Upstate New York is bracing for impact with the winter storm on the way. In addition to snowfall, windchills are expected to dip well into the negatives starting Friday.

When temperatures get down below zero people need to protect themselves a little more –- especially because they are more susceptible to some heart issues.

Health advocates say that our heart works harder when it's cold, so it's important to give ourselves plenty of breaks. 

Whether you're walking or shoveling -- take your time and don't over exert yourself.

Wearing layers to keep your body heat in while you're walking, shoveling, or actively outdoors for any amount of time can certainly help keep you warm.

Avoid drinking alcohol, even if it makes you feel warmer, because it can increase the likelihood of hypothermia.

Always keep your cell phone with you outside at all times and know the signs of a heart attack.

"Things like chest discomfort, neck pain, back pain, jaw pain, light headedness, nausea, all these things are heart attack warning signs. Also, be on the lookout for hypothermia, heart failure, actually causes most deaths in hypothermia," said AHA Communications Director Kristy Smorol.

And it's always a good idea to learn and know Hands Only CPR, which could help you help someone else at any time.

Health officials also remind people to keep an eye on senior citizens who are even more susceptible to heart issues when it's extremely cold.