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By:

Quaid Najmi

4 January 2025 at 3:26:24 pm

Cold wave triggers spike in cardiac arrests

Mumbai : As winter temperatures go for a spin across the country, hospitals are witnessing a significant surge of around 25-30 pc in cardiac emergencies, a top cardiologist said.   According to Interventional Cardiologist Dr. Hemant Khemani of Apex Group of Hospitals, cold air directly affects how the heart functions.   “Low temperatures make blood vessels tighten. When the arteries narrow, blood pressure shoots up and the heart has to work harder to push the blood through the stiffened...

Cold wave triggers spike in cardiac arrests

Mumbai : As winter temperatures go for a spin across the country, hospitals are witnessing a significant surge of around 25-30 pc in cardiac emergencies, a top cardiologist said.   According to Interventional Cardiologist Dr. Hemant Khemani of Apex Group of Hospitals, cold air directly affects how the heart functions.   “Low temperatures make blood vessels tighten. When the arteries narrow, blood pressure shoots up and the heart has to work harder to push the blood through the stiffened vessels,” said Dr. Khemani.   Elaborating on the direct effects of cold air on heart functioning, he said that low temperatures make blood vessels tighten, when arteries narrow, blood pressure shoots up and the heart must work harder to push blood through stiffened vessels.   Winter also thickens the blood, increasing the likelihood of clot formation and these combined effects create a dangerous ‘demand-supply mismatch’ for oxygen, especially in people with existing heart conditions.   This trend has caused concern among cardiologists as it adds to India’s already heavy cardiovascular diseases burden – with nearly one in four deaths linked to heart and blood vessel problems.   Dr. Khemani said that sudden temperature transitions - from warm rooms to chilly outdoors - can put additional strain on the heart and risks. “This abrupt shift loads the cardiovascular system quickly, raising the risk of a sudden (cardiac) event among vulnerable individuals.”   Lifestyle Patterns Added to these are the changes in lifestyle patterns during winter month that further amplify the danger. Most people reduce physical activities, eat richer foods, and often gain weight all of which combine to raise cholesterol levels, disrupt blood-sugar balance and push up blood pressure.   Complicating matters for the heart are the social gatherings during the cold season that tends to bring higher intake of smoking and alcohol, said Dr. Khemani.   Recommending basic preventive measures, Dr. Khemani said the chest, neck and hands must be kept warm to prevent heat loss, maintain a steady body temperature and reduce the chances of sudden blood pressure spikes, a low-salt diet, home-cooked meals, shot indoor walks post-eating, adequate hydration and at least seven hours of sleep.   He warns against ignoring warning signals such as chest discomfort, breathlessness, unexplained fatigue, or sudden sweating, pointing out that “early medical care can significantly limit heart damage and improve survival.”   The rise in winter heart risks is not unique to India and even global health agencies like World Health Federation and World Health Organisation report similar patterns.   The WHF estimates that more than 20 million people die of heart-related causes each year - equal to one life lost every 1.5 seconds, and the WHO has listed heart disease as the world’s leading cause of death for five consecutive years.   Seniors affected more by winter chills  Cold weather can hit the heart at any age, but the risk is noticeably higher for men aged above  45 and in women after 55, with the highest danger curve in people over 60, and elders with co-morbidities and history of heart diseases.   “People with existing cardiac problems face greater trouble in winter as the heart has to work harder. Even those without known heart disease can sometimes experience winter heart attacks, as chilly conditions may expose hidden blockages or trigger problems due to sudden exertion, heavy meals, smoking or dehydration,” Dr. Khemani told  ‘ The Perfect Voice’ .   However, contrary to perceptions, cold-weather heart issues have no connection to the COVID-19 vaccine, nor is there any scientific evidence linking the two, he assured.

A Paradox of Peace: When Writers Demand Arms, Not Appeasement

Updated: Oct 30, 2024

Soviet
Anne

In her acceptance speech for the Peace Prize of the German Book Trade, historian and journalist Anne Applebaum—a figure long revered for her critical and haunting works on Soviet atrocities—did something unexpected. While honoured for her dedication to truth and peace, she called for weapons, not words, in defence of Ukraine. This apparent contradiction is not new for Applebaum, who, throughout her work, has unearthed the horrors of authoritarian regimes and the ways in which societies allow themselves to be subjugated, inch by inch, word by word, until resistance seems impossible.


Applebaum’s career is a testament to the cost of capitulation. ‘Gulag’, her harrowing account of the Soviet Union’s network of labour camps, stands as one of the most definitive modern works on the topic, as chilling as it is necessary. Through exhaustively documented testimonies, the book recounts the fate of millions whose lives were consumed by a system built on repression. In her ‘Iron Curtain: The Crushing of Eastern Europe, 1944–1956,’ Applebaum traces how Eastern European states became pawns in Stalin’s machinations, each effort to resist crushed under a seemingly relentless ideological machine. Perhaps her most sobering work is ‘Red Famine: Stalin’s War on Ukraine, which chronicles the engineered famine that starved millions in Soviet Ukraine in 1932–1933—a human-made catastrophe designed to break Ukrainian resistance to Soviet rule. Through these narratives, Applebaum continually reminds readers of the danger posed by unchecked authoritarianism - and, crucially, by the silence of those who might oppose it.


Viewed in this light, her speech should come as no surprise. Her words echo those of writers and thinkers in previous moments of historical peril—those who, in the face of burgeoning oppression, have warned that moral neutrality, if not outright cowardice, can be as complicit as collaboration. Perhaps one of the most famous cases comes from Winston Churchill, a writer himself before he became a wartime leader. In the 1930s, his unheeded calls for Britain to prepare for conflict with Hitler were dismissed as warmongering, an overreaction from a man bitter over his political isolation. Yet Churchill, as he later argued in ‘The Gathering Storm, recognized the peril in appeasement and the disastrous cost of a delayed response. Had Britain heeded his calls, perhaps the Second World War might have taken a different shape.


Other writers have faced similar censure for their seeming bellicosity, such as George Orwell. His essays on totalitarianism in Spain and ‘Homage to Catalonia’ illuminate how the West’s unwillingness to confront fascism and communism head-on led to tragic outcomes for countless innocents. Orwell knew well the consequences of naïve idealism and the tendency to whitewash evil in the name of political expediency. His firsthand experiences with Spanish anarchists, betrayed by Stalin’s operatives, taught him that unwillingness to oppose aggressive powers leaves the path wide open for atrocities. Orwell’s legacy of confronting unpleasant truths, however divisive, mirrors Applebaum’s dedication to unearthing the darkness embedded within totalitarian histories.


Then, there is the instance of Federico Garcia Lorca and Pablo Neruda - poets who wrote passionately about the injustices of fascism, with Lorca losing his life (being murdered) in the Spanish Civil War and Neruda narrowly escaping death during Chile’s dictatorship. Through their poetry, they portrayed the horror and urgency of resisting authoritarianism, appealing to the power of words and art to incite change before a society becomes irredeemably oppressed.


Who can forget Alexander Solzhenitsyn, who wrote most illuminatingly about Soviet repression in his monumental works, especially the classic The Gulag Archipelago. Having endured the camps himself, Solzhenitsyn warned against the normalization of oppression and was expelled from the USSR. His writings were intended as a stark reminder of the personal and societal cost of allowing tyranny to flourish, even tacitly. Solzhenitsyn’s stance was clear: those who desire peace must first confront the structures that make oppression possible.


During the Nazi occupation of France, Camus used his role as the editor of the underground newspaper Combat to argue against collaborating with the regime. Later, in The Plague, he explored the futility of accepting oppression, using the fictional town’s struggle against a spreading epidemic as an allegory for resistance against totalitarianism. Camus insisted that ignoring oppression, even out of a desire for peace, allows evil to grow.


Applebaum’s recent call for arms rather than appeasement is both timely and deeply rooted in her life’s work. She is among a tradition of writers who, having studied the cost of silence, warn against a pacifism that veils complicity. In her view, the issue is not merely Ukraine’s sovereignty; it is the question of whether democratic nations will stand by as a predatory power seeks to erase another nation. Her works - particularly those on Eastern Europe’s traumas - are cautionary tales of what happens when the world averts its gaze.


For peace is rarely kept by appeasing a hungry power; it is, often, a fight wrested from the jaws of tyranny.

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