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Severe cases of Covid-19 with pre-existing acute cardiovascular diseases underlying condition are at a greater fatality risk.
The death rate in such patients is estimated up to 15X higher than patients without co-morbidities. The doctors have observed that one out of five such cases expires while battling the deadly virus.
Amit Bhushan Sharma, Associate director and Unit head cardiology, Paras Hospital Gurugram suggested that people who have non-communicable diseases (NCD) like cardiac diseases are 10X more predisposed to getting Covid-19 and their mortality rate is ten times higher than the non-NCD patient.
“Most of the attention in the Covid-19 pandemic has been on how the virus affects the lungs, but evidence shows that up to 1 in 5 infected patients have signs of heart damage and many are dying due to this,” Sharma said.
Naveen Bhamri, HOD & Director, Cardiology, Max Super Speciality Hospital, Delhi, also concurred that the prevelance of mortality due to Covid-19 is higher in cardiac patients. “Various studies prove that cardiac patients have more severity of Covid than patients without any comorbid condition.
“The symptomatic patients with preexisting cardiovascular problems or undergone bypass surgeries have additional 20 per cent mortality than other patients,” he added.
“The mortality in a Covid case with the existence of a single comorbid situation like hypertension is 3 to four times higher than non-NCDs. However, the rate elevates to seven or eight times if the case has additional comorbidity of cardiovascular disease. The rate in this situation reaches around 20 per cent,” said Udgeath Dhir, Director and Head, Cardiothoracic and Vascular Surgery, Fortis Memorial Research Institute, Gurugram.
The experts had a little difference of opinion in mortality in cardiac patients with varying severity of the symptoms.
Bhamri said that the mortality of 20 per cent is observed in the cardiac patients exhibiting severe symptoms of Covid-19. “This scenario does not apply to the cardiac patients who are asymptomatic,” he added.
However, Dhir observed that it is just a matter of time that the Covid-19 infection progresses to severe state underlying that all the cardiac patients are at equal risk of the additional mortality.
“The Covid-19 infection never starts with severe symptoms. It starts with mild or moderate symptoms but aggregates to severe state rapidly in the cases of cardiac patients. The aggressiveness of the disease depends on the innate immunity reserve of the body. The reserve is less in the patients with multiple comorbidities,” he said.
While the patients of preexisting cardiovascular issues are facing higher chances of the death due to Coronavirus, another scenario is coming to the fore where people with no caridac history are coming with cardiovascular issues after recovering from the Covid-19 infection. The cardiovascular disease has started manifesting severe heart problems in many of the recovered patients.
“It is one of the residual symptoms of Covid-19. People are coming with a blockage in heart vessels and arteries. They are becoming cardiac patients after contracting the virus,” said Bhamri.
“We are facing at least 10 per cent of Covid recovered patients whose brain, heart and lungs were damaged by the Coronavirus,” Dhir estimated.
Sharma observed that the receptors in the lungs, which attaches with the virus are damaging the heart of the patient as well. “The damage observed in Covid-19 patients could be from the virus directly infecting the heart muscle. Initial research suggests the coronavirus attaches to certain receptors in the lungs, and those same receptors are found in heart muscle as well,” Sharma added.
Besides, Dhir suggested that cardiac patients should consult with their cardiologist very frequently and immediately inform them in case they develop a new symptom that may or may not related to Covid-19.
“Don’t underestimate any new development as a seasonal flu. Monitor your diabetes, blood pressure and keep updating your situation to your cardiologists,” he said.
“The proper control on sugar, adequate hypertension management, weight control, and to inculcate a healthy lifestyle will help to go a long way in preventing simple corona case to a high-risk corona case. NCDs and Covid-19 have same pathologies,” said Sharma also suggested. (IANS)
Prior to the brutal second wave of the pandemic, Prime Minister Narendra Modi had cautioned civil services probationers against developing the despised "babu mindset". He gave the invaluable piece of advice while addressing civil services probies at the well-known Lal Bahadur Shastri National Academy of Administration in Mussoorie via video-conferencing. He also outlined the keystone mantra of "minimum government and maximum governance".
With the recent collapse of the under-construction flyover in Bandra Kurla Complex which injured 14 labourers, it seems like the Brihanmumbai Municipal Corporation (BMC) has got the PM's keystone mantra all wrong. The recent flyover collapse isn't an isolated incident, in fact, a month ago a similarly bemusing incident took place in the eastern part of the suburbs.
On 1st August 2021, the honourable Chief Minister of Maharashtra Shri. Uddhav Thackeray inaugurated a flyover in the eastern part of the suburbs. In his inaugural speech, he quipped the BMC to smoothen the rough road surface. The BMC swing into action and the surface of the flyover was swiftly re-worked upon. But, instead of smoothening the pre-existing rough surface, the shoddy repair work added to the problem. To top it all off, the BMC added a barrage of speed breakers and rumbler strips on the bridge.
The shoddy repair work combined with a plethora of speed breakers caused long congestions on the Mankhurd-Ghatkopher stretch, ultimately killing the purpose of building the bridge. Moreover, after numerous accidents of motorbikes skidding on the bridge during the rain and the subsequent death of a rider the bridge was closed for traffic.
The construction of the flyover commenced in February 2016 at an approved cost of ₹500 crores. The project was slated to be delivered in January 2019 but was delayed multiple times. The BMC had also made a design change in the flyover by adding a connector to the Deonar dumping ground due to which the construction cost of the flyover was increased to over ₹700 crore. The flyover was expected to bring relief to the traffic on Ghatkopar-Mankhurd Link Road but instead, it added to the existing traffic woes. On a concluding note, the maximum city of Mumbai runs on barely minimum governance, literally.
Keywords: Mumbai, Narendra Modi, Civil Services, Governance.
Along with the undeniable natural beauty, the Kashmir valley has developed a reputation for adventurous activities like trekking, hiking, and river rafting. Kashmir has maintained its charm, allowing us to time-travel into beautiful destinations which make one forget about the stress and worries of life. The hikes in Kashmir offer adventurers to go on a self-discovery trip through nature's lap over the mountains while taking in the breathtaking scenery that surrounds them on their journey. In addition to the hikes, there are many thrilling adventure activities, like rock climbing, rope climbing, etc. Trekking across the region of mountains and lakes will allow you to experience living in the "Paradise on Earth," and you wouldn't want to return to your regular life after that.
The following are some of the finest hiking destinations in Kashmir:
#1: Kashmir Great Lakes Trek: You will be transported to a heavenly and unseen aspect of Kashmir on the Kashmir Great Lakes Trek. In addition to three high-altitude passes and five river valley crossings, this is the only trip in the Himalayas that includes seven alpine lakes, each of which is a stunning shade of green, blue, or turquoise. The extravagance is limitless and breathtakingly stunning every day: infinite blue sky, a larger-than-life backdrop of the Rocky Mountains, colourful meadows overflowing with wildflowers, river crossings are just a few examples of what you will encounter during the trek.
You will be transported to a heavenly and unseen aspect of Kashmir on the Kashmir Great Lakes Trek. | Photo by prayer flags on Unsplash
#2: Sonamarg-Vishansar-Bandipora Trek: The Sonamarg-Vishansar-Bandipora trek is a one-of-a-kind experience that provides a glimpse into Kashmir's undiscovered regions. Sonamarg, famously known as the Meadows of Gold, is the starting point for this fascinating journey that is the perfect experience for anyone looking to get away from the frantic tourist rush. This trek is a fascinating journey that allows nature enthusiasts to bask in the splendour of nature's grandeur. The trek goes over many high mountain passes, some as high as 4000 metres in elevation. The hiking route, in addition to providing breathtaking views of the magnificent Vishansar Lake, provides visitors with the chance to see more than 50 alpine lakes.
Sonamarg, famously known as the Meadows of Gold, is the starting point for this fascinating journey. | Photo by YASER NABI MIR on Unsplash
ALSO READ: Top 10 Beautiful Sights To VIsit In Kashmir
#3: Tral-Narastan-Marsar Trek: The Tral-Narastan-Marsar trek is filled with a range of exciting experiences from beginning to end. The hiking trail passes past a waving saffron field, beautiful meadows, and several streams. The path also crosses the Dachigam National Park, where there is an opportunity to see various animal species. Trekkers may take in spectacular views of the high mountains running parallel to them as they cut and pass through Narastan, a Hindu pilgrimage place.
The Tral-Narastan-Marsar trek is filled with a range of exciting experiences from beginning to end. | Wikimedia Commons
#4: Chhatargul-Mahlish-Gangabal: The journey, which passes through beautiful locations such as Chattargul, Mahlish, Kolsar, and Trunkul, provides a peek into an utterly uninhabited wilderness of Kashmir. There are lakes and meadows adorned with flowers along the route as one trek into the alpine wilderness. Trekkers can also enjoy fishing in the crystal clear lakes, camping, or just seeing towering snow-capped mountains while on their journey.
There are lakes and meadows adorned with flowers along the route as one treks into the alpine wilderness. | Wikimedia Commons
#5: Kolahoi Base Camp Trek: The Kolahoi Base Camp trek in Kashmir has been famous since the early 1900s and has been a goal for many seasoned hikers from across the world. While Srinagar serves as the beginning point for the trip, it is in Aru Valley that the actual hiking begins. The Kolahoi Base Camp Trek is a gentle adventure that is ideal for novices and families with children. The breathtaking sight of the peaks rising into the sky on the horizon of the Pirpanjal and Karakoram ranges is certainly worth capturing. It is considered to be one of the most popular treks in the Kashmir valley.
The Kolahoi Base Camp Trek is a gentle adventure that is ideal for novices and families with children. | Wikimedia Commons
Kashmir's natural splendour, with its beautiful valleys and towering mountains, is really unlike anywhere. Trekking through various valleys and peaks while taking in the scenic beauty is something that always calms the heart and provides us with memories that we will remember for a lifetime.
Keywords: Kashmir, Lakes, Alpine, Hiking, Trekking, Treks, Sonamarg, Gangabal, Kolahoi, Chhatargul, Mahlish, Tral, Narastan, Marsar
The Pitru Paksha starts after the Full Moon day, and this day marks the beginning of the waning phase of the Lunar cycle. This event is roughly of 15-day period, and is of great significance. From this day, rituals like Tarpan or Tarpanam and Shradh are carried out to pay respects to dead relatives and ancestors.
It is believed that from the very first day till the last day, the unhappy souls of the deceased return to the Earth to see their family members. So, in order to ensure that the dead attain Moksha, i.e. to get liberation, family members of these souls quench their thirst and satisfy their hunger by performing the Pind Daan, which includes offering food consisting of cooked rice and black sesame seeds. The literal meaning of Pind Daan is the act of satisfying those who no longer exist physically.
For fifteen days, prayers are offered in temples and rituals are performed to help the souls get free from the cycle of birth, life, and death, and attain salvation.
At the same time, the Pitru Paksha is also an important period for people with Pitru Dosha, which means the curse imposed by the ancestors. Hence, in order to ask forgiveness, people perform Shradh rituals and offer food to the crows, who are considered as living beings that represent the dead. It is believed, if the crow eats the offered food, the ancestors are happy and pleased. But, if the crow doesn't eat the offered food and flies away, the ancestors are not happy.
The event of Pitru Paksha is widely observed by Hindus from all over the world, and they perform prayers and rituals in order to gain their ancestors blessings.