If you haven't any charity in your heart, you have the worst kind of heart trouble.

The line hinges on a pun: “heart trouble” usually means a physical ailment, but Hope reframes it as a spiritual or ethical condition. By equating lack of charity with the “worst” heart problem, the joke elevates compassion from a nice virtue to a core measure of human health and decency. The humor softens what is essentially a rebuke, making the message easier to accept: generosity is not merely optional, but necessary for a well-ordered inner life. The phrasing also implies that moral failures have consequences as serious as bodily illness—alienation, bitterness, and a diminished capacity for community.

1) “If you don’t have any charity in your heart, you have the worst kind of heart trouble.”
2) “If you haven’t got charity in your heart, you’ve got the worst kind of heart trouble.”