Is It True That Concussion Can Lead to a Heart Attack?

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A concussion may indirectly increase heart attack risk by affecting the nervous system and causing stress on the heart, especially in vulnerable individuals.

Written by Dr. Anjali
Medically reviewed by Dr. Yash Kathuria
Published At May 15, 2025
Reviewed At May 15, 2025

Education:

MDS

Professional Bio:

Dr. Anjali is a skilled and experienced maxillofacial prosthodontist. With a passion for delivering exceptional patient care, Dr. Anjali has dedicated herself to improving the lives of those who require specialized dental treatment. Dr. Anjali has continued pursuing her passion for maxillofacial prosthodontics, working in public and private dental practices. She has extensive years of experience in treating patients with dental problems.

This doctor is not available for online consultations on the platform anymore.

Education:

MBBS

Professional Bio:

Dr. Yash Kathuria is a dedicated and skilled physician specializing in Diabetology, General Medicine, Medical Gastroenterology, Neurology, Pulmonology (Asthma), and Internal Medicine. He focuses on personalized patient care, chronic disease management, early diagnosis, and preventive health strategies. His expertise spans diabetes control, cardiovascular health, kidney and liver-related disorders, and respiratory care, ensuring holistic and evidence-based treatment for every patient.

This doctor is not available for online consultations on the platform anymore.

Table of Contents

Introduction:

A concussion is most often viewed as a head injury which is a result of a blow or a jolt to the head parts. But could a concussion or a brain injury cause something as serious as a heart attack? Even though there could be no direct correlation that would advocate such a move, science indicates that head injuries might be related to cardiovascular problems. This article will discuss how concussions impact the body, whether concussions are associated with heart attacks, and how to shield the brain and heart after the injury.

What Is a Concussion?

A concussion is a mild form of traumatic brain injury (TBI), which is occasioned by a force or impact on the head or any other part of the body. This force results in shaking of the brain within the skull and thus leads to damage or, rather, destruction. Concussion severity is not always the same: headaches, dizziness, confusion, blurred vision, memory problems, and sensitivity to light or noise are usual. Certain manifestations are instantaneous, whereas some could take anything from hours to days of observation. Concussions are not considered serious if they do not result in deaths, but they should not be looked down on if they cling or get worse.

Concussion: What Happens to the Body?

As stated above, when the brain is injured, the body’s homeostasis and stress systems are triggered. This comprises the outflow of hormones such as adrenaline that helps enhance the heartbeat and blood pressure rate. These responses are regulated by the nervous system with enhanced contributions from the autonomic nervous system (ANS). In individuals having a concussion, there is always a shift in the function of SNS and PNS. This means that the body can remain in a state of stress more than normal, which might exert more pressure on the cardiovascular system.

However, the latest research published in the New England Journal of Medicine has clear evidence to support the idea that a concussion can directly cause a heart attack. Myocardial infarction happens when the blood supply to the heart is cut and may result from fatty materials that form a plug in the inner lining of arteries. If the heart's muscles do not receive enough oxygen-rich blood supply, it can become damaged or die out.

Can a Concussion Directly Cause a Heart Attack?

A concussion cannot be said to bring about a heart attack in the normal sense, that is, through blocking the arteries; nevertheless, the physiological strain that follows a concussion might add to cardiovascular difficulties. Here’s how:

1. Autonomic Nervous System: This can potentially switch the sympathetic nervous system into a high activation state due to concussion. This can result in:

  • Increased heart rate.

  • Elevated blood pressure.

  • Heart rhythm irregularities (arrhythmias).

They lead to the enhancement of workload in the heart, which could be detrimental to anyone with a history of heart disease. In severe cases, prolonged autonomic dysfunction could lead to a heart attack, especially in those people who already have underlying risk factors for heart diseases - high blood pressure, diabetes, or obesity.

2. Inflammation: Common to concussion, the physical recovery of the human body entails several processes, including inflammation from the brain and other parts of the body. Hence, chronic inflammation has implications for the cardiovascular systems and diseases such as heart disease. Although inflammation resulting from the first concussion may only be short-term, multiple concussions or head injuries may result in chronic inflammation, which may, therefore, increase the occurrence of events such as heart attacks in the long run.

3. Emotional Stress: Stress is one common thing that a person is likely to encounter after having been involved in a concussion.

4. Vasovagal Response: Some concussions cause a vasovagal response, a drop in heart rate and blood pressure. This response is usually manifested in fainting; however, it is known to lead to decreased blood circulation to the heart, thereby increasing the risk of heart issues. This is, however, a less common scenario but is worthy of mention for people who have other heart-related complications.

How Often Does Concussion Increase Heart Attack Risk?

There are few cases of having a heart attack after, or even simultaneously with, a concussion, but the possibilities exist for potential ones among those with heart diseases. Those individuals with heart diseases, hypertension, and or arrhythmias may be most at risk of potential physiological alterations in response to concussion. Some other works have also demonstrated that due to the repetitive conks and the resultant cumulative stress on the body systems, athletes in enormously impacting sports like football and boxing are likely to develop high cardiovascular risks.

Who Is at Risk of Developing Concussion?

  • High Blood Pressure (Hypertension): This might prove dangerous, for instance, in cases of those suffering from uncontrolled hypertension since concussion raises blood pressure.

  • Arrhythmias: People with arrhythmias and abnormal heart rhythms will likely be prone to additional rhythm disturbances after the concussion.

It is also noteworthy that the risk for cardiovascular and brain disease increases with age, so elderly people probably are at a higher risk in this regard. Furthermore, there is the added fact that the elderly have a more cloudy regulation of heart rate and blood pressure after concussions.

How to Take Care of the Heart After a Concussion?

When one gets a concussion or knows someone who has, then they need to look out for both head injuries as well as heart-related complications. Here are some tips to ensure both brain and heart health during recovery: Here are some tips to ensure both brain and heart health during recovery:

1. Monitor Heart Symptoms: If one has a concussion and develops the following signs related to the heart, then a person should immediately rush to the doctor for chest pain, shortness of breath, abnormal heartbeats, or dizziness. If any of these happens, it is advised that one should seek the services of a doctor immediately.

2. Control Blood Pressure: It is imperative to maintain blood pressure because it may soar to dangerous levels for people with hypertension. s have to undergo regular checkups and may need medications to lessen the stress on the heart during this stage.

3. Limit Physical Exertion: No exertion is allowed after a concussion, but after some time has passed, the individual should slowly start exercising again. One should stay away from things that increase the heart or blood pressure rate in case there are cardiovascular issues.

4. Manage Stress: Stress indeed worsens disturbances in both the brain and the heart. Some simple strategies for coping with stress, such as calming practices like meditation, relaxation, or counseling, are helpful for treatment.

5. Go for a Checkup and Consultation With a Doctor: Patients with previous heart conditions must return to a neurologist and a cardiologist to rule out the effects of concussion on the heart.

Conclusion

What is surprising is the fact that even though a concussion is a brain injury, the stress that the body is put under by the injury can translate to other parts of the body, including the heart. To be on the safe side, those who have cardiovascular risk factors for a heart attack should be careful since concussions do not always lead to such illness directly. The chronic sympathetic activation that follows concussions also increases inflammation, which, in combination with the increased adrenaline that was present, may increase the risk of heart issues due to the increase in heart disease. Concussion necessitates not only the rehabilitation of the brain but of the heart as well. To reduce risks of re-injury, one should be involved in regular medical check-ups, stress management, and a gradual increase in activity levels.

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