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2025, September 20

Understanding Heart Health: Expert Answers from Dr. A.R Ziyad Sondagar

Cardiovascular diseases (CVDs) remain the leading cause of death worldwide, accounting for nearly one-third of global mortality according to the World Health Organisation. Despite this, many people are unaware of the subtle warning signs and risk factors that contribute to poor heart health, from chronic stress and inflammation to genetic predispositions and lifestyle choices.

To better understand these issues and help protect your heart, we have gathered expert insights from Dr. A.R Ziyad Sondagar, Cardiologist at Jawaharlal Nehru Hospital, Rose Belle.

Q1: How does inflammation silently damage your arteries?

Inflammation contributes to the development of atherosclerosis, a condition where plaque builds up in the arterial walls, narrowing them over time. This process can occur without symptoms, making it a hidden but serious threat to cardiovascular health.

Q2: Why does our heart feel like it’s racing after climbing stairs?

When climbing stairs, your muscles require more oxygen and energy, prompting the heart to beat faster and contract more forcefully. This is a normal physiological response, but if the sensation feels excessive or uncomfortable, it may signal an underlying issue.

Q3: Can young individuals get heart disease?

Yes, young individuals can develop heart disease, often due to genetic predispositions or lifestyle-related factors. Conditions such as hypertension, familial hypercholesterolemia, and cardiomyopathies may appear early in life and often go unnoticed without regular screening. Early detection, especially in those with a family history, is essential to prevent long-term complications and support heart health from a young age.

Q4: Is childhood obesity linked to future heart problems?

Childhood obesity is strongly associated with an increased risk of developing cardiovascular issues later in life, including hypertension that can persist into adulthood, dyslipidemia which refers to abnormal cholesterol levels that contribute to plaque buildup in the arteries and insulin resistance which is a precursor to type 2 diabetes and further increase the risk of heart disease.

Q5: Can heart disease be prevented even with a genetic predisposition?

Yes, while genetics play a role, proactive measures can significantly help reduce risk of heart disease. For examples: adopting a healthy lifestyle, regular check-ups, balanced nutrition and physical activity can help manage key indicators like blood pressure and cholesterol, even in genetically predisposed individuals.

Q6: What’s the difference between an ECG and an echocardiogram?

An ECG (electrocardiogram) measures the heart’s electrical activity, helping detect rhythm and rate, abnormalities or even signs of stress. An echocardiogram, on the other hand, uses ultrasound to visualise the heart’s structure and function, including valves performance and chamber health.

Q7: How do chronic stress and anxiety affect heart health?

Chronic stress and anxiety can raise blood pressure and contribute to unhealthy habits like poor diet or inactivity. Over time, these effects can strain the cardiovascular system and increase the risk of heart disease.

Q8: What relaxation techniques can help protect heart health?

Effective techniques include deep breathing, meditation, yoga, progressive muscle relaxation and tai chi. Beyond reducing stress, these practices can also help lower blood pressure, improve emotional balance and support physical well-being.


Heart health is not just a concern for adults; it’s a lifelong commitment that begins in childhood. Whether you are managing stress, making mindful dietary choices or staying physically active, these essential steps can contribute to maintaining a healthy heart. The insights shared in this article offer practical guidance for understanding and protecting heart health across generations.

 

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