As the summer temperatures soar across Türkiye, medical experts are raising alarms about a serious yet often overlooked health risk triggered by extreme heat: heart problems. Dr. Kemal Engin, a seasoned cardiologist at Tokat State Hospital, recently spoke about the increased incidence of heart-related issues during hot weather, especially among younger individuals.
His observations are not just a warning but a call to action for both the general public and healthcare policymakers. As climate change continues to impact seasonal norms, understanding the relationship between high temperatures and cardiovascular health has become more critical than ever.

Heart Attacks Are No Longer a Problem Only for the Elderly
One of the most striking observations shared by Dr. Engin is that heart attacks are no longer confined to elderly populations. The age group of 35 to 55 has seen a noticeable rise in heart-related incidents, and this trend is backed by various epidemiological studies from Türkiye and beyond.
This shift can be attributed to a range of modern lifestyle factors. An increasing number of young individuals in Türkiye are engaging in high-risk behaviors such as smoking and poor dietary habits. “Tobacco use is beginning at younger ages,” Dr. Engin notes. “Additionally, the growing problem of obesity among youth is one of the leading contributors to early heart disease.”
Moreover, irregular sleep patterns and chronic stress—often linked to demanding work schedules and digital overstimulation—play a significant role in the development of arterial plaque, a major cause of heart attacks. Dr. Engin emphasizes that processed foods and high sugar consumption are also exacerbating cardiovascular risks at younger ages.
The Dangerous Link Between Heat and Heart Strain
During the hottest months, heart attack rates often increase—a correlation that medical experts attribute to excessive fluid loss and an imbalance in the body’s electrolytes. These imbalances put additional strain on the heart, potentially leading to cardiovascular complications even in otherwise healthy individuals.
“High temperatures can affect even those without preexisting heart conditions,” warns Dr. Engin. “Excessive sweating leads to dehydration, which disrupts the body’s electrolyte levels and increases the likelihood of heart-related events.”
One of his key recommendations is to avoid outdoor exposure during peak heat hours, typically between 11:00 a.m. and 4:00 p.m. Wearing lightweight, breathable clothing and consuming ample water throughout the day are essential preventive steps.
Routine Cardiology Screenings for Athletes and Active Individuals
Physical fitness is often seen as a cornerstone of a healthy lifestyle, but Dr. Engin advises caution for those with a family history of heart disease. Sudden cardiac deaths have been recorded among individuals engaging in sports without adequate screening, particularly those over 35.
“Before initiating any strenuous exercise regimen, especially for individuals over 35, it’s crucial to undergo a cardiology evaluation, including an electrocardiogram,” he explains. This advice is not just for seasoned athletes but also for casual gym-goers and weekend hikers.
For those with known heart disease in the family, these screenings should begin even earlier. Cardiovascular conditions such as arterial stiffness can begin developing in early adulthood, increasing the risk of sudden cardiac events during exertion.
Türkiye’s Summer Temperatures and the National Heart Health Landscape
Türkiye experiences a wide range of summer temperatures, from the breezy Aegean coast to the arid inland cities like Tokat, where Dr. Engin practices. These variations mean that many residents and tourists alike are exposed to prolonged periods of heat, increasing the risk of heat-induced heart stress.
Urban centers like İstanbul, Ankara, and İzmir often see compounded risks due to the urban heat island effect, where temperatures in the city core are significantly higher than in surrounding rural areas. These hotspots become critical zones for monitoring heart-related incidents.
Given Türkiye’s aging infrastructure and inconsistent access to cooling systems, vulnerable populations—particularly the elderly and those with preexisting heart conditions—require special attention during heatwaves.

Practical Tips to Protect Your Heart During Summer
To help reduce the risk of heat-induced heart complications, Dr. Engin offers the following practical recommendations:
Stay Hydrated: Drinking water regularly helps maintain the body’s internal balance. Avoid alcohol and caffeinated beverages that can dehydrate you.
Avoid Direct Sun Exposure: During midday hours, stay indoors or in shaded areas. Use fans or air conditioners when available.
Dress Smart: Opt for light-colored, loose-fitting clothing made of natural fibers such as cotton or linen.
Monitor Your Symptoms: If you experience chest pain, shortness of breath, unusual fatigue, or palpitations, seek medical attention immediately.
Consult Your Doctor: Especially if you are over 35, have a family history of heart disease, or plan to engage in intense physical activity.
Why Public Awareness Campaigns Are Needed
Dr. Engin’s insights reveal an urgent need for broader public health campaigns focused on cardiovascular wellness, particularly during the summer season. In Türkiye, public health institutions could play a more proactive role in educating citizens about the risks associated with heat and heart health.
Social media campaigns, school programs, and workplace seminars can be instrumental in spreading this information. With the right preventive strategies and timely medical screenings, thousands of lives could be improved or even saved.
Changing the Narrative Around Heart Disease
Heart disease is often seen as an issue that only concerns the elderly or those with sedentary lifestyles. Dr. Engin’s observations challenge this narrative. As life in Türkiye becomes more fast-paced and digitally connected, the physical toll on younger populations must not be underestimated.
Healthy living is more than just avoiding disease—it’s about understanding your body’s signals, taking preventive measures, and respecting the environment’s impact on your well-being. In a country as geographically and climatically diverse as Türkiye, a one-size-fits-all approach is no longer viable.




















