement) Relief of statin-associated muscle symptoms and improved continuation of statin therapy
C 40 Celery seed extract (Apium graveolens seed extract, 3nB) Blood pressure
C 40 Hesperidin Improvement of blood pressure, endothelial function, and venous circulation
C 40 Alpha-cyclodextrin Improvement of postprandial triglycerides, LDL, and body weight
D 34 Nattokinase (nattokinase, fibrinolytic enzyme derived from Bacillus subtilis natto) Blood clots and blood circulation
D 34 Graduated elastic compression stockings (knee-length 30-to-40-mmHg medical device) Prevention of post-thrombotic syndrome after a first proximal deep-vein thrombosis
D 34 Intensive lifestyle intervention (Look AHEAD-style calorie restriction, exercise, and behavioral counseling for weight loss) Prevention of major cardiovascular events in adults with overweight or obesity and type 2 diabetes
D 34 Implantable loop recorder screening with continuous electrocardiographic monitoring and anticoagulation after atrial fibrillation detection Prevention of stroke or systemic arterial embolism in older adults at elevated stroke risk
D 34 Intra-aortic balloon pump, or IABP, for mechanical counterpulsation support Reduced 30-day mortality in acute myocardial infarction with cardiogenic shock undergoing early revascularization
D 34 Sacubitril/valsartan, the prescription angiotensin receptor-neprilysin inhibitor Entresto Reduction in cardiovascular death, heart-failure hospitalization, or outpatient heart failure after acute myocardial infarction
D 34 New initiation of statin therapy in maintenance hemodialysis, including rosuvastatin and atorvastatin Reduction in cardiovascular death, nonfatal myocardial infarction, or nonfatal stroke
D 34 Routine early percutaneous coronary intervention added to optimal medical therapy for stable coronary disease Prevention of death and myocardial infarction in stable coronary artery disease
D 34 Whole eggs including yolk, up to about one per day in usual diets Increased incidence of cardiovascular disease
D 34 Unsalted butter, 50 g daily No worse effect on LDL than olive or coconut oil
D 34 Alcohol at roughly zero to two drinks per day Prevention of coronary heart disease
D 34 Weekend catch-up sleep of more than 0 to under 1 hour, 1 to under 2 hours, or at least 2 hours above weekday sleep Prevention of all-cause mortality and incident cardiovascular disease
D 34 Intensive nonsurgical periodontal therapy with follow-up in patients with cardiovascular disease and periodontitis Prevention of recurrent myocardial infarction, stroke, and other cardiovascular events
D 34 Taking the full daily dose of usual antihypertensive medication at bedtime Reduced major cardiovascular events versus dosing on awakening
D 34 Liberal red-cell transfusion strategy Reduction in 30-day death or recurrent myocardial infarction versus restrictive transfusion in acute MI with anemia
D 34 High-dose extended-release niacin added to statin therapy Reduction in major cardiovascular events
D 34 See title and evidence table for the studied intervention. The stated clinical outcome in the title.
D 34 LUCAS automated mechanical chest compression for out-of-hospital cardiac arrest Increased survival and survival with favorable neurologic outcome versus standard manual compression
D 34 Personalised cooler dialysate set 0.5 to 0.9 degrees C below predialysis body temperature Reduction in cardiovascular death or hospitalization for myocardial infarction, ischemic stroke, or heart failure
D 34 Extended-release metoprolol newly started immediately before non-cardiac surgery Safe prevention of cardiovascular events
D 34 A post-myocardial-infarction prophylactic arrhythmia-suppression strategy using encainide/flecainide or pure d-sotalol Prevention of sudden death by suppressing ventricular ectopy
D 34 Addition of a retrievable inferior vena cava filter to standard anticoagulation Reduced three-month symptomatic pulmonary-embolism recurrence in anticoagulatable severe acute pulmonary embolism
D 34 Adding platelet transfusion after spontaneous intracerebral hemorrhage in patients taking antiplatelet therapy Reduced death or dependence at three months
D 34 Perioperative aspirin, 200 mg before noncardiac surgery followed by 100 mg daily Prevention of 30-day death or nonfatal myocardial infarction
D 34 Emergency-department resuscitative endovascular balloon occlusion of the aorta added to standard care Improved 90-day survival in trauma patients with life-threatening torso hemorrhage
D 34 Switching from hydrochlorothiazide to chlorthalidone Reduced major nonfatal cardiovascular events or noncancer death
D 34 Forty intravenous edetate disodium-based chelation infusions Reduced major cardiovascular events in patients with diabetes and prior myocardial infarction
D 34 Upper-limb remote ischemic preconditioning using a blood-pressure cuff Reduced death, myocardial infarction, stroke, and other major events after cardiac surgery
D 32 Tocotrienols Reduction in LDL cholesterol and cardiovascular protection
D 30 Virgin coconut oil (VCO, a saturated-fat food and supplement) Lower low-density lipoprotein cholesterol and prevent cardiovascular disease
D 30 Thigh-length graduated compression stockings Prevention of proximal deep-vein thrombosis in immobile patients with acute stroke
D 30 Whole spinach soup, 250 g/day of spinach Lower blood pressure
D 30 100% watermelon juice Improved vascular function in healthy postmenopausal women
D 30 Habitual whole-cheese intake Lower mortality and major cardiovascular events
D 30 A diet providing 300 g shrimp per day Whether shrimp worsens blood lipids in normolipidemic adults
D 30 Perilla oil capsules, 3 g daily Lower triglycerides in people with type 2 diabetes versus fish oil and flaxseed-oil plus fish-oil comparators
D 30 Refined grape-seed oil, 20 mL daily Lower blood pressure versus refined olive oil or no added oil
D 30 Participant-selected caffeinated coffee Reduced daily premature atrial contractions
D 30 Continuous positive airway pressure (CPAP) Prevention of atrial-fibrillation recurrence after pulmonary-vein isolation
D 30 Switch from chronic transfusion and chelation to hydroxyurea and phlebotomy Maintained secondary stroke prevention while reducing iron overload in children with sickle cell anemia
D 29 Hawthorn leaf and flower extract Improvement in chronic-heart-failure symptoms, exercise capacity, and blood pressure
D 28 Policosanol (sugarcane-derived) LDL cholesterol improvement
D 28 Guggul extract, guggulipid, or guggulsterone Reduction of LDL cholesterol
D 28 Beverage containing 50 g freeze-dried whole-strawberry powder Lower LDL cholesterol
D 28 Whole eggs including yolk, one or three per day Little or no effect on blood LDL and HDL in adults with hyperlipidemia
D 28 A 3M 8210V N95 particulate respirator worn for 48 hours during polluted conditions Lower blood pressure and improved heart-rate variability
D 28 Two household HEPA air purifiers operated for 30 days Lower systolic blood pressure
D 28 Head-down Trendelenburg positioning in hypovolemia Sustained improvement in cardiac output and tissue oxygen delivery
D 24 Serrapeptase (serratiopeptidase) Breakdown of arterial plaque, blood clots, and circulating proteins
D 24 Vitamin D3 (cholecalciferol, fat-soluble vitamin supplement; cardiovascular efficacy axis) Primary prevention of myocardial infarction, stroke, and cardiovascular death in generally healthy middle-aged and older adults
D 24 Selenium (L-selenomethionine or selenium, an antioxidant trace-mineral supplement) Primary prevention of cardiovascular disease in adults
D 20 Routine normobaric oxygen (prophylactic oxygen for acute myocardial infarction without hypoxemia) Reduced death and reinfarction in acute myocardial infarction without hypoxemia
F 18 Fenofibrate (fibrate, Lipidil, prescription) Additional prevention of myocardial infarction, stroke, and other cardiovascular events in statin-treated patients with type 2 diabetes
F 14 Boiled unfiltered coffee, four to six cups/day Does not raise LDL or total cholesterol
F 12 Low-dose aspirin (100 mg, nonprescription antiplatelet medicine) Primary prevention of myocardial infarction and stroke in healthy older adults without cardiovascular disease
F 12 Empiric DOAC treatment after embolic stroke of undetermined source, including rivaroxaban and dabigatran Reduction in recurrent stroke or systemic embolism after embolic stroke of undetermined source
F 12 Erythropoiesis-stimulating agents used to normalize hemoglobin Reduced cardiovascular events in nondialysis chronic kidney disease
F 10 Beta-blockers, including metoprolol and bisoprolol (oral prescription tablets) Prevention of death, reinfarction, and heart failure after myocardial infarction when left ventricular ejection fraction is at least 50%
F 8 Systemic menopausal hormone therapy (oral conjugated equine estrogen alone or with medroxyprogesterone acetate) Primary prevention of coronary heart disease in healthy postmenopausal women
F 3 Marine omega-3 EPA and DHA (fish-oil supplements and some prescription products) Prevention of incident atrial fibrillation and protection of heart rhythm
? score not listed Geranylgeraniol (GG) Prevention of statin-related CoQ10 depletion and muscle pain