Depression and heart health (Credit: Canva)
Heart disease is often linked to high cholesterol, obesity, or lack of exercise. However, there is mounting evidence that suggests that mental health plays a crucial role in cardiovascular well-being. Stress, anxiety, and depression can silently strain the heart, increasing the risk of serious complications.
A recent study, published in Nature Human Behaviour, showed that loneliness has a significant impact on proteins present in a person's blood. For the study, researchers used data from more than 42,000 participants to explore whether the 9.3% who reported social isolation and 6.4% who reported loneliness had different levels of proteins in their blood compared with those who did not. The researchers then studied data that tracked the health of participants over an average 14-year period.
"We found around 90% of these proteins are linked to the risk of mortality," Dr Chun Shen, Fudan University in China, who is also the lead researcher said. "In addition, about 50% of the proteins were linked to cardiovascular disease, type 2 diabetes and stroke," he added.
Dr Shrey Kumar Srivastav, senior consultant at Sharda Hospital, said that subtle symptoms of heart disease, such as fatigue, shortness of breath, swelling in the lower legs, dizziness, and jaw pain, are often overlooked or attributed to stress and ageing. "Women, in particular, may experience atypical signs like extreme fatigue, indigestion, or upper abdominal pain instead of classic chest pain, leading to delayed diagnosis," he added.
Can Mental Health Issues Trigger Heart Diseases?
Chronic stress can trigger harmful cardiovascular effects, including elevated blood pressure, increased heart rate, and inflammation—key contributors to heart disease. Anxiety and depression further impact heart health by disrupting sleep patterns, raising stress hormone levels, and encouraging unhealthy habits like poor diet and inactivity.
Mental health issues like depression and anxiety have a profound impact on the heart. They don’t just affect emotions but can increase inflammation and put extra strain on the cardiovascular system, warns Dr Srivastav.
Certain risk factors, such as obesity and diabetes, disproportionately affect women, making them more vulnerable to heart failure with preserved ejection fraction (HFpEF). However, due to gender-specific symptom variations, heart disease in women often goes undiagnosed for longer.
Obesity is more prevalent in women than men and is a major risk factor for heart failure. Diabetes, too, has a greater impact on women’s heart health, yet diagnosis and treatment delays are common. Addressing this gap requires increasing awareness, training healthcare providers, and promoting early diagnostic tools,” explains Dr Srivastav.
How Can You Protect Your Heart?
A simple yet effective way to support heart health is by committing to a brisk 30-minute walk daily. Walking not only helps regulate blood pressure and manage weight but also improves circulation and reduces stress.
"Regular physical activity, paired with a heart-healthy diet rich in fruits, vegetables, whole grains, and lean proteins, significantly lowers cardiovascular risks," advises Dr Srivastav.
Heart disease can often go undetected until a major event occurs, making routine screenings essential.
- For women: Begin screenings around age 30 and continue with regular checkups.
- For men: Start screenings at age 35.
Health screenings, including blood pressure checks, cholesterol tests, and electrocardiograms (ECGs), are critical for early detection of silent heart conditions.
Credit: X
Tech entrepreneur Bryan Johnson is expanding his horizons in longevity health experiments to female physiology, including monitoring his girlfriend Kate Tolo’s nighttime clitoral engorgement.
The purpose is to understand how genital blood flow may give clues about female sexual function and cardiovascular health.
The experiment is part of his extensive effort to collate data on women’s health that could be channeled into useful biomarkers.
But while research suggests a connection between genital blood flow, sexual arousal and cardiometabolic health, tracking these changes during sleep may not be an established way to screen heart disease.
Bryan Johnson and Kate Tolo are in the process of creating a detailed health-monitoring program through their company, Immortals. Their aim is to improve in-depth understanding of female physiology.
The process is partly inspired by research on erectile dysfunction in men. As erections depend on healthy blood vessels, erectile dysfunction can sometimes help in the detection of cardiovascular disease.
In an interview discussing the project, Tolo explained the reasoning behind investigating genital blood flow in women. “Because the penis has smaller blood vessels than the rest of the body, and so it's the first thing to show up when problems happen. So it's all about blood flow. That's why it should work for women just as well as it works for men, because we have blood vessels too,” she said. Johnson also highlighted nighttime erections as a physiological measure worth studying.
However, the evidence linking male erectile dysfunction with cardiovascular risk is more established than the evidence for using female genital blood flow measurements as a cardiovascular monitoring tool.
The clitoris contains erectile tissue supplied by blood vessels. During sexual arousal, increased blood flow contributes to genital engorgement and physiological changes associated with sexual response.
Blood circulation is therefore one component of sexual function. Reduced genital blood flow or increased vascular resistance may be associated with difficulties involving arousal, lubrication or orgasm.
A small pilot study published in the International Journal of Impotence Research examined 27 women and found that clitoral tissue perfusion was linked with scores measuring sexual function, including arousal, lubrication, orgasm and satisfaction.
The findings indicate that genital blood supply may be relevant to understanding female sexual health. However, the study was small and did not establish that nighttime clitoral blood-flow monitoring can diagnose sexual dysfunction.
Sexual function is also influenced by hormones, medications, neurological health, psychological factors, relationships and underlying medical conditions. Blood flow alone cannot explain every aspect of sexual wellbeing.
Also read: Bryan Johnson's 90-Day Experiment Claims That Oxygen Therapy Could Beat Aging
The endothelium, the inner lining of blood vessels, helps regulate circulation. Metabolic conditions like diabetes, insulin resistance, high cholesterol, and hypertension can affect vascular function, including genital tissues.
A 2024 review published in the European Journal of Preventive Cardiology, which included 54 studies and nearly 149,000 participants, also found that women with cardiovascular disease had a higher risk of female sexual dysfunction.
This supports a relationship between cardiovascular and sexual health, but it does not validate Johnson’s tracking method.
Nocturnal genital responses may provide useful information about physiology, but researchers would need to establish what constitutes a normal pattern, how measurements vary with sleep and hormonal cycles, and whether particular changes reliably predict disease. The approach would also need to be tested in larger populations.
Credit: X
Pope Leo XIV has announced that he will undergo surgery in the coming days to have a nodule removed that was discovered in his lung recently. The 71-year-old pontiff said it was detected early and was well contained, which is why the doctors recommended a removal procedure.
The Vatican has not disclosed whether the nodule is benign or cancerous. The procedure has nevertheless sparked attention to lung nodules, a common medical finding that can sometimes warrant further clinical investigation to rule out cancer and other serious diseases.
“Recently, during some medical examinations, doctors found a localized nodule in my lung,” the pope said during his Sunday address in St. Peter’s Square on October 11. “It was detected at a very early stage and is well contained.”
He added, “The doctors believe it is advisable to intervene, so, following their advice, I have decided to undergo surgery to remove it. The operation is already scheduled for the next few days.” The Vatican said the pope’s recovery may take about a week.
Also read: Lung Nodule on CT Scan? Doctors Explain When You Should Worry
Dr. Vinayak Maka, Senior Oncologist, Department of Oncology, Ramaiah Memorial Hospital told HealthandMe, "A lung nodule is a small, round or oval-shaped growth in the lung, typically less than 3 cm in size, most often discovered incidentally during a chest X-ray or CT scan done for an unrelated reason."
According to the American Thoracic Society, lung nodules may develop because of scar tissue, a previous lung infection or irritation. In a few cases, however, a nodule may be an early sign of lung cancer. Most lung nodules are benign.
"A lung nodule finding on a CT scan often triggers panic, but the reality is reassuring. Over 95% of lung nodules are benign, arising from old infections, scars, or inflammation. Still, understanding when a nodule warrants concern can be lifesaving." Dr. Vinayak Maka added.
Also read: Sharmila Tagore’s Stage Zero Lung Cancer: Can Surgery Prevent Progression?
Doctors assess the nodule's size, shape, location, and appearance on imaging, along with the patient’s medical history and other risk factors.
Not every lung nodule requires surgery. Many are monitored through repeat CT scans to determine whether they remain stable or grow over time. Doctors may recommend additional testing or removal when:
The decision also depends on the nodule’s location, whether it can be reached safely for a biopsy and the patient’s overall health. Surgery may provide both a confirmed diagnosis and treatment if the growth proves to be an early-stage cancer.
Stephen Liu, a lung cancer specialist at Georgetown University in Washington and division chief of haematology-oncology at MedStar Georgetown University Hospital, explained the role of surgery in such cases.
“When there is sufficient concern, and when it is safe to do so, based on the location of the nodule and the overall health of the patient, surgical removal can provide a definitive diagnosis,” he said.
Pope Leo said his lung nodule was detected at a very early stage. His planned surgery is therefore a decision made by his treating doctors based on information that has not been made public.
Italian Prime Minister Giorgia Meloni expressed support for the pontiff, saying, “I would like to express to the Holy Father my personal support, and that of the Italian government, as he faces this challenge in the coming days.”
She added, “The serenity and composure with which he spoke about it during today’s Angelus are reassuring."
Credit: AI
Scrub typhus has claimed 15 lives at Jaipur's Sawai Man Singh (SMS) Hospital between July and September, raising concerns about the fatal infection that can be mistaken as common illnesses like dengue, malaria and typhoid.
According to reports, the hospital recorded more than 323 admissions from January to September. September alone accounted for 213 cases and nine deaths. According to the doctors, many of the deaths are attributed to organ failure, highlighting the importance of early diagnosis and treatment.
Scrub typhus is a bacterial infection caused by Orientia tsutsugamushi. It spreads through the bite of infected larval mites, commonly called chiggers, which are found in grassy areas, fields, bushes and vegetation.
Humans can become infected while working in agricultural fields or getting exposed in areas where these mites thrive. Scrub typhus does not ordinarily spread directly from one person to another. Symptoms usually develop around one to three weeks after exposure but the period of incubation can vary.
Early symptoms can be difficult to distinguish from other infections. They may include:
Another important symptom is an eschar, a dark, scab-like mark that may develop at the site of a mite bite. It can resemble a small burn or black crust, which is often surrounded by redness. However, not every infected person develops this mark, so its absence does not rule out the infection.
Dr Vishal Gupta, a professor in the Department of Medicine at SMS Hospital, said that people should be alert if they develop any of the aforementioned symptoms of scrub typhus.
The disease is transmitted through bites from mites or fleas. It is therefore important to wear full-sleeved clothing while working in fields and use an insect-repellent cream.
Also read: Russia Plague Scare: WHO Reiterates Biosafety Rules Despite No Confirmed Lab Accident
If treatment is delayed, the infection can progress towards serious complications, including inflammation of the lungs, liver and brain, kidney injury, bleeding and multiple-organ failure.
As its early symptoms may overlap with those of dengue, malaria and other febrile illnesses, diagnosis may be delayed. People with persistent fever, especially after exposure to fields or dense vegetation, should seek medical assessment and mention the relevant exposure to their doctor.
Scrub typhus is treatable with antibiotics. Doxycycline is the preferred treatment in many cases, and early treatment can reduce the risk of severe complications. Doctors may choose alternative antibiotics depending on factors like pregnancy, age and the patient's clinical history.
Treatment should be prescribed by a healthcare professional. Patients should not self-medicate with antibiotics or wait for symptoms to become severe before seeking care.
There is currently no widely available vaccine for scrub typhus, making exposure prevention important.
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