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* If you are inactive and have a history of heart trouble, talk to your doctor before you take on the task of shoveling snow.


* Avoid caffeine or nicotine before beginning. These are stimulants, which may increase your heart rate and cause your blood vessels to constrict.This places extra stress on the heart.
     
* Drink plenty of water. Dehydration is just as big an issue in cold winter months as it is in the summer.
     
* Dress in several layers so you can remove a layer as needed.
     
* Wear proper footwear: Shoes and boots with solid treads on the soles can help to minimize the risk of slips and falls.


* Warm up your muscles before shoveling, by walking for a few minutes or marching in place. Stretch the muscles in your arms and legs, because warm muscles will work more efficiently and be less likely to be injured.
     
* Pick the right shovel for you. A smaller blade will require you to lift less snow, putting less strain on your body.
     
* Watch for ice: Course sand, ice salt, ice melter, or kitty litter can
       help give more traction, reducing the chance of a slip or fall.
     
* Begin shoveling slowly to avoid placing a sudden demand on your heart. Pace yourself and take breaks as needed.
     
* Push the snow to one side and avoid throwing. If you must throw, avoid twisting and turning. Position yourself to throw straight at the snow pile.
     
* Most importantly — listen to your body. Stop if you feel pain!
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