Research shows that Americans have more fatal heart attacks during the holiday season than any other time of the year.

It’s a phenomenon known as Holiday Heart and it can be attributed to many things, such as extra stress or maybe even overindulging as people tend to eat larger portions of richer, saltier foods and drink more alcohol this time of year.

Many times people get caught up in checking off their to-do list items, which can cause medication regimens to fall by the wayside. And if they do notice concerning heart symptoms, they’re more likely to put off seeing a doctor to avoid disrupting their family’s holiday plans.