
Expert Q&A: How to Keep Your Aging Loved One’s Heart Healthy
Heart disease remains the leading cause of death for both men and women in the United States. Because age is one of the most significant risk factors, helping our aging loved ones protect their hearts is more important than ever.
But what exactly is heart disease? It’s a broad term that describes conditions affecting how the heart functions — including problems with the muscle, valves, lining, or electrical system. The most common and serious form, Coronary Artery Disease (CAD), occurs when plaque builds up in the arteries, restricting blood flow and increasing the risk of clots, heart attacks, or strokes.
Caring for an aging family member can often feel overwhelming, especially when facing something as complex as heart disease. To help make sense of it, we spoke with Dr. Ken Breger, Internal Medicine Physician, Hospice Medical Director, and Chief Medical Officer of Open Arms Solutions, who shared his expert insight on heart health for aging loved ones.
Question 1: What are the top risk factors for heart disease?
From the Expert: Nearly half of all adults in the U.S. have at least one of the three major risk factors for heart disease: high blood pressure, high cholesterol, or smoking. Additional risk factors include excessive alcohol use, a sedentary lifestyle, and an unhealthy diet.
While many of these risks are preventable, others are genetic. I’d recommend learning about your loved one’s family heart history to help detect potential issues and guide prevention strategies.
Question 2: What are common symptoms of heart disease?
From the Expert: Many people don’t know they have coronary artery disease until they experience a serious event like a heart attack, stroke, or heart failure. Recognizing early warning signs can be lifesaving.
Watch for:
- Chest pain or pressure
- Shortness of breath
- Extreme fatigue or weakness
- Irregular heartbeat
If your loved one shows any of these symptoms, seek medical attention immediately.
Question 3: How is heart disease detected and treated?
From the Expert: The most reliable way to detect heart disease is through non-invasive tests. One of the most effective tools is a coronary CT scan, which uses X-rays to reveal calcified plaque in the arteries and estimate heart risk. Another is an electrocardiogram (EKG), which records the heart’s electrical activity to identify irregular rhythms or other issues.
To stay proactive, I’d recommend getting your loved one’s blood pressure and cholesterol checked regularly.
If heart disease is diagnosed, treatment often includes:
- Lifestyle changes: Adopting a heart-healthy diet, increasing daily activity, and quitting smoking
- Medications: Prescribed to lower cholesterol, control blood pressure, or improve circulation
- Medical procedures: In more advanced cases, a cardiologist may recommend interventions or surgeries to restore proper heart function
Question 4: How can our aging loved ones maintain heart health?
From the Expert: It’s true that the heart changes with age — arteries may stiffen, valves can weaken, and electrical signals may become less consistent. Still, small, consistent choices can make a big difference.
Encourage your loved one to:
- Eat a heart-healthy, balanced diet
- Stay physically active every day
- Avoid tobacco and limit alcohol
- Keep track of cholesterol, blood pressure, and weight
- Manage stress through relaxation and connection
- Maintain social engagement and purpose
Question 5: What heart health advice would you give to caregivers of aging loved ones?
From the Expert: The love and care you give play a powerful role in your loved one’s well-being. Support them by helping maintain healthy routines: take walks together, shop for nutritious foods, join social activities, or simply lend a listening ear when they need it.
And remember — your health matters, too. Make time to rest, recharge, and care for yourself. If you ever feel overwhelmed, respite care services can provide the support you need to continue showing up with compassion and energy.
Open Arms Solutions is here to help
If you’re interested in seeking care options for your loved one, our team at Open Arms Solutions is here to help. Schedule a free in-home assessment or call (847) 272-4997 today.

