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The Hidden Dangers of Snow Shoveling: A Guide to Protecting Your Heart This Winter

Author : Samin Nosrat
Published Time : 2026-01-27

While staying active year-round is vital for both physical and mental health, certain winter activities, like shoveling snow, can present unexpected dangers, particularly to your heart. This strenuous chore, often underestimated, can significantly increase the risk of heart attacks, especially for individuals with pre-existing heart conditions or those who are not accustomed to intense physical exertion. Understanding these risks and implementing appropriate safety measures is crucial for a healthy winter season. The Centers for Disease Control and Prevention highlight the importance of regular physical activity for overall well-being, yet caution is advised when engaging in demanding tasks in cold environments.

Research underscores the link between heavy snowfall and an increased incidence of heart-related emergencies, with snow shoveling being a primary contributor. Experts like Kelly Jones, M.S., RD, CSSD, LDN, emphasize that this activity places considerable stress on the heart and cardiorespiratory system. For individuals with hypertension, cold temperatures can further elevate blood pressure, and for those with coronary artery disease, cold-weather exercise may diminish oxygen supply to the heart. These combined factors create a perilous scenario that can heighten the risk of a heart attack.

The physical demands of shoveling snow can push the heart to its limits, sometimes even exceeding the strain of a maximal treadmill test. This is particularly true for sedentary individuals or those with undiagnosed coronary artery disease. Roxana Ehsani, M.S., RD, CSSD, notes that many people lack the regular activity required for such strenuous tasks, making them vulnerable. Shoveling necessitates both strength and endurance, and even active individuals may find it challenging. Jones adds that most Americans are unaccustomed to heavy lifting, especially with the upper body, which can further increase blood pressure by reducing blood flow to the lower extremities.

The cold itself exacerbates these risks. Ehsani explains that exercising in low temperatures can induce angina (chest pain) due to blood vessel constriction. Studies show that individuals with heart conditions may experience chest pain at lower exertion levels in cold weather. Furthermore, dangerous heart rhythms, plaque rupture, and blood clots have been documented in such circumstances. A recent review revealed a direct correlation between temperature drops and increased cardiovascular-associated mortality. Therefore, it is imperative to not only shovel safely but also to remain adequately warm.

To mitigate the risks associated with snow shoveling, experts recommend several safety strategies. First, individuals with heart conditions or a family history of heart disease should seek medical clearance before engaging in such strenuous activity. A thorough warm-up, involving arm and leg swings, body-weight squats, and light marching, is essential before heading outdoors. Strategic planning, such as pushing snow downhill on sloped driveways, can minimize strain. It's crucial to adopt a slow and steady pace, lifting small amounts of snow, and utilizing leg and glute muscles rather than the upper body to distribute the load and protect the back. Regular breaks are vital to prevent overexertion, especially for larger areas or when fatigue sets in. Finally, maintaining proper hydration is often overlooked but critical, as cold weather can increase the risk of dehydration, even if thirst is not strongly felt.