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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.

Why Pāli is Important?

Pāli is Important

In earlier times, when the Buddha gave sermons, there was no way to write them down in books or manuscripts. The bhanakas (reciters) would memorise all the teachings and propagate them to the laypeople. After the Buddha’s mahāparinibbāna, during the first and second councils, the entire Buddhavacana was recited by senior monks. However, it was during the third council that King Ashoka made efforts to inscribe the Buddha’s teachings on stones, caves, and rock pillars.


The most revered Buddhist scholar and commentator of the 5th century, Buddhaghosa refers to this as an origin of all languages (“Māgadhikāya sabba-sattānam mālabhāsāya,”) Pāli evolved from some Prākrit, the vernacular of the Buddha’s time in the Magadha region of North India, with influences from other Middle Indo-Aryan dialects. Over time, it spread across various regions in India and beyond, making it a unique language with deep roots and widespread reach. The evolution of Pāli through regions like Avanti (modern-day Ujjain) in central India and later to the Chola region and the Kaveri basin of southern India, showcases its versatility and adaptability. Thus, Pāli is not just a language of North India but truly has a pan-Indian presence, incorporating elements from both Eastern and Western dialects.


The next stage in the growth of Pāli took it beyond India to countries like Sri Lanka, Myanmar, Thailand, Cambodia, and Laos. What makes Pāli even more unique is that it not only absorbed the life and culture of these countries but also carried Indian cultural knowledge, systems, and ideas into them. It served as a lingua franca for these nations, especially within monastic communities, where Pāli was the primary language of communication. To this day, Pāli remains a strong cultural force in these countries.


While discussing the nature of Pāli, it is essential to understand that the Buddha’s dispensation (Buddhasāsana) consists of nine components or literary genres: Sutta (discourses), Geyya (mixed prose and verse), Veyyākaraāa (expositions), Gāthā (verses or hymns), Udāna (inspired utterances), Itivuttaka (as it was said), Jātaka (birth stories), Abbhutadhamma (wondrous events), and Vedalla (analytical discussions), all embedded in the Vinaya Pitaka, Sutta Pitaka, and Abhidhamma Piāaka. All these teachings were preserved in the Pāli language within the Theravada Buddhist Canon, the earliest records of the Buddha’s teachings. The huge work of commentaries by prodigious scholars like Buddhadatta, Buddhaghosa, Dhammapāla, Māhānāma, and Upasena are written in Pāli.


Throughout his 45 years of teaching, the Buddha gave countless sermons and key concepts to help free humankind from suffering. Without these Pāli texts, we would not have access to the Buddha’s profound teachings. These texts are also a rich source of the geographical, cultural, religious, economic, and political history of India.


In modern times, great Indian scholars like Dharmanand Kosambi, Rahul Sankrityayan, Jagdish Kashyap, Anand Kausalyayan, and Dr. Babasaheb Ambedkar worked hard to study and revive this magnificent language. Their goal was not just personal liberation or academic pursuit but broader social transformation.


Today, practitioners of all faiths benefit from Vipassana meditation for mental peace and well-being. A basic understanding of Pāli and a little knowledge of the Abhidhamma can greatly enhance this practice.


Now that Pāli has been recognised as a classical language, it is vital to further strengthen the Indian Knowledge System by exploring its applied aspects. It is high time we see how Pāli can continue to offer valuable insights, especially in terms of Buddhist thought, which can act as a catalyst for understanding modern subjects. In this way, Pāli remains relevant even today and can play a significant role in understanding Indian culture.


(The author is a scholar based in Pune. Views personal.)

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