The festive season is synonymous with joy, togetherness, and indulgence but for cardiologists, it is also a period marked by a noticeable rise in cardiovascular emergencies. According to Dr Abhijeet Palshikar,
Director of Cardiology, Sahyadri Super Speciality Hospital, Pune, abrupt deviations from daily routines during holidays place unexpected strain on the heart, even in people who otherwise consider themselves healthy.
Heavy, calorie-dense meals rich in sugar, salt, and unhealthy fats, excessive alcohol consumption, late nights, disturbed sleep patterns, and heightened emotional stress collectively increase cardiac workload. “These sudden lifestyle shifts can overwhelm the cardiovascular system,” explains Dr Palshikar, noting that individuals with pre-existing conditions such as hypertension, diabetes, obesity, or a history of heart disease face a significantly higher risk of heart attacks and rhythm disturbances during this time. However, he cautions that festive excess can adversely affect even those without known heart disease.
From a medical standpoint, overindulgence has measurable consequences. Excessive alcohol intake and overeating can lead to dehydration, electrolyte imbalances, and sudden spikes in blood pressure, key triggers for cardiac events. One well-recognised condition linked to festive excess is Holiday Heart Syndrome, a term used to describe irregular or abnormal heart rhythms that occur during or shortly after periods of heavy alcohol consumption. Cold weather common during year-end celebrations further compounds risk by causing blood vessel constriction, increasing strain on the heart.
Adding depth to this clinical reality, Dr Kayan Siodia, Consultant Cardiologist, P.D. Hinduja Hospital & MRC, Khar, describes the festive period as a paradox, “a time radiant with celebration, yet quietly harbouring cardiovascular peril.” He explains that Holiday Heart Syndrome is not merely a theoretical concept but a real-world manifestation of rhythm disturbances, often presenting as atrial fibrillation, the most common arrhythmia seen during festivities.
“These rhythm disturbances frequently arrive unannounced,” says Dr Siodia. “Patients may experience palpitations, heart fluttering, chest heaviness, or breathlessness, symptoms that are often dismissed as fatigue, anxiety, or dehydration.” He stresses that chest discomfort, tightness, or unexplained heaviness should never be ignored or postponed, as early medical intervention can be lifesaving.
Both experts emphasise that emotional stress, erratic sleep, alcohol excess, dehydration, and lapses in medication adherence often converge during festive periods, conspiring against cardiovascular stability. Even resilient hearts can falter under these external pressures, while those with existing heart disease may find themselves dangerously close to a tipping point.
The solution, however, is not abstinence from celebration but conscious moderation. Dr Palshikar advises practical measures such as portion control, limiting alcohol intake, staying well-hydrated, incorporating fruits and lighter, nutrient-dense foods alongside traditional dishes, and maintaining regular sleep patterns. Simple physical activity, like a short walk after meals, can also significantly benefit heart health.
Echoing this sentiment, Dr Siodia underscores that “everything in moderation is the rhythm of a healthy life.” He stresses uninterrupted medication adherence, maintaining regular exercise routines where possible, and respecting emotional wellbeing as integral components of heart health. “Festivities should elevate not only the spirit but also preserve the sanctity of the human heart,” he says.
Ultimately, celebration and health need not exist at odds. By recognising early warning signs, respecting the body’s limits, and practising mindful indulgence, individuals can ensure that festive joy does not come at the expense of cardiovascular wellbeing. This season, let moderation be the rhythm to which every heart beats.
