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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.

Mahayuti Avenges Lok Sabha’s ‘Panipat’

Updated: Nov 25, 2024

BJP shines in its best-ever run in State; allies Eknath Shinde’s Shiv Sena and Ajit Pawar’s NCP come into their own, as Mahayuti onslaught leaves MVA in tatters

Eknath Shinde

Mumbai: The ruling Mahayuti resoundingly avenged its Lok Sabha debacle, staging a stunning comeback in Maharashtra’s Assembly polls by sweeping 230 of the 288 seats. This emphatic performance was powered by the BJP, which recorded its highest-ever seat tally in the state, reshaping the political landscape and leaving the opposition Maha Vikas Aghadi (MVA) in tatters.


Belying opinion poll predictions of a tight contest, the Mahayuti, and the BJP in particular, staged a momentous comeback like no other in the annals of Maharashtra’s political history paving the way for Devendra Fadnavis to be a natural claimant to the Chief Minister’s post.


The BJP led by Fadnavis, which garnered more than 135 of the 149 seats it contested on, surpassed its 2014 Assembly poll tally of 122 seats achieved during the peak of the Modi wave. The saffron party’s rank and file, buoyed by a historic victory, are in no mood for compromise, unlike 2022 when Eknath Shinde was anointed Chief Minister after his coup despite the BJP’s commanding the greater number of MLAs.


That said, CM Shinde’s Shiv Sena and Deputy Pawar Ajit Pawar’s NCP performed creditably, vastly enhancing their dismal Lok Sabha strike rates by snaring 56 and 41 seats respectively – evidence of a superbly coordinated ground campaign by the Mahayuti.


Shinde Sena’s crackerjack performance, which outdid the combined performance of the three MVA parties, settles the question of which faction is the ‘real’ Shiv Sena – a debate that has simmered since his dramatic split from Uddhav Thackeray’s party in 2022. By orchestrating this win, Shinde has finally shed the perception of him being a ‘BJP puppet,’ asserting himself as a credible force in Maharashtra politics.


Ajit Pawar’s performance was equally noteworthy. His eight consecutive Assembly win in the keenly contested Baramati Assembly segment was particularly personal as he routed his nephew Yugendra Pawar (aligned with the Sharad Pawar-led NCP(SP) by a whopping margin, delivering a stinging blow to the elder Pawar’s political legacy.


While the Mahayuti conducted a coordinated and focused campaign, refraining from ad hominem attacks and emphasizing development, the MVA floundered due to complacency, infighting, and poor candidate selection. Prolonged seat-sharing negotiations within the opposition alliance led to delayed campaigning, leaving many constituencies poorly covered. The Congress and Shiv Sena (UBT) were also plagued by ego clashes and an inability to project a cohesive vision, which alienated voters seeking clarity and competence.


The MVA’s misplaced focus on national issues, such as Congress leader Rahul Gandhi’s repeated targeting of industrialist Gautam Adani, further undermined their appeal. These issues failed to resonate with voters in Maharashtra, who prioritized local governance and development.


The electoral rout saw several MVA stalwarts like former Chief Minister Prithviraj Chavan (Karad South) and senior Congressman Balasaheb Thorat (Sangamner) suffer humiliating defeats. These setbacks have raised questions about the MVA’s future and the ability of its top leaders to rejuvenate the alliance.


Conversely, the Mahayuti showcased its depth and cohesion. While top leaders like Fadnavis, Eknath Shinde, and Ajit Pawar won by huge margins, second-rung leaders such as Nitesh and Nilesh Rane also performed impressively. Even debutantes like Srivijaya Chavan (Bhokar) and younger leaders like Aditi Tatkare (Shrivardhan) won emphatically, underscoring the Mahayuti’s ability to bury their internal differences and mobilize voters across diverse demographics.


The Mahayuti tsunami swept away that the so-called ‘third front’ in the form of the ‘Parivartan Mahashakti Aghadi’, with its prime force - Prahar Janshakti Party leader and sitting MLA Bacchu Kadu - biting the electoral dust in Achalpur in Amravati district.


The electorate also delivered a harsh verdict on flip-floppers and emotive campaigns. Raj Thackeray’s Maharashtra Navnirman Sena (MNS) failed disastrously, with his son Amit Thackeray crashing in his debut from Mahim. Likewise, agitators like Manoj Jarange-Patil, who relied on caste-based appeals, were decisively rejected as voters aligned with the Mahayuti’s promise of development.


Most notably, the election results mark a remarkable comeback for Devendra Fadnavis, demonstrating his resilience and acumen in the State’s politics and a figure to be reckoned on par with Sharad Pawar at his canniest.

Written off after the BJP’s Lok Sabha loss, Fadnavis has emerged stronger than ever, demonstrating his ability to adapt and lead in challenging circumstances.


The results place the BJP in an enviable position, as it can retain power should one of its two key allies—Shinde’s Sena or Ajit Pawar’s NCP—decide to exit the Mahayuti over potential disagreements on the Chief Minister’s post. However, given the emphatic nature of this mandate, it is unlikely that either ally would risk breaking away at this stage.


While the question of who will be Maharashtra’s next Chief Minister now looms large, BJP leader Amit Shah has sought to pre-empt internal discord by emphasizing unity within the alliance. With the largest seat tally within the Mahayuti, it is advantage BJP for the top post.

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