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   Plus, This Is the Worst Frozen Food for Heart Health, According To Registered Dietitians
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                   Good morning!
                   <br style="box-sizing: border-box;"/>
                   <br style="box-sizing: border-box;"/>
                   In case you live somewhere warm and haven’t seen the news, snow is pummeling the northeast at the moment. But before we start worrying about
                   <strong style="box-sizing: border-box;">
                    <a rel="noopener noreferrer" style="box-sizing: border-box; text-decoration: underline; color: #56a6be;" target="_blank" url="https://parade.com/health/cardiologists-warn-about-dangers-of-shoveling-snow">
                     snow shoveling-induced heart attacks
                    </a>
                   </strong>
                   (this is absolutely a thing, and a scary one at that!), I wanted to make sure the very last installment of our “Ask a Cardiologist” series landed in your inbox.
                   <br style="box-sizing: border-box;"/>
                   <br style="box-sizing: border-box;"/>
                   Today’s question is an important one, and something to keep in mind before you start shoveling your driveway. And don’t forget to scroll down for today’s stories, the first being the heart disease symptom you shouldn’t ignore—whether you have risk factors or not.
                   <br style="box-sizing: border-box;"/>
                   <br style="box-sizing: border-box;"/>
                   Without further ado, I’ll let Cleveland Clinic cardiologist
                   <a rel="noopener noreferrer" style="box-sizing: border-box; text-decoration: underline; color: #56a6be;" target="_blank" url="https://links.parade.com/s/c/n2xz5J7lKhNdO69g26Vr-m7nHNaXNnjUzE9zjWXLa932zC9vW_qnTCYrdMNEUZhyr1zta3kXhaXPCH4X4deMz5JmHW3uwQdiVLXbmu9VBF_a6CJIAVEOzIPTmJ_fWpGTHRbHY0v9cJyN1CHQ94vycWa2ONAFYDuf-KU73YLzQKMjVfBvEEerX-CF5AcD1J4o_CLDcVT2lLUJ0xB_gTxzSBGHw9bxUE47uNWANWpX_-LWj9Xgwt2WNvmmby_uMteNleY7NZ8p0u3FqzJSSYj9tVKLMGMxel1dgC7CqSY3fr4dKDeyslfSD1qjzVlZdNYAJwUvebD6YfuumQK4HjNpudV-CyAv39UsbqjDqTPmPjUy2yJyH5ZOnwVmlzpXrjqBstad01DQL8Rf0KR2DxNsw485-_ioWulHPJ52XIpn79jqGgW-ZdtYk2HeZuYPRkVIPZGq03agcWnsp_vTZ3E6QgUEWKFjTVtv68R4Ssi8ZRaDvRHcvNZHmblhDZvU3z8LROXl0X1Yr1RCsfaBPTUHLCoYfWZrK_dm0PcSX7pVBw-bBJ90gtUpxpYnBljOKkGY_IhUSwy5aFxYKpmT3UgZE666aIdl2ABk-VHZbjJU2EkosXZ03z2I2pUTWYwIpIh9gd5S3Xl4TtLO_KTAk4L2kxd_/jgGGqqq6k_wr05eoGmRq3m2od8QkLyfn/17">
                    <strong style="box-sizing: border-box;">
                     Dr. Ashish Sarraju, MD
                    </strong>
                   </a>
                   , take it from here!
                   <br style="box-sizing: border-box;"/>
                   <br style="box-sizing: border-box;"/>
                   Stay warm,
                   <br aria-hidden="true" style="box-sizing: border-box;"/>
                   Leigh Weingus
                   <br aria-hidden="true" style="box-sizing: border-box;"/>
                   Deputy Health Editor,
                   <em style="box-sizing: border-box;">
                    Parade
                   </em>
                   <br style="box-sizing: border-box;"/>
                   <br style="box-sizing: border-box;"/>
                   <strong style="box-sizing: border-box;">
                    Question:
                   </strong>
                   <strong style="box-sizing: border-box;">
                    I haven’t worked out for a while beyond walking, and I’m afraid to push myself when I exercise because I’m worried about my heart. How hard is too hard after 50?
                   </strong>
                   <br style="box-sizing: border-box;"/>
                   <br style="box-sizing: border-box;"/>
                   <strong style="box-sizing: border-box;">
                    Dr. Sarraju:
                   </strong>
                   The answer to this is different for everyone. Cleveland Clinic actually offers something called an exercise prescription program, where you come in and get on a treadmill and we see how you do. Then you sit down with a member of our exercise physiology team and get a personalized program for how to exercise, what heart rates to aim for, how to warm up, how to cool down, and how much water to drink.
                   <br style="box-sizing: border-box;"/>
                   <br style="box-sizing: border-box;"/>
                   So that can be a nice thing for folks to hold in their hand and reference. It can be a source of comfort. But if you don’t have access to something like that, the rule of thumb is that it’s safe to start out slow and work your way up gradually.
                   <br style="box-sizing: border-box;"/>
                   <br style="box-sizing: border-box;"/>
                   I tell my patients that if you’re sedentary most of the time, your next step is going to be to walk a lot every day. And once you get comfortable walking a lot every day for a few weeks, then you can move on to moderate-intensity exercise.
                   <br style="box-sizing: border-box;"/>
                   <br style="box-sizing: border-box;"/>
                   What moderate intensity is differs for everyone, but the rule of thumb is that you can usually have a conversation comfortably with the person next to you, but you’re going to have trouble singing a full song without taking pauses. For most people, that’s jogging, biking, or similar activities.
                   <br style="box-sizing: border-box;"/>
                   <br style="box-sizing: border-box;"/>
                   Another rule of thumb—I have some patients who have watches and are really interested in tracking their heart rates during exercise—I tell my patients not to obsess about specific numbers or targets. The general rule is that if you subtract your age from 220, that’s your maximum heart rate.
                   <br style="box-sizing: border-box;"/>
                   <br style="box-sizing: border-box;"/>
                   If you keep your heart rate at about
                   <strong style="box-sizing: border-box;">
                    50–70%
                   </strong>
                   of that number, you’re probably in the moderate-intensity range. That’s a good marker to see if you’re exerting yourself enough and to make sure you’re not overexerting yourself.
                  </p>
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                  <a rel="noopener" style="box-sizing: border-box; text-decoration: none; color: #000000;" target="_blank">
                   We Asked 3 Cardiologists What Heart Disease Symptom You Should Never Ignore, and They All Said the Same Thing
                  </a>
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                  <div class="" style="box-sizing: border-box; font-size: 12px; font-family: Arial,'Helvetica Neue',Helvetica,sans-serif; mso-line-height-alt: 14.399999999999999px; color: #000; line-height: 1.2;">
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                    <span style="box-sizing: border-box; word-break: break-word; font-size: 14px;">
                     It applies whether you have you risk factors or not.
                    </span>
                   </p>
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