The New 2026 Cholesterol Guidelines

Posted on April 7, 2026 by Xavia Malcolm

Approximately 1 in 4 adults in the United States has high levels of low-density lipoprotein (LDL) cholesterol, often referred to as “bad” cholesterol. Elevated LDL cholesterol increases the risk of atherosclerotic cardiovascular disease, which can lead to heart attacks and strokes. The longer an individual has high LDL cholesterol, the greater their lifetime risk of experiencing a heart attack or stroke, both of which remain among the leading causes of death in the United States.

Experts agreed that stricter and clearer guidelines were needed to address these trends. Furthermore, new scientific evidence showed that earlier, more personalized, and more aggressive management of cholesterol can prevent cardiovascular disease and complications more effectively over a person’s lifetime.

In response to these findings, the American Heart Association (AHA) and the American College of Cardiology (ACC), in collaboration with nine other leading medical organizations, updated the guidelines for managing cholesterol and other blood lipids for the first time since 2018.

According to the AHA, a major focus of the new guidelines is earlier intervention through healthy lifestyle changes. These include maintaining a healthy weight, engaging in regular physical activity, avoiding tobacco products, prioritizing healthy sleep habits, and taking cholesterol-lowering medication when recommended by a healthcare professional.

The new guidelines strongly emphasize the importance of preventing cardiovascular disease earlier by identifying individuals at higher risk sooner and implementing screening and interventions at younger ages. Adults aged 30 and older are now included in the risk assessment group, instead of the previously recommended age of 40 and older.

Other new recommendations for the management of cholesterol include:

Using the new Predicting Risk of Cardiovascular Disease EVENTs (PREVENT™) risk calculator, a new tool to assess risk earlier in adults ages 30-79 years. The PREVENT™ tool estimates a person’s risk of developing heart disease over the next 10 and 30 years.
Testing for lipoprotein (a) in all adults at least once in their lifetime. Lipoprotein (a) is a genetic biomarker for heart disease.
The consideration of additional testing to improve cardiovascular risk assessment. These tests include a non-contrast coronary artery calcium (CAC) scan and Apolipoprotein B
Cholesterol screening in children who may have high cholesterol due to lifestyle habits or inherited conditions, such as familial hypercholesterolemia. Guidelines recommend that screening begin for children aged 9 to 11 who have not previously been screened.
Clear targets for LDL cholesterol. Doctors now aim for LDL levels below 100 mg/dL in most patients without risk factors, below 70 mg/dL in those at high risk, and below 55 mg/dL in individuals with heart disease.

The guidelines also advise against taking supplements to lower cholesterol due to insufficient evidence and safety risks.

The primary objective of the new cholesterol guidelines is to reduce LDL cholesterol levels significantly in order to decrease an individual’s overall and lifetime risk of heart attacks and strokes. This approach is personalized and based on individual risk factors. Individuals can apply these guidelines to improve their health by understanding their risk for cardiovascular disease, consulting their healthcare providers for recommended screening tests, comprehending their cholesterol levels, adopting healthier lifestyle choices, and taking any prescribed medications as directed by their doctor.

To schedule an appointment with a doctor at Jamaica Hospital Medical Center, please call 718-206-7001.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

American Diabetes Alert Day

Posted on March 23, 2026 by Xavia Malcolm

American Diabetes Alert Day is observed each year on the fourth Tuesday in March. The observance was created by the American Diabetes Association to raise awareness of the seriousness of diabetes and highlight the importance of understanding your risk.

According to the Centers for Disease Control and Prevention (CDC), diabetes is the seventh leading cause of death in the United States. Furthermore, the CDC reports that, “More than 40 million Americans have diabetes, and more than 1 in 4 adults with diabetes don’t know they have it.”

Diabetes is a chronic disease that occurs when blood glucose (or blood sugar) levels are too high. This happens because the pancreas does not produce enough insulin to help regulate the amount of sugar that enters the body’s cells. As a result, excess sugar accumulates in the bloodstream.

If diabetes is not managed properly or is left untreated, it can lead to complications and increase the risk of serious health problems. Diabetes complications include:

Damage to the nerves in the body
Kidney problems
Skin problems
Bladder problems
Eye diseases that can lead to blindness
Gum disease
Foot complications that can lead to limb loss
Cardiovascular disease, potentially increasing the risk of hypertension, heart attack, or stroke

Some people are more at risk of developing diabetes than others. You may have an increased risk if you:

Are overweight or obese
Are physically inactive
Have non-alcoholic fatty liver disease
Have a parent or sibling with diabetes
Have ever had gestational diabetes
Are age 45 and older
Are a Hispanic or Latino, African American, American Indian, or Alaska Native person. (The CDC states that some Pacific Islander and Asian American people also have a higher risk.)

Diabetes Alert Day serves as a “wake up call” to pay attention to these risk factors and properly manage your health. If you are at risk of developing diabetes, you should speak with your doctor about ways to improve your health and lower the chances of complications occurring. To schedule an appointment with a doctor at Jamaica Hospital Medical Center, please call 718-206-7001.

How Is Sleep Apnea Diagnosed?

Posted on March 10, 2026 by Xavia Malcolm

Sleep apnea is a common and potentially serious breathing disorder that causes breathing to stop and restart several times during sleep. These involuntary breathing pauses are called apneic events.

Sleep apnea happens when there is a blockage of the airway or when the brain fails to regulate breathing. This can prevent your body from getting adequate oxygen and lead to various health problems, including:

High blood pressure
Increased risk of heart attack, arrhythmia, and other cardiovascular problems
Increased risk of diabetes
Sleep deprivation

Common symptoms of sleep apnea include:

Loud snoring
Gasping or choking for air during sleep
Restless sleep
Breathing pauses
Daytime fatigue
Trouble staying asleep
Hypersomnia (excessive daytime sleepiness)
Dry mouth

Sleep apnea is diagnosed by a healthcare professional who may ask you about your symptoms, medical history, and sleep history. They may refer you to a sleep specialist or a sleep center to undergo testing. The most common tests for sleep apnea are:

Polysomnogram, an overnight sleep study conducted in a sleep lab. Here you will be hooked up to equipment that monitors your heart rate, breathing, arm and leg movements, and other functions
Home sleep apnea test, which is the at-home version of the sleep study. Key metrics and functions are measured with a portable device. Home sleep apnea tests may sometimes miss certain metrics. Therefore, your healthcare provider may still recommend a polysomnogram.

Once diagnosed with sleep apnea, your healthcare provider will recommend treatment based on the severity of your symptoms, general health, and age. Treatment may include lifestyle modifications, oxygen, devices such as a CPAP machine, dental appliances, orofacial therapy, or surgery.

Jamaica Hospital Medical Center’s Department of Sleep Medicine utilizes state-of-the-art technology to diagnose sleep disorders. Several testing options are available at our sleep lab in Queens. We also offer home sleep studies to diagnose obstructive sleep apnea and several treatment devices and therapies, including Inspire Therapy. To schedule an appointment with a sleep specialist, please call 718-206-5916.

Herniated Disc

Posted on March 3, 2026 by Xavia Malcolm

A herniated disc occurs when one of the discs in the spine tears or ruptures, allowing the jelly-like substance, or nucleus, in the disc to leak and irritate surrounding nerves.

A herniated disc can affect any part of the spine; however, this problem is most likely to occur in the lower spine. Herniated discs in the lumbar spine (the lower back) typically result in symptoms that affect the legs, feet, lower back, or buttocks. A common cause of lower back pain is a herniated disc. This pain is often described as sharp and radiating. In addition to lower back pain, a herniated disc can also cause leg pain, or sciatica.

A herniated disc in the cervical spine (the neck) may lead to neck pain, pain between the shoulder blades, or pain in the arms, hands, or fingers. Herniation in the neck or lower spine may also result in numbness, tingling, or muscle weakness, and in some instances bladder problems.

Herniated discs can be caused by age-related weakening or wear and tear of the discs; this is called disc degeneration. Other causes include:

Sudden or traumatic injuries
Repeated minor injuries
Repeated bending, strain, or twisting
Improper lifting of heavy objects
Poor posture
Obesity or excess body weight

Some people are at risk of getting a herniated disc more than others. Risk factors include:

Living a sedentary life
Being overweight
Smoking
Working in a career that requires frequent heavy lifting
Having a previously herniated disc
Having close blood relatives with spinal disc problems
Having a connective tissue disorder
Being seated for long periods

Most herniated discs heal on their own; however, in some instances, they may not. Symptoms of a herniated disc can worsen over time if left untreated, leading to complications such as bladder or bowel dysfunction, significant tingling, numbness, or weakness. It is advisable that you see a doctor if you are experiencing these complications.

Your physician may perform a thorough physical examination and order neurological examinations, imaging tests, or nerve tests to help diagnose a herniated disc. Once diagnosed, treatment may involve medications, physical therapy, spinal injections, or surgery.

To schedule an appointment with a doctor at Jamaica Hospital Medical Center, please call 718- 206-7001.

Scar Revision

Posted on February 18, 2026 by Xavia Malcolm

A scar is a visible mark that is made of fibrous tissue. Scars may form as a result of surgery, injury, infection, burns, or sores.

Less severe scars may fade (appearing lighter or less prominent) over time. However, thicker, more severe scars may remain prominent and cause physical discomfort, such as pain or tenderness to the touch. In addition, severe scars, particularly those resulting from burns, prior surgeries, or injuries, can restrict motion by tightening the skin. People may consider scar revision to address these issues.

Scar revision is a treatment performed to cosmetically improve the appearance of scars or potentially minimize the discomfort caused by scars. It is important to note that scar revision will not completely erase your scar.

There are several scar revision treatments, including:

Injectables/ steroid injections
Topical treatments
Resurfacing treatments
Surgery

Scar revision surgery is plastic surgery performed to alter the appearance or condition of scars. Surgery typically involves advanced, minimally invasive techniques such as surgical excision, tissue expansion, Z-plasty or W-plasty, skin flap surgery, or skin grafts.

It is important to note that all surgical procedures carry risks; however, serious complications are rare in scar revision surgery. Potential risks include:

Poor wound healing
Bleeding
Infection
Recurrence of keloid scars
Asymmetry
Anesthesia risks (if general anesthesia is used)
New scar may not look exactly as desired (though usually better than the original)

If you are considering scar revision surgery, you will first meet with a plastic surgeon for a consultation. Your surgeon will evaluate your scar to determine which treatments or methods may work best for you. A qualified plastic surgeon evaluates risks based on your health and scar type.

To learn more about scar revision surgery or to schedule an appointment with a plastic surgeon at Jamaica Hospital Medical Center, please call 718-206-6713.

High Blood Pressure and Heart Health

Posted on February 10, 2026 by Xavia Malcolm

The American Heart Association defines hypertension, or high blood pressure, as a condition that occurs when the force of your blood pushing against the walls of your blood vessels is too high.

Hypertension causes the heart to work harder, which can lead to serious cardiovascular problems, including heart failure, stroke, and heart disease. When the heart works harder, it also greatly increases the risk of a heart attack.

Managing high blood pressure and keeping it under control can significantly reduce the risk of these issues. You can reduce heart risks caused by high blood pressure by:

Monitoring your blood pressure at home
Eating a heart-healthy diet
Lowering sodium intake
Maintaining a healthy weight
Taking blood pressure medications as prescribed

Understanding the risk factors of high blood pressure is also crucial, as this can help you manage your heart health. The risk factors are:

Family history (Having a parent or close blood relative with high blood pressure increases the likelihood that you develop hypertension)
Age (As you get older, your risk for developing high blood pressure increases)
Sex (According to the American Heart Association Until age 64, men are more likely than women to get high blood pressure. At 65 and older, women are more likely to get high blood pressure)
Race (African Americans have a higher risk of developing high blood pressure compared to other races)
Obesity (Too much weight puts strain on your heart and circulatory system)
Tobacco use (Using tobacco can damage the heart and arteries, leading to elevated blood pressure levels)
Drinking too much alcohol (Drinking excessive amounts of alcohol regularly can raise blood pressure. Heavy drinking can weaken and damage blood vessels, potentially leading to hypertension)
Lack of physical activity (Regular exercise strengthens the heart; when you are inactive, the heart must work harder to circulate blood, and harder pumping leads to high blood pressure)
Eating an unhealthy diet (Eating a diet that is high in sodium, trans fats, saturated fats, and sugar increases your risk)

One of the dangers of living with high blood pressure is that many people are unaware that they have it. This is why hypertension is called “The Silent Killer.” Living with untreated high blood pressure can cause significant damage to the cardiovascular system over time.

Early detection and treatment of high blood pressure can delay or prevent complications that affect cardiovascular health. Treatment may involve medications and lifestyle modifications.

Jamaica Hospital Medical Center’s cardiology department features a specialized Hypertension Center that offers high-quality, patient-centered care for hypertension and incorporates the latest treatment advances. This center was established specifically to assist patients who do not respond effectively to traditional hypertension medications.

The American Heart Association has recognized our Hypertension Practice Center for meeting or exceeding its standards for hypertension treatment. To schedule an appointment with our Cardiology Department, please call 718) 206-7100

High Doses of Supplements May Lead To Liver Damage

Posted on January 27, 2026 by Xavia Malcolm

Dietary supplements are products we ingest that contain concentrated forms of nutrients or substances that are found in food or plants.

Supplements can come in capsule, liquid, gummy, or powder form. We take them to ensure our nutritional needs are met, to address certain deficiencies, or to help us manage certain health conditions.

Although supplements can help us maintain or improve our overall health, they also pose risks, especially when taken at higher-than-recommended doses.

Certain supplements, when taken in excess, can cause serious damage to our organs. Our liver is most susceptible to this type of injury or damage because it filters and processes everything we ingest. Research published in the journal Hepatology and indexed by the National Library of Medicine estimates that 20% of drug-induced liver damage or injury is tied to herbal and dietary supplements. The following supplements are among those associated with liver damage or toxicity, when overused:

Glutamine
Turmeric
Vitamin A
Niacin
Kava
Green tea extract
Black cohosh
Bodybuilding or weight loss supplements
Ma huang (Ephedra)
Ashwagandha
Skullcap
John’s wort

The effects of overusing these supplements may be acute or develop over time. Signs and symptoms of liver damage include:

Nausea and vomiting
Jaundice (yellowing of the eyes or skin)
Itching
Dark urine
Pale-colored stools
Fluid in the abdomen

Researchers believe the prevalence of drug-induced liver damage, linked to supplements, is growing because more people are taking supplements, and a lot more of them.

Furthermore, supplements are not regulated by the U.S. Food & Drug Administration (FDA) like prescription medications and may not always contain the exact dose listed on the label. Therefore, you may not always know what you are getting.

If you are considering adding supplements to your healthcare regimen, there are a few steps you can take to ensure your safety:

Speak with your doctor before taking supplements
Buy from reputable brands
Look for third-party testing certifications from public health organizations such as NSF or USP

If you are experiencing symptoms of liver damage, schedule an appointment with your doctor as soon as possible to avoid complications.

To schedule an appointment with a doctor at Jamaica Hospital Medical Center, please call 718-206-7001.

What Happens to The Body on Long Flights

Posted on January 20, 2026 by Xavia Malcolm

The airline industry classifies long-haul flights as those with a flight time of six hours or more. Flying for extended periods can take a toll on our bodies. It can make us tired and uncomfortable, but it can also affect us in the following ways:

Dehydration– The low levels of humidity in the cabin air can lead to dehydration. Dry recycled air can make our skin and mucosal areas, such as the nose, throat, and mouth, feel excessively dry. It can also lead to a lack of lubrication in our body’s systems. Therefore, it’s important that you drink water before boarding the plane and during your flight.
Muscle stiffness and soreness – Staying seated for extended periods can lead to muscle stiffness and soreness. A lack of movement can compress joints and reduce blood flow, which further contributes to muscle discomfort. Additionally, dehydration can result in cramps, spasms, or joint pain. To alleviate these issues, stay hydrated and take breaks to walk or stretch whenever possible.
Airplane ear or barotrauma – Changes in cabin pressure affect the air pressure in your ears, which places stress on your eardrums. This may lead to earaches, muffled hearing, or discomfort. Chewing gum, yawning, or swallowing can usually improve symptoms.
Gut issues- Sitting for too long can affect our digestive system and trigger stomach issues such as diarrhea, gas, constipation, or bloating. Factors such as cabin pressure, dehydration, changes in eating schedule, and lack of movement can contribute to these problems. Drinking water, walking in the aisles, avoiding certain foods, or taking medication may provide some relief.
Blood clots /deep vein thrombosis – Long-distance flights increase the risk of blood clots and deep vein thrombosis. Remaining sedentary for hours can lead to blood clots forming in the deep veins of the legs. If these blood clots break off and travel to the lungs, they can cause a serious condition known as pulmonary embolism (PE), which is a blockage in the lungs that can lead to shortness of breath, fainting, or even death. To reduce the risk of complications, long-distance travelers are encouraged to walk around, when possible, move their legs frequently, or wear compression socks.

When flying long distances, it’s crucial to be aware of potential medical issues you may encounter. Pay attention to warning signs and take the proper precautions needed to protect your health.

When To Worry About Heart Palpitations

Posted on December 9, 2025 by Xavia Malcolm

Heart palpitations are feelings or sensations of a fast-beating, fluttering, or pounding heart. They are felt when the heart beats outside its usual rhythm.

Heart palpitations are common; most aren’t cause for concern. They can be caused by fever, anxiety, stress, fear, drinking alcohol or caffeine, dehydration, menopause, pregnancy, or overactive thyroids. Certain medications and supplements can also cause heart palpitations.

While palpitations are often harmless, they can sometimes be a sign of a serious health problem. Heart palpitations lasting more than a few seconds or minutes can be a sign of arrhythmia or other heart rhythm issues.

Additionally, heart palpitations accompanied by symptoms such as chest pain, shortness of breath, fainting, dizziness, or excessive sweating can be signals of heart failure or other conditions needing immediate care.

A doctor can diagnose heart palpitations by conducting a physical examination, which includes listening to your heart and lungs. Your doctor may also order tests such as an EKG, echocardiogram, or Holter monitoring to check for an irregular heartbeat. They may also review lifestyle factors such as your diet to determine the potential cause of your heart palpitations.

Treatment for heart palpitations depends on the cause. Prescription medications or surgery may be recommended if there is an underlying issue, such as heart disease or arrhythmia. Otherwise, your doctor may suggest lifestyle changes, such as drinking less coffee, quitting smoking, avoiding certain foods, or doing less strenuous exercises to reduce triggers that lead to palpitations.

High Functioning Depression

Posted on December 2, 2025 by Xavia Malcolm

Depression is a mental health disorder characterized by a persistent feeling of sadness, hopelessness, or a loss of interest in things once enjoyed.

Depression affects approximately eight percent of adults living in the United States each year. Several of whom may experience debilitating symptoms that can affect their ability to keep up with the demands of day-to-day life.

While the symptoms of depression can present significant challenges for some individuals—affecting their work, relationships, and social lives—others may appear to cope successfully with their symptoms. The term “high-functioning depression” describes people who live with depression and seem to manage well on the outside, even though they are struggling with symptoms internally.

It’s important to note that high-functioning depression is not an official clinical diagnosis. Instead, the term emphasizes the experience of living with depression while still functioning or meeting the demands of everyday life.

The symptoms of high-functioning depression are generally similar to those of major depressive disorder; however, the intensity and frequency may vary, with symptoms sometimes considered mild or moderate. These symptoms can include:

Feelings of hopelessness
Persistent sadness
Irritability
Loss of interest or pleasure
Difficulty concentrating
Trouble sleeping
Fatigue
Changes in appetite

Although the intensity or frequency of symptoms in individuals who seem high-functioning may not be debilitating, they should not be overlooked. It is crucial to seek help. There is no shame in reaching out to a mental health professional and building a support system.

Treatment for depression may include a combination of psychotherapy or talk therapy, medications, brain stimulation therapies, complementary medicine, or lifestyle modifications.

To schedule an appointment with a mental health provider at Jamaica Hospital Medical Center, please call 718-206-5575.