'Heart disease set to spike in India, especially in the south'

October 17, 2012

heart

New Delhi, October 17: India is set to witness a spike in deaths due to heart diseases, far exceeding that of China, with more and more younger people falling victim and a large percentage of patients coming from south India, said an expert.

According to well-known radiologist Harsh Mahajan, by 2020 India will have more than 4.77 million deaths a year due to cardiovascular disease (CVD) and 2.58 million deaths due to coronary heart diseases (CHD).

China, which has the world's largest population at 1.34 billion, will have 4.53 million deaths due to CVD and 1.37 million due to CHD by 2020. The figures are from the Global Burden of Diseases Study conducted by WHO.

While north Indian states - including Jammu and Kashmir, Punjab and Uttar Pradesh - have a high percentage of people suffering from heart diseases, south Indian states of Kerala and Tamil Nadu have a higher prevalence of CHD, he said quoting from a study.

"In south India, a lot of people are vegetarian. But vegetarianism is no safeguard. In fact, coconut oil leads to heart diseases," Mahajan said at a talk Tuesday evening at the India International Centre here.

"In 2004, 14 percent of total deaths in India were due to heart diseases... and the percentage keeps rising," said Mahajan, president of the Indian Radiological and Imaging Association and founder of the city's well-known Mahajan Imaging Centre.

Unlike the "mistaken thought" that heart pain occurs on the left side of the chest, the expert said it occurs in the middle of the chest, and some patients could also feel pain in the shoulder, elbow and jaw. This could be accompanied by shortness of breath, a feeling of light-headedness and even severe sweating.

"It is important to recognize the symptoms, and act... even if it seems a case of overkill,"

said Mahajan.

"I am not saying we should get over-anxious, but let us not ignore the symptoms. The first hour is when most of the deaths occur. It may be worth going to the doctor even if it turns out to be a false alarm," Mahajan said.

Diabetic patients don't get the pain indicative of a heart attack coming on "because their nerves get deadened", he said. "Diabetics may never feel chest pain at all," he said.

Other signs to watch out for are the feelings of constriction and discomfort while jogging or running. "When you feel something you've never felt before, if you have any problem while active that is relieved by rest, you need to see the doctor."

While coronary heart diseases are due to arteries getting narrowed due to blockages, Mahajan said "60-70 percent of heart attack patients don't get significant narrowing of arteries".

"It is generally patients who have 30-40 percent blockage with plaque deposits, who are most prone to heart attacks," Mahajan said.

Listing the efficacy of testing mechanisms, Mahajan said ECG/EKG (Electrocardiography) shows up an angina, while X-rays are useful in detecting abnormalities in heart size.

The treadmill test "is not a great test if done in isolation", said Mahajan. According to the expert, the best machine is the Dual Energy GSI Spectral CT Scanner, which his laboratory has introduced in India - the first to do so.

It is a non-invasive test, which can look inside the heart and vessels - even at the stents to see their condition, it can see the plaque deposits. "It is the ultimate tool. Each and every millimetre of the arteries and segment can be seen, as well as the plaque," Mahajan said.

Japan is the only other country in Asia to have a similar machine, which has just got FDA approval. The radiology exposure due to the machine is negligible, he said.

The machine provides 128 slices of imaging of the body. The cost of an imaging is Rs.15,000

Cardiovascular diseases would be the largest cause of death and disability in India by 2020 as per a World Health Organisation (WHO) report. By 2030, it is expected that 23 million people will die from CVDs annually.

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News Network
July 10,2020

London, Jul 10: India's Reliance will load its first cargo of Venezuelan crude in three months this week in exchange for diesel under a swap deal the parties say is permitted under the US sanctions regime on the Latin American country, according to a Reliance source and a shipping document from state oil firm PDVSA.

Washington has exempted some Venezuelan oil trade from sanctions when transactions are in exchange for fuel and food or to repay debts rather than for cash. But that trade slowed as the US tightened restrictions and refiners, shippers and insurers have been steering clear of Venezuela to avoid any risk they may fall foul of sanctions.

Washington aims to deprive Venezuelan socialist President Nicolas Maduro of his main source of revenue with the sanctions, which have driven Venezuelan oil exports to their lowest level since the 1940s.

Reliance gave the US State Department and the Office of Foreign Assets Control (OFAC) notice of the diesel swap and received word back that the policies that allowed the transaction were still in place, the Reliance source told Reuters.

Reliance has previously said that its supplies of fuel to PDVSA in exchange for crude were permitted under sanctions.

An oil tanker named Commodore would load the cargo of crude in Venezuela and ship it to India, the tanker's manager NGM Energy said.

"All details of the transaction and transportation were shared with US authorities, who confirmed that the U.S. policy authorizing such transactions remained in place," NGM Energy said in a statement to Reuters.

"The shipment is made in connection with the humanitarian exchange of oil for diesel fuel."

The Commodore is loading a 1.9-million barrel cargo of crude for Reliance at Venezuela's main oil port of Jose, according to an internal PDVSA cargo schedule seen by Reuters.

The Liberian-flagged Commodore was at the Jose Terminal on Thursday, ship tracking data on Refinitiv Eikon showed.

The US State Department, Treasury's enforcement arm OFAC, and PDVSA did not immediately respond to a request for comment.

Reliance has a swap deal to provide diesel to Venezuela in exchange for fuel but has not received a cargo of crude since April. Sources at Indian refiners told Reuters earlier this year they planned to wind down their purchases of Venezuelan oil to avoid any problems with supply due to sanctions.

Other long-time customers of PDVSA, including Italy's Eni and Spain's Repsol, have continued taking cargoes of Venezuelan crude this year under permission granted by the US Treasury Department to exchange the oil for diesel supply as part of debt repayment deals, according to sources from the companies.

NGM Energy also manages the Voyager I tanker, which the United States removed from its list of sanctioned vessels last week after NGM and the ship's owner Sanibel Shiptrade said they would increase measures to ensure vessels complied with international sanctions.

"Last month, NGM Energy SA adopted a firm policy of not allowing vessels under its commercial management to trade to Venezuela, or to carry Venezuelan petroleum cargoes, absent US government authorization," NGM said.

"NGM continues to stand by that pledge."

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Agencies
June 19,2020

New Delhi, Jun 19: Delhi minister Satyendar Jain's health has deteriorated further. He is infected with the coronavirus. Jain has also been diagnosed with pneumonia. He is being shifted to an ICU.  According to doctors, Jain is now kept full-time on oxygen support as his oxygen saturation level has dipped.  

Jain was admitted to Rajiv Gandhi Super Speciality Hospital early Tuesday after running high fever and suffering a sudden drop in oxygen level. The 55-year-old leader's test result came positive on Wednesday evening after a second test. Jain was brought to the hospital and was administered a test for the novel coronavirus infection on Tuesday morning, for which he tested negative. But he still ran fever and showed symptoms, so another test was done after 24 hours of the first.

He will now be shifted Max Hospital in Saket and administered plasma therapy. 

Union Home Minister Amit Shah has also wished for Jain's speedy recovery.

On Thursday, Delhi Deputy Chief Minister Manish Sisodia took over the charge of health, PWD, power and other departments held by Jain. Jain will remain the cabinet minister without any portfolio in the Arvind Kejriwal government until he recovers. 

On Sunday, Jain attended a high-level meeting on the coronavirus situation in the national capital, chaired by Union Home Minister Amit Shah, which was also attended by Delhi Lt Governor Anil Baijal, Kejriwal, Sisodia and Union Health Minister Harsh Vardhan.

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News Network
May 5,2020

Kochi, May 5: India has sent three naval ships to evacuate its citizens stranded in the Maldives and UAE due to the COVID-19 pandemic, a defence spokesperson said in the early hours on Tuesday.

INS Jalashwa deployed off Mumbai coast, along with INS Magar, diverted for Maldives on Monday night, he said.

While INS Shardul diverted to Dubai to evacuate the expatriates, the spokesperson added.

The three ships will return to Kochi, he said.

INS Magar and INS Shardul are Southern Naval Command ships, while INS Jalashwa is from Eastern Naval Command.

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