When it comes to heart problems, most people think of chest pain, shortness of breath, or fatigue. However, your feet can also offer important clues. Because the heart and blood vessels are responsible for delivering oxygen-rich blood throughout the body, changes in the feet and ankles may reflect underlying cardiovascular issues.

These signs are not definitive proof of heart disease or an impending heart attack, but they can serve as early warnings—sometimes appearing weeks before more severe cardiac events. Paying attention to these subtle symptoms may prompt timely medical evaluation and prevent serious complications.

1. Cold Feet or Toes
Persistently cold feet or toes, even in warm conditions, may indicate poor circulation. A weakened heart struggles to pump blood efficiently, causing reduced blood flow to the extremities. This symptom is especially concerning if it occurs without exposure to cold temperatures.

2. Swelling in the Feet and Ankles
Swelling, or edema, is a common red flag for cardiovascular problems. When the heart struggles to pump effectively, blood can pool in the veins, leaking fluid into surrounding tissues. Swelling often appears at the end of the day or after prolonged standing or sitting. While other conditions like kidney or liver disease can also cause swelling, it remains a classic sign of heart failure.

3. Discoloration of the Skin
Changes in skin color—such as blue or purple tones—can indicate insufficient oxygen reaching the feet. Pale skin may also suggest reduced blood flow. These changes signal compromised circulation, which, if ignored, can harm tissue health.

4. Numbness and Tingling
Persistent numbness or pins-and-needles sensations may be linked to peripheral artery disease (PAD), where fatty deposits in leg arteries restrict blood flow. PAD is closely associated with heart disease and stroke, making these symptoms particularly important to monitor. Pain or numbness that worsens during activity is especially concerning.

5. Non-Healing Wounds
Sores, blisters, or ulcers that heal slowly—or not at all—can indicate poor circulation. Without sufficient blood flow, tissues lack the nutrients and oxygen needed for healing. This is particularly risky for individuals with diabetes, increasing the likelihood of infections or serious complications.

6. Pain While Walking (Claudication)
Cramping or pain in the feet, calves, or thighs during walking, which eases with rest, is known as claudication. It often results from PAD and signals significant circulation issues. Claudication can be a strong predictor of underlying cardiovascular disease.