Why the ‘Most Wonderful Time of the Year’ can be hard on your heart

The holidays are a time for celebration, family gatherings and often, indulgence. But between the rich meals, holiday toasts and the stress of hosting, there is an unwelcome guest that doctors frequently see in the ER this time of year: Holiday Heart Syndrome.

According to Robert A. Luke, MD, cardiologist at Ascension St. Vincent’s Southside, Holiday Heart Syndrome is a very real condition characterized by heart rhythm issues that spike during the winter holidays and spring break.

Here is what you need to know to keep your heart healthy while you celebrate.

What is Holiday Heart Syndrome?

Holiday Heart Syndrome refers to the onset of heart rhythm disorders — most commonly Afib — in otherwise healthy people. It is typically caused by a "perfect storm" of factors associated with celebrating.

“It is most commonly associated with excess alcohol consumption, rich foods, increased stress and staying out late,” said Luke.

While stress from family dynamics and lack of sleep play a role, Luke noted that alcohol is the biggest driver.

“Studies have shown that consuming alcohol in excess in one evening is the most common risk factor leading to Holiday Heart Syndrome,” he said.

Who is at risk?

Surprisingly, this condition often strikes people you might not expect.

“We see Holiday Heart Syndrome in younger patients with a healthy heart,” Luke said, “with younger males the most common demographic.”

However, the risk increases significantly for individuals who already manage medical conditions, such as:

• High blood pressure

• Diabetes

• High cholesterol

• Structural heart disease

Symptoms: What to watch for

Because Holiday Heart often affects people who aren’t used to heart issues, the symptoms can be alarming. Luke said to look out for:

• Racing heart: A heart rate that jumps to the 150-170 beats per minute range.

• Irregular rhythm: A sensation of “skipped” beats or fluttering.

• Physical distress: Shortness of breath, sweating or chest discomfort.

• Smart watch alerts: Many patients now come in after their smart watch or fitness tracker alerts them to a high heart rate or irregular rhythm.

When to go to the ER

If you notice a sustained rapid heart rate that lasts for minutes or hours, you should seek medical attention.

“Most of the time, this can be managed in the ER,” Luke said. “With a few medications, we can usually get your heart back into a regular rhythm.”

Tips for a heart-healthy holiday

You don’t have to skip the celebration to stay safe. Instead, focus on modifiable risk factors:

• Moderation is key: Reducing alcohol consumption is the single most effective way to prevent Holiday Heart.

• Watch the salt: Enjoy the holiday meal, but be mindful of overly salty foods to prevent fluid retention.

• Manage stress: Try to regulate holiday stress with exercise.

• Stay on track: Keep up with your regular medications and doctor’s appointments, and keep your blood pressure and blood sugar under control.

Luke said heart failure and heart attacks also increase during the holiday period due to stress, increased rich meals and alcohol consumption.