“Why Men Need to Be More Vigilant About Heart Health”

Why Men Must Prioritize Heart Health

Heart disease remains one of the leading causes of death among men worldwide, and Bangladesh is no exception. As men juggle careers, family responsibilities, and daily pressures, their hearts often bear the silent toll. On World Men’s Day, experts emphasize that understanding and safeguarding men’s cardiac health is not only a medical necessity but also an essential act of self-care and longevity.

Dr. Ashraf Ur Rahman, a Medicine Specialist and Cardiologist at the National Institute of Cardiovascular Diseases (NICVD), notes that most cardiac cases he treats involve men over the age of forty.

Hormones and Heart Health

Dr. Rahman explains that the key differences between men’s and women’s heart health start with hormones. Women benefit from the protective effects of estrogen, which helps maintain healthy blood vessels and balanced cholesterol levels. Men, on the other hand, lack this hormonal safeguard, making them more vulnerable to ischemic heart disease (IHD) at an earlier age. Once women reach menopause and estrogen levels decline, their risk begins to match that of men.

"Hormonal protection gives women a head start," Dr. Rahman says. "Men, without that advantage, face heart risks sooner, especially when unhealthy habits come into play."

Lifestyle Matters

While biology sets the stage, daily habits often determine the outcome.

"Many men compromise on food quality because they’re constantly on the move," Dr. Rahman observes. "Add irregular sleep, chronic stress, and habits like smoking, and you create a combination that silently damages the heart over time."

Stress plays a particularly significant role. Modern work-life pressures often burden men with financial and emotional stress, increasing the risk of hypertension and coronary artery disease (CAD). Genetics can further amplify this risk. Men with a family history of heart problems should start routine screenings earlier than others.

Common Conditions and Warning Signs

Among Bangladeshi men, the most frequently diagnosed heart conditions are coronary artery disease, ischemic heart disease, and hypertension. These conditions often develop quietly, progressing over years before obvious symptoms appear.

"Men often overlook minor warning signs," Dr. Rahman warns. "Headaches, fatigue, chest discomfort, or swelling in the feet aren’t just signs of tiredness—they can be the heart asking for help."

Other early indicators include shortness of breath or declining work performance. Left unchecked, these symptoms can escalate into severe cardiac events. Awareness and timely action, Dr. Rahman emphasizes, can prevent tragedies.

"Many heart attacks could have been avoided if men had sought medical attention earlier," he adds.

The Importance of Early Diagnosis

One of Dr. Rahman’s key messages is the value of early screening. "Early diagnosis can prevent or significantly reduce the severity of heart disease," he stresses. "Prevention is always better than a cure."

He recommends that men over 40, particularly those with a family history of heart disease, undergo annual check-ups. Simple tests such as blood pressure monitoring, lipid profiles, ECGs, and stress tests can detect silent risk factors long before symptoms arise.

"Cardiac issues develop gradually," Dr. Rahman explains. "The earlier you identify them, the better your chances of protecting your heart."

Small Changes, Big Impact

Although overhauling one’s lifestyle may seem daunting, Dr. Rahman emphasizes that heart protection doesn’t require drastic measures—consistency matters more.

"Start with what you can control," he advises. "Quit smoking, opt for home-cooked meals over processed or oily foods. Even small, consistent steps can make a real difference."

Exercise is one of the most effective tools for maintaining heart health. Cardiologists recommend at least 30–45 minutes of physical activity several times a week—whether brisk walking, jogging, swimming, or cycling. Exercise also relieves stress, helping maintain healthy blood pressure and heart rhythm.

Additionally, stress management through mindfulness, adequate rest, and time away from screens can further improve cardiovascular function.

A Call to Action on World Men’s Day

World Men’s Day serves as a reminder that true strength lies not in silent endurance, but in taking charge of one’s well-being. Too often, men ignore symptoms or postpone medical consultations out of fear or overconfidence.

"It’s time to change that mindset," Dr. Rahman urges. "Health isn’t about appearing tough—it’s about being wise enough to care for yourself."

Heart health is a lifelong responsibility, not a short-term goal. Early prevention, annual screenings, and mindful habits form the foundation of a longer, stronger life. Men often devote their energy to providing for others but forget that their own health underpins everything they do.

The message this Men’s Day is clear: protect your heart before it demands your attention.

"Your health is not an expense, but an investment," Dr. Rahman concludes. "Care for your heart now, and it will take care of you for years to come."