DALLAS, Dec. 12, 2016 — According to a study published in Circulation, a journal of the American Heart Association (AHA), the winter holiday season is considered a risk factor for cardiac and noncardiac death.

While researchers don’t know exactly why heart attacks are more common around holidays, they note a number of possible reasons, including changes in diet and alcohol consumption during the holidays; stress from family interactions, strained finances, travel and entertaining; respiratory problems from burning wood; and not paying attention to the signs and symptoms of a heart attack.

Consider the case of Julie Rickman, a 41-year-old stay-at-home mom.

“I felt like we were running around, going everywhere, and I just couldn’t catch my breath,” Rickman said. “I remember, two days before Christmas, we thought I was allergic to my live Christmas tree, and we took it down and got an artificial tree.”

The day after Christmas, Rickman got winded while folding laundry. She thought it was exhaustion but decided to go to the emergency room, anyway. That trip saved her life. Along with two blockages in her heart, doctors also discovered she had suffered a heart attack.

“I have no idea when the heart attack happened. I was one of those women who attributed feeling bad to the holidays and thinking I was exhausted,” she said.

“The progression of heart disease doesn’t happen overnight, so an uptick in cardiac death during the holidays is actually more the acute manifestations of the disease,” said Jorge Plutzky, M.D., a volunteer with the American Heart Association. “Factors like cold weather, stress and dietary indiscretion can contribute to a chain of events leading to more stress on the heart. A cardiac event might be triggered because the heart is working harder.”

Rickman, now an American Heart Association Go Red For Women volunteer, has since changed her approach to the holidays and to life. She cut out processed foods and limits sugar. She also limits social engagements and time spent on social media during the holidays and makes a conscious effort to realize being a supermom might not be reality.

“The biggest challenge is controlling stress,” Rickman said. “I don’t try to do it all. I have my list but it’s not an ongoing list of unrealistic expectations.”

That’s good advice, especially because people who have had a heart attack are at increased risk of another, added Dr. Plutzky, director of preventive cardiology and cardiovascular medicine at Brigham and Women’s Hospital in Boston, Mass.

“Make sure the holidays don’t get in the way of taking your medicines and continuing to be attentive to a healthy diet,” he said. “But even when the holidays are passed, these things continue to be issues all year long because heart disease remains a leading threat to America’s health.”

The American Heart Association is helping heart attack survivors learn how to reduce that risk with a few simple but effective action steps:

  • Take medication as directed
  • Have a follow-up doctor’s appointment
  • Complete a cardiac rehabilitation program
  • Manage risk factors
  • Develop a strong support system.

The program is part of the association’s Guideline Transformation and Optimization Initiative and is supported by an educational grant from AstraZeneca.

For further facts and advice about reducing heart attack risk, see heart.org/heartattack. To get involved, visit heart.org.


The American Heart Association/American Stroke Association receives funding mostly from individuals. Foundations and corporations donate as well, and fund specific programs and events. Strict policies are enforced to prevent these relationships from influencing the association’s science content. Financial information for the American Heart Association, including a list of contributions from pharmaceutical companies and device manufacturers, is available at www.heart.org/corporatefunding.

About the American Heart Association

The American Heart Association is devoted to saving people from heart disease and stroke – two of the leading causes of death in the world. We team with millions of volunteers to fund innovative research, fight for stronger public health policies, and provide lifesaving tools and information to prevent and treat these diseases. The Dallas-based association is one of the world’s oldest and largest voluntary organizations dedicated to fighting heart disease and stroke. To learn more or to get involved, visit www.heart.org or follow us on Facebook and Twitter.

For Media Inquiries: (214) 706-1173

Cathy Lewis (214) 706-1324; cathy.lewis@heart.org

Julie Del Barto (broadcast): (214) 706-1330; julie.delbarto@heart.org

For Public Inquiries: (800)-AHA-USA1 (242-8721)

heart.org and strokeassociation.org