Podcasts > The School of Greatness > America's #1 Heart Risk & How You Can Prevent It

America's #1 Heart Risk & How You Can Prevent It

By Lewis Howes

In this episode of The School of Greatness, Lewis Howes and Jeremy London examine heart disease, which causes 20 million deaths worldwide each year. They discuss the main causes of heart problems, including arterial blockages and high blood pressure, while exploring the role of lifestyle factors such as obesity, processed foods, smoking, and vaping in cardiovascular health.

The conversation covers the relationship between emotional well-being and heart health, including the phenomenon of "broken heart syndrome." London outlines practical approaches to maintaining a healthy heart through three key components: exercise, sleep, and social connections. He explains how each of these elements affects cardiovascular health and offers specific recommendations for incorporating them into daily life to reduce heart disease risk.

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America's #1 Heart Risk & How You Can Prevent It

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America's #1 Heart Risk & How You Can Prevent It

1-Page Summary

Prevalence and Causes of Heart Disease

Heart disease claims 20 million lives globally each year, making it the leading cause of death worldwide. The most common cause is arterial blockages leading to heart attacks, with Jeremy London noting that he's operated on patients as young as 23. Additionally, high blood pressure affects 50% of Americans, potentially leading to vessel damage and heart failure.

Impact of Lifestyle Factors on Heart Health

Lewis Howes and Jeremy London discuss several critical lifestyle factors affecting heart health. London identifies obesity as a major risk factor, linking it to type 2 diabetes and high cholesterol. He emphasizes the importance of eliminating processed foods and added sugars. The experts also highlight sedentary lifestyle as a key concern, with London identifying smoking as the single worst practice for physical health. On vaping, London warns of its unknown long-term effects on heart health, noting concerning cases of acute lung injury in young adults.

Emotional/Psychological Factors Affecting the Heart

Jeremy London explains "broken heart syndrome," a condition where severe emotional stress can mimic heart attack symptoms, particularly affecting women over 55. While discussing mental health's impact on heart health, London clarifies that panic attacks, though distressing, don't directly cause heart attacks. He acknowledges stress as a factor in heart disease, though not a major risk factor like others previously discussed.

Practical Steps to Improve Heart Health

London emphasizes three key components for heart health: exercise, sleep, and social connections. He recommends both aerobic and resistance training to improve cardiovascular health and manage glucose levels. On sleep, London ranks it as a "10 plus" priority, linking poor sleep to inflammation, hypertension, and heart disease. He also notes the importance of maintaining strong social connections for overall heart health, referencing his father's advice about keeping friends close.

1-Page Summary

Additional Materials

Counterarguments

  • While obesity is a major risk factor for heart disease, genetics and family history also play a significant role that might not be as easily mitigated by lifestyle changes.
  • The statement that high blood pressure affects 50% of Americans may not account for variations in different populations or changes over time due to public health interventions.
  • The impact of processed foods and added sugars on heart health is significant, but focusing solely on these factors may oversimplify the complexity of nutritional science and the multifactorial nature of heart disease.
  • While smoking is extremely harmful, the claim that it is the "single worst practice for physical health" could be contested by pointing out other practices with similarly severe health consequences, such as excessive alcohol consumption or drug abuse.
  • The long-term effects of vaping are not fully understood, but some research suggests that it may be less harmful than traditional smoking, and thus could be a harm reduction strategy for those trying to quit smoking.
  • The concept of "broken heart syndrome" is a recognized medical condition, but its prevalence and impact might be overstated when compared to other, more common risk factors for heart disease.
  • Stress is identified as a lesser risk factor for heart disease, but some studies suggest that chronic stress can have a more profound impact on heart health than acknowledged in the text.
  • The emphasis on exercise, sleep, and social connections is important, but the text may not fully recognize other factors such as medication adherence, access to healthcare, and socioeconomic status that also significantly impact heart health.
  • The recommendation for both aerobic and resistance training is sound, but individual health conditions and preferences mean that a one-size-fits-all approach to exercise may not be appropriate for everyone.
  • The importance of sleep is highlighted, but the text does not address the complex relationship between sleep disorders and heart health, which may require medical intervention beyond simple lifestyle adjustments.
  • The value of social connections is well-documented, but the text may not acknowledge that for some individuals, such as those with certain mental health conditions, forming and maintaining social connections can be particularly challenging.

Actionables

  • You can create a "heart-healthy swap" jar where you write down healthier alternatives to your common food choices and pick one swap to implement each week. For example, if you frequently snack on chips, you might write down "air-popped popcorn" as a swap. Each week, you'll draw a new swap from the jar, gradually reducing your intake of processed foods and added sugars without feeling overwhelmed by a complete diet overhaul.
  • Start a "move more" buddy system with a friend or family member to combat a sedentary lifestyle. Set a daily or weekly step goal and check in with each other to stay accountable. You could also challenge each other to mini-competitions, like who can take the most steps during a lunch break or incorporate movement into TV time by doing exercises during commercial breaks.
  • Organize a monthly "stress-less" session with friends or colleagues where you explore different stress-reduction techniques together. This could include activities like group meditation, trying out a new relaxation app, or attending a laughter yoga class. By experimenting with various methods in a social setting, you're addressing stress management while also fostering strong social connections that benefit heart health.

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America's #1 Heart Risk & How You Can Prevent It

Prevalence and Causes of Heart Disease

Heart disease remains the leading cause of death for both men and women worldwide, responsible for 20 million deaths each year.

Heart Disease Causes 20 Million Deaths Worldwide Annually

Most Common Cause: Heart Artery Blockages, Leading To Heart Attacks

The most common cause of these deaths is blockages in heart arteries that lead to heart attacks. Cholesterol buildup usually creates these blockages, acting as a roadblock to the heart muscle below and leading to heart attacks if the blockage is severe enough. Symptoms such as stable angina or stable chest pain, tightness in the chest, shortness of breath, or even abdominal pain can occur when exertion outstrips the available nutrients and oxygen that can reach the heart. These are warning signs of a potential heart attack. Jeremy London reports that the youngest patient he operated on for bypass surgery due to artery blockages was only 23 years old.

High Blood Pressure Affects 50% of Americans

High Blood Pressure Damages Vessels, Causes Heart Failure

Long-term high blood pressure can reduce the elasticity of bl ...

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Prevalence and Causes of Heart Disease

Additional Materials

Counterarguments

  • While heart disease is a leading cause of death, it's important to note that other conditions, such as cancer and infectious diseases, also contribute significantly to global mortality rates.
  • While cholesterol buildup is a significant cause of heart attacks, other factors such as inflammation, blood clotting disorders, and arterial spasm also play critical roles.
  • The symptoms listed are associated with heart attacks, but they can also be indicative of other non-cardiac conditions, which should be considered in a differential diagnosis.
  • The statistic that 50% of Americans suffer from high blood pressure may not account for recent changes in healthcare policy, public health initiatives, or new research findings that could influence prevalence rates.
  • High blood pressure is a significant risk factor for heart disease, but it is not the only one; lifestyle factors such as diet, exercise, smoking, and stress also have substantial impacts.
  • ...

Actionables

  • You can monitor your heart health by using a smartwatch with a built-in ECG app to detect irregular heart rhythms and potential blockages. By wearing the device daily, you'll be able to track changes over time and share this data with your healthcare provider for a more informed discussion about your heart health.
  • Create a "blood pressure buddies" system with a friend or family member to regularly check and discuss your blood pressure readings. This partnership encourages accountability and provides mutual support for maintaining healthy blood pressure levels. You can use a home blood pressure monitor and set reminders to take readings at the same time each day, then share these with your buddy to keep each other on track.
  • Integrate a 15-minute daily relaxation routine into your schedule to help manage blood pressure. Te ...

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America's #1 Heart Risk & How You Can Prevent It

Impact of Lifestyle Factors on Heart Health

Lewis Howes and Jeremy London address pressing concerns regarding lifestyle choices and their effects on heart health. They stress the necessity for public awareness regarding obesity, poor diet, inactivity, smoking, and vaping.

Obesity, Poor Diet, and [restricted term] Resistance Linked To Heart Disease

London targets obesity as a major risk factor for heart disease, linking it to type 2 diabetes and high cholesterol. He argues that obesity, often due to an overconsumption that leads to visceral fat around the organs, significantly influences heart conditions. London advocates for awareness of the foods consumed, emphasizing the elimination of processed foods, ultra-processed foods, and added sugars due to their effects on glucose management and coronary disease risk.

Howes reflects on the problem of celebrating extreme obesity without considering the associated health consequences and potential costs, such as medical bills and medications. London, too, cautions against affirming a lifestyle plagued with health risks and often discusses with patients the need to redefine their life path to improve their current unhealthy states.

Excess Weight, Poor Nutrition Strain Cardiovascular Health With High Cholesterol, Diabetes, and Metabolic Issues

Poor nutrition is a significant factor in heart disease, as illustrated by a patient with a family history of heart conditions and a genetic predisposition for high cholesterol. Obesity and poor nutrition form a detrimental combination that can lead to high blood pressure, diabetes, and heart failure.

Given obesity's contribution to inflammatory diseases and heart disease, London assists patients in overcoming food-related shame and emotional blockages to take steps toward better health. Howes recognizes that emotional or mental trauma can contribute to weight gain, which in turn exacerbates heart issues.

Sedentary Lifestyle and Smoking: Heart Risk Factors

London lists a sedentary lifestyle among key heart disease factors and deems smoking the single worst practice for physical health. Smoking damages the lungs and arteries and is a leading cause of heart disease. He urges the importance of movement every day and avoiding a sedentary lifestyle.

Inactivity Weakens the Heart, Smoking Damages Vessels

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Impact of Lifestyle Factors on Heart Health

Additional Materials

Counterarguments

  • While obesity is a significant risk factor for heart disease, it's important to recognize that not all individuals with obesity will develop heart disease, and there are other factors at play, such as genetics and environmental influences.
  • The relationship between diet and heart disease is complex, and while processed foods can contribute to poor health, they are not the sole cause of heart disease. Other factors, such as stress and sleep patterns, also play a role.
  • Celebrating body diversity and acceptance does not necessarily equate to promoting unhealthy lifestyles; it's possible to encourage health at every size and recognize that health outcomes can vary widely among individuals with obesity.
  • While poor nutrition is linked to heart disease, it's important to acknowledge that access to healthy food options is not equal for all individuals, and socioeconomic factors can significantly influence diet and health.
  • Emotional and mental trauma are not the only psychological factors that can contribute to weight gain; other mental health issues, such as depression and anxiety, can also have an impact.
  • While smoking is harmful, the text does not acknowledge the challenges of addiction and the need for comprehensive support systems to help individuals quit smoking.
  • The benefits of movement for heart health are clear, but the text does not address the barriers to physical activity that many people face, such as c ...

Actionables

  • You can track your daily movement with a simple pedometer or smartphone app to ensure you're getting enough physical activity. Aim for a step goal that gradually increases each week to build up to a recommended 10,000 steps a day. This helps combat a sedentary lifestyle and strengthens your heart.
  • Create a "no vape" pledge with friends or family members who also want to quit vaping or smoking. Set up a mutual support system where you check in with each other, share progress, and provide encouragement to maintain a smoke-free life. This can help address the immediate risks to heart health, especially for young adults.
  • Experiment wi ...

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America's #1 Heart Risk & How You Can Prevent It

Emotional/Psychological Factors Affecting the Heart

Jeremy London acknowledges the strong connection between emotional well-being and heart health, emphasizing the tangible effects of psychological stress on cardiovascular health.

Stress and Grief Can Cause "Broken Heart Syndrome" Mimicking a Heart Attack

Heart's Pumping Function Temporarily Impaired by Stress Response

Jeremy London discusses the phenomenon of "broken heart syndrome," also known as Takotsubo cardiomyopathy. It's a condition that can be just as serious as a heart attack, where the person's heart function, which was previously normal, plummets due to acute heart failure. This syndrome most commonly affects women over the age of 55 or 60 and is usually triggered by major emotional stress such as loss or financial hardship. Though the syndrome is more common in women, especially those who are perimenopausal or menopausal, it can occur in men as well. Interestingly, the death rate for men with broken heart syndrome is considerably higher than for women.

The crucial factor in "broken heart syndrome" is that the heart's strong pumping ability becomes significantly weakened without the presence of any blockages or valve dysfunctions. It's believed to be related to an overstimulation of the autonomic nervous system, and with time and support, the majority of people recover from it.

Stress, Anxiety, and Depression Can Impact Heart Health

Mental Strain Harms Cardiovascular Health Via Inflammation, Blood Pressure, and Unhealthy Behaviors

Lewis Howes raises a question about the difficulty of distinguishing between a heart attack and a panic attack because of their similar symptoms. Jeremy London explains that panic attacks, often brought on by emotional scenarios, tend to be self-limited and ease off after about 10 to 30 minutes. On the other hand, heart attacks typically present with more enduring crushing chest pain and have preceding warning signs. London assures that panic attacks, while distressing, do not directly cause heart attacks.

Addressing the broader ...

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Emotional/Psychological Factors Affecting the Heart

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Clarifications

  • Takotsubo cardiomyopathy, also known as broken heart syndrome, is a condition where there is a sudden weakening of the heart muscle, often triggered by significant emotional or physical stressors. It can mimic a heart attack but typically does not involve blocked arteries. The surge of stress hormones like adrenaline and noradrenaline is believed to play a key role in its development. This condition is temporary in most cases, and with appropriate care, the heart muscle function usually recovers over time.
  • The autonomic nervous system is a part of the nervous system that controls internal organs and functions unconsciously. It regulates processes like heart rate, digestion, and respiratory rate. It consists of the sympathetic nervous system (fight-or-flight response) and the parasympathetic nervous system (rest and digestion response). The autonomic nervous system is crucial for maintaining the body's internal balance and responding to different situations.
  • Perimenopause is the transitional phase before menopause when a woman's body begins to produce less estrogen, leading to irregular menstrual cycles and various symptoms. Menopause marks the end of menstruation and fertility, typically occurring around the age of 50, when a woman has not had a menstrual period for 12 consecutive months. These hormonal changes during perimenopause and menopause can impact a woman's health and well-being, including potential effects on heart health.
  • Inflammation plays a significant role in heart health by contributing to the development and progression of cardiovascular diseases. Chronic inflammation can damage blood vessels, leading to atherosclerosis, a condition where plaque builds up in the arteries, restricting blood flow. This process can increase the risk of heart attacks and strokes. Managing inflammation through lifestyle changes and medical interventions is crucial for maintaining a healthy heart.
  • A self-limited panic attack is a type of panic attack that naturally subsides on its own within a relatively short period, typically lasting between 10 to 30 minutes. During a self-limited panic attack, the intense feelings of anxiety and fear gradually decrease without the need for external intervention. These episodes are characterized by a peak of symptoms followed by a gradual decline in intensity until they eventually resolve. It's important to note that self-limited panic attacks are distinct from more prolonged or severe panic episodes that may require medical attention or intervention.
  • Mental health status as part ...

Counterarguments

  • While "broken heart syndrome" is indeed related to stress, it's important to note that not all cases are triggered by emotional stress; some may have physical causes or other contributing factors.
  • The assertion that stress is not a major risk factor for heart disease could be debated, as some studies suggest that chronic stress may have a more significant impact on cardiovascular health than acknowledged in the text.
  • The idea that most people recover from "broken heart syndrome" with time and support might be overly optimistic, as recovery can vary greatly from person to person, and some may experience long-term effects or recurrences.
  • The text implies that mental health can be adequately assessed through online questionnaires, but this might oversimplify the complexity of mental health issues and their diagnosis, which often require in-depth clinical evaluation.
  • The statement that panic attacks do not directly cause heart attacks may be generally true, but it's important to consider that severe or chronic panic attacks could contribute to long-term cardiovascular strain or trigger underlying heart conditions. ...

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America's #1 Heart Risk & How You Can Prevent It

Practical Steps to Improve Heart Health

Maintaining heart health is a multifaceted effort that involves consistent exercise, proper sleep, and strong social connections. According to experts, these are all interconnected components of a heart-healthy lifestyle.

Exercise, Including Aerobic and Resistance Training, Is Crucial for Heart Health

Exercise Boosts Heart Health and Reduces Risk Factors

Regular exercise, encompassing both aerobic and resistance training, is paramount in lowering high blood pressure and altering blood pressure levels significantly. Lifestyle changes, with the inclusion of exercise, prove crucial in reducing the risk of heart disease and improving overall heart health. To optimize heart health, a solid nutrition plan, low stress levels, and regular physical activity are indispensable. Jeremy London points out the benefits of aerobic training in improving cardiovascular system efficiency and increasing VO2 max, as well as resistance training in maintaining muscle mass and acting as a glucose regulator. He also advocates for sauna therapy, where studies have shown frequent sessions can significantly decrease cardiovascular events and mortality with additional cognitive benefits.

Quality Sleep Vital for Heart Health

Sleep Deficiency Tied To Inflammation, Hypertension, and Heart Problems

Jeremy London emphasizes the importance of quality sleep, ranking it a "10 plus" on the scale of health priorities. Good sleep hygiene is essential for heart and muscle recovery, and the brain's rejuvenation during sleep plays a critical role in managing health risks such as type two diabetes and metabolic syndrome. London mentions the challenges of being a terrible sleeper and how such deficiencies are tied to serious concerns like inflammation, hypertension, and heart disease. Furthermore, he notes that sleep apnea, marked by inconsistent oxygen levels at night, is directly ...

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Practical Steps to Improve Heart Health

Additional Materials

Counterarguments

  • While regular exercise is important for heart health, it's also critical to recognize that over-exercising or engaging in high-intensity workouts without proper preparation or medical advice can lead to heart strain and other health issues.
  • The relationship between exercise and blood pressure reduction is well-established, but it's important to note that for some individuals with certain medical conditions, exercise alone may not be sufficient to control blood pressure, and medication may be necessary.
  • A solid nutrition plan is indeed crucial for heart health, but dietary needs can vary greatly among individuals, and what works for one person may not be suitable for another due to different metabolic rates, allergies, or health conditions.
  • Sauna therapy may have benefits, but it is not suitable for everyone, especially those with certain cardiovascular conditions, and should not be considered a substitute for exercise or other heart-healthy practices.
  • The recommended six to eight hours of sleep may not be ideal for everyone; some individuals may require more or less sleep to feel rested, and the quality of sleep can be more important than the quantity.
  • While strong social connections are generally beneficial for health, the quality of relationships is often more important than the quantity. Toxic or stressful relationships can have the opposite effect and may harm heart health.
  • The text implies a one-size-fits-all approach to heart health, but indiv ...

Actionables

  • You can integrate micro-workouts into your daily routine to sneak in heart-healthy exercise without a significant time commitment. For example, perform bodyweight exercises like squats or push-ups during TV commercial breaks, or take brisk five-minute walks every hour at work to keep your heart rate up throughout the day.
  • Create a "sleep sanctuary" by personalizing your bedroom environment to promote restful sleep, which supports heart health. This might involve investing in blackout curtains, using a white noise machine, or setting a cooler room temperature, all of which can help improve the quality of your sleep and, by extension, your heart health.
  • Start a "heart-healthy habits" social group with frie ...

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