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Title: Winter Peaks in Heart Failure: An Inevitable or Preventable Consequence of Seasonal Vulnerability?
Austin Authors: Stewart, Simon;Moholdt, Trine T;Burrell, Louise M ;Sliwa, Karen;Mocumbi, Ana O;McMurray, John Jv;Keates, Ashley K;Hawley, John A
Affiliation: Hatter Institute for Cardiovascular Research in Africa, University of Cape Town Cape Town, South Africa
Medicine (University of Melbourne)
Norwegian University of Science and Technology Trondheim, Norway
Hatter Institute for Cardiovascular Research in Africa, University of Cape Town Cape Town, South Africa
Australian Catholic University Melbourne, Australia
Mozambique Institute for Health Education and Research Maputo, Mozambique
University of Glasgow Glasgow, Scotland
Issue Date: May-2019
Date: 2019-05-24
Publication information: Cardiac Failure Review 2019; 5(2): 83-85
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.
DOI: 10.15420/cfr.2018.40.2
ORCID: 0000-0003-1863-7539
Journal: Cardiac Failure Review
PubMed URL: 31179017
ISSN: 2057-7540
Type: Journal Article
Subjects: Cardiovascular seasonality
heart failure
physiological and behaviour changes
seasonal flexibility
Appears in Collections:Journal articles

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