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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.

Georgia’s Crossroads

A nation torn between its European dream and its Soviet shadows grapples with an uncertain future.

Georgia’s Crossroads

In Georgia, a simmering political crisis has erupted into fiery protests, laying bare the fault lines of a nation caught between aspirations for European integration and the gravitational pull of its Soviet past. The conflict pits Salome Zourabichvili, the country’s pro-European president, against Prime Minister Irakli Kobakhidze and his ruling Georgian Dream (GD) party, accused of steering the South Caucasus nation toward an authoritarian, pro-Russia trajectory.


The immediate flashpoint is the government’s decision to suspend European Union accession talks, a dramatic volte-face that sparked fury among the 80% of Georgians who favour EU membership. Since independence in 1991, Georgia has pursued a path toward Europe, culminating in its EU candidate status last year. But the GD’s decision to delay negotiations until 2028 has unravelled years of diplomatic progress and unleashed a wave of nationwide protests.


These demonstrations—marked by EU flag-waving crowds chanting “Russian slaves” and violent police crackdowns—reflect deeper grievances. Critics accuse GD, in power since 2012, of consolidating control over institutions and veering away from democratic norms. Founded by Bidzina Ivanishvili, a billionaire with ties to Moscow, GD has introduced laws eerily reminiscent of Russian autocracy, including a “foreign agent” statute targeting civil society. The party’s critics allege electoral fraud in its recent victory, leading the European Parliament to call for a rerun and impose sanctions on Georgian officials.


Georgia’s flirtation with authoritarianism has profound historical underpinnings. The country’s post-Soviet journey has been shaped by its fraught relationship with Russia. The 2008 Russo-Georgian war, which left 20% of Georgian territory under Russian occupation, cemented deep public distrust of Moscow. Yet, GD’s actions, from stalling EU accession to welcoming fleeing Russian conscripts after the invasion of Ukraine, have fuelled fears of creeping Russification. Meanwhile, many in Tbilisi and beyond worry that the government is prioritizing oligarchic interests over the democratic will of its people.


The EU’s response has been unequivocal. Brussels condemned the elections as fraudulent and the government’s suppression of protests as anti-democratic. The United States has suspended its strategic partnership with Georgia, warning of “direct consequences” if the country continues its backslide. Prime Minister Kobakhidze’s rhetoric—accusing the EU of “blackmail” and portraying Georgia as a victim of Western manipulation—rings hollow to a population weary of seeing its European aspirations thwarted.


This turmoil is playing out against a backdrop of geopolitical tension. Russia has long sought to maintain influence in its former Soviet periphery, viewing Georgia’s EU aspirations as a direct challenge to its sphere of control. For the Kremlin, a Georgia destabilized by political discord and diminished Western ties is a strategic victory. Meanwhile, the West faces the challenge of ensuring that Georgia’s democratic backsliding does not embolden other pro-Russia regimes in the region.


For the West, Georgia’s trajectory offers a stark lesson in the limits of soft power. While Brussels and Washington have sought to promote democratic reforms through incentives like EU membership, they have struggled to counter Moscow’s influence in the region. The Kremlin, adept at exploiting divisions within post-Soviet states, views Georgia’s turmoil as a strategic opportunity. Should GD succeed in consolidating power, it would mark another victory for Russian authoritarianism in the post-Soviet space.


The protests are unlikely to subside soon and whether they yield substantive change remains uncertain. With the GD digging in its heels and Zourabichvili largely sidelined, the risk of prolonged instability looms large. As Georgia teeters on the edge, its people must decide: will they march toward Europe or retreat into the past? For it is in this choice lies the fate of a nation’s identity, freedom, and future role in the international order.

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