Thanksgiving is one of America’s most meaningful traditions — a time to reflect and gather around a table filled with warmth, stories and favorite family recipes. Whether the plate features turkey, a vegetarian entrée or plant-based sides, the heart of the holiday is gratitude and connection.
But Northside Hospital cardiologist Dr. Murti Patel says the days that follow can bring serious health concerns. Hospitals often see an increase in heart attacks, heart failure and irregular heart rhythms after Thanksgiving.
“The good news is you can celebrate fully while protecting your heart — and your loved ones,” Patel said.
Holiday heart risks
One of the best-known concerns is Holiday Heart Syndrome, when heavy alcohol use triggers arrhythmias such as atrial fibrillation, even in people with no prior heart issues.
Alcohol isn’t the only factor. Patel said the larger risk comes from a familiar holiday mix: salty and rich foods, large portions, long periods of sitting, travel stress, or emotionally charged gatherings and skipping medications “just for the day.”
Heart-related emergencies tend to rise during the winter holidays and many symptoms begin just after Thanksgiving weekend.
Enjoy the feast, not the fallout
Patel said no one needs to avoid favorite dishes. Minor adjustments can support heart health without sacrificing tradition.
A simple plate approach
Half the plate should include non-starchy vegetables like green beans, Brussels sprouts or salad. A quarter should be lean protein, such as turkey breast, dark meat in moderation, or a plant-based alternative. The final quarter is reserved for holiday favorites such as stuffing, mashed potatoes or macaroni and cheese.
Healthy swaps include olive oil instead of butter, Greek yogurt or blended cashews for cream-based dishes and herbs, lemon and garlic instead of salt. Whole-grain rolls are a smart addition.
“And yes, have the pie,” Patel said. “Just take your time with it.”
Move together
Light activity after the meal helps digestion, reduces blood sugar and supports the heart. Families can walk around the neighborhood, play a quick outdoor game or turn on music while cleaning up.
Don’t skip medications
Patel urges patients not to miss medications during travel or busy gatherings. Pill organizers, phone reminders and pre-packed doses help keep routines steady.
Warning signs of a heart emergency include chest pressure, shortness of breath or sudden sweating, nausea or pain in the neck, jaw, arm or back. Anyone experiencing these symptoms should call 911.
Drink mindfully
For those who choose to drink alcohol, Patel recommends moderation: one drink a day for women and two for men. Alternating with water or non-alcoholic options can help prevent binge drinking, a major trigger for Holiday Heart Syndrome.
A heart-healthy tradition
Patel encourages families to make gratitude part of the day — sharing what they’re thankful for, beginning with a moment of reflection or offering heart-healthy appetizers. A post-meal photo walk can capture memories and support activity.
More holidays ahead
“This season, take care of your heart the same way you care for your family,” Patel said. “A few common-sense choices can help you stay present, healthy and strong — not just this year, but for many to come.”
Learn more about Northside Hospital Heart Institute.
