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(04/28/2026) How modern cardiology and simple daily habits support heart health well into old age.

A healthy heart is not a matter of age. Even though the heart and blood vessels change over the course of a lifetime, there is much that can be done to maintain one’s cardiac function for a long time. “Many people accept physical limitations in old age as a given,” says Prof. Dr. Dirk Westermann, Medical Director of the Department of Cardiology and Angiology at the University Heart Center Freiburg · Bad Krozingen. “Yet we see every day that with the right diagnostics, treatment, and lifestyle, a great deal can be achieved for heart health.”

• Heart health in everyday life – what you should keep in mind

• Why the Heart Needs Special Attention as We Age

As we age, blood vessels can become stiffer, blood pressure can rise, or heart rhythm disturbances can occur. However, this does not necessarily mean illness. The key is to detect changes early and treat them individually. “Heart disease often develops gradually. Those who undergo regular checkups give us the chance to intervene early—often long before symptoms appear,” emphasizes Westermann.

• What patients can do for their own hearts

1. Stay active—within your own capabilities
. Regular physical activity strengthens the heart muscle, lowers blood pressure, and improves circulation. Even daily walks, light cycling, or targeted training under supervision can have a significant effect. “It’s not about competitive sports,” says Westermann. “What’s important is consistency—and that the activity is enjoyable.”

2. Watch for warning signs
Shortness of breath during exertion, unusual fatigue, chest pain, or heart palpitations should be evaluated by a doctor—even if they occur only occasionally. “Many patients come in very late because they attribute symptoms to aging. This is a risk that can be avoided,” says Westermann.

3. Monitor blood pressure, blood sugar
, and cholesterol These values are among the most important risk factors for cardiovascular disease. Regular checkups and consistent treatment protect the heart in the long term.

4. Take medication correctly Properly tailored
medication is crucial, especially in older age. Changes to or discontinuation of medication should always be supervised by a doctor. “A personalized treatment plan can not only extend life but, above all, maintain quality of life,” says Westermann.

5. Lifestyle is part of the treatment 

A balanced diet, sufficient sleep, avoiding smoking, and managing stress effectively have a direct impact on heart health.

• Modern Cardiology at the Medical Center – University of Freiburg

At the Medical Center – University of Freiburg, modern diagnostic procedures, guideline-based therapies, and interdisciplinary approaches are employed—particularly for heart failure, arrhythmias, and vascular diseases. The goal is not only to provide medical care to patients but also to support them over the long term.

“A strong heart in old age is the result of collaboration,” Westermann summarizes. “Between patients, primary care providers, and specialized teams. Our goal is to support people in remaining active and self-determined—even with heart disease.”

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