Heart Healthy Foods: Cholesterol, Blood Pressure, and DASH

Adults preparing heart-healthy foods with salmon, oats, beans, vegetables, fruit, whole grains, nuts, olive oil, and a DASH meal plan.
Heart-healthy foods guide

Published: March 2026

Last updated: July 21, 2026

Next review: July 2027

Written by: Adel Galal, Founder and Lead Writer at NextFitLife

Review status: Written and source checked by Adel Galal. Not medically reviewed by a cardiologist, doctor, or registered dietitian.

What changed: Corrected heart-attack wording, removed internal editorial notes, clarified supplement and medicine safety, and strengthened emergency guidance.

Reading time: About 18 minutes

Heart-healthy foods can be part of a plan that supports healthy blood pressure, cholesterol, blood sugar, and long-term cardiovascular health.No single food can prevent a heart attack. No drink can lower blood pressure instantly. No supplement can clear blocked arteries.

Heart health depends on your overall pattern. Food matters, but physical activity, sleep, smoking, medicine, family history, age, blood pressure, cholesterol, diabetes, and access to medical care also matter.

This hub provides practical guidance about fiber, dietary fats, sodium, potassium, DASH eating, cholesterol, food labels, meals, drinks, and medicine safety.

Use it for general education. Do not use it to replace diagnosis, prescribed treatment, or emergency care.

Heart-Healthy Eating: Quick Answer

Build most meals around vegetables, fruit, beans, whole grains, nuts, seeds, fish, lean or plant-based protein, and suitable dairy or fortified alternatives.

Choose unsaturated fats more often.

Limit frequent foods high in saturated fat, trans fat, sodium, added sugar, and heavily processed meat.

Compare food labels.

Use the DASH eating pattern when blood pressure is a concern.

Do not stop cholesterol or blood pressure medicine because your diet improves.

Seek urgent medical help for heart attack or stroke symptoms.

Review and Advertising Disclosure

This page was written and source checked by Adel Galal.

Adel is a health and wellness writer.

He is not a doctor, cardiologist, registered dietitian, pharmacist, or licensed cardiovascular professional.

This page has not been clinically reviewed by a licensed heart health professional.

NextFitLife uses display advertising to support the website.

Advertising does not decide the topics, sources, recommendations, or conclusions on this page.

Read the
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Important Heart Health Note

Food can support heart health.

It cannot replace diagnosis, blood tests, blood pressure checks, prescription medicine, surgery, or emergency treatment.

Speak with a qualified health care professional before making a major dietary change if you have heart disease, high blood pressure, high cholesterol, diabetes, kidney disease, liver disease, heart failure, or another medical condition.

Also seek personal advice if you take blood pressure medicine, statins, blood thinners, diuretics, diabetes medicine, or potassium supplements.

Do not change or stop medicine on your own.

Choose Your Heart Health Goal

Start with the subject that is closest to your current need.

Support Healthy Cholesterol

Learn about soluble fiber, saturated fat, unsaturated fat, whole grains, beans, nuts, fish, and food labels.

Start With Cholesterol and Food

Support Healthy Blood Pressure

Review sodium-rich foods, alcohol, activity, sleep, medicine, and the DASH eating plan.

Start With Blood Pressure

Follow the DASH Eating Plan

Use a structured eating pattern based on vegetables, fruit, grains, beans, nuts, dairy, fish, poultry, and lower sodium.

Start With DASH

Choose Better Fats

Understand saturated, trans, monounsaturated, polyunsaturated, and omega-3 fats.

Start With Dietary Fats

Reduce Sodium

Compare bread, sauces, canned food, deli meat, snacks, restaurant meals, and packaged products.

Start With Sodium

Plan Simple Heart-Healthy Meals

Build practical breakfasts, lunches, dinners, and snacks without using a strict or expensive diet.

Start With Meal Ideas

What Is a Heart-Healthy Eating Pattern?

A heart-healthy eating pattern is the way you eat over time.

It is not one perfect meal.

It is not one superfood.

It can include food prepared at home, at work, in restaurants, or during social events.

The American Heart Association recommends focusing on the overall dietary pattern wherever food is prepared or eaten.1

A practical pattern may include:

  • Vegetables
  • Fruit
  • Beans, peas, and lentils
  • Whole grains
  • Nuts and seeds
  • Fish and seafood
  • Poultry and lean meat, when eaten
  • Tofu, tempeh, and other plant proteins
  • Milk, yogurt, or suitable fortified alternatives
  • Olive oil and other unsaturated fats
  • Water as a main drink

You do not need to eat every food on the list.

Your plan should reflect your culture, budget, allergies, health, medicine, and preferences.

Foods to Eat More Often

  • Vegetables and fruit
  • Beans and lentils
  • Oats and other whole grains
  • Fish
  • Nuts and seeds in suitable portions
  • Plain yogurt or suitable alternatives
  • Lean and plant-based protein foods

Foods to Eat Less Often

You do not need to ban a food forever.

It may help to reduce frequent large portions of:

  • Processed meats
  • Deep-fried food
  • Foods high in saturated fat
  • Foods containing industrial trans fat
  • High-sodium ready meals
  • Salty snacks
  • Sugary drinks
  • Large portions of sweets and desserts
  • Frequent heavy alcohol intake

Food and Cholesterol

Cholesterol is a waxy substance found in the blood.

Your body needs it for normal functions.

Your body makes the cholesterol it needs, mainly in the liver.3

Blood tests may include LDL cholesterol, HDL cholesterol, triglycerides, and total cholesterol.

Results should be reviewed with a qualified health care professional.

LDL Cholesterol

LDL is often described as โ€œbadโ€ cholesterol because high levels can contribute to plaque buildup in the arteries.

Your personal target depends on your health and cardiovascular risk.

HDL Cholesterol

HDL is often described as โ€œgoodโ€ cholesterol because it carries cholesterol away from the arteries.

A high HDL number does not cancel a high LDL number or other risk factors.

Treatment decisions should consider the full medical picture.

Triglycerides

Triglycerides are another type of fat in the blood.

They can be affected by genetics, diabetes, alcohol, food intake, body weight, medicine, and other factors.

Dietary Cholesterol and Blood Cholesterol

Dietary cholesterol is found in animal foods.

Blood cholesterol is measured in your bloodstream.

They are not the same thing.

For many people, saturated fat and trans fat deserve more attention than one food containing dietary cholesterol.

Foods That May Support Cholesterol Management

  • Oats and barley
  • Beans and lentils
  • Fruit and vegetables
  • Nuts and seeds
  • Fish
  • Olive oil and other unsaturated oils
  • Whole grains
  • Soy foods

These foods do not replace cholesterol medicine when medicine is needed.

Familial High Cholesterol

Some people inherit very high cholesterol.

This may require medicine even when the person follows a healthy lifestyle.

Tell your doctor if close family members had very high cholesterol, an early heart attack, or an early stroke.

Food and Blood Pressure

Blood pressure is the force of blood pushing against artery walls.

High blood pressure often has no clear symptoms.

The only way to know your blood pressure is to measure it correctly.

Food can support blood pressure management.

Medicine may also be needed.

Factors That May Affect Blood Pressure

  • Sodium intake
  • Potassium intake
  • Body weight
  • Physical activity
  • Alcohol
  • Sleep
  • Stress
  • Kidney health
  • Medicine
  • Family history
  • Age

No Drink Lowers Blood Pressure Instantly

Water, milk, tea, coffee, and other drinks may fit into a heart-healthy pattern.

No ordinary drink should be used as an emergency treatment for very high blood pressure.

Do not delay medical care while trying hibiscus tea, beet juice, lemon water, or another home remedy.

Potassium-Rich Foods

Potassium is found in many vegetables, fruits, beans, dairy foods, fish, meat, and other foods.

Examples include:

  • Potatoes
  • Beans
  • Lentils
  • Tomatoes
  • Leafy vegetables
  • Bananas
  • Oranges
  • Yogurt
  • Fish

More potassium is not safe for everyone.

People with kidney disease or people using certain medicines may need to limit potassium.

Do not take potassium supplements without professional advice.

The DASH Eating Plan

DASH means Dietary Approaches to Stop Hypertension.

It was developed to help prevent and manage high blood pressure.

The plan does not require special products.

It emphasizes:

  • Vegetables
  • Fruit
  • Whole grains
  • Low-fat or fat-free dairy foods
  • Fish
  • Poultry
  • Beans
  • Nuts
  • Seeds
  • Lower sodium intake

The standard DASH plan uses a sodium target of 2,300 milligrams a day.

A 1,500 milligram sodium level may lower blood pressure further for some people.2

These numbers are general plan targets.

Your personal target may be different.

People with kidney disease, heart failure, low blood pressure, or other medical conditions should use professional guidance.

DASH Is a Pattern, Not a Short Diet

You do not need to follow every serving perfectly on day one.

Begin with simple changes.

  1. Add one vegetable or fruit.
  2. Choose an unsalted snack.
  3. Use beans or fish in one meal.
  4. Compare sodium on food labels.
  5. Cook one meal with herbs and less salt.

Fiber and Heart Health

Fiber is found in plant foods.

It supports digestion and may help meals feel more filling.

Fiber can also support blood sugar and cholesterol management.4

Soluble Fiber

Soluble fiber can form a gel in the digestive tract.

Sources may include:

  • Oats
  • Barley
  • Beans
  • Lentils
  • Apples
  • Citrus fruit
  • Psyllium

Eating soluble fibre as part of a balanced pattern may support lower LDL cholesterol.

Other Fiber-Rich Foods

  • Vegetables
  • Fruit
  • Whole grains
  • Nuts
  • Seeds
  • Beans and peas

Increase fibre gradually if your current intake is low.

Drink enough fluid unless you have been given a fluid limit.

Choose Dietary Fats With Care

Your body needs fat.

Fat supports cell structure, hormones, vitamin absorption, and other normal functions.

The type and amount of fat matter.

Unsaturated Fats

Unsaturated fats are found in:

  • Olive oil
  • Canola oil
  • Avocado
  • Nuts
  • Seeds
  • Fish

Replacing some saturated fat with unsaturated fat may support healthier cholesterol levels.

Saturated Fat

Saturated fat is found in foods such as:

  • Fatty meat
  • Processed meat
  • Butter
  • Full-fat cheese
  • Cream
  • Coconut oil
  • Palm oil
  • Many baked and fried products

The American Heart Association advises limiting saturated fat because it can raise LDL cholesterol.1

Trans Fat

Industrial trans fat can raise LDL cholesterol and lower HDL cholesterol.

Check ingredient lists for partially hydrogenated oils where these products are still sold.

Omega-3 Fats

Omega-3 fats include ALA, EPA, and DHA.

Food sources include:

  • Salmon
  • Sardines
  • Trout
  • Mackerel
  • Walnuts
  • Chia seeds
  • Ground flaxseed
  • Soy foods

Plant foods mainly provide ALA.

Fish and seafood provide EPA and DHA.

Fish oil supplements are not required for everyone.

High-dose omega-3 products may increase bleeding risk, especially when used with anticoagulant medicine.5

Speak with a doctor or pharmacist before using them.

Sodium, Salt, and Heart Health

Sodium is an essential mineral.

Most people do not need to remove all salt.

Frequent high-sodium intake can make blood pressure harder to manage for many people.

Much of the sodium in a typical diet may come from packaged, prepared, and restaurant food.

Common Sodium Sources

  • Bread and rolls
  • Processed meat
  • Pizza
  • Soup
  • Sauces
  • Stock cubes
  • Ready meals
  • Salty snacks
  • Canned products
  • Restaurant food

How to Reduce Sodium

  1. Compare sodium between similar products.
  2. Choose lower-sodium versions when practical.
  3. Rinse canned beans and vegetables.
  4. Use herbs, spices, lemon, garlic, and vinegar for flavor.
  5. Reduce the amount of stock powder and salty sauce.
  6. Cook more meals at home when possible.
  7. Ask for sauces or dressings separately.

Salt Substitutes Need Care

Some salt substitutes contain potassium chloride.

They may be unsafe for people with kidney disease or people using certain blood pressure medicines.

Ask a doctor or pharmacist before using them.

Protein Foods for Heart Health

Protein supports muscles and normal body functions.

A heart-healthy plan can include animal and plant protein.

Plant Protein

  • Beans
  • Lentils
  • Peas
  • Tofu
  • Tempeh
  • Edamame
  • Nuts
  • Seeds

Fish and Seafood

Fish provides protein.

Fatty fish also provide EPA and DHA omega-3 fats.

Choose preparation methods such as baking, grilling, steaming, or light pan cooking more often than deep frying.

Poultry and Meat

Choose lean cuts and reasonable portions.

Limit frequent consumption of processed meat such as bacon, sausage, salami, and some deli meats.

Processed meat may also contain a large amount of sodium.

Dairy Foods

Milk and yogurt can provide protein, calcium, potassium, and other nutrients.

Compare saturated fat, added sugar, and sodium.

Fortified plant alternatives can also fit.

Check protein and nutrient fortification because products vary.

Simple Heart-Healthy Meal Ideas

These are general examples.

Portions should fit your hunger, health, activity, and medical plan.

Breakfast Ideas

  • Oatmeal with berries and walnuts
  • Plain yogurt with fruit and oats
  • Eggs with vegetables and whole grain toast
  • Beans with tomatoes and whole grain bread
  • Tofu with vegetables and potatoes

Lunch Ideas

  • Lentil soup with salad and whole grain bread
  • Chicken salad with potatoes
  • Tuna with brown rice and vegetables
  • Bean bowl with vegetables and avocado
  • Tofu with vegetables and whole grains

Dinner Ideas

  • Salmon with vegetables and potatoes
  • Chicken with brown rice and salad
  • Lentil curry with vegetables
  • Bean stew with whole grain bread
  • Tofu or tempeh with vegetables and noodles

Snack Ideas

  • Fruit with plain yogurt
  • Vegetables with hummus
  • A small serving of unsalted nuts
  • Oatcakes with cottage cheese
  • Edamame

A snack is optional.

Choose one when it supports hunger, medicine timing, or another real need.

Heart-Healthy Drinks

No drink cures high blood pressure or heart disease.

Choose drinks based on hydration, sugar, caffeine, alcohol, medicine, and your medical needs.

Water

Water is a practical main drink for many people.

People with heart failure, kidney disease, or another condition may receive a fluid limit.

Tea and Coffee

Tea and coffee can fit into a heart-healthy eating pattern.

Caffeine may affect blood pressure, heart rhythm, sleep, or anxiety in some people.

Large sweet coffee drinks can contain a lot of sugar and calories.

Milk and Fortified Alternatives

Milk can provide protein and minerals.

Compare saturated fat and added sugar.

Choose fortified alternatives when they better fit your needs.

Juice

Fruit juice contains vitamins but less fiber than whole fruit.

Portions can be easy to drink quickly.

Alcohol

Alcohol may raise blood pressure and triglycerides in some people.

It can also interact with medicine.

People who do not drink should not start for heart health.

Ask a doctor whether alcohol is safe with your medicine or condition.

How to Read Food Labels for Heart Health

Use the Nutrition Facts label to compare similar products.

The American Heart Association recommends checking packaged foods for sodium, added sugars, and saturated fat.1

1. Check Serving Size

The listed values apply to the serving shown.

Your portion may contain more than one serving.

2. Compare Sodium

Compare breads, soups, sauces, canned foods, snacks, and ready meals.

3. Compare Saturated Fat

Choose the lower saturated fat option when comparing similar foods.

4. Review Added Sugar

Sweet drinks, yogurt, cereal, sauces, desserts, and snack products may contain added sugar.

5. Look for Fiber

Whole grains, beans, fruit, vegetables, nuts, and seeds can provide fiber.

6. Read the Ingredient List

Look for whole grains, oils, added sugars, sodium, and allergens.

A long ingredient list does not automatically make a product harmful.

Judge the full product.

Food, Supplements, and Heart Medicine Safety

Food and supplements can interact with medicine.

Always tell your doctor and pharmacist what you eat regularly and which supplements you use.

Blood Thinners

People using warfarin are often advised to keep vitamin K intake consistent.9

Do not stop eating leafy green vegetables without medical advice.

Blood Pressure Medicine

Some blood pressure medicines can affect potassium.

Potassium supplements and potassium-based salt substitutes may be unsafe.

Diuretics

Diuretics can affect fluid and electrolyte levels.

Your food and fluid advice may depend on the exact medicine.

Statins

Some statins can interact with grapefruit.8

Ask your doctor or pharmacist whether this applies to your medicine.

Fish Oil and Herbal Supplements

High-dose fish oil, garlic supplements, ginkgo, and other products may affect bleeding or medicine.

Natural does not mean risk-free.

Do not use supplements instead of prescribed treatment.

Heart Health Beyond Food

Physical Activity

Regular activity can support blood pressure, cholesterol, blood sugar, fitness, and weight management.

Choose an amount that fits your health and ability.

People with heart symptoms or diagnosed heart disease may need an exercise plan from their medical team.

Smoking

Smoking damages blood vessels and raises cardiovascular risk.

Food cannot cancel the effects of smoking.

Ask for professional help when you are ready to stop.

Sleep

Poor sleep and sleep apnea may affect blood pressure and heart health.

Speak with a doctor if you snore loudly, wake up gasping, or remain very tired after enough time in bed.

Stress

Stress can affect sleep, food choices, activity, and medicine use.

Stress care may include walking, breathing, social support, counseling, or medical care.

Regular Health Checks

Know your blood pressure, cholesterol, blood sugar, and other risk factors.

Follow the testing schedule recommended by your health care professional.

Common Heart Nutrition Myths

Myth: One food clears blocked arteries

No food opens a blocked artery.

Blocked arteries require medical assessment and treatment.

Myth: A drink can lower blood pressure immediately

No ordinary drink should replace urgent care or prescribed medicine.

Myth: All fat is bad

Your body needs fat.

The type and portion matter.

Myth: Cholesterol medicine is unnecessary if you eat well

Some people need medicine because of genetics, existing disease, diabetes, or a high overall risk.

Diet and medicine may work together.

Myth: Sea salt is sodium-free

Sea salt and table salt both contain sodium.

The amount used matters.

Myth: Coconut oil is always heart-healthy

Coconut oil is high in saturated fat.

Use it with awareness rather than treating it as a medical food.

Myth: Supplements are safer than medicine

Supplements can cause side effects, contamination, excessive intake, and medicine interactions.

When to Seek Medical or Emergency Care

Do not use food advice to manage possible emergency symptoms.

Possible Heart Attack Symptoms

Seek emergency help for symptoms such as:6

  • Chest pressure, squeezing, fullness, or pain
  • Pain spreading to the arm, shoulder, back, neck, jaw, or stomach
  • Severe shortness of breath
  • Cold sweat
  • Nausea
  • Sudden unusual weakness
  • Fainting or severe dizziness

Possible Stroke Symptoms

Seek emergency help for sudden:7

  • Face weakness or drooping
  • Arm weakness or numbness
  • Speech difficulty
  • Confusion
  • Vision change
  • Severe headache
  • Loss of balance

Other Symptoms That Need Prompt Review

  • New leg swelling
  • New shortness of breath during normal activity
  • Breathlessness when lying flat
  • Fast unexplained weight gain from fluid
  • Repeated fainting
  • New irregular or very fast heartbeat
  • Leg pain, colour change, or coldness

How This Page Was Researched

This page was written and source-checked using information from the American Heart Association, National Heart, Lung, and Blood Institute, Centers for Disease Control and Prevention, National Institutes of Health, and U.S. Food and Drug Administration.

The page focuses on overall dietary patterns rather than claiming that one food, drink, herb, or supplement can prevent or treat heart disease. It separates general lifestyle support from diagnosis, prescribed treatment, and emergency care.

Because this page has not been medically reviewed, readers with cardiovascular disease, high blood pressure, high cholesterol, heart failure, kidney disease, diabetes, or medicine questions should seek guidance from a qualified health care professional.

Conclusion

Heart healthy foods work best as part of a complete lifestyle and medical plan.

Eat more vegetables, fruit, beans, whole grains, nuts, seeds, fish, and suitable protein foods.

Choose unsaturated fats more often.

Reduce excess sodium, saturated fat, added sugar, and processed meat.

Use the DASH pattern when it fits your needs.

Keep taking medicine as prescribed.

Do not delay emergency care while trying a food or drink remedy.

Start today by choosing one guide from this hub and one heart-healthy food change you can repeat this week.

References and Sources

  1. American Heart Association. Diet and Lifestyle Recommendations. Current guidance about overall dietary patterns, vegetables, fruit, whole grains, protein foods, sodium, added sugar, saturated fat, and food labels.
  2. National Heart, Lung, and Blood Institute. DASH Eating Plan. Open guidance about the DASH food pattern, servings, and sodium targets for blood pressure management.
  3. MedlinePlus. Cholesterol. Open information about what cholesterol is, how the body uses it, blood cholesterol, dietary cholesterol, testing, and treatment.
  4. Centers for Disease Control and Prevention. Healthy Eating Tips. Open information about fiber, blood sugar, cholesterol, food variety, sodium, and added sugar.
  5. National Institutes of Health Office of Dietary Supplements. Omega-3 Fatty Acids Fact Sheet. Open information about omega-3 types, food sources, supplements, possible cardiovascular effects, safety, and medicine interactions.
  6. American Heart Association. Warning Signs of a Heart Attack. Open guidance about chest discomfort, shortness of breath, upper-body discomfort, nausea, sweating, and the need for urgent emergency care.
  7. Centers for Disease Control and Prevention. Signs and Symptoms of Stroke. Open guidance about sudden weakness, speech problems, vision changes, loss of balance, severe headache, and emergency action.
  8. U.S. Food and Drug Administration. Grapefruit Juice and Some Drugs Do Not Mix. Consumer guidance about grapefruit interactions with certain medicines, including some statins.
  9. NHS. Anticoagulant Medicines: Considerations. Public guidance about keeping vitamin K intake consistent when taking warfarin.

About Adel Galal

Adel Galal is the founder and lead writer of NextFitLife.

He has more than 30 years of independent study and practical interest in nutrition, fitness, sleep, weight management, and healthy aging.

He has also spent more than 15 years writing health and wellness content.

His professional background includes 29 years in information technology management.

That experience shaped his structured approach to organizing sources, comparing claims, and explaining complex topics in plain language.

Adel is not a doctor, cardiologist, registered dietitian, pharmacist, physiotherapist, dermatologist, or licensed cardiovascular professional.

His role is to research, organize, and explain general health information.

This content does not replace professional medical advice.

Always consult qualified medical professionals for diagnosis and treatment of any health condition.

Frequently Asked Questions

What are the best heart-healthy foods?

There is no single best food. Useful choices include vegetables, fruit, beans, lentils, oats, whole grains, nuts, seeds, fish, olive oil, tofu, yogurt, and other foods that fit a balanced pattern.

What foods may help lower LDL cholesterol?

Foods containing soluble fiber and unsaturated fats may support LDL management. Examples include oats, barley, beans, lentils, nuts, seeds, fruit, fish, and olive oil.

Can food replace cholesterol medicine?

No. Some people need medicine because of genetics, existing cardiovascular disease, diabetes, or high overall risk. Do not stop medicine without your prescriber.

What is the DASH diet?

DASH is an eating pattern designed to help manage blood pressure. It emphasizes vegetables, fruit, whole grains, low-fat dairy, fish, poultry, beans, nuts, and lower sodium.

What should I drink for high blood pressure?

No drink provides emergency treatment. Water and other suitable low-sugar drinks may fit a healthy pattern. Very high blood pressure or concerning symptoms need medical care.

Is sea salt healthier than table salt?

Both contain sodium. Small mineral differences do not make heavy use safe for blood pressure.

Are eggs bad for cholesterol?

Eggs can fit into many healthy eating patterns. The full diet, saturated fat intake, personal cholesterol response, and medical risk matter more than one food alone.

Should I take an omega-3 supplement?

Not everyone needs one. Food sources may be suitable for many people. Ask a doctor or pharmacist before using high-dose omega-3 supplements, especially if you take medicine that affects bleeding.

What heart symptoms need emergency care?

Seek emergency help for chest pressure or pain, severe shortness of breath, fainting, sudden weakness, facial drooping, arm weakness, speech difficulty, or other heart attack or stroke symptoms.

Is this page medically reviewed?

No. It was written and source-checked using authoritative references, but it has not been medically reviewed by a cardiologist, doctor, or registered dietitian.

Heart Health and Medical Disclaimer

All content on NextFitLife is for educational and informational purposes only.

It is not intended to replace professional medical advice, diagnosis, treatment, blood tests, blood pressure monitoring, emergency care, prescription medicine, or personalized advice from a registered dietitian.

Speak with a qualified health care professional before changing your diet, supplements, medicine, sodium, potassium, or fluid intake if you have a medical condition or take prescription medicine.

Seek urgent medical help for chest pain or pressure, severe shortness of breath, fainting, sudden weakness, facial drooping, arm weakness, speech difficulty, confusion, or another heart attack or stroke symptom.

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