A heat wave is a prolonged period of excessively hot weather, which may be accompanied by high humidity, especially in oceanic climate countries. While definitions vary, a heat wave is measured relative to the usual weather in the area and relative to normal temperatures for the season. Temperatures that people from a hotter climate consider normal can be termed a heat wave in a cooler area if they are outside the normal climate pattern for that area.

The term is applied both to routine weather variations and to extraordinary spells of heat which may occur only once a century. Severe heat waves have caused catastrophic crop failures, thousands of deaths from hyperthermia, and widespread power outages due to increased use of air conditioning. A heat wave is considered extreme weather, and a danger because heat and sunlight may overheat the human body.

Heat waves form when high pressure aloft (from 10,000–25,000 feet (3,000–7,600 metres)) strengthens and remains over a region for several days up to several weeks. This is common in summer (in both Northern and Southern Hemispheres) as the jet stream 'follows the sun'. On the equator side of the jet stream, in the middle layers of the atmosphere, is the high pressure area.

Summertime weather patterns are generally slower to change than in winter. As a result, this mid-level high pressure also moves slowly. Under high pressure, the air subsides (sinks) toward the surface. This sinking air acts as a dome capping the atmosphere.

This cap helps to trap heat instead of allowing it to lift. Without the lift there is little or no convection and therefore little or no convective clouds (cumulus clouds) with minimal chances for rain. The end result is a continual build-up of heat at the surface that people experience as a heat wave.

Hyperthermia, also known as heat stroke, becomes commonplace during periods of sustained high temperature and humidity. Sweating is absent from 84–100% of those affected. Older adults, very young children, and those who are sick or overweight are at a higher risk for heat-related illness. The chronically ill and elderly are often taking prescription medications (e.g.,diuretics, anticholinergics, antipsychotics, and antihypertensives) that interfere with the body's ability to dissipate heat.

Heat edema presents as a transient swelling of the hands, feet, and ankles and is generally secondary to increased aldosterone secretion, which enhances water retention. When combined with peripheral vasodilation and venous stasis, the excess fluid accumulates in the dependent areas of the extremities. The heat edema usually resolves within several days after the patient becomes acclimated to the warmer environment. No treatment is required, although wearing support stocking and elevating the affected legs with help minimize the edema.

Heat rash, also known as prickly heat, is a maculopapular rash accompanied by acute inflammation and blocked sweat ducts. The sweat ducts may become dilated and may eventually rupture, producing small pruritic vesicles on an erythematous base. Heat rash affects areas of the body covered by tight clothing. If this continues for a duration of time it can lead to the development of chronic dermatitis or a secondary bacterial infection. Prevention is the best therapy. It is