top of page

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.

Sibling Dominance

ree

At the time of the general election in May this year, of the 48 Lok Sabha seats in Maharashtra, the tussle between ruling Mahayuti allies – CM Eknath Shinde’s Shiv Sena and the BJP - had been the fiercest over the Ratnagiri-Sindhudurg constituency. Both the BJP, by way of the Rane clan and Narayan Rane, and the Sena, in form of Kiran Samant, brother of minister Uday Samant, staking claim.

Kiran, had been eagerly vying for a ticket, was believed to be on the verge of rebellion and had even gone ‘out of range’ at one point. However, the Samant brothers had backed down and ultimately ceded the nomination to Narayan Rane, who won the Lok Sabha.

This time, it is Kiran who is the Assembly election fray from Rajapur, which is part of the Ratnagiri-Sindhudurg Lok Sabha constituency.


The dominance of the Samant brothers in Ratnagiri has emerged as a pivotal force in Konkan’s political landscape ahead of Assembly polls. They are not just contenders but represent a burgeoning political dynasty in the verdant coastal belt.


The Samants’ ascent is rooted in their ability to engage effectively with the electorate and navigate the treacherous waters of coalition politics. Uday Samant, who is seeking re-election from the Ratnagiri Assembly seat for the fifth consecutive term, already wields significant influence as the state’s Industry Minister.


This, coupled with Kiran’s growing base and grassroots supporters, has ensconced the siblings in a uniquely dominant position throughout Ratnagiri, a constituency that has been a stronghold of the undivided Shiv Sena.


Ravindra Samant, the siblings’ father, was a prominent contractor. Uday entered the Maharashtra Legislative Assembly at just 26, winning two consecutive elections on a Nationalist Congress Party ticket before joining Shiv Sena in 2014. His appeal among Ratnagiri’s youth stems from his active engagement in local cultural and religious events, generous support for various causes, and advocacy for sports initiatives, all of which have helped him establish a strong political base in the region.


Uday’s hold over his constituency is said to be so formidable, that opposition parties are compelled to tread cautiously when selecting candidates to challenge him. As Industries minister, he will naturally be touting the investments brought by him during his tenure.


Likewise, though this is Kiran’s debut in the Assembly poll fray from the Rajapur Assembly segment, he can hardly be called a neophyte in politics. Kiran, a prominent figure within Ratnagiri’s government contractor lobby and a key enabler in employment generation in the Konkan, oversees development projects right from the Zilla level onwards. He has running campaigns in several elections.


Kiran’s local base makes him a formidable contender for three-term MLA, incumbent Rajan Salvi of Uddhav Thackeray’s Shiv Sena (UBT).


Salvi, who has initially supported the controversial Nanar-Barsu refinery project, had later reversed his stance, raising questions about the potential repercussions of this shift in the coming contest. Then there is the question whether the Muslim community in Ratnagiri’s Sakhri Nate, which previously voted as a bloc for Uddhav Thackeray in the Lok Sabha elections, will do so this time as Kiran Samant, too, has effectively built a rapport among minorities. Ramdas Kadam, a prominent leader from the Shinde camp, who vocally protested against the BJP’s claim over the Ratnagiri-Sindhudurg Lok Sabha seat, will throw his weight behind the Samant brothers as well.


As the election season heats up, all eyes will be on Ratnagiri, where the Samant brothers’ fortunes will not only impact their political ambitions but also signal the future trajectory of the Shiv Sena’s dominance in the Konkan.

Comments

bottom of page