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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.

Skyward Consolidation

Updated: Nov 15, 2024

Skyward Consolidation

In a move that reshapes the competitive dynamics of the Indian aviation sector, Tata Group’s Air India (AI) has completed a bumpy merger with Vistara, first announced in 2022. The deal brings together India’s largest international carrier and the high-flying Vistara - once a premium brand backed by Singapore Airlines. The new Air India will now operate over 5,600 weekly flights, connect more than 90 destinations globally, and serve upwards of 120,000 passengers daily. At a time when India’s aviation industry is facing multiple headwinds, this merger is both a strategic consolidation and a test of the Tata Group’s ambitions to build a global aviation powerhouse with an Indian heart.


The Indian aviation sector is arguably the world’s most dynamic, with demand for air travel surging as the country’s middle class expands and business travel picks up. Yet, despite this robust growth, the industry is fraught with challenges that have taken down or forced mergers between some of the country’s most iconic airlines. Kingfisher Airlines, Jet Airways and Air Deccan are just a few of the once-prominent players that faltered under the weight of mounting debts, high operational costs and fierce competition. Even now, Air India itself has struggled to break even, remaining a loss-making venture since its privatization in 2021.


The AI-Vistara merger is the Tata Group’s response to this volatile environment, creating two distinct entities under its wing: a full-service carrier in AI and a low-cost arm in Air India Express. The move seeks to consolidate Tata’s foothold in both the premium and budget segments, an approach aimed at strengthening its competitive edge against the market leader IndiGo, which has dominated with a 60% market share.


The merger holds particular significance in the context of India’s wider aviation infrastructure woes. High fuel prices, inadequate airports and operational inefficiencies have long plagued Indian carriers, contributing to the industry’s financial fragility. Aviation Turbine Fuel (ATF) alone accounts for 40-50% of airline costs, with high taxes further compounding the issue. Moreover, India’s infrastructure, especially its airports and air traffic control systems, are often overstretched, leading to delays, cancellations and customer dissatisfaction. Air India’s own reputation has been tarnished by complaints about poor service, lost luggage, and unreliable flights. In fact, it ranked worst globally for lost baggage in late 2023.


The task ahead for Tata Group is Herculean. Not only must it modernize Air India, mired in decades of bureaucratic inefficiency, but must also ensure that Vistara’s hard-earned reputation for quality service - its flatbed seats, premium economy cabin, and overall superior flying experience - is not lost in the merger. With over 470 aircraft on order, Air India’s combined fleet risks becoming a burden if growth fails to materialize. The rebranding of Vistara’s fleet with Air India’s ‘AI’ prefix is symbolic of the delicate balancing act at play: how to preserve the best aspects of Vistara while transforming Air India into a world-class carrier.

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