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Being hopeful could prevent heart attacks
Being hopeful could prevent heart attacks

Telegraph

time3 days ago

  • Health
  • Telegraph

Being hopeful could prevent heart attacks

Heart patients who give up hope are six times more likely to die than people who keep an upbeat outlook about their future, new research shows. Boosting emotional wellbeing could improve survival rates, according to experts at the British Heart Foundation who found the power of positive thinking has a protective effect on health. Researchers reviewed 12 studies involving 5,540 patients diagnosed with coronary heart disease, stroke, or heart valve problems in new research presented at the British Cardiovascular Society Conference in Manchester. Meanwhile, having less hope was associated with an increased risk of a first heart attack in people with no previous history of chest pain, even after taking into account other risk factors like age, perceived health status, depression and socioeconomic risk factors. In men with pre-existing heart problems, hopelessness was linked to a six-fold higher risk of death. Dr Sonya Babu-Narayan, clinical director at the foundation, said: 'This research is a good reminder of how staying hopeful wherever possible can be helpful when it comes to living with cardiovascular disease. 'It could be an important self-prescription for maintaining your wellbeing and quality of life, alongside your current medical care.' The review also showed that more hope was linked to reduced cardiovascular symptoms like chest pain and post-stroke fatigue. The authors are now hoping to conduct research to find out whether it is possible to boost patients' hope, for example by introducing specialist therapy, or chaplaincy support while in hospital, in case this could help improve health and lower death rates in this at-risk group. Dr Alexander Montasem, senior lecturer in psychology at the University of Liverpool and author on the study, said: 'For many people, living with cardiovascular disease can be a difficult experience. 'Patients often struggle with debilitating symptoms as well as anxiety about the future. This study aimed to reveal more about how people's outlook on their situation can influence their health. 'Our systematic review suggests that hopelessness could increase people's risk of death, but also their symptoms and how well they stick to treatment plans. Mental health support could be very beneficial for a wide range of people with heart problems.' One study reviewed by the team found that higher levels of hope protected women against experiencing angina – pain or discomfort in the chest often caused by coronary heart disease. And in research on stroke patients of both sexes, greater hope was strongly linked to reduced levels of post-stroke fatigue. Six studies included psychological data, which showed that more hope was linked to lower levels of depression and anxiety, and improved resilience and quality of life. Those with higher hope scores may have had a reduced risk because they also showed greater levels of self-care and were less likely to skip taking their medications, the data showed. Ruth Goss, senior cardiac nurse at the British Heart Foundation, said: 'The review showed that people with hope followed their treatment plans more closely, and it's important to remember that the best thing you can do for your health is to follow the advice recommended by your doctor. 'Looking after your physical and emotional wellbeing is important for people living with cardiovascular disease, and if anyone is struggling, they should speak to their medical team.'

How to prevent a heart attack
How to prevent a heart attack

Telegraph

time16-05-2025

  • Health
  • Telegraph

How to prevent a heart attack

Dr Sonya Babu-Narayan understands the importance of the most vital organ in our body only too well. When she was in her 20s and embarking on her career in medicine, her mother died from a heart attack at only 42. It came out of nowhere, as she had no known history of heart disease. 'I always knew I wanted to be a doctor,' she says, 'but that day inspired me to specialise in the heart.' Dr Babu-Narayan is now a consultant cardiologist at Royal Brompton Hospital, and associate medical director at the British Heart Foundation (BHF). 'Mum died with new symptoms. But that was 30 years ago – and a lot has changed,' she says. 'I like to think that she would have survived nowadays with the treatments we have.' She is vocal in her belief that we can take steps to manage our heart health. 'You cannot change your family history of coronary disease,' she says, 'but we can use it as a motivation to make the changes that can save lives – to try to stop a heart attack from happening in the first place.' Why is heart health important? More than half of us will have some kind of circulatory problem in our lifetime and now a new study from Our Future Health – which is set to be the UK's biggest health study – has found that over 50 per cent of people have high cholesterol and one in four have high blood pressure, putting them at risk of future heart problems and other serious diseases including stroke, diabetes and dementia. Dr Raghib Ali OBE, the chief medical officer at Our Future Health, said: 'High blood pressure and high cholesterol are key risk factors for two of the biggest causes of death and disability: heart attacks and stroke.' But it's not all doom and gloom. In the 1960s, more than seven out of 10 heart attacks were fatal, according to the BHF. Today, more than seven out of 10 people survive. And there are measures everyone can take to lower their risks of serious heart disease. What is heart disease? One in six people a day in the world die of coronary heart disease – the clogging up of the coronary arteries that limit the supply of blood to your heart. 'It is the most common heart problem in the UK,' says Dr Babu-Narayan. 'The coronary arteries are the blood vessels that carry nourishing blood to your living hard tissue, and if fatty material builds up inside those arteries, the arteries can't carry as much blood to the heart. 'If that happens, you may develop angina or, worse, a heart attack. With angina there could be chest discomfort, pressure or pain when you're doing something energetic, which gets better after you rest for a few minutes.' Either way, it's important to see your GP as soon as possible. Dr Babu-Narayan says that the build-up of fatty material (atherosclerosis) inside your arteries can start to happen decades earlier and silently progress before you ever have symptoms. If arteries that carry blood to the brain get similarly clogged up, it can lead to a stroke. A heart attack – officially known as myocardial infarction or MI – is caused by a sudden loss of blood flow to part of the heart muscle. Without enough blood and oxygen, your heart can be seriously damaged, so you or whoever is with you needs to dial 999 fast if there are warning signs. Atrial fibrillation (AF), illustrated below, is the most prevalent heart rhythm problem, causing an irregular or fast heartbeat. It is generally not life-threatening – many people live normal healthy lives with this condition – but it often needs treatment and can increase the risk of stroke five-fold, according to Heart Research UK. Cases have increased by up to 72 per cent over the last two decades.

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