Cleveland Clinic Doctor Warns Football Fans About Heart Attack Risks During Super Bowl Stress
CLEVELAND, OH — As the Super Bowl approaches, medical experts are cautioning fans about the hidden dangers of game-day stress, particularly for those with underlying heart conditions. Research has shown that high-stakes sporting events can increase the risk of heart attacks and other cardiovascular issues, making it critical for fans to be mindful of their health while watching the game.
Dr. Nicholas Ruthmann of the Cleveland Clinic advises fans to stay aware of their body's signals and seek immediate medical attention if they experience symptoms of a heart attack. “So, the biggest thing I can offer is to not wait for the fourth quarter if you're having signs or symptoms—to really pay attune and attention to what's happening with your body during the event. And to reach out and touch base with medical care quickly if you're having signs or symptoms,” he said.
The concern is not just theoretical. A study published in the American Journal of Cardiology found that heart-related deaths increased in Los Angeles following the Rams' Super Bowl loss in 1980 but decreased after the Raiders' victory in 1984. More recent research in Current Problems in Cardiology confirmed that die-hard sports fans, particularly those with preexisting heart conditions, face an increased risk of cardiac events during emotionally intense games.
Dr. John Ryan, a cardiologist who has studied the impact of major sporting events on heart health, said that both the Super Bowl and the FIFA World Cup have been associated with increased heart attack risks, particularly in cities where teams are competing. "It seems, in particular, in cities hosting the Super Bowl and in the cities whose teams are playing in the Super Bowl, it seems to be higher," he explained. Fans who already have high blood pressure, a history of smoking, or other risk factors are especially vulnerable to stress-induced cardiac events.
A separate study analyzing two Super Bowls in 2008 and 2009 found that after Massachusetts' team lost to New York, circulatory-related deaths in the state rose by 20%, while ischemic heart disease deaths increased by 24%. In contrast, after Pittsburgh won the Super Bowl in 2009, the city saw a 25% decline in circulatory deaths and a 46% drop in heart attack-related fatalities.
Beyond emotional stress, lifestyle choices surrounding the Super Bowl can also contribute to heart issues. Cardiologists warn that the combination of alcohol consumption, high-fat foods, and excessive sodium intake can raise blood pressure and cholesterol levels, exacerbating existing conditions. “There are behaviors that can be associated with the Super Bowl that are not heart-healthy. You might think, ‘One day doesn’t make a difference, right?’” said Dr. Tamara Horwich, a cardiologist at UCLA. “But one day of binging in behaviors like excessive drinking can be detrimental to your health.”
Psychologists note that intense emotional investment in a team’s success or failure can also impact mental and physical health. Dr. Brandon Mastromartino, a professor of experiential marketing at San Diego State University, explains that while a team’s victory can boost self-esteem, a loss can lead to emotional distress and even depressive symptoms. To mitigate stress, he suggests limiting alcohol intake, avoiding excessive gambling, and engaging with a supportive community of fellow fans.
Dr. Ruthmann stresses that while those with preexisting conditions are at the highest risk, anyone can experience a heart attack. He encourages fans not to ignore symptoms such as chest pain, shortness of breath, or dizziness. Above all, he advises moderation and taking breaks if stress levels become overwhelming.