RT Journal A1 De Lorenzo F, Kakkar VV T1 MIght cold adaptation reduce cardiovascular mortality during winter? JF Archives of Internal Medicine JO Archives of Internal Medicine YR 1999 FD September 13 VO 159 IS 16 SP 1954 OP 1954 DO UL http://dx.doi.org/ AB The mechanisms by which abrupt rupture of atherosclerotic plaques occur during cold exposure have been associated with an increased sympathetic activity that causes increased blood pressure, heart rate, and cardiac workload.2 In addition, increased serum lipids levels,3 plasma viscosity,4 fibrinogen values,3,5 factor VII:c levels,5 and platelet counts have been reported.4 Therefore, several authors have concluded that the effect of cold weather during winter on cardiovascular mortality was mediated by the increase of these risk factors.3- 5