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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.

Unrest within Mahayuti

Updated: Jan 21

Mahayuti

Mumbai: The state administration on Sunday stalled the appointments of guardian ministers in Raigad and Nashik districts. Chief Minister Devendra Fadnavis had cleared the appointments before he left for Davos in Switzerland to attend the World Economic Forum on Saturday. They are believed to have been stalled on behest of Deputy Chief Minister Eknath Shinde, who heads the state in absence of the Chief Minister.


NCP’s Aditi Tatkare and BJP’s Girish Mahajan were entrusted with responsibilities of guardian minister for the Raigad and Nashik districts respectively, where Shiv Sena’s Bharat Gogawale and Dada Bhuse had staked claims. Gogawale is a first-time minister while, Bhuse had been the guardian minister of the district during previous government under Eknath Shinde.


Shiv Sena, NCP and BJP all the three constituents of Mahayuti have strong roots in both the districts. However, the Shiv Sena and the NCP had been particularly on loggerheads there. The Shiv Sena, which had been demanding the guardian minister’s post in Nashik district has managed to win only two assembly seats in the district where the NCP has Six and the BJP has Five MLAs. On the contrary, in Raigad the NCP has won only one seat while the Shiv Sena and the BJP both have Three MLAs each in the district.


Sunil Tatkare, MP from Raigad Lok Sabha constituency and the stat unit president of the NCP and father of Aditi Tatkare, had been the guardian minister of Raigad between 2004 and 2014. Gogawale had always been his political opponent before Tatkare joined the Mahayuti government under Ajit Pawar’s leadership in 2023. Gogawale claimed that all the Six Shiv Sena-BJP MLAs in the district had opined in his favour to be the guardian minister of the district and after the decision to appoint Aditi Tatkare was announced, his supporters resorted to violent protests. They burnt tyres in bid to stall traffic on highway in the district. Reacting to the developments, Tatkare said that the issue should be pondered over after CM Fadnavis returns from Davos on Saturday and settled amicably.


In Nashik Girish Mahajan had been the guardian minister of the district between 2014 and 2019 when Fadnavis was the Chief Minister.


The post of guardian minister doesn’t have any constitutional mandate and is considered to be a political appointment. Guardian ministers head the district planning and development councils (DPDC) that control the funds for development works being carried out in the particular district. This control wields much of political power to the minister in that district whereby spreading the party in the district becomes much easier. This is the reason why the grass root politicians seem to be very sensitive to such appointments.


While Gogawale and Bhuse are unhappy about not being appointed as guardian ministers, some others like NCP’s Hasan Mushrif and BJP’s Pankaja Munde are unhappy about not being appointed as guardian district in their home districts of Kolhapur and Beed respectively. DCM Shinde is learnt to have gone to his ancestral village Dare in Satara district after the decision and BJP’s firefighters Chandrashekhar Bawankule and Girish Mahajan are expected to meet him there to try finding a way out of the issue.

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