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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.

Scripted Suspicion

Sharad Pawar’s political career has been a half-century masterclass in Machiavellian manoeuvre, opportunistic alliance-making, and shameless reinvention. At 84, the wily Maratha strongman shows no sign of mellowing. He again reminded Maharashtra why he is trusted by no one. His latest ‘confession’ is that two mysterious individuals approached him before the 2024 assembly polls offering to “guarantee” 160 seats if the opposition ceded difficult constituencies.

 

The question that arises is why is Pawar making these revelations now? The election is over, the Maha Vikas Aghadi (MVA) has been routed, and the BJP-led Mahayuti sits comfortably in power. If Pawar believed this alleged approach represented a threat to the integrity of the election, he should have spoken before the polls and with names and proof. Instead, he waited months, offering neither evidence nor identities and in the process, undermining faith in the process while protecting himself from the burden of verification.

 

The coyness is as telling as the timing. Pawar claims he does “not have their name or address with me right now” - a formulation so implausible it borders on the comic. This is a man who has navigated every backroom in Indian politics for five decades, who can recall details of party rebellions from the 1980s, yet claims not to know who these supposed electoral fixers are. Either the offer was never credible, or Pawar has chosen to ‘shield’ the actors involved and neither possibility flatters him.

 

Pawar’s MVA ally, Shiv Sena (UBT) leader Sanjay Raut has amplified it. The Sena (UBT) motormouth alleges the same shadowy pair approached Uddhav Thackeray twice - once during the Lok Sabha elections and again ahead of the assembly polls. They supposedly promised victory through tampering with EVMs, if the Sena agreed to hand over ‘difficult’ seats. Raut insists Thackeray refused. But his retelling suffers the same fatal flaw as Pawar’s: it contains just enough detail to be scandalous, but not enough to be tested.

 

This is political theatre of the worst sort. Chief Minister Devendra Fadnavis has already dismissed the saga as a “Salim-Javed script,” and he is not wrong.

 

The timing is especially suspect when viewed through the lens of Pawar’s career. The man has switched sides, split parties and dissolved alliances with cold precision whenever it suited his interests. His habit of dropping innuendo without proof is not new. It is a tactic honed over decades to unsettle opponents and keep allies guessing. That he would deploy it now suggests calculation.

 

Raut’s compulsive need to match or top Pawar’s ‘inside stories’ betrays a hunger for controversy. In a coalition that desperately needs discipline, Raut is like an unguided missile

In politics, timing is everything. Pawar and Raut have chosen the moment least useful to the cause they claim to serve, but most useful to their own relevance and that of their doddering parties. It is a habit Maharashtra has seen before and one reason the opposition keeps losing, even before the votes are counted.


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