Cold Weather Heart Attack Risk: Why Older Adults Face Greater Heart Stress

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Heart Attack Risk

As winter sets in, many people enjoy the cool, comfortable weather without realizing that a drop in temperature can significantly affect the heart and blood vessels. Numerous studies have confirmed that the incidence of acute myocardial infarction (heart attack) tends to rise during periods of extreme cold.

How Does Cold Weather Increase the Risk of Heart and Vascular Disease?

When the body is exposed to low temperatures, the autonomic nervous system triggers vasoconstriction (narrowing of blood vessels) to conserve body heat. This leads to:

  1. An increase in blood pressure
  2. The heart having to pump harder
  3. Thicker blood, which raises the risk of blood clots

When the heart works harder than usual, the risk of abnormal heart rhythms or acute ischemic heart events increases.

High-Risk Groups Who Should Be Especially Cautious

  1. Older adults
  2. People with heart and vascular diseases
  3. Those with high blood pressure, diabetes, or high cholesterol
  4. Smokers or those who drink excessive alcohol
  5. People who exercise infrequently or do not get enough rest

How to Take Care of Your Heart During Winter

To keep your heart safe and strong in cold weather, follow these recommendations:

  1. Keep your body warm: Wear adequate clothing, especially around the chest, hands, and feet.
  2. Avoid sudden exertion after waking up in cold weather; warm up before exercising or engaging in outdoor activities.
  3. Control risk factors: Keep blood pressure, blood sugar, and cholesterol within normal ranges.
  4. Quit smoking and limit alcohol: These habits place extra strain on the heart and blood vessels.
  5. Exercise appropriately: Choose light activities such as brisk walking, yoga, or stretching in a warm environment.
  6. Watch for warning signs: Such as chest tightness, unusual fatigue, shortness of breath, or irregular heartbeats. If these occur, seek medical attention immediately.

Cold weather may make the body feel refreshed, but for the heart, it is a time that requires extra caution. Keeping warm, managing risk factors, and having regular heart check-ups can effectively reduce the risk of heart and vascular diseases.

Frequently Asked Questions About Heart Disease in Winter

1. Why does cold weather increase the risk of heart and vascular disease?

    When temperatures drop, blood vessels constrict to reduce heat loss. This raises blood pressure and forces the heart to pump harder, increasing the risk of ischemic heart events or arrhythmias, especially in people with underlying conditions such as hypertension, diabetes, or high cholesterol.

    2. Why are older adults at higher risk during cold weather?

    Because their bodies adapt to cold more slowly than younger people. The blood vessels and heart muscle may function less efficiently. In low temperatures, blood pressure tends to rise and the heart works harder, increasing the risk of heart failure or ischemic heart disease.

    3. What symptoms require immediate medical attention?

    If you experience any of the following, seek medical care urgently, as they may signal an acute heart attack:

    1. Chest tightness or pain radiating to the arm, neck, or jaw
    2. Unusual or unexplained fatigue
    3. Shortness of breath
    4. Dizziness, fainting, or abnormally rapid or irregular heartbeat

    For more information, please contact
    Cardiac Center, Vejthani International Hospital
    Call: (+66)2-734-0000 Ext. 5300
    English Hotline: (+66)85-223-8888

    Medically Reviewed by

    DR. ZAIDA BURANASIN
    DR. ZAIDA BURANASIN

    Cardiology

    Cardiology - General

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