The Medical Minute: Heart, Mind - a Profound Connection

mental-health

The relationship between mental and heart health is bidirectional and substantial. Heart problems can trigger anxiety and worry, which in turn can worsen heart health through reduced physical activity and medication non-compliance. “There is a very strong association in both directions,” according to Dr. Safwat Gassis, director of cardiac electrophysiology at Penn State Heart and Vascular Institute. “Many different types of mental health conditions can either mimic or exacerbate heart problems and vice versa.”

Distinguishing Similar Symptoms

One key challenge is that symptoms of certain heart issues can closely resemble mental health conditions. Heart palpitations or arrhythmia can feel identical to anxiety or panic attacks, leading patients to confuse the two. A benign heart-rhythm issue such as extra or premature heartbeats can be mistaken for something more serious, causing anxiety that releases adrenaline and speeds the heartbeat further, perpetuating the cycle. Gassis explained: “When a person has a heart arrhythmia, a heart rate can be rapid or irregular. That’s caused by let’s say a short circuit in the heart itself. But what they feel is this pounding, shortness of breath, dizziness and light-headedness and tingling, which are identical symptoms to a panic attack.”

Assessment and Management

Determining symptom severity is critical. Acute chest pain or major difficulty breathing warrant immediate emergency care. For less severe symptoms like palpitations experienced while lying down, patients should remain calm, note patterns, and report findings to a physician. Gassis recommends that patients who experience irregular heartbeats may be prescribed monitors to wear for days or weeks to establish patterns, allowing doctors to form a better understanding and treatment approach.

For confirmed non-dangerous arrhythmias, movement is an effective strategy. Physical activity distracts from overthinking while allowing the body to release endorphins that reduce anxiety. Addressing mental health and heart health issues simultaneously can be “extremely beneficial,” as proper evaluation and a clear treatment plan provide peace of mind.


This article is an AI-assisted summary. All facts and figures are drawn from the original report: https://www.newswise.com/articles/the-medical-minute-heart-mind-a-profound-connection/?sc=rsla