Acute heart failure syndrome associated with snow shoveling

Int Heart J. 2012;53(6):394-5. doi: 10.1536/ihj.53.394.


There have been only a few reports regarding the relation between snow shoveling and acute heart failure syndromes (AHFS). We present a case series of 5 patients who presented with AHFS, all within 5 days after shoveling snow. Although all patients underwent examination at a regular out-patient clinic, no patient had prior signs or symptoms of heart failure. The condition of all patients had gradually deteriorated, with no abrupt onset of dyspnea after shoveling snow. Four of the 5 patients demonstrated a preserved ejection fraction on echocardiography. Snow shoveling may lead to AHFS in patients who are at risk for developing heart failure.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Aged
  • Aged, 80 and over
  • Coronary Angiography
  • Electrocardiography
  • Female
  • Follow-Up Studies
  • Heart Failure / diagnosis
  • Heart Failure / etiology*
  • Heart Failure / physiopathology
  • Humans
  • Male
  • Physical Exertion*
  • Snow*
  • Syndrome
  • Tomography, X-Ray Computed