Here's how shoveling show can be risky to your health
By
The Associated Press
January 26, 2026
Clinical Scorecard: The Health Risks Associated with Snow Shoveling Activities
At a Glance
Category Detail
Condition Cardiovascular stress and risk of heart attack during snow shoveling
Key Mechanisms Heavy exertion increases heart workload; cold-induced vasoconstriction raises blood pressure, increasing cardiac risk
Target Population Older adults, individuals with known heart disease, high blood pressure, high cholesterol, and generally sedentary individuals
Care Setting Community and home settings during snow removal activities
Key Highlights
Snow shoveling can make the heart work as hard as during a major workout, even for short durations. Cold temperatures cause blood vessel constriction, raising blood pressure and cardiac risk. Older adults and those with cardiovascular risk factors are at increased risk of heart attack or stroke during snow shoveling.
Guideline-Based Recommendations
Diagnosis
Recognize common warning signs of a heart attack during or after snow shoveling.
Management
Take frequent breaks and avoid over-exertion while shoveling snow. Go slow and push snow instead of lifting and throwing it to reduce cardiac strain. Call 911 immediately if experiencing heart attack symptoms.
Monitoring & Follow-up
Monitor for symptoms of cardiac distress during snow removal, especially in high-risk individuals.
Risks
Risk of heart attack, stroke, or cardiac arrest increases with heavy exertion in cold weather. Individuals with pre-existing heart disease or risk factors are particularly vulnerable.
Patient & Prescribing Data
Older adults and individuals with cardiovascular risk factors engaging in snow shoveling
Encourage gradual activity, symptom awareness, and emergency response preparedness during snow removal.
Clinical Best Practices
Advise at-risk patients to avoid strenuous snow shoveling or to perform it cautiously with breaks. Educate patients on recognizing heart attack symptoms and the importance of prompt emergency care. Promote cardiovascular risk factor management to reduce susceptibility to exertion-related cardiac events.
References