As the temperature rises, so does the risk of heart problems

by Kaiser Permanente |
Man in exercise clothing drinks water outdoors.

A Kaiser Permanente cardiologist shares advice on how to stay safe, what to watch for, and when to seek medical care.

Has the heat bothered you more in recent years? Average temperatures are rising around the world. And if you have certain medical conditions, the heat can increase your risk of heart problems.

“High temperatures can really increase the effects of cardiovascular risk on our patients,” said Malini Nadadur, MD, a Kaiser Permanente cardiologist in Northern California.

Dr. Nadadur shared tips on how to keep cool and protect yourself during hot weather.

Who is most at risk during extreme heat?

According to the Environmental Protection Agency, the combination of heat and cardiovascular disease contributes to about a quarter of heat-related deaths.

People with preexisting cardiovascular disease are most at risk. That includes having a prior heart attack, heart failure, and irregular heart rhythms.

What is the body’s response?

On hot days, your body has to work harder to have a consistent temperature. This puts a bigger burden on your cardiovascular system. The most common result is heat exhaustion or heat stroke. In more extreme cases, people may have heart attacks, heart arrhythmias (irregular heartbeat), or heart failure.

People who have cardiovascular disorders may be taking medications such as beta blockers and diuretics that can make it harder to manage heat.

How hot is too hot?

There is no exact temperature that defines “too hot.” If you feel overly hot, your body is telling you to get out of the heat. When there are several days of extreme heat in a row, more people are admitted to hospitals with heart attacks and other cardiovascular conditions.

How can you prevent a heat and heart health crisis?

Always listen to your body. If you feel hot, you need to take action. Be aware of how long you are in the heat and how much you’re exerting yourself.

  • Lower your temperature by getting out of the sun and going someplace cool. You can also take a cool shower or bath.
  • Stay hydrated. Once you start feeling the heat, drink an 8-ounce glass of water every 20 minutes. Feeling thirsty means that you are already becoming dehydrated. That can strain your cardiovascular system. Avoid alcohol or drinks with too much caffeine or sugar.
  • Dress in light-colored and loose-fitting clothing. Wear a hat, sunglasses, and sunscreen when outdoors.
  • Watch for the symptoms of heat-related illnesses. The first is typically a headache. Others include dry mouth, dizziness, decreased urination, fatigue, confusion, and heart palpitations. Chest pain is a sign of a heart attack.
  • If you’re having these symptoms and things don’t feel right, seek medical help immediately.

How can you exercise during extreme heat?

You can still stay fit when temperatures rise:

  • Try walking in the early morning or evening when temperatures are cooler
  • Work out in an air-conditioned gym
  • Swim indoors or outdoors with a sun covering
  • Walk in an indoor mall or a superstore

The more you know and listen to your body, the more confident you can feel in staying healthy in the heat.

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