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Have you ever noticed how stress or anxiety seems to affect not just your thoughts, but your whole body? It turns out that your mental well-being and heart health are more closely related than you might think. This article examines the connection between mental health and heart disease, exploring the effects of stress, anxiety, and depression, as well as how you can manage them.

There is a strong link between chronic stress and heart disease. Prolonged periods of stress trigger an increase in our bodies’ production of cortisol and adrenaline—hormones that can lead to elevated blood pressure and higher cholesterol levels. They also increase the craving for unhealthy foods, particularly those high in sugar and fat, leading to poor diet choices. In the long term, these behaviours as well as the constant activation of stress responses can cause inflammation and arterial damage, increasing the risk of cardiovascular issues.
Anxiety can negatively affect your cardiovascular health by causing frequent spikes in heart rate and blood pressure. These physiological responses strain the heart and increase the likelihood of developing conditions such as high blood pressure and heart disease. Additionally, individuals who struggle with anxiety may resort to unhealthy coping mechanisms, such as smoking or excessive alcohol consumption. These habits not only further exacerbate the risk of heart disease but also compromise their overall physical health.
The connection between depression and heart disease is significant. Depression has been linked to increased inflammation, altered blood clotting, and hormonal imbalances, all of which can heighten the risk of heart disease. Similar to anxiety and chronic stress, depression also encourages poor lifestyle choices that worsen cardiovascular health. In particular, individuals suffering from depression suffer from a lack of motivation and are more likely to lead sedentary lifestyles, a key risk factor for cardiovascular disease.
Interestingly, this relationship works both ways. Studies show that individuals with heart disease, as well as those who have experienced a heart attack, are actually at a greater risk of developing depression. Therefore, prioritising both physical and mental health is essential in reducing the risk of heart disease and promoting overall well-being.
Managing your risk for heart disease can feel more difficult when you are grappling with your mental health. Luckily, there are some effective strategies you can incorporate into your daily life.

When you’re feeling stressed or down, the very thought of a long workout may feel overwhelming. Instead, start small with something as simple as a 10-minute walk or a gentle stretching routine. Even short bursts of movement can help reduce stress and support heart health. Remember, every bit of movement helps.
Eating well does not have to be complicated. Instead of focusing on what to avoid, try thinking about what you can add to your diet. Incorporate heart-healthy foods like leafy greens, nuts, seeds, and oily fish into your meals. By focusing on positive additions and making small, manageable changes, it becomes much easier to support your heart and mental well-being.
Now that you know mental health challenges can increase your risk of heart disease, it is more important than ever to stay proactive. Track your blood pressure, cholesterol levels, and overall fitness regularly. It is also advisable to schedule routine heart screenings to monitor your heart health and catch potential issues early.
Mental health plays a significant role in raising the risk of heart disease, with chronic stress, anxiety, and depression all taking a toll on your heart. But the good news is that by incorporating small changes—such as regular physical activity, healthy eating, and proactive health tracking—you can help protect both your mind and your heart.
Looking for a cardiologist in Singapore with a holistic approach to heart health? Dr. Leslie Tay brings over 20 years of experience and focuses on patient-centred care. Our clinic is committed to supporting your heart health with a personalised approach, offering everything from diagnostics to specialised therapies.