Most people know that extreme heat can make us sick. But we may think of heat-related illness as something that only affects people who are overdoing it -- like overheated marathon runners, professional athletes, or new recruits doing drills on military bases.
But most people who die from heat stroke in the U.S. -- about 400 every year, and possibly more -- don't get it from overexerting themselves on a muggy day. In certain people during high temperatures, it's all too easy to develop heat stroke while sitting perfectly still on the couch.
I had no inkling I had heart disease until December 2005, when I had two minor episodes of mild angina (pain in the chest area). My primary care physician ran an electrocardiogram but saw nothing abnormal. I was an athletic, lean 53-year-old who ate nutritious foods. He decided I was just stressed and gave me the go-ahead to go to Nicaragua on vacation.
But while there, the angina went from mild to severe. The pain would come and go, but on three separate occasions the pain was the most massive...
Heat stroke occurs when the body is unable to regulate its temperature. The body's temperature rises rapidly, the sweating mechanism fails, and the body is unable to cool down.
"People just don't understand the risks of extreme heat," says Michael McGeehin, PhD, MSPH, director of the division of Environmental Hazards and Health Effects, at the CDC's National Center for Environmental Health. "They aren't aware how quickly they can get into trouble."
And while heat-related illness can be a problem for anybody, the risks aren't equal. People who have certain medical conditions or who take some medications to treat those conditions are at a greater risk of having problems in hot weather.
"Any chronic disease lowers your threshold to heat injury," says James Knochel, MD, from the Presbyterian Hospital of Dallas. "There's no question that people with medical conditions are at higher risk, although they may not know it."
"If you go to the ER of a hospital and look at the people who are there for heat stroke," Knochel tells WebMD, "most of them are going to be older and have cardiovascular disease, or diabetes, or another chronic condition."
But these illnesses and deaths can be prevented. If you are at risk, then you can learn how to protect yourself.
Heat and Disease
In order to work well, the body has to stay at a normal temperature. If it heats up even by a few degrees, your body starts to cool itself. The most obvious and familiar reaction is that you start to sweat. As the hot perspiration evaporates off your skin, you're cooled down.