Why is the risk of a heart attack higher in winter?

Winter proves to be a challenging period for individuals coping with heart conditions, presenting a notable upsurge in heart disease and stroke incidences. Scientific studies have revealed a sobering trend—heart attacks tend to be more fatal during the colder months compared to the summer. Moreover, issues such as angina and heart attacks become more prevalent during winter mornings.The drop in temperature often coincides with an increased susceptibility to common illnesses like the common cold, fever, and flu. This accumulation of factors significantly heightens the severity of winter for those managing existing heart conditions.
Physiologically, the human body responds to the cold by demanding more effort from the heart to maintain both an adequate blood supply and body warmth. The chilly environment triggers the constriction of blood vessels, reducing the delivery of oxygen and nutrients to the heart muscles. This circumstance increases the risk of blood clot formation, along with raised blood pressure and cholesterol levels. These physiological alterations markedly escalate the likelihood of heart-related complications, particularly heart attacks, throughout the winter season.The body’s response to plummeting temperatures involves the activation of the sympathetic nervous system, culminating in blood vessel constriction (vasoconstriction). Consequently, this constriction augments blood pressure, making it difficult for the heart to circulate blood throughout the body efficiently. For individuals grappling with pre-existing heart conditions, this heightened pressure significantly amplifies the risk of experiencing angina, heart attacks, arrhythmias, and various other cardiovascular ailments during the winter.
Mitigating these risks and preserving heart health during the winter necessitates adopting several key preventive measures. Individuals, particularly those sensitive to cold weather, must prioritize staying warm by layering clothing adequately. Engaging in indoor physical activities like light aerobics, yoga, home workouts, or meditation becomes essential for maintaining body warmth and overall fitness. Adopting a healthy diet throughout the winter, marked by the avoidance of fried, fatty, and high-cholesterol foods, significantly reduces the risk of heart disease.
Regular monitoring of medical conditions such as diabetes, blood pressure, kidney issues, and vascular problems is crucial to decreasing susceptibility to heart-related complications. Heart patients are advised to refrain from overexertion, avoid heavy or strenuous work, and take regular breaks to ensure adequate rest. Implementing lifestyle changes, including limiting alcohol consumption and quitting smoking, serves as a fundamental step in mitigating heart-related risks. Consuming warm foods during the winter contributes significantly to maintaining body warmth and sustaining proper circulation.

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Finally, heart patients are strongly recommended to stay indoors on particularly chilly days to forestall the onset of sudden cold-related health complications. Adhering diligently to these preventive measures is vital to safeguarding heart health and minimizing the risk of heart-related complications during the winter.
(Author: Dr. Hisham Ahamed, Associate Professor and Consultant Cardiologist, Amrita Hospital, Kochi)

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