Dr. Sanjay is Professor of Cardiovascular Medicine and Biomedical Engineering at University Hospitals, Case Western Reserve School of Medicine, Ohio, USA, and a Heartfulness Practitioner.

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Sanjay Rajagopalan

<h4 style="text-align:justify;">SANJAY RAJAGOPALAN and KYLE RAJAGOPALAN of the Harrington Heart and Vascular Institute, University Hospitals, Case Western Reserve School of Medicine, Cleveland OH, USA, have been exploring the interface between cardiology and the spiritual understanding of the heart’s role in our lives. They bridge the ancient and the modern scientific in a way that can revolutionize the lives and work of medical professionals.</h4>&nbsp;For a long time, scientists thought emotions and feelings came only from the brain. But they now know that the heart plays a big role, too. This new understanding could change the way we think about emotions and consciousness, seeing the heart not just as a symbol, but as an organ that directly influences how we feel. This idea places the heart at the center of empathy, compassion, and love, which can be viewed as our deeper awareness of feelings.An ancient Sanskrit hymn called the Narayana Suktam, which dates back over 7,000 years, describes the heart as the gateway to awareness. In one verse, the heart’s location is described as “below the Adam’s apple, a hand’s width above the navel, shining brightly like a great home, surrounded by garlands of flames.”1 The next verse speaks of the heart’s connection to the nervous system, describing it as “encircled by nerves, with a lotus-shaped bud pointing downward, holding a subtle space inside where the foundation of everything exists.” This hymn offers a unique view of the heart, blending both its physical location and its spiritual significance with the nervous system.The connection between the heart and the brain has evolved significantly since the ideas of French physician Claude Bernard, who highlighted their relationship in 1865.2 While he acknowledged the heart's role in emotions, he believed it was secondary to the brain’s influence. Bernard suggested that when our brain perceives external stimuli, it triggers physiological changes in the heart—like an increased heart rate—through neural connections. This change in heart function, in turn, helps us become aware of our emotions, such as anxiety or fear. For instance, imagine walking alone at night and hearing a sudden noise. You are startled and your heart might race in response to rapid reflexive neural connections between the brain and heart, often before you even consciously register fear. This demonstrates how the heart’s physiological pumping response, while secondary to “fast” responses to stimuli from the brain, may precede and influence our emotional awareness of a physiological state.<hr><h4 style="text-align:center;">This demonstrates how the heart’s physiological pumping response, while secondary to “fast” responses&nbsp; to stimuli from the brain, may precede and influence our emotional awareness of a physiological state.</h4><hr>Today, the medical understanding of the heart is far more sophisticated. We now see it as more than just a pump; it’s a complex, well-connected organ with its own nervous system. A bi-directional communication between the heart and brain creates a seamless integration of emotions and physiological responses.3 In many cases, signals emanating from the heart precede that of the brain and also override them. For example, proteins and other molecules released by the heart secondarily influence brain activity.4Think about the feeling of warmth and openness you experience when you see a loved one. This sensation, often felt in the chest area, might be the heart’s way of communicating feelings of love and connection to the brain. This sensation may be more than just a psychological response; it could be rooted and originate in the heart itself. While the brain processes and interprets these feelings, the heart plays a vital role in generating them. This shift in understanding highlights the heart’s importance in our emotional lives, suggesting that our feelings may be more heart-centered than we previously thought.Heartfulness offers a fascinating perspective on the connection between our thoughts and feelings, blending ancient wisdom with modern understanding.5 In spiritual terms, chakras are energy centers in our body that influence our spiritual energy. In the Heartfulness tradition, there are 16 chakras—3 lower chakras, 5 chakras in the Heart Region, 7 chakras associated with the Mind Region, and 1 chakra beyond the heart and mind, known as the Central Region.The relationship between the heart and mind helps explain how our thoughts can affect our feelings. It’s believed that our thoughts start from a deep inner space (sometimes called the “chit lake or consciousness lake”), located near the forehead, and then travel down to connect with the chakras in the Heart.6<hr><h4 style="text-align:center;">Many spiritual traditions suggest that&nbsp; we should pause, feel with our heart,&nbsp; then think before reacting.&nbsp; This heart-centered approach allows us to bypass&nbsp; quick judgments and automatic responses shaped by our past. Instead of reacting from a place of fear or pain,&nbsp; we can respond with greater empathy and understanding.</h4><hr>This flow of thoughts from the mind can sometimes counter-intuitively disrupt our ability to truly feel, as the judgment or analysis of a situation may sometimes precede feeling. Consider a time when you reacted impulsively to a stressful situation, perhaps saying something you later regretted. By pausing to connect with your heart, you might have responded with more empathy and understanding.These insights can help us cultivate heart-based feelings like compassion and empathy in our interactions with others. When we face stressful situations—especially those that trigger painful memories or strong emotions—it’s common to react automatically, based on past experiences. However, by first connecting with our heart in the moment, we can change how we respond.Many spiritual traditions suggest that we should pause, feel with our heart, then think before reacting. This heart-centered approach allows us to bypass quick judgments and automatic responses shaped by our past. Instead of reacting from a place of fear or pain, we can respond with greater empathy and understanding.By entering this “subtle space” of the heart, we tap into a deeper awareness that connects us to others and to universal consciousness. This practice enhances relationships and promotes personal growth and healing. Ultimately, it teaches us that, even in challenging moments, we have the power to choose compassion over reactivity.&nbsp;<figure class="image"><img src="https://cdn-prod-static.heartfulness.org/beyond_the_beat2_318c05cb3a.webp" alt="beyond-the-beat2.webp" srcset="https://cdn-prod-static.heartfulness.org/thumbnail_beyond_the_beat2_318c05cb3a.webp 117w,https://cdn-prod-static.heartfulness.org/small_beyond_the_beat2_318c05cb3a.webp 375w,https://cdn-prod-static.heartfulness.org/medium_beyond_the_beat2_318c05cb3a.webp 562w," sizes="100vw"></figure><hr><h4 style="text-align:center;">By entering this “subtle space” of the heart,&nbsp; we tap into a deeper awareness that connects us to others and to universal consciousness.</h4><hr>For many healthcare providers, especially those facing life-and-death situations, showing empathy and compassion is essential. However, the prevailing tendency to view patients primarily as clinical cases can create a disconnect between the heart and the mind. Relying solely on analytical thinking often limits the compassion and empathy that patients truly seek.Incorporating heart-centered skills into every physician’s toolkit can bridge the gap between clinical analysis and compassionate care. This approach not only improves patient experience but also promotes a more holistic understanding of health, ultimately enriching both the caregiver’s and the patient’s experience.For clinicians, integrating heart-centered attention into their practice may require effort and practice, but the benefits are significant. When we engage our hearts, it can provoke the right thoughts. By allowing our feelings to guide our thoughts, we can produce more compassionate and relevant responses.<figure class="image"><img src="https://cdn-prod-static.heartfulness.org/beyond_the_beat3_105099d14a.webp" alt="beyond-the-beat3.webp" srcset="https://cdn-prod-static.heartfulness.org/thumbnail_beyond_the_beat3_105099d14a.webp 208w,https://cdn-prod-static.heartfulness.org/small_beyond_the_beat3_105099d14a.webp 500w,https://cdn-prod-static.heartfulness.org/medium_beyond_the_beat3_105099d14a.webp 750w," sizes="100vw"></figure><hr><h4 style="text-align:center;">When we engage our hearts,&nbsp; it can provoke the right thoughts.&nbsp; By allowing our feelings to guide our thoughts,&nbsp; we can produce more compassionate&nbsp; and relevant responses.</h4><hr>Taking a moment to pause and approach patient interactions with a heart-centered mindset can transform the encounter into a deeply healing experience. Patients often pick up on these heart-centered vibes, as they are particularly attuned to the emotional frequencies emanating from their caregivers. This connection fosters trust and strengthens the doctor-patient relationship.Over time, for caregivers, a heart-centered approach can become a form of practice or “sadhana,” leading to higher levels of conscious action. Just as a skilled musician harmonizes different notes to create beautiful music, a heart-centered approach harmonizes our thoughts and feelings, leading to a more fulfilling and compassionate life.<h4 style="text-align:justify;">References</h4><ol style="list-style-type:decimal;"><li>Narayana sukta [Internet]. Wikipedia 2024 [cited 2024 Jun 26]; available from <a href="https://en.wikipedia.org/w/index.php?title=Narayana_sukta&amp;oldid=1217270843">https://en.wikipedia.org/w/index.php?title=Narayana_sukta&amp;oldid=1217270843</a></li><li>Bernard C. Lecture on the physiology of the heart and its connections with the brain, delivered at the Sorbonne, the 27th March, 1865. Tr. by J. S. Morel. [Internet]. Savannah, Purse; 1867 [cited 2024 Jun 26]. Available from: <a href="http://archive.org/details/39002086349314.med.yale.edu.">http://archive.org/details/39002086349314.med.yale.edu.</a></li><li>Giannino G. et al., 2024. The Intrinsic Cardiac Nervous System: From Pathophysiology to Therapeutic Implications. Biology 13:105.</li><li>Daniele G. et al., 2020. Heart and Brain: Complex Relationships for Left Ventricular Dysfunction. Curr Cardiol Rep. 22:72.</li><li>Patel K.D., 2023. Spiritual Anatomy: Meditation, Chakras, and the Journey to the Center. Grand Central Publishing.</li><li>Patel K.D., 2023. The Eighth Chakra: Surrender, Spiritual Anatomy: Meditation, Chakras, and the Journey to the Center. Grand Central Publishing.</li></ol>