Get subscribed to our newsletter
Get interesting updates to your email inbox.
Heart specialists and cardiologists have sounded the alarm on the Covid-19 virus affecting the heart and its processes, causing many fatalities.
Ravindra Singh Rao, Specialist, Structural Heart Disease, Jaipur who is an expert in the Shock Wave Lithotripsy Angioplasty Technique, shares insights on heart problems commonly seen in Covid-19 patients, non-Covid cardiac care, and post-Covid recovery.
Follow NewsGram on LinkedIn to know what’s happening around the world.
Q: It is common to see heart problems amid Covid-positive patients, with young people getting affected as well. What have been your experiences with the virus affecting people’s hearts?
A: Heart problems are seen in Covid-19 infection. It can vary from sudden cardiac death to minor problems in heart rate. Sudden cardiac death can be due to a heart attack. There can be clot formation in heart blood vessels. Clots can also be formed in lung blood vessels causing pulmonary embolism. Viruses can also affect heart muscles causing cardiomyopathy and heart failure. A common problem post-Covid-19 is variation in heart rate. Slow heart recovers in the majority of patients spontaneously in a few weeks. No active treatment is required. SARS-CoV-2 is the virus that causes Covid-19, and studies have shown that many viruses can cause arrhythmia and even heart attacks. Covid-19 causes a severe inflammatory response in the body, and inflammation is the biggest cause of heart attacks. Myocarditis, or inflammation of the heart muscle, usually only occurs in people who have a severe illness from Covid-19, and can be caused by the virus entering the heart. Recent studies have suggested that a milder form of heart muscle inflammation may be more common than previously thought.
Q: What is causing heart-related fatalities in such patients?
A: Heart-related patients are seen due to heart attacks (myocardial infarction). Covid creates a Millen for thrombus formation. Covid-19 patients who suffer a cardiac arrest either in or out of hospital are far more likely to die than patients who are not infected with the coronavirus. In particular, women have the highest risk of dying: they are nine times more likely to die after suffering a cardiac arrest in a hospital.
Q: Doctors have sounded an alarm on how changing lifestyles will increase the burden of heart disease in India. What are your thoughts on this, as a doctor?
A: Heart disease and high blood pressure (hypertension) put you at greater risk with Covid infection. Around 28.4 million elective surgeries worldwide were canceled or postponed in 2020, which is a huge healthcare burden and also makes the patients more vulnerable to bad outcomes. Coronary heart disease prevalence rates in India have been estimated over the past several decades and have ranged from 1.6 to 7.4 percent in rural populations and from 1 to 13.2 percent in urban populations. Physical inactivity, stress about health or future, and other factors are increasing the risk of heart diseases.
Patients must continue their medications. With confusing news about common blood pressure medications and their connection to Covid-19 risk, you may be tempted to stop taking them. But the pendulum is swinging toward there being no cause for concern. In fact, a New England Journal of Medicine study concluded there was no link between blood pressure meds and Covid-19 risk.
If there is a non-essential medication or a good alternative ask your doctor, he may well change it, but if it is an essential medication it is suggested that it should be continued as there isn’t any concrete evidence to stop them at the moment.
Q: How can a recovered Covid patient take care of their heart at home? What are some care tips?
A: Post-Covid cardiac care is important. Cardiac patients should continue their medicines timely. Aerobic activity is encouraged. Blood thinners should be continued. Sometimes patients with elevated d-dimer need anti-coagulants for a few weeks as per consultation. What is important is 45 minutes of daily exercise, a balanced diet, and a positive mindset to keep their heart healthy.
Choose heart-healthy foods and snacks (plant-based and unprocessed foods are good choices). Maintain a normal body weight: Having obesity increases your chance of serious illness from Covid-19. Exercise daily. Stay hydrated by drinking plenty of water; Get enough sleep by aiming for seven to eight hours of shut-eye a night. Don’t smoke or overindulge with food or alcohol.
Follow your care plan, stay up-to-date with vaccines and call if you have questions or concerns; use telehealth options if new symptoms or concerns arise. Ensure you have at least one month of prescribed medication at home. Finally, maintain social distancing, but don’t socially isolate yourself. Stay connected with family and friends.
Q: Five final tips for people who gained a few extra kilos in this altered lifestyle?
A: If you are on a keto diet and because of a limited supply of food material and also lack of domestic hired help, you are not able to do a keto it is fine and you can plan a low-carb diet. When things normalize you resume your earlier diet.
Intermittent fasting is a very good idea. You can skip either a breakfast or a dinner start within the duration of 12 hours gradually increasing to 18 hours of dieting for at least five days a week. Try not to snack in between the meals. Keep exercising and working out — dancing, rope skipping, yoga aerobics, and exercising. Use apps.
Calories are what matters the most, fewer calories, less weight. Make a menu on what you have ahead for a week so that you don’t end up in the stock situation and land up in a high calorific diet.
Q: What are your experiences with non-Covid cardiac care?
A: Non-Covid cardiac care can’t be put on hold. Cardiac emergencies don’t come with an appointment. We need to designate an area in the hospital that is segregated in terms of ventilation, patient movement, staff movement. The cardiac emergencies are handled and attended to on time. The advantage in the second wave is that all healthcare workers are vaccinated and ready to race the ‘enemy virus’. We have to focus on Covid-free cardiac care.
Recently one patient in Kolhapur, his coronary artery had calcified blockages that were likely to cause the artery to rupture or block the stent back if normal stenting was done. But intravascular shock wave lithotripsy (IVL) technique not only broke their calcified blockages but also saved his lives with safe stenting. The patient felt breathless when walking a little. When the investigation at the local center revealed their calcified blockage, IVL was the effective option for its treatment. For this, when he reached Jaipur, providing him with Covid-free cardiac care was a big challenge. But better medical management enabled successful angioplasty of the patient. During the procedure, the OCT check fixed the stenting position inside the artery and fixed their blockage. This case is showing that patients should not hold their procedure in a pandemic.
Shock Wave Lithotripsy Angioplasty Technique has come now as an option to treat calcified blockage patients. It is now possible to insert stents through intervention by doing Angioplasty. This will be helpful for those patients who do not have the capacity to bear bypass surgery. Until now, it was difficult to perform stenting from interventions in arteries with calcified blockages as there is a 30-50 percent risk of re-closure or rupture of arteries after stenting. Shock wave lithotripsy is a sonographic technique. In this technique, calcium is broken through a sonographic wave and a stent is inserted. This causes no damage to the artery and fine particles of calcium become part of the artery. Angioplasty with this technique takes 45 minutes to an hour and the chances of recurrence of blockage remain about five to seven percent only. (IANS/KB)
(coronavirus, cardiac cycle, Heart disease, Shockwave intravascular lithotripsy, the human heart)
Malgudi, a small fictional town in South India has been part of the childhood of most Indians. It is an old, shabby, and peaceful town that is unruffled by politics. The stories set in this small town ring the sense of belongingness in the hearts of its readers. The familiar feeling that feels like home resonates with their soul. And teaches important life lessons to the readers through simple tales. Malgudi Days is one of the books that every Indian child should read. The book is a compilation of 32 short stories that paint a beautiful picture of small-town in India around the '60s and '70s
R. K. Narayan, one of the most well-known and popular writers within India and outside India is the creator of this town and the occurrences of this town. The stories follow the characters Swami and his friends through their everyday lives. Be it the story of fake astrologers who scam and loot the people by his cleverness, or the story of a blind beggar and his dog where the money blinded the man with greed; each story has a lesson to learn, morals and values hidden in it. As the stories are simple, easy to understand yet heart-touching it makes it easy for the kids to connect with each character and imagine the story as if the reader themselves were the protagonist of the story. In simple words, we can say that R.K. Narayan simply told stories of ordinary people trying to live their simple lives in a changing world.
Follow NewsGram on LinkedIn to know what's happening around the world.
As written during the Indian Independence movements and finally published in 1943. The stories in the Malgudi days beautifully encapsulated the transitioning milieu of the British era to post-Independence India. Each of the stories portrays a facet of life in Malgudi and simultaneously a life in an Indian town. R.K. Narayan was one of the first writers who pioneered Indian writings in the English language and the book was later republished outside India in 1982 by Penguin Classics. Thus, the book enjoyed a worldwide audience. The New York Times even described the virtue of the book as "everyone in the book seems to have a capacity for responding to the quality of his particular hour. It's an art we need to study and revive."
The beautiful storytelling of the book was assisted by beautiful illustrations allowing the children to let their imagination teleport them to the world of Malgudi. All the illustrations in the book were illustrated by the world-renowned cartoonist, R.K. Laxman who is also R.K. Narayan's younger brother. The illustrations complimented the scenes from the stories and excited the children, keeping them engaged in reading the book for hours.
The illustrations complimented the scenes from the stories.Pixabay
The short stories from Malgudi Days were later adapted into a television adaptation in 1986. This show was directed by actor and director Shankar Nag. It was filmed both in Hindi and English, containing 54 episodes and the first 13 episodes respectively. Later the series was revived for additional 15 episodes. The show featured several popular celebrities from the Kannada film industry of those days – Girish Karnad, Vishnuvardhan, Ananth Nag, Arundhati Nag and Vaishali Kasaravalli, to name a few. The series was premiered on the Doordarshan channel and became the window into the town Malgudi for many. The show did not only excel in its storyline the TV adaptation elevated the storytelling as the show was technically very sound and stood out in its fantastic detailing in terms of locations and sets. With the cinematography being creative The Malgudi days- TV series once again warmed the hearts of both young ones and adults.
ALSO READ: Poems of Love And War
Malgudi- our childhood home
Malgudi days hold a special place in the hearts of whoever has read the book as a child. With the detailed descriptions of the town and stories one almost gets a feeling that they've visited the place themselves. The characters, Swami and his friends feel like they were all readers' childhood friends. The surreal feeling of being home in the world of Malgudi. The world of Malgudi is intimate, warm, lifelike, and engaging. The setting is modern, and the life portrayed in these stories is contemporary. Still, there is an old-time air about It. R K Narayan once described Malgudi as "Malgudi is where we all belong, and where we wish we lived."
Keywords: Malgudi days, Malgudi, R K Narayan, R K Laxman, storytelling, our childhood home Malgudi
Well, if you'll notice then the moon takes twenty-nine days to complete its lunar cycle, whereas women's menstrual cycle is generally 28 days! Coincidence? I think, not.
It is believed that when a woman goes through her menstrual cycle, she goes through the different lunar energies. In fact, in ancient times it was said that the natural rhythm of women was to menstruate under a new moon and ovulate under a full moon.
At the same time, it is also believed that the cycle and its stages are connected to different seasons, namely, spring, summer, autumn, and winter.
Let us see how the lunar cycle is related to a woman's menstrual cycle!
It must be noted that the menstruation period is during the new moon period and also during the winter season. It is said that this is a reflective phase; a phase of silence, introspection, and solitude. During this phase, a woman's body is more sensitive, and so they're able to connect with it and hear the messages it gives. Interestingly, this is also the time when a woman naturally recycles energy as she menstruates, and hence, it's also the for their rest and recovery.
The Crescent moon represents the pre-ovulation period. This is also the season of spring, and so the time corresponds to an increase in physical energy. During this period, a woman's mental strength is at its peak and their thoughts are much clearer. At the same time, emotions are more stable during this period, and because of which women tend to be more social and outgoing.
This phase of the moon represents ovulation, and the season associated with this phase is summer. It must be noted that this period is full of energy and vitality. At the same time, this period plays a significant role in the lives of women because it's actually a fertile phase in all aspects of their life, be it personal or professional. During this period, the self-confidence and self-esteem in women tend to rise, and along with this, an increase in their sex drive can be seen very well.
This phase of the moon represents pre-menstruation, which is also associated with the autumn season. During this period, a woman's physical energy starts to decline. Metaphorically, just like a tree sheds its leaves, a woman, too, feels the need to let go of anything that is not benefiting her. At the same time, memory and the ability to concentrate decrease in this period.
I hope, now you will not think of the moon just as a celestial body, but as a companion in the lives of women!
Keywords: Women pre-Menstruation, Feminine, women Health Fitness, the moon represents the pre-ovulation period, period and moon cycle.
The Pakistan Electronic Media Regulatory Authority (PEMRA) has directed Pak TV channels to stop airing what it calls indecency and intimacy in dramas, Samaa TV reported.
A notification issued by the authority states that it has been receiving numerous complaints from viewers who believe that the content being depicted in dramas does not represent the "true picture of Pakistani society".
"PEMRA finally got something right: Intimacy and affection between married couples isn't 'true depiction of Pakistani society and must not be 'glamourized'. Our 'culture' is control, abuse, and violence, which we must jealously guard against the imposition of such alien values," said Reema Omer, Legal Advisor, South Asia, International Commission of Jurists.
"Hugs, caress scenes, extramarital affairs, vulgar and bold dressing, bed scenes and intimacy of married couples are being glamourized in utter disregard to Islamic teachings and culture of Pakistani society," PEMRA stated, as per the report.
The authority added that it has directed channels time and again to review content with "indecent dressing, controversial and objectionable plots, bed scenes and unnecessary detailing of events".
Most complaints received by the PEMRA Call Centre during September concern drama serial "Juda Huay Kuch is Tarah", which created quite a storm on social media for showing an unwitting married couple as foster siblings in a teaser for an upcoming episode. However, it only turned out to be a family scheme after the full episode aired, but by that time criticism had mounted on HUM TV for using the themes of incest to drive the plot, the report said. (IANS/JB)
Keywords: Pakistan, Islam, Serials, Dramas, Culture, Teachings.