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.
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The US Food and Drug Administration (FDA) has announced nationwide recalls of two blood pressure medications over concerns about excess drug levels and manufacturing quality failures.
The recalls involve combination medications prescribed to manage hypertension. The FDA cited concerns that one medication may contain more of an active ingredient than specified, while the other failed quality tests that assess how quickly the drug dissolves in the body.
Also read: US FDA Recalls India-Made BP Drug For The Second Time In 3 Months: Here's Why
1. Viatris blood pressure medication: 21,620 bottles recalled
The FDA has announced a Class III recall of Viatris Inc.'s combination telmisartan and amlodipine tablets because they may contain more telmisartan than specified.
The Class III recall means the use of the affected product is not likely to cause adverse health consequences.
The FDA did not specify how much additional telmisartan the tablets may contain. However, the National Library of Medicine warns that an overdose of this medication could cause low blood pressure, dizziness or a rapid heart rate.
In total, 21,620 bottles of the medication have been recalled.
The recall covers 30-count bottles of telmisartan and amlodipine tablets (40 mg/5 mg) with the following lot codes:
2. Macleods Pharmaceuticals blood pressure medication: 3,744 bottles recalled
The FDA has also recalled 3,744 bottles of another combination blood pressure medication manufactured by Macleods Pharmaceuticals.
The company first initiated the recall on October 7 over "failed dissolution specifications." This means the medication may not release its active ingredients at the required rate after being taken.
If a drug does not dissolve properly, its active ingredients may not be absorbed as intended, potentially affecting its effectiveness. In this case, the medication may not lower blood pressure as expected.
On October 26, the FDA classified the recall as Class II. This means using the affected product may cause temporary or medically reversible adverse health consequences, although serious health problems are unlikely.
The recall covers:
Read More: Mounjaro, Zepbound Ingredient Recalled In US Over Sterility Concerns
The FDA advises patients not to stop taking their medication without consulting their healthcare provider, as abruptly discontinuing blood pressure treatment may pose additional health risks.
If you have any of the affected products, contact your doctor or pharmacist for guidance on whether you should continue taking them or switch to an alternative.
For the Macleods Pharmaceuticals medication, the FDA did not issue a separate news release. Its enforcement report states that letters were sent to notify businesses and individuals who may have the affected products.
Patients should consult their healthcare provider before making any changes to their medication routine.
Credit: iStock
A child recently died in Lewis County amid an ongoing measles outbreak, marking New York state's first measles-related death in more than 30 years. The New York State Department of Health and Lewis County Public Health confirmed the death in a joint statement on November 2.
Officials did not release more information about the child or the circumstances surrounding the death to protect the family's privacy.
The death comes as measles cases continue to rise across the United States. New York had recorded 178 cases in 2026 as of October 24, including eight in New York City, according to health officials.
Last month, Governor Kathy Hochul declared a state disaster emergency. The order gave registered nurses the authority to order specimen collection and testing for measles cases.
The outbreak in New York is part of a wider resurgence of measles across the country. The US Centers for Disease Control and Prevention (CDC) reported 4,852 confirmed cases as of October 29, 2026, the highest annual total since 1991.
In an exclusive interview with HealthandMe, Dr Paul Offit, paediatrician and director of the Vaccine Education Center at Children’s Hospital of Philadelphia and former member of the CDC’s Advisory Committee on Immunization Practices, said that the reported number of measles cases in the US could underestimate the actual scale of transmission. “You can assume that's off by a factor of at least five."
The CDC said 96% of confirmed cases this year were linked to outbreaks. It has also reported that at least 96% of cases have occurred among people who were unvaccinated.
Declining vaccination coverage has contributed to the growing measles transmission. During the 2025-2026 school year, 92.4% of US kindergarteners had received the measles, mumps and rubella (MMR) vaccine, below the 95% coverage level generally needed to maintain community protection.
Measles is a highly contagious viral infection that spreads through the air when an infected person coughs or sneezes. The virus can remain infectious in the air for up to two hours after an infected person has left a space.
Early symptoms include high fever, cough, runny nose and red, watery eyes. Small white spots called Koplik spots may appear inside the mouth, followed by a rash that begins on the face and spreads down the body.
While many people recover, measles can cause serious complications, including pneumonia and encephalitis, or inflammation of the brain. These complications can lead to hospitalisation and, in some cases, death. Young children, pregnant women and people with weakened immune systems are vulnerable to the illness.
The CDC recommends two doses of the MMR vaccine. The first is given between 12 and 15 months of age, while the second is recommended between four and six years.
One dose is approximately 93% effective against measles infection, while two doses are about 97% effective, according to the CDC.
Infants aged six to 11 months who live in or are travelling to areas with a high risk of measles exposure may be advised to receive an early dose. However, this dose does not replace the two routine doses recommended after the child's first birthday..
The US Food and Drug Administration (FDA) has granted tentative approval to Dr. Reddy's Laboratories for the first generic version of lenacapavir, a long-acting injectable for HIV prevention. The development raises hopes of making HIV prevention more affordable in 120 low- and middle-income countries, including India.
The approval is considered “tentative”, the FDA’s standard designation for generics while the originator remains under patent.
The development comes just 16 months after Gilead Sciences received approval for its original product, marking one of the fastest timelines for a major HIV innovation.
Lenacapavir is the first twice-yearly injectable pre-exposure prophylaxis (PrEP) option for HIV prevention. Dr. Reddy's generic injection is expected to cost US$40 per person annually across the 120 eligible countries, with initial supplies expected by the end of 2026.
Calling it “a moment of immense pride”, Deepak Sapra, Chief Executive Officer, API and Services, at Dr. Reddy's, said the FDA approval validates the company's efforts to expand access to twice-yearly HIV prevention across low- and middle-income countries.
Also read: South Africa Receives 1st Batch Of HIV Prevention Medicine Lenacapavir
In October 2024, Gilead Sciences signed voluntary licensing agreements with six generic manufacturers to produce and supply low-cost versions of lenacapavir in 120 low- and middle-income countries.
The six manufacturers are:
Dr. Reddy's is the first among the six licensees to receive tentative US FDA approval. The other five companies are at various stages of product development, bioequivalence testing and regulatory filing.
At its August 11, 2026, meeting, the Indian drug regulator's Subject Expert Committee recommended waiving local Phase III clinical trials and bioequivalence studies for generic injectable lenacapavir applications submitted by Dr. Reddy's and Emcure Pharmaceuticals for PrEP.
The proposed price of approximately US$40 per person annually could make twice-yearly HIV prevention more accessible.
However, this is an indicative price for generic supplies, not a confirmed retail price in India. The eventual Indian price will depend on regulatory approval, manufacturing costs, supply capacity, competition and distribution.
Generic lenacapavir could offer people at risk of HIV an alternative to daily oral PrEP pills. Its twice-yearly dosing may help those who struggle with daily medication adherence or face stigma and barriers to healthcare access.
“For someone at risk of HIV, taking a pill every day to prevent a disease they do not have is a hard thing to ask. Two injections a year of a product that is almost 100% effective at preventing HIV changes that entirely.”
“Generic lenacapavir has the potential to transform HIV prevention, and this is a significant milestone, but an affordable drug alone is not enough,” said Professor Saiqa Mullick, Director of Implementation Science at Wits RHI, University of the Witwatersrand, which partnered with Dr. Reddy's.
Lenacapavir is a long-acting antiretroviral drug developed by Gilead. For HIV prevention, it is administered as two injections in the abdomen, providing protection for six months.
People must test negative for HIV before receiving it. The drug does not treat existing HIV infections or prevent other sexually transmitted infections.
Two major clinical trials demonstrated its high efficacy. In one study involving adolescent girls and young women in South Africa and Uganda, there were zero new HIV infections among participants who received lenacapavir. A second trial involving gay men and gender-diverse individuals also demonstrated high efficacy with twice-yearly injections.
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