I have a confession to make…

I used to feel a lot of pressure when patients would come in to visit me. I could not always fix their problem.

You may be wondering why, exactly. After all, most people expect doctors - cardiologists, especially - to exhibit a cool demeanor, with calmness under pressure. And when you’ve been practicing as long as I have, you encounter a great deal of bizarre circumstances that you soon become well equipped to handle.

But, there’s something about looking into the wide, desperate, confused eyes of a patient who just heard a crushing heart diagnosis that they feel is undeserved.

Other times, we deal with the fear of the patient who truly believes they have a heart problem despite no physical manifestations of the disease.

...or seeing the nervous toe-tapping of the guy who is used to having everything in his life under control, but now has to wait to hear the results of his EKG. Waiting anxiously to hear about the state of your heart has a way of humbling anyone—no matter the importance they place on their status in society.

Most people who visit me want to be “fixed” (even if they have no signs of a physical problem that needs “fixing.”)

They’ve reached a point where their normal, annual check-ups are no longer enough. Or, they find themselves having to embrace a new regimen per “doctor’s orders” in order to preserve their health...and maybe even save their lives.

So, you see, facing these kinds of expectations can cause anxiety for the person who’s being looked at as the “fixer.”

But after practicing cardiology for the last 2 decades, I had to make peace with one thing:

When you’re dealing with the most important organ in the body, it simply does not and cannot end with me...or any other doctor.

You don’t know how many times I’ve had to tell myself that over the years, but I’ve found it to be true.

I realize that I can help fix physical heart problems, but only the patient can maintain that “fix.”

That’s not the only thing I’ve learned over the last 25 years practicing medicine. It’s not even the most important thing I’ve learned, either.

As a cardiologist, one of my main goals has been to help patients navigate the treatment of their physical hearts.

Earlier in my career, God revealed to me an insight that I did  not learn in medical school or could not read in any cardiology textbook at the time.

It radically changed my perspective and approach to treating patients. Here’s what He unlocked for me:


He revealed there is an inseparable intertwining of the
physical and spiritual hearts.

Dr. Constantine exercising

To be clear, I’m a staunch advocate for proper diet and exercise. In fact, there’s no way around these things if you want to have a healthy physical heart and a live a long life. I believe undoubtedly that God leads us to the doctor who uses his or her knowledge, skills and experience to direct you to medications or procedures to treat the physical problem.

But, I firmly believe regardless of whether it’s the physical heart causing the symptoms, the condition of the spiritual heart must be addressed before complete healing can occur.

We see the physical manifestations of poor spiritual health all the time. Maybe you’re stressed, overwhelmed, overworked, lost and confused. Or, perhaps you are battling an addiction, struggling with a bad habit, or dealing with some unresolved family issues.

We don’t just feel these things emotionally and mentally. We experience them physically, too.

Spiritual health is just as important as physical health, and for far too long, we as a society have ignored the connection between the two.

So moved by this revelation, I felt a strong calling by God to share the message with every patient I encountered. Then, after years of seeing the impact of this new divinely inspired approach to caring for my patients and giving them the spiritual tools and resources to better care for themselves, I was led to write my latest book, It’s Always the Heart and get this revelation out to as many individuals as I can. 

This world has a heart problem, physically and spiritually speaking, and it is time to unclog these clogged arteries!

In the book and companion study guide, I share valuable, life-changing insights into the prevention of and recovery from heart disease from the clinical and spiritual points of view. Through a compilation of patient stories, my goal is to provide meaningful ideas on how we can change our hearts to treat and heal the physical and spiritual hearts and enjoy the life God wants us to have.  Furthermore, the study guide gives insight to help us see things in a way that may have been hidden before. It challenges us to commit this change of heart to our daily life.

I believe we can help prevent, heal and treat our physical bodies with spiritual principles.

In fact, it’s not until we seek to improve our spiritual health that will we see an improvement in our physical bodies. Once we do so, we’ll be well on the path to:

  • Being whole physically and spiritually.
  • Living the life God intended.
  • Having the tools to prevent more physical problems in the future.

It’s my hope that this online platform will show you how.

With over 2 decades of experience practicing cardiology, I’ve heard and seen just about everything from treating thousands of patients. And each time, it becomes even more evident that “it’s always the heart.”


Curious about the connection between the spiritual and physical heart and want to learn how to take better care of both?

Here are 3 ways you can:

Dr. Arthur Constantine of It's Always the Heart

Arthur E. Constantine, M.D. was born and raised in Birmingham, Alabama into a large Greek family. He attended the University of Alabama in Tuscaloosa graduating with a degree in mathematics and earned a medical degree from the University of Alabama at Birmingham. He then earned a cardiology fellowship at the Medical College of Georgia in Augusta, Georgia. Dr. Constantine has been a cardiologist since 1993 at The Heart Group/St. Thomas Heart at St. Thomas Hospital in Nashville, Tennessee. He is a Board Certified cardiologist and member of the American College of Cardiology (FACC). Dr. Constantine has been married for 29 years and has 3 adult children and 2 grandchildren. Family is an extremely important part of his life.