Holiday dinnerThe holiday season is often filled with joy, gatherings and indulgence. While the winter months typically pass without incident for many, research has shown a significant increase in heart-related emergencies—specifically, heart attack—during this time, particularly around the holiday season.

The reasons are multifaceted, ranging from changes in weather to lifestyle choices, but understanding these factors can help mitigate risk—now and across all the seasons.

The seasonal spike in heart attacks

The risk for heart-related incidents increases during the holiday season. This is partly attributed to colder weather, which causes blood vessels to constrict and raise blood pressure—and as a result, heart strain. However, lifestyle factors such as stress, overeating, consuming excessive alcohol and not taking prescribed medications also play a major role. 

Tiffany Holmes, DO, a Trinity Health Mid-Atlantic cardiologist, highlights that “people often overlook their heart health during the holidays, believing they can make up for poor habits in the new year, but the immediate impact on the cardiovascular system can be significant.”

Lifestyle factors contributing to increased risk

The holidays bring a break from the daily routine, but that often leads to disruptions in exercise, eating and sleep patterns. High-sodium meals, sugary treats and large portions are common at holiday parties—all of which can elevate blood pressure and contribute to arterial plaque buildup.

Coupled with excessive alcohol intake, which can lead to a condition known as “holiday heart syndrome,” these factors increase the likelihood of a cardiac event. Dr. Holmes notes, “Even one high-sodium meal or drinking binge can place undue stress on the heart, particularly for individuals with a pre-existing heart condition.”

Strategies to minimize your risk

Reducing your risk of a heart event during the holidays starts with planning and moderation. Keeping up with regular physical activity—even if it’s just a daily walk—can help maintain heart health. Portion control is key at holiday meals, and opting for healthier alternatives, such as using spices instead of salt, can also reduce sodium intake.

Dr. Holmes suggests, “Set realistic goals for yourself over the holidays. You don’t have to abstain from enjoying the food and festivities, but try to make mindful choices, like limiting alcohol and balancing indulgent meals with healthier options.”

The role of stress in holiday heart health

In addition to physical factors, emotional stress can significantly contribute to cardiac events. Many people experience heightened anxiety during the holidays due to family obligations, financial pressures and travel. The body’s stress response triggers the release of adrenaline, which increases heart rate and blood pressure—further elevating the risk of a cardiac event. Practicing relaxation techniques, such as deep breathing, mindfulness or yoga, can help manage stress levels and support heart health.

Heart Risk Assessment

Take our Heart Risk Quiz to understand your personal risk level and take steps to protect your health during the holidays and throughout the year.

Take action for a healthier heart

Understanding the increased risk of cardiac events during the holidays is the first step toward prevention. By making mindful choices regarding food, alcohol, and stress management, you can enjoy the season without compromising your heart health. Dr. Holmes emphasizes, “Remember to maintain balance. Allow yourself to indulge occasionally but remain conscious of your overall heart health.”