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Winter peaks in heart failure: An inevitable or preventable consequence of seasonal vulnerability?
Stewart, Simon Moholdt, Trine T. Burrell, Louise M. Sliwa, Karen Mocumbi, Ana O. McMurray, John J. V. Keates, Ashley K. Hawley, John A.
Stewart, Simon
Moholdt, Trine T.
Burrell, Louise M.
Sliwa, Karen
Mocumbi, Ana O.
McMurray, John J. V.
Keates, Ashley K.
Hawley, John A.
Abstract
Climate change is a major contributor to annual winter peaks in cardiovascular events across the globe. However, given the paradoxical observation that cardiovascular seasonality is observed in relatively mild as well as cold climates, global warming may not be as positive for the syndrome of heart failure (HF) as some predict. In this article, we present our Model of Seasonal Flexibility to explain the spectrum of individual responses to climatic conditions. We have identified distinctive phenotypes of resilience and vulnerability to explain why winter peaks in HF occur. Moreover, we identify how better identification of climatic vulnerability and the use of multifaceted interventions focusing on modifiable bio-behavioural factors may improve HF outcomes.
Keywords
cardiovascular seasonality, seasonal flexibility, physiological and behaviour changes, prediction, prevention, heart failure, risk
Date
2019
Type
Journal article
Journal
Cardiac Failure Review
Book
Volume
5
Issue
2
Page Range
83-85
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY-NC 4.0
File Access
Open