Some people do not exercise whatsoever, and thus their hearts are quite weak. When these people suddenly physically exert themselves by shoveling snow, which is somewhat intensive, their hearts literally cannot handle it.
For people who exercise frequently, this is not an issue and you are not more likely to have a heart attack whole shoveling.
It’s not an issue unless you already have heart disease/are at high risk for heart attack.
It’s the combination of cold weather and unaccustomed strenuous exercise.
Cold causes blood vessels to constrict, increasing blood pressure.
Shoveling snow is pretty hard aerobic work, which increases your heart rate and blood pressure further.
Both of those increase the acute risk that a small clot or similar will break loose from somewhere and get lodged in one of the (already partially-occluded, because you have heart disease) blood vessels that supply the heart muscle, leading to myocardial infarction, aka “heart attack.”
Edit: and I want to clarify the “unaccustomed” piece, too. It’s extra strenuous for people who may be otherwise pretty sedentary – if your heart is already out of shape because it doesn’t get exercise, it has to work far harder than that of someone doing a similar task who *is* in some kind of shape.
you wouldn’t be more likely to have one shovelling snow versus normal exercise on it’s own. The cold does contribute in many ways……. but you’re shovelling snow, not exercising. People don’t realize how physically taxing it can be and since they aren’t monitoring their exertion like they would be exercising it basically just creeps up on you.
It isn’t necessarily because of the snow or cold. It’s mostly because many people live sedentary lifestyles and snow shoveling is the only cardiovascular and strength workout that they do, and they can’t ease into it the way exercising would usually be recommended. So they overexert themselves and hurt their bodies.
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