
Ten causes of dying or being damaged by a heart attack
Written by Dr Edward Leatham, Consultant Cardiologist: In this article, we shed light on various underlying factors that can lead to this cardiovascular emergency.
Providing independent clinical excellence since 2005
Posted on Sunday September 28, 2025 in Naked Heart
An article written by Dr Edward Leatham, Consultant Cardiologist
Tags: VAT, Metabolic Health, NH1, search website using Tags to find related stories.
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You’ve probably heard mitochondria described as the powerhouses of the cell. That’s true — but it’s just the beginning.
Mitochondria do not just keep your cells alive — they help determine how your body handles fuel, how you age, and how vulnerable you are to inflammation and chronic disease.
These microscopic organelles sit at the crossroads of energy, metabolism, and immunity. In this article, we explore what mitochondria are, how they work, and what happens when modern life — and modern diets — overwhelm them.
Mitochondria are unique: they are the only part of your cells (other than the nucleus) that carry their own DNA. In fact, they were once free-living bacteria that entered into a partnership with early human cells more than a billion years ago.¹
All your mitochondria come from your mother, passed through the egg at conception. Over time, these tiny symbionts became indispensable — managing your energy, responding to demand, and protecting vital organs like the brain, heart, and muscles.
Vector illustration of cellular respiration showing glycolysis, Krebs cycle, and electron transport chain. Glucose breakdown, ATP production, oxygen intake, and water and carbon dioxide release
Mitochondria produce ATP (adenosine triphosphate) — the energy currency of life. They do this via oxidative phosphorylation, a process that extracts electrons from glucose and fats to power a proton gradient and generate ATP.When running efficiently, this system powers everything from heartbeats to hormone synthesis to brain activity. But mitochondria do not have a storage tank — they can only produce ATP on demand.
Which brings us to their biggest vulnerability: energy surplus
Energy storage power station where solar generation surplus (glucose) to grid (body) needs will be stored in battery banks (adipose).
Think of mitochondria like solar panels. On a sunny day, they convert sunlight (glucose) into electricity (ATP). But what if the batteries are full, and you keep producing more electricity?
There is no off switch.
The excess electricity has nowhere to go, so it starts to overload the system. Wires heat up. Fuses blow. Small fires start. The infrastructure, once efficient, is now damaged.
This is exactly what happens in our cells when:
The mitochondria become overwhelmed. Electrons leak from the electron transport chain and react with oxygen to form free radicals (ROS) — sparking damage and inflammation.³
Under normal conditions, the body protects mitochondria from overload by releasing insulin. This hormone acts as a safety valve, diverting excess glucose into storage:
It is a beautiful, homeostatic design — one that evolved to support a hunter-gatherer life, where food was irregular, and long periods without calories were common. The system was built to manage feast and famine, not three carb-heavy meals plus snacks every day.
Today, many people live in a constant “solar surplus” as they age — high-calorie diets, sedentary lifestyles, skeletal muscle loss (sarcopenia), and minimal variation in intake.
Subcutaneous and then Visceral fat (VAT) starts to expand — the latter not just as storage, but then it evolves into an inflammatory organ in its own right⁵ .At first, insulin copes. It tries to pack glucose into muscles, then liver, then visceral fat cells. But over time:
At this point, insulin’s protective role starts to fail. Glucose levels rise in the bloodstream despite insulin release after carbohydrate intake and floods mitochondria, which can no longer regulate the surplus. This phenomenon seems to occur in some people with an innate predisposition more than others – a term dubbed carbohydrate sensitive phenotype (CSP), a prodrome to non diabetic hyperglycaemia, pre-diabetes and type 2 diabetes.
That is when the real damage starts to nibble away at your healthspan without clear symptoms or visible signs, except perhaps some aches and pains, an expanding collar and waist dimensions.
When overloaded mitochondria produce ROS and leak mitochondrial DNA, this activates innate immune responses, including the NLRP3 inflammasome, which triggers inflammatory cytokines like IL-1β.⁶
These signals are meant to protect — but in chronic energy surplus, they remain activated, leading to metabolic inflammation.
This “invisible fire” contributes to:
As we age, mitochondrial function naturally declines:
The result? Reduced energy, poor glucose handling, and greater vulnerability to disease.
This decline is accelerated by chronic mitochondrial overload — exactly what is caused by constant glucose excess and sedentary living.⁷
The good news? Mitochondria are highly responsive to lifestyle change. Here is how to keep them strong:
Mitochondria are at the centre of how we handle energy. They keep us alive, alert, and adaptable — until they are overwhelmed.
Modern life asks our mitochondria to do something they were never designed for: process surplus glucose every few hours, day after day, without movement, fasting, or rest.
That is why mitochondrial stress is now recognised as a driver of inflammation, insulin resistance, and ageing.
In a related post, we will look more closely at what happens when energy that cannot be burned or stored begins to accumulate as visceral fat — and how this “invisible organ” becomes both a symptom and a cause of metabolic disease.
The Naked Heart is an educational project owned and operated by Dr Edward Leatham. It comprises a series of blog articles, videos and reels distributed on Tiktok, Youtube and Instagram aimed to help educate both patients and healthcare professionals about cardiology related issues.
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