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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.

Kohima, WWII’s Overlooked Turning Point

Updated: Oct 21, 2024

The year 1944 marked a pivotal chapter in the Second World War. June 6 saw the Normandy landings, the audacious Allied invasion of mainland Europe. A day earlier, Rome had fallen to the Allies, becoming the first European capital to be liberated. By September, the Allies launched ‘Operation Market Garden’ - an ambitious and risky attempt to outflank German defenses by seizing key bridges in the Netherlands which ultimately became a heroic failure.

Today, as these events are commemorated on their 80th anniversaries, another titanic clash of the war, largely forgotten by history, took place in a remote corner of colonial India. The Battle of Kohima, fought between March and July 1944 between British Commonwealth forces and the Imperial Japanese Army, was just as brutal and consequential, yet it remains overshadowed by the European theatre.

Stalingrad may capture the popular imagination, but Kohima, fought on the Indo-Burma border, was no less significant. By halting the Japanese advance, it changed the trajectory of the war in Southeast Asia and set the stage for the British and Commonwealth forces to retake Burma. The Japanese dream of an imperial empire collapsed along the ‘Road of Bones.’ Until recently, the Battle of Kohima remained on the fringes of history, mostly preserved in the memoirs of servicemen like Arthur Swinson's ‘Kohima’ and John Henslow's ‘A Sapper in the Forgotten Army’. However, Field Marshal William Slim's ‘Defeat into Victory’ emerged as the definitive account. Recent works, notably Fergal Keane's ‘Road of Bones’, have helped bring this overlooked theatre into the spotlight.

But why does Kohima matter? In early 1944, Japan was on the back foot. In the Pacific, the Americans’ island-hopping campaign was drawing ever closer to Japan’s home islands, threatening strategic bombing raids on its cities. The Japanese high command, desperate to relieve this pressure, gambled on an offensive into India. A successful push into the Assam plains, they believed, might trigger the collapse of British colonial rule and open the door to a negotiated settlement with the Allies. Thus, the Japanese launched Operation U-Go, aiming to seize Imphal, Kohima, and Dimapur, critical logistical hubs on the route to Assam and Bengal.

Facing them was Slim, commander of the British 14th Army, who had been quietly rebuilding a demoralised force battered by defeat in Malaya and the humiliating fall of Singapore in 1942. The British and Indian armies had endured the longest retreat in Commonwealth history, following the Japanese invasion of Burma.

Kohima came under siege on April 4, 1944. For over two weeks, 15,000 crack Japanese troops surrounded the garrison, which was outnumbered and short on supplies. But Slim’s men, bolstered by one battalion of the 161 Indian Brigade and the 1st Assam Regiment, held firm. Vital supplies were airdropped, and the garrison endured, testing and proving the theory that troops could stand and fight while being resupplied from the air.

The battle’s significance cannot be overstated. The Japanese offensive was decisively crushed, securing Imphal, safeguarding Dimapur, and delivering a fatal blow to Japan’s war effort in Southeast Asia. For the Indian Army, Kohima was transformative. The battles at Kohima and Imphal helped forge a modern, mechanised force capable of waging an all-arms war. Many of the formations that fought there would later serve in post-independence India, notably the 161 Indian Brigade, which was rushed to defend Srinagar during the 1947-48 Kashmir conflict. Kohima deserves far greater recognition.

(The writer is a advocate at the Punjab and Haryana HC and a military history enthusiast)

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