Mental Health and the Heart

The relationship between mental and heart health is complex and multifaceted, with research clearly showing a strong, bidirectional relationship between the two.

Poor mental health can create problems in the heart

It has been found that poor mental health, particularly chronic stress, depression, and anxiety, can increase the risk of developing heart disease. ¹

• Chronic stress – increases the release of hormones such as cortisol and adrenaline, which can increase blood pressure and heart rate. Prolonged high heart rates may increase the incidence of cardiomyopathy and contribute to increased blood pressure, a contributing risk factor for heart disease and stroke.
• Anxiety and depression – People with anxiety or depression may be less likely to engage in healthy behaviours such as exercise or healthy eating. They may also be more likely to engage in unhealthy coping behaviours such as smoking or drinking alcohol, both of which are linked to heart disease. In addition, depression and anxiety can cause changes in the autonomic nervous system, which controls heart rate and blood pressure. This can lead to changes in heart rate variability and other markers of heart health, which may increase the risk of heart disease. ²

It’s also worth noting that many people with mental health illnesses may be more likely to have other risk factors for heart disease, such as obesity, diabetes, and high cholesterol.

Mental health following a cardiac event or diagnosis

On the other hand, people with existing heart disease are more likely to experience depression and anxiety, which can worsen the prognosis of the condition. Experiencing a cardiac event, such as a heart attack or heart surgery, can be a traumatic and life-changing event that can significantly impact a person’s emotions and feelings. ³ Here are some common feelings and emotions that a person may experience after a cardiac event or diagnosis:

1. Fear and anxiety: A person may feel afraid of another cardiac event occurring or have anxiety related to their recovery or future health.
2. Depression and sadness: After a cardiac event, a person may feel depressed or sad due to the emotional and physical toll of the event and the limitations it can place on their daily life.
3. Anger and frustration: A person may feel angry or frustrated that their health has been compromised or may be upset about changes they have to make to their lifestyle.
4. Guilt and shame: A person may feel guilty or ashamed that they were not able to prevent the cardiac event from occurring or may be ashamed of their physical limitations after the event.
5. Gratitude and appreciation: After a cardiac event, a person may feel grateful to be alive and may appreciate the support and care they receive from their loved ones and healthcare professionals.

What can be done to address both mental health and heart health?

It is essential to address both mental health and heart health comprehensively. Several strategies can be used to help manage mental health in the context of cardiovascular disease:

1. Stay physically active: Regular exercise can help improve both mental and physical health, as it reduces stress, anxiety, and depression while also improving overall cardiovascular health. Before starting any exercise program, it is essential to check with a GP.
2. Adopt a heart-healthy diet: A healthy diet can help improve mental and physical health, providing the necessary nutrients to support overall well-being. Eating a diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats can help support heart health and improve mood.
3. Practice stress reduction techniques: Chronic stress can adversely affect mental and physical health. Stress reduction techniques such as meditation, deep breathing, yoga, or progressive muscle relaxation can help reduce stress and improve overall well-being.
4. Seek mental health treatment when needed: It is vital to seek help from a mental health professional when experiencing symptoms of depression, anxiety, or other mental health conditions. Psychotherapy, medication, or a combination can effectively manage mental health conditions.
5. Stay connected with friends and family: Social support can positively affect mental health and help reduce stress. Maintaining close relationships with friends and family can provide emotional support and help manage mental health.

It is important to prioritise both aspects of health to achieve optimal physical, mental, and emotional well-being. This may involve seeking treatment for mental health conditions such as anxiety or depression and working with healthcare professionals to manage heart health and reduce the risk of heart disease. ⁴

Disclaimer This information is general and not conclusive. Follow any guidelines and advice from your doctor or specialist, health care, or multidisciplinary team, for your personalised patient-centred needs and care. Inquire about a patient advocate group regarding your specific needs. Call 000 if you are experiencing chest pain.

To find a GP or a Cardiologist near you, visit www.hopeforhearts.com.au

Connect the Docs www.connectthedocs.com.au is a medical marketing agency specialising in therapy awareness campaigns, educating medical professionals and patients about common conditions.