The big game this Sunday will be one of the most-watched television events of the year, with estimates of at least 120 million viewers expected nationwide.

But when all eyes are on the game, Wahaj Aman, MD, an interventional cardiologist at the Center for Advanced Cardiology – Katy, is watching out for his patients.
“The combination of game day habits and emotional highs and lows can put your heart health at risk,” said Aman, an assistant professor at McGovern Medical School at UTHealth Houston.
Aman explains the cardiovascular risks of watching sports and offers heart health advice for sports fans.
Emotional stress and heart health
When the two best teams in the country meet for the NFL’s crowning glory, there’s no doubt emotions will be high.
The excitement, anticipation, and anxiety of a suspense-filled game can trigger short bursts of extreme stress, leading to a hormonal imbalance in the bloodstream.
“Suddenly demand on the heart goes through the roof,” Aman said. “The heart is being asked to beat faster and stronger to keep up with the surge of hormones.”
When the heart can’t keep up, severe symptoms can lead to a heart attack and even broken heart syndrome, when the bottom part of the heart, called the apex, stops working.
“We see this every year, whether the game went their way or not,” Aman said.
Watch party factors
The typical watch party environment, a buffet of salty foods, alcohol, and prolonged sitting, amplifies cardiovascular stress.
“Salty foods can spike your blood pressure,” Aman said. “When you overindulge in salty foods, the body retains extra water, and it puts strain on the heart and kidneys.”
Who’s at risk
Viewers with certain preexisting conditions are at a higher risk of developing heart conditions while watching the big game.
Preexisting conditions include:
- Diabetes
- High blood pressure
- Obesity
- Sedentary lifestyle
- Smoking
People who already suffer from coronary artery disease or existing heart failure have an even higher risk.
Heart-smart playbook
Watching a high-energy game can still be fun with the right precautions. Follow this playbook for tips to reduce heart risks.
- Choose healthy game day grub.
- Control portion sizes.
- Stay hydrated and limit alcohol.
- Take movement breaks during commercials.
- Watch the game with family and friends and incorporate a fitness challenge.
“Having a community around you that understands your medical history and your personal risk is often the most important factor,” Aman said. “Them knowing that you’re at risk can save a life.”
When to take symptoms seriously
The following symptoms could be a warning sign of heart stress.
- Chest discomfort: heaviness, pressure, or pain
- Cold or clammy feeling
- Dizziness, lightheaded feeling
- Heart racing
- Nausea
- Shortness of breath
- Sudden headache
Take these warning signs seriously and conduct a blood pressure check. If blood pressure is above 160/100, it is high. If it remains high, call 911.
Symptoms can appear well after the game and should not be ignored.
“Anything that lasts more than 10 minutes is a serious concern regardless of medical history,” Aman said.
Enjoy the game and protect your heart
Balance the excitement of the confetti-filled finale with smart, mindful choices for a fun, light-hearted party.
“Enjoy the game, but don’t let it affect you psychologically that much,” Aman said. “Most importantly, gather with friends and family. It will not only add to the experience, but it may even save a life.”