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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.

National Rebellion or Threat? Populism and the EU’s Crisis of Democracy

Updated: Oct 22, 2024

EU’s Crisis of Democracy

The rise of right-wing populism in Europe, often characterized by figures like Viktor Orbán in Hungary and Jörg Haider in Austria, is not merely a reaction to domestic discontent but a broader challenge to what many view as an increasingly authoritarian European Union. The real conflict, it seems, lies between national sovereignty and a supranational body that increasingly dictates policy to its member states often without democratic accountability. For critics, the EU has become a ‘hyperstate’ of unelected officials who meddle in everyday life, from immigration quotas to economic policy, and even the limits of free speech.


Italian writer Ignazio Silone, reflecting on fascism’s many faces, famously remarked, “If fascism returns, it will not say, ‘I am fascism.’ No, it will say, ‘I am anti-fascism.’” Silone, who had experienced the Stalinist purges firsthand, coined the term “red fascism” to describe how authoritarianism could emerge under the guise of liberation or even democracy. His insight is eerily prescient today, as governments and institutions weaponize the rhetoric of anti-fascism to silence dissent.


Austrian author Thomas Glavinic, reflecting on modern European politics, argues that elections offer little real choice. National policies, from immigration to digital censorship, are increasingly dictated by the EU’s technocrats - individuals who are not accountable to voters but whose decisions shape the lives of millions. As Glavinic cynically observes, elections are little more than a “collective hallucination” of democracy, a spectacle in which the electorate’s influence is negligible.


For many Europeans, this erosion of national sovereignty has created a backlash, particularly among those who feel that traditional values and local interests are being sacrificed at the altar of a distant, unaccountable bureaucracy. The rise of populist movements, whether it is Orbán’s Fidesz party in Hungary or the FPÖ in Austria, is seen as an “earthquake” shaking the foundations of European politics. Yet, instead of engaging with the legitimate concerns of these movements - immigration, economic inequality or the erosion of national identity - the political establishment has often resorted to vilifying them as proto-fascist threats to democracy.


Jörg Haider’s rise in Austria, for example, was met with widespread condemnation by the European elite, who painted him as a new Hitler. His nostalgia for pre-war Austria and critique of unchecked immigration provided an easy narrative for his detractors to frame him as an extremist. Yet Haider’s appeal lay precisely in his ability to speak for the ‘little people’— those who felt alienated by a political system dominated by technocrats and entrenched elites. Instead of addressing these grievances, the establishment used moral panic to delegitimize popular discontent, a tactic that has since become standard across Europe in dealing with right-wing populists.


This moral framing has allowed the EU and its defenders to present themselves as the guardians of liberal democracy while systematically stripping away the very freedoms they claim to protect. The EU’s push for regulations against disinformation and hate speech on digital platforms is a prime example. Under the guise of protecting public discourse, the EU has given itself the power to decide what constitutes acceptable speech.


The rise of conservative and nationalist movements across Europe is thus framed as a rebellion against this creeping technocratic authoritarianism. These movements are often described as anti-democratic, yet their core message is one of reclaiming national self-determination. As in Austria, where the FPÖ’s victory was described as an “earthquake,” the populist surge is not a simple matter of left versus right. It is a revolt against the patronizing paternalism of a Brussels elite that increasingly governs Europe in a top-down, neo-feudal manner.


Looking at the antics of functionaries like Thierry Breton or Ursula von der Leyen, the EU has no longer anything to do with popular rule of whatever kind. And against this background, the alleged anti-fascism in an anti-racist guise is just a sham, through which mighty apparatchiks justify their ever more comprehensive claim to power.


The need to be counted among the ‘good guys’ and to generate moral capital by elevating oneself above the alleged ‘bad guys’ is as old as the hills, often achieved by demeaning others based on race, religion, or worldview. It is much more strenuous to proceed according to traditional rules, discuss conflicts openly and resolve contrary interests through compromise. But I prefer that, as it is the only way that allows the dignity of all parties concerned to be respected.


Two years after the bloody defeat of the Italian fascists and the German Nazis, on 11 November 1947, Winston Churchill said: “Many forms of government have been tried, and will be tried in this world of sin and woe. No one claims that democracy is perfect or all-knowing. Indeed, it can be said that democracy is the worst form of government, apart from all the others that have been tried from time to time.”

The future of Europe will be determined not by whether it can stamp out the populist right, but whether it can restore faith in democracy itself. If it fails, the continent risks sliding into the very authoritarianism it claims to oppose.


(The author is an historian and novelist who writes historically-aware crime fiction. He is currently working on a book on Germany’s migration crisis. Views personal.)

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