Introduction: Rajivâs StoryâWhen the Music Faltered Rajiv, a seasoned violinist, spent decades filling concert halls with music. But one evening, after a soul-stirring performance, he felt an unusual pressure in his chest. He brushed it off. The next day, while picking up his violin, a crushing pain radiated through his left arm. A heart attack. In recovery, his doctor told him, âYour heart is the conductor of your bodyâs orchestra. When it falters, everything else falls out of rhythm.â That line stayed with him. Rajiv began meditating, eating mindfully, and using herbal medicines to rebuild his strength. Now, he shares this story with others, not just as a survivor but as someone who reclaimed harmony. What is a Heart Attack? A Simple Analogy Think of your heart as a water pump connected by garden hoses (arteries). If a hose is blocked, the plants donât get water and start withering. Likewise, a heart attack occurs when a blockage (usually a blood clot) stops oxygen-rich blood from reaching a part of the heart. Without oxygen, the heart muscle starts to die. Itâs seriousâbut getting help fast can save your life. Causes of Heart Attack What Goes Wrong? Clogged Arteries (Atherosclerosis): Fatty deposits (plaque) build up, narrowing arteries. Blood Clots: Plaque rupture triggers clot formation, blocking blood flow. Artery Spasm: Stress, smoking, or drug use can suddenly constrict arteries. Artery Tear (SCAD): A rare condition where the artery tears and collapses. Oxygen Shortage: From anaemia or lung diseases. What Increases the Risk? 1. Lifestyle Factors Poor diet (fatty, salty, sugary foods) Smoking and alcohol Sedentary lifestyle Excessive stress 2. Health Conditions High BP (hypertension) High cholesterol (LDL) Diabetes Obesity 3. Emotional & Genetic Factors Chronic stress, depression, loneliness Family history of early heart disease Genetic disorders like familial hypercholesterolemia 4. Age & Gender Men: Higher risk after 45 Women: Higher risk after menopause (~55) Is It a Heart Attack or Something Else? Heart Attack vs. Other Heart Conditions Condition What Happens Key Symptoms Cause Heart Attack Blocked blood flow damages muscle Chest pain, left arm pain, short breath Plaque rupture or clot Cardiac Arrest Heart stops suddenly Collapse, no pulse or breathing Electrical failure Heart Failure Heart canât pump efficiently Swelling, fatigue, breathlessness Long-term damage (e.g., from BP) Arrhythmia Irregular heartbeat Palpitations, dizziness, sometimes no symptoms Electrical signal issues Angina Temporary chest pain Tightness during exertion, relieved by rest Narrowed arteries, no damage  What is Ejection Fraction (EF)? Understanding the Heartâs Performance Score EF tells you how well your heart pumps blood from the left ventricle with each beat. Normal EF: 55â70% Low EF: Below 50% (may signal heart failure or damage) Does EF Indicate a Heart Attack? Not directly. EF might be normal before a heart attack, but it can drop after one if muscle damage occurs. Post-attack, EF is a key indicator of recovery and helps guide treatment. Heart Health in Ayurveda: Beyond Blockages Ayurveda views heart disease as the result of dosha imbalances, especially: Pitta (fire): Inflammation, heat, hypertension Kapha (earth/water): Sluggishness, fat buildup Vata (air): Poor circulation, anxiety, arrhythmias Blocked Srotas (channels) and built-up Ama (toxins) are the internal roots of cardiac problems. Emotional stressâanger, fear, griefâalso deeply affects the heart. Causes of Heart Attack in Ayurveda Dosha Imbalance: Vata (blockages), Pitta (inflammation), Kapha (clogging) Ama: Toxins from undigested food Unwholesome Diet & Lifestyle: Fried, spicy foods, late meals, sedentary habits Emotional Factors: Anger, stress, suppressed grief Ayurvedic Strategies to Prevent Heart Disease & Improve EF 1. Balance the Doshas Pitta: Avoid spicy, fried, acidic food. Practice cooling pranayama. Kapha: Eat light meals, avoid sugar and dairy. Regular movement is key. Vata: Prioritise routine, grounding foods, and warm massages. 2. Heart-Strengthening Herbs Arjuna (Terminalia arjuna): Strengthens the heart muscle and supports healthy blood pressure. đ To Buy: Balance Ayurveda Arjuna Capsules Ashwagandha: Reduces stress, supports stamina, and cardiovascular health. Turmeric: Anti-inflammatory, supports clean arteries. Garlic: Lowers LDL, improves blood flow. đ To Buy: Balance Ayurveda Garlic Capsules Brahmi: Promotes calm, improves circulation. Boodi Dadi HridyaRog Kadha: A synergistic formulation of Arjuna, Gulab Phool, Sowa, and more đ To Buy: Balance Ayurveda Boodi Dadi Hridya Rog Kadha 3. Heart-Supportive Diet Eat More Of: Warm, cooked meals Whole grains, ghee (moderate), lentils Pomegranate, beetroot, garlic, ginger, flaxseeds Avoid: Frozen, canned, and microwaved food Overeating, late-night snacks, and cold drinks 4. Panchakarma & Detoxification Virechana: Clears Pitta and toxins Svedana (Steam Therapy): Opens up channels, improves blood flow Basti: Balances Vata, supports rhythm and circulation 5. Yoga, Breathing, and Music Therapy Yoga Poses: Trikonasana (Triangle Pose) Uttanasana (Forward Bend) Sirsasana (Headstand, advanced) Pranayama: Anulom Vilom: Balances nervous system Kapalbhati: Oxygenates blood Bhramari: Reduces stress instantly Music Therapy: Rajivâs story reminds us that music soothes the nerves, lowers stress hormones, and brings coherence to the mind-body system. 6. Daily Lifestyle Tips Stick to a daily routine (Dinacharya) Eat your biggest meal at lunch Hydrate with warm water, avoid ice-cold drinks Sleep early, wake before sunrise Take time daily to breathe, reflect, and unwind FAQs Q1: What is the most common early sign of a heart attack? Chest pressure or pain that spreads to the left arm, neck, or jaw. Q2: Is Ejection Fraction (EF) enough to detect heart disease? Not alone, but it gives critical insight into how well your heart functions post-damage. Q3: Can Ayurveda reverse heart damage? While it may not undo structural damage, Ayurveda can support healing, improve EF, and prevent further deterioration. Q4: How quickly can heart health improve with Ayurveda? Improvement can begin in a few weeks with a disciplined routine, herbal support, and lifestyle changes. Conclusion: Protecting the Rhythm of Life Your heart is not just a muscleâitâs the rhythm of your being. Like Rajiv, when you care for the conductor, the entire orchestra plays harmoniously. With Ayurvedaâs ancient wisdom and modern understanding, you donât just recover from a heart attackâyou rebuild a stronger, more connected life. đ” Let your heart beat steady, strong, and in tune with your purpose.