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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.

Choked Capital

Delhi’s winter smog is the symptom of a chronic governance failure.

Delhi
Delhi

Even with farm fires at a multi-year low, Delhi-NCR’s winter air remains suffocating. For most of October and November, pollution levels oscillated between “very poor” and “severe,” fuelled not by distant fields but by a rising cocktail of PM2.5, nitrogen dioxide and carbon monoxide from vehicles, industry, waste burning and domestic fuel. According to the Centre for Science and Environment, 22 monitoring stations recorded carbon monoxide above permissible limits on more than half of the 59 days assessed. Dwarka Sector 8 logged breaches on 55 days, followed closely by Jahangirpuri and Delhi University’s North Campus at 50. Smaller towns in the National Capital Region fared no better, with Faridabad, Ghaziabad, and Sonipat reported smog episodes of unprecedented duration.


The picture is no longer confined to isolated hotspots. Jahangirpuri, Bawana, Wazirpur, Anand Vihar and Mundka routinely breach PM2.5 averages of over 100 µg/m³ which is five times the World Health Organization’s guideline. New hotspots from Vivek Vihar to Patparganj underscore a worrying trend of the capital turning into a patchwork of pollution nodes. The message from the data is stark: stubble burning, while widely blamed, contributed less than 5 percent of Delhi’s pollution for much of early winter. Local sources, especially vehicular emissions, are driving the city’s chronic smog.


PM2.5 spikes track nitrogen dioxide during peak traffic hours, with carbon monoxide similarly breaching limits. The synchronised peaks of these pollutants are no accident. Shallow winter boundary layers trap emissions, turning the city into a gas chamber. Yet policy remains fixated on dust suppression, sprinklers and sporadic measures against farm fires while the engines of pollution hum unchecked. Delhi’s local emissions are effectively ignored even as residents cough through the morning commute.


Late last month, a small protest at India Gate against hazardous air quality met a heavy police presence. Deploying the Rapid Action Force to contain peaceful demonstrators sends a message that Delhi’s authorities are incapable of addressing the root causes of smog. Public frustration is rising, as middle-class recourse to purifiers and private vacations no longer suffices.


This is hardly Delhi’s first brush with national embarrassment. In November 2016, after PM2.5 crossed 900 µg/m³ in parts of the city, schools were shut, flights were diverted and the Supreme Court memorably described the Capital as a “gas chamber.” In 2019, the city plunged into another health emergency after post-Diwali pollution sent AQI readings beyond 500, forcing the odd-even scheme back onto the streets.


Air pollution in North India is not merely a Delhi problem. Monitoring stations trace a continuous zone of foul air stretching from Islamabad to Bihar, where industry, power generation, transport and agriculture circulate in a shared airshed. Yet authority is fragmented among central ministries, state departments, municipal bodies and semi-autonomous regulators, each with partial jurisdiction and mixed incentives. The Commission for Air Quality Management was meant to coordinate this tangle, but its interventions have failed to match the scale or persistence of the threat. Treating winter smog as a seasonal emergency rather than a permanent condition has encouraged episodic action without structural reform.


What is required is nothing short of an overhaul with time-bound electrification targets, scrapping of old vehicles, expansion of public transport, congestion taxes, industrial fuel reforms, elimination of waste burning and remediation of legacy dumps. Quick fixes consume public funds and administrative bandwidth without denting emissions. Only persistent, enforceable measures backed by political courage will clear the air.


Meanwhile, pollution refuses to wait. The AQI this week has already risen to 331, with Bawana at 387, Anand Vihar 381 and RK Puram 356. Residents report burning eyes, constant coughing and disrupted routines. With temperatures dropping further and winter settling in, the smog will thicken. Delhi’s air is now an emblem of systemic failure, of a capital choking not just on exhaust fumes, but on bureaucratic inertia and political timidity. It is the mirror of India’s fragmented, reactive approach to environmental governance.


Until policymakers confront the underlying emissions, and until enforcement is scaled to the severity of the crisis, Delhi will remain a city in visible distress and a capital perpetually choked.

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