Reports suggest that cardiac events see an uptick during election season. For example, in California, a Kaiser Permanente study revealed that stroke hospitalizations were reportedly 62% higher in the 2 days following the 2016 US election compared to prior weeks.1 Similarly, the same study notes that the days following the 2020 election saw a 42% increase in heart attacks and a 17% rise in overall cardiovascular events.2
Stress of any kind has profound physiological impacts, especially on the cardiovascular system. While major stressors such as elections, holidays, and life changes affect many people, those with heart conditions are at even greater risk. Research and reports show that the risk of a heart attack increases greatly during seasonal periods of heightened stress for those with underlying heart conditions.3
As health care moves into an era of proactive interventions and increasingly sophisticated monitoring outside of the hospital, artificial intelligence (AI)-enabled remote cardiac monitoring is emerging as a powerful tool to help clinicians manage the effects of patients’ stress by detecting, predicting, and even potentially preventing stress-induced cardiac events among those most at risk.
This article explores the multifaceted impact of stress on cardiovascular health, unpacks the role of AI-enabled remote cardiac monitoring in managing its effects on high-risk populations, and provides actionable tips to control stress during the election season and beyond.
Unpacking the Impact of Stress on the Cardiovascular System
For individuals without known cardiac conditions, the physiological impacts of stress, such as elevated blood pressure and heart rate, often go unnoticed, as they don’t always produce clear symptoms. However, for the estimated 127.9 million US adults with some form of cardiovascular disease (tallied between 2017 and 2020) , these stress-induced responses can be more severe.4 Chronic stress can lead to higher risk of arrhythmias and may even be a precursor to serious events such as heart attacks, amplifying risks for individuals already dealing with conditions like coronary artery disease or heart failure.
Among traditionally low-risk populations, raising awareness of the connection between stress and cardiovascular health is foundational to recognizing symptoms early, when the opportunity for intervention is greatest. In higher-risk populations, advancements in AI and remote patient monitoring (RPM) go one step further, enabling patients and providers to manage the cardiac effects of stress proactively for the first time. These tools allow for continuous monitoring of stress-related changes in heart rate and rhythm, enabling timely interventions to mitigate the risk of serious events before they occur.
AI-Powered Predictive Cardiology: From Passive Detection to Proactive Prevention
By shifting from reactive to proactive stress management, AI and RPM technologies are helping improve cardiovascular outcomes across diverse patient populations. Previously, cardiac patients relied on intermittent data collection for arrhythmia detection and condition monitoring. This approach left critical time periods in the fringes and crucial nonevent data under the radar. In reality, a continuous (as opposed to episodic) approach is required to proactively address the more than 700,000 potentially avoidable cardiac deaths each year.4 Through AI-powered detection, we can finally make continuous monitoring a standard of care for high-risk populations.
Modern virtual cardiac telemetry solutions collect and analyze large volumes of physiological data, such as heart rate, electrocardiogram results, and blood pressure. They do this continuously and in the natural context of a patient’s daily life. This allows AI to identify subtle variations in heart rhythms that may signal a developing issue well before a patient identifies symptoms, enabling earlier intervention. It also enables AI to discern more nuanced observations about patient health, including the relationship between stress levels and cardiac indicators.
One of the most powerful differentiators of AI is its superior predictive capability. By processing historical data alongside near real-time metrics, AI can recognize patterns that precede arrhythmias or cardiac events, particularly during periods of increased emotional or physical stress. Leading up to a political election, AI may be able to detect early warning signs in patients at risk—such as changes in heart rate variability—triggering an alert before a potential cardiac event occurs. This allows health care providers to take preventive action, like adjusting medications, recommending lifestyle changes, or offering stress-reduction techniques.
But cardiac care among those at high risk is not always about diagnosing a major condition or spotting a major event—it is often about disease management. AI’s strength also lies in its ability to personalize interventions and offer insight for more effective condition management. These algorithms can help clinicians create individualized risk profiles based on a patient’s medical history, lifestyle, and health data, then make recommendations that are tailored to their specific needs.