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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.

Red Bonds

The Masala Bond gamble that helped fuel Kerala’s infrastructure boom now lays bare the Left’s uneasy marriage with the markets.

Kerala
Kerala

For a party that built its moral brand on austerity, probity and suspicion of global finance, the Communist Party of India (Marxist) has developed a striking fondness for financial alchemy. Kerala’s celebrated experiment with rupee-denominated ‘Masala Bonds’ was meant to signal modern, market-savvy governance under Chief Minister Pinarayi Vijayan. Instead, it has now become a case study in doctrinal hypocrisy and potential regulatory defiance after the Enforcement Directorate issued show-cause notices under the Foreign Exchange Management Act (FEMA) to Vijayan, former finance minister T. M. Thomas Isaac and former bureaucrat K. M. Abraham.


At the heart of the matter lies Rs. 466.91 crore - part of the Rs. 2,150-crore raised through bonds listed in London and Singapore in 2019 allegedly used to buy land, an end-use the regulator says was explicitly prohibited under the RBI’s master directions of June 2018. The Left, which traditionally treats foreign finance as a moral pollutant, now finds itself accused of misusing precisely the kind of capital it once denounced as imperial excess.

The CPI(M)’s first instinct, predictably, is denial wrapped in martyrdom. The notices are “politically motivated,” say its party leaders. The timing, just ahead of local body polls, adds a layer of theatrical outrage. The ED, long accused of being Delhi’s political bludgeon, makes an unconvincing villain in Kerala’s familiar script of federal victimhood. But to hide behind the Centre is to avoid an inconvenient truth as this trail did not begin with the ED but with the Comptroller and Auditor General (CAG).


The CAG’s 2019 audit of Kerala’s finances raised red flags on KIIFB’s borrowing structure and constitutional propriety. That report triggered the original FEMA probe in 2021. When the RBI told the Kerala High Court that the ED indeed had the power to investigate end-use of funds, the fig leaf of institutional immunity fell away.


The Left’s defence that land was ‘acquired’ rather than ‘purchased’ is a distinction without an economic difference. One changes accounting labels; the other changes reality. External commercial borrowing rules do not care much for semantic gymnastics. What matters is whether foreign capital, raised at a hefty 9.72 percent interest rate, was diverted into real estate in contravention of explicit norms.


This exposes the deeper contradiction of Vijayan’s rule. Kerala’s model today rests not on old-style redistribution, but on leveraged growth, off-balance-sheet borrowings and an infrastructure splurge disguised through quasi-sovereign vehicles like KIIFB. In effect, the CPI(M), once suspicious of debt markets, has recreated the very financial architecture it long condemned in ‘neoliberal’ states. It borrows abroad at premium rates, bypasses conventional budgetary scrutiny, and then pleads innocence when auditors and regulators come knocking.


The political defence is just as elastic. When the ED targets opposition leaders elsewhere, the CPI(M) thunders against authoritarianism. When it targets CPI(M) leaders, the agency becomes a BJP conspirator acting in cahoots with Kerala’s enemies.


That said, a show-cause notice is not a verdict and the ED itself is no paragon of institutional purity. But politics is not a court of law; it is a court of consistency. And here the CPI(M) stands exposed. A party that once equated foreign capital with exploitation now stakes its prestige on overseas bond markets. A government that preaches clean governance now faces detailed charges of prohibited end-use. A leadership that thrives on the rhetoric of siege now confronts questions born not in Delhi but in audit reports and balance sheets.


Kerala’s voters are sophisticated enough to grasp the distinction between due process and deflection. They can also sense when outrage becomes rehearsal rather than resistance. If the Left truly believes the ED’s case is hollow, it should welcome a transparent adjudication instead of drowning it in election-season conspiracy.


For a party that once promised to change the system, the CPI (M) now seems trapped in explaining why it looks so uncomfortably like the system it once despised. 


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