Anxiety and the Heart: Understanding the Link to Cardiovascular Disease

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Mature man experiencing anxiety and chest pains

Anxiety is more than just an emotional experience—it’s a full-body condition with real, measurable impacts on our physical health, especially the heart. Chronic anxiety is not only uncomfortable and disruptive; it can be a silent driver of cardiovascular disease. At Natural Heart Doctor, we believe that understanding the root causes of anxiety—and healing from them—is essential for achieving a 100 Year Heart.

How Anxiety Affects the Heart

When you’re anxious, your body enters a fight-or-flight state. Your sympathetic nervous system ramps up. Heart rate increases. Blood vessels constrict. Blood pressure rises. Cortisol and adrenaline flood your system. All of these are designed to keep you safe from danger—but when that state becomes chronic, it places an immense strain on the cardiovascular system.

Direct effects include:

  • Elevated blood pressure: Persistent anxiety can keep your blood pressure high, damaging blood vessels and increasing the risk of heart attack and stroke.
  • Increased heart rate: This can lead to arrhythmias and palpitations.
  • Higher inflammation: Chronic stress and anxiety fuel systemic inflammation, a root cause of many forms of heart disease.
  • Endothelial dysfunction: The lining of your blood vessels becomes less responsive, contributing to atherosclerosis.

But the story doesn’t stop with the direct physiological effects. Anxiety often stems from a mismatch between what we are exposed to—and what we are missing.

The Roots of Anxiety: Too Much of the Bad, Not Enough of the Good

Anxiety rarely appears in a vacuum. It’s often the result of:

  • Too much: Blue light, social media, sugar, alcohol, processed food, mold, toxic people, and constant stress.
  • Not enough: Real connection, sunshine, sleep, movement, nourishing food, purpose, and love.

This imbalance creates a nervous system that’s constantly on edge—and a body that can’t heal. These same “too much/too little” imbalances also drive the development of heart disease. The link is not just strong—it’s inseparable.

Childhood Trauma, PTSD, and Heart Disease

One of the most powerful and underappreciated links between anxiety and heart disease lies in our past. Adverse Childhood Experiences (ACEs) like abuse, neglect, or loss have been shown to increase the risk of heart disease later in life—by two to threefold.

PTSD—whether from childhood or adult experiences—keeps the nervous system trapped in a sympathetic dominant state. Research shows that people with PTSD have significantly higher risks of hypertension, coronary artery disease, and even sudden cardiac death.

At Natural Heart Doctor, we believe these traumas must be addressed head-on if we are to truly heal the heart.

The 100 Year Heart Method to Reduce Anxiety

Our approach is simple, natural, and effective. The 100 Year Heart Method is built on four pillars:

1. Thrival Nutrition

  • Whole foods, healthy fats, minerals, and organ meats restore the brain and heart.
  • Avoid processed junk that overstimulates the nervous system.

2. Thrival Lifestyle

  • Get daily sunshine to boost serotonin.
  • Connect with real humans and disconnect from technology.
  • Prioritize sleep, nature, grounding, and chiropractic care.

3. Thrival Biohacking

  • Sauna, red light therapy, and breathing exercises help calm the nervous system and reset the vagus nerve.
  • Targeted supplements include:

4. Thrival UltraDiagnostics

  • Test to uncover hidden stressors: heavy metals, infections, mold, gut imbalance, nutrient deficiencies.
  • Heal the root cause to relieve the anxiety burden on your heart.

Ryan Kimball’s Approach: Anxiety as a Teacher

One of our trusted guides in emotional healing is Ryan Kimball, a trauma-informed coach who helps individuals confront and transform their anxiety. Ryan teaches that anxiety is not your enemy—it’s your body’s way of telling you that something needs attention. Through somatic practices, nervous system regulation, and deep emotional work, Ryan helps people heal old wounds, release trapped energy, and rediscover a sense of peace.

We’ve seen first-hand how Ryan’s methods complement the 100 Year Heart lifestyle. His work is an invitation to look inward and reclaim your power—without medication or suppression.

Email Ryan at CM@naturalheartdoctor.com to find out how he can help you. 


Anxiety doesn’t just affect your mind. It affects your heart, your blood vessels, and your future. But with the right tools, support, and guidance, you can heal. You can live with calm, purpose, and a strong, healthy heart—for 100 years and beyond.

Let’s beat anxiety. Let’s heal the heart. Naturally.

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About Dr. Keith Smigiel NP, DC

Dr. Keith Smigiel

Dr. Keith Smigiel is a regenerative medicine physician and pain management specialist. He takes an integrative approach to medicine, focusing on customized solutions tailored to individual needs. Using advanced, non-surgical treatments, Dr. Smigiel stimulates your body’s ability to naturally heal itself.

Dr. Smigiel helps people suffering from conditions such as chronic pain and erectile dysfunction, to hair loss and weight gain. Combining treatments such as PRP Therapy, Ozone, Neural Prolotherapy, and IV Infusions with functional rehabilitation, he helps you look and feel better.

He heals the body, instead of just treating the symptoms!

With his professional qualifications as a certified family nurse practitioner, a doctor of chiropractic, and a fellow of the International Academy of Medical Acupuncture, Dr. Smigiel offers patients comprehensive care from a broad perspective of conventional and alternative medicine. He also has extensive experience in functional rehabilitation and chronic pain management.

Dr. Smigiel is married to Angela and has two children, Sophia and Larz. When he’s not busy helping patients, he enjoys hiking, mountain biking, motocross, and boating.

About Dr. Lauren Lattanza NMD, FACC

Dr. Lattanza Office Visit with Patient

As a Naturopathic Physician, I am trained to treat the whole person and get to the root cause of disease.

I went to Arizona State University where I graduated with a bachelor’s degree in psychology with a depth in physiology and minor in Spanish. After my undergraduate degree I was working on prerequisite classes towards medical school, which is when I came to learn that my values identified best with the principles of naturopathic medicine. I knew that I wanted to help patients identify the causes of disease and be able to offer treatments which would improve their health rather than simply treating symptoms.

I dedicated the next 4 years to the Southwest College of Naturopathic Medicine in Tempe, Arizona where I attained my Doctorate of Naturopathic Medicine. I served as Class President all 4 years, Board of Trustees – Student Trustee, spoke as the Club President for our branch of Toastmasters, and was voted by my peers and attending physicians to earn the Outstanding Leadership Award for the Class of 2020. Throughout medical school I took it upon myself to work alongside MDs, DOs, chiropractors, and functional medicine practitioners in addition to naturopathic physicians.

As a Spanish speaking student, I was able to volunteer with community clinics around Phoenix and provide free healthcare to low-income families. Due to this combined exposure, I came to find my passion in treating cardiometabolic and digestive disorders that are all too common, yet largely preventable. I took the opportunity to learn the broad spectrum of healthcare so I can ensure that I am able to provide my patients with the best options.

About Dr. Jack Wolfson DO, FACC

Dr. Wolfson Office Visit with Patient

Dr. Jack Wolfson is a cardiologist, Amazon best-selling author, husband, father, and the nation’s #1 Natural Heart Doctor.

For more than two decades, more than one million people have enjoyed the warmth, compassion, and transformational power of his natural heart health courses and events.

Dr. Wolfson is the founder of Natural Heart Doctor Scottsdale, his heart health practice in Arizona, and Natural Heart Doctor, an online resource center with natural health information. Doctors from across the globe reach out to Dr. Wolfson for training and education in holistic health practices.

He has been named one of America’s Top Functional Medicine Doctors and is a five-time winner of the Natural Choice Awards as a holistic M.D. Dr. Wolfson’s work has been covered by more than 100 media outlets, including NBC, CNN, and the Washington Post. His book “The Paleo Cardiologist: The Natural Way to Heart Health” was an Amazon #1 best-seller.

Dr. Wolfson and his wife Heather have four children and are committed to making the world a better place to live. They provide for those in need (including animals) and support natural health causes through their philanthropic efforts.

Chiropractic

Our chiropractor is an expert at adjustments and holistic chiropractic care and works closely in conjunction with the other health care experts at Natural Heart Doctor.

Call (480) 535-6844 for details and scheduling.

IV Therapy

We use specially formulated natural vitamins and minerals that are injected into a vein to prevent or treat dehydration. Ideal for people in Arizona.

Call (480) 535-6844 for details and scheduling.

Acupuncture

Stimulate your body’s natural healing abilities and promote physical and emotional well-being with acupuncture at Natural Heart Doctor.

Call (480) 535-6844 for details and scheduling.

Health Coaching

Our health coaches use evidence based skillful conversation, clinical interventions, and strategies to engage you actively and safely in health behavior changes.

Call (480) 535-6844 for details and scheduling.

Cardio Tests

We use the most advanced testing in the world to assess heart health and to identify the root cause of your health issues.

Call (480) 535-6844 for details and scheduling.

Office Visits

Schedule an office visit with one of our cardiologists, holistic physicians, chiropractor, or health coaches.

Call (480) 535-6844 for details and scheduling.

Frequently Asked Questions

I’d like to receive an online second opinion from Natural Heart Doctor. What do I do next?

You can initiate a second opinion online through our website at any time. To begin, select the team member you’d like to speak with and open an account.

Click here for cardiologist Dr. Jack Wolfson.

Naturopathic Medical Doctor Dr. Lauren Lattanza. Get details.

Naturopathic Medical Doctor Dr. Tonia Rainier. Get details.

Click here for  Natural Heart Doctor Health Coach.

Alternatively, you can email health@naturalheartdoctor.com. A member of our care team will help guide you through the process of starting a second opinion.

What is the cost of a Natural Heart Doctor Online Second Opinion?

The cost for most second opinions varies by team member. This fee includes information collection, a phone or video consultation, a second opinion from a Natural Heart Doctor specialist and guidance throughout the process from your personal Care Team at Natural Heart Doctor.

Cardiologist Dr. Jack Wolfson’s Second Opinion Fee is $1500.

Holistic Physician’s Dr. Lauren Lattanza’s Second Opinion Fee is $250.

Naturopathic Physician Dr. Tonia Rainier’s Second Opinion Fee is $250.

Note: We apply the Online Second Opinion Call fee as a credit to any future consultations with Natural Heart Doctor, should you choose them.

Will my insurance cover the cost of a Natural Heart Doctor Online Second Opinion?

Most likely, no. Most health plans do not cover online second opinions or consultations. You are responsible for the cost of our second opinion. Natural Heart Doctor cannot file a claim with your insurance carrier, nor can we provide a procedure (CPT) code for this service.

What is the timeline to receive an online second opinion?

We do our best to schedule your second opinion as quickly as possible. Typically, it takes 5 to 7 business days after your information has been collected to receive your phone or video online second opinion.

What information do you need in advance of our call?

Our office will send you a short questionnaire to complete and return. We DO NOT need your complete medical records.

How many questions can I ask the expert during our call?

You may ask a maximum of five questions. This is to ensure that the expert has sufficient time to devote to each question. All questions must be finalized before your online meeting.

What should I expect to receive once my second opinion is complete?

You will receive a summary of our discussion along with our second opinion. The second opinion will be in written form. After you have reviewed the second opinion, a Natural Heart Doctor clinician will follow up with you by phone to address general medical questions about the information provided in the second opinion.

What if I have follow-up questions for the expert after I have reviewed my second opinion?

If you have a clarifying question about an expert’s response to one of the questions in your second opinion, and the Natural Heart Doctor clinician is unable to address it, then you may request a follow up session for an additional fee. 

Is my medical and payment information secure?

Natural Heart Doctor is strongly committed to protecting the privacy and security of all our patients. Our website meets all federal requirements for protecting personal health information under the Health Insurance Portability and Accountability Act (HIPAA). All financial transactions are processed by Natural Heart Doctor securely using industry standard payment processing tools.

I would rather visit Natural Heart Doctor for an in-person appointment. What should I do next?

If you would prefer an in-person appointment at Natural Heart Doctor instead of an online second opinion, please call (480) 535-6844 for details and scheduling.

Can I schedule a follow up appointment with the specialist who provided my online second opinion?

Yes, we’re happy to help you on an extended basis. Our clinician can discuss options with you when presenting our second opinion summary.