Raghu, a 45-year-old CEO, led a high-pressure work life. Long hours, frequent travel and stringent schedules left him with little time to unwind. Over time, he began to have recurrent episodes of headache, restless and inadequate sleep, and mild chest pain now and then. Ignoring the symptoms, he continued his hectic routine until one day, he suffered a heart attack. It was this life-altering event that made Raghu realise the severe impact of stress on the health of the heart.

Stress is a normal and inevitable part of life. It can arise from physical causes such as illness or inadequate sleep, or from emotional problems such as worry about the future or the death of a loved one. Millions worldwide undergo stress to some degree or the other, every year.

According to a 2023 ICICI Lombard General Insurance Wellness Index Study, 77% of Indians experience at least one symptom of stress regularly. Demographically, the situation is more alarming in the case of women – particularly working women having to manage several roles – and the Gen Z.

Stress can have a deep impact on various aspects of health, particularly heart health, and chronic stress has been directly linked to numerous cardiovascular problems.

Impact of Stress on the Heart

Stress sets off the body’s ‘fight or flight’ response by releasing hormones like adrenaline and cortisol. While these hormones are beneficial in short bursts, chronic stress keeps their levels elevated, leading to multiple health issues, particularly concerning the cardiovascular system.

1. Increased blood pressure: Chronic stress causes high blood pressure, a significant risk factor for heart disease and stroke.
2. Inflammation: Stress can increase inflammation in the body, leading to atherosclerosis
   i.e. hardening of the arteries.
3. Unhealthy habits: Stress often leads to unhealthy coping mechanisms like smoking, excessive drinking, poor diet, and lack of exercise, all of which are detrimental to heart
4. Heart rate variations: Stress affects the autonomic nervous system, reducing heart rate variability, which is a marker of poor heart health.

Symptoms of acute stress

Common symptoms include:

• Chest pain or discomfort
• Shortness of breath
• Palpitations
• Fatigue
• Anxiety and irritability
• Insomnia
• Impatience, anger and forgetfulness

Anyone experiencing any of these symptoms for a relatively longer period of time, especially those with pre-existing risk factors for heart disease, should seek medical advice without delay.

Diagnosis often involves a comprehensive evaluation, including a physical exam, blood tests, ECG, Echo and stress tests to assess heart function.

Remedies, Solutions, Treatment

Managing stress effectively is key to reducing its impact on heart health. Common and effective strategies include:

1. Regular exercise: Physical activity releases endorphins, which act as natural stress relievers. Aim for at least 30 minutes of moderate exercise most days of the week.
2. Healthy diet: A balanced meal plan including fruits, vegetables, lean proteins, and whole grains supports overall health and reduces stress.
3. Mindfulness and relaxation: Practices like meditation, yoga, and deep breathing exercises can calm the mind and reduce stress.
4. Adequate sleep: Quality sleep is essential for stress management. Aim for 7-9 hours of sleep per night.
5. Social support: Maintaining strong relationships with family and friends, and a comfortable work atmosphere provide emotional support and reduce stress.
6. Professional help: Counseling or therapy can help manage chronic stress and its effects on mental and physical health.
7. Medication: In some cases, doctors may prescribe medications to manage anxiety, depression, or high blood pressure.

Stress can have severe repercussions on heart health, but with the right strategies, its impact can be mitigated. Recognising the symptoms and seeking timely intervention is crucial.

At BBR Hospitals in Hyderabad, the cardiology and mental health departments work collaboratively to address the complex relationship between stress and heart health. The multidisciplinary team of cardiologists, psychologists, and wellness experts provides comprehensive care tailored to each patient’s needs.

The Hospital features advanced diagnostic tools to assess heart health and stress levels accurately. The treatment plans include a combination of lifestyle interventions, medical management, and psychological support to ensure holistic care. BBR Hospitals also organises wellness programs and stress management workshops to educate patients on maintaining heart health in the face of stress.

Don’t let stress take a toll on your heart – take proactive steps today for a healthier tomorrow.