Ep 589: How Thoughts & Emotions Impact Heart Disease Risk

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Chapters

00:00 Introduction to Behavioral Cardiology
02:54 The Connection Between Stress and Heart Health
05:50 Evaluating Chest Pain: The Role of Testing
09:02 Psychological Factors in Heart Disease
11:43 The Six Domains of Health
14:47 Social Connections and Heart Health
17:45 The Importance of Purpose and Stress Management
27:52 Creating Community in Health Programs
29:48 The Rise of Lifestyle Medicine
32:43 Understanding Sedentary Behavior and Its Impact
38:24 Incorporating Exercise into Daily Life
46:27 Diet and Stress Management Strategies
51:23 The Importance of Purpose and Vitality in Aging

Discover how your thoughts, emotions, stress levels, relationships, and daily choices shape your heart health. In this episode of The Health Fix Podcast, Dr. Jannine Krause sits down with world-renowned cardiologist and behavioral medicine pioneer Dr. Alan Rozanski to explore the powerful connection between the mind and the heart.

Dr. Rozanski breaks down the science of behavioral cardiology, revealing how psychological stress can mimic or worsen heart disease, how lifestyle patterns influence cardiovascular aging, and why social connection and purpose play a central role in longevity.

We also dive into his groundbreaking research on the Six Domains of Health, a holistic framework that blends physical, emotional, cognitive, spiritual, social, and stress-resilience factors to create true vitality.

Whether you struggle with stress, worry about your heart health, or simply want to live with more energy and resilience, this episode will reshape how you think about wellness.

What You’ll Learn

How psychological stress impacts heart function

Why chest pain must be evaluated carefully

The link between emotions and cardiovascular health

How social connection protects long-term heart vitality

The Six Domains of Health and how to apply them

Holistic strategies for reducing stress and supporting heart health

How behavioral cardiology changes the future of medicine

About Dr. Alan Rozanski

Dr. Alan Rozanski is a leading cardiologist, researcher, educator, and pioneer in behavioral cardiology. His early research established one of the first strong links between psychological stress and heart disease, leading to a MacArthur Foundation Sabbatical Fellowship and collaborations with top behavioral medicine experts.

He has led major integrative cardiology programs at Cedars-Sinai and Mount Sinai in New York, authored over 300 peer-reviewed papers, and developed the Six Domains of Health framework for understanding true vitality.

Learn more about his work at alanrozanski.com

To read Dr. Alan’s 2023 paper on assessing lifestyle risk factors to enhance the effectiveness of cardiac testing. Click HERE.