Poor lifestyle and dietary choices are two of the primary causes of coronary heart disease. While Covid-19 has impacted healthcare delivery across all specialities, cardiologists and heart surgeons have been cautioning regarding the virus' impact on a person's heart health, with or without surgery.
According to Sanjeeb Roy, senior intervention cardiologist, Jaipur, cases of poor heart health are increasing rapidly in the country. If the patient sees symptoms like shortness of breath, chest pain, fatigue, then the patient is at a risk of a cardiac arrest or heart attack, if there is a severe blockage in the arteries, it is treated by angioplasty or bypass surgery.
An angioplasty is an interventional procedure in which a stent is implanted in the patient without surgery. But sometimes even after having a stent implant, the patient may have to face some complications. According to one study, after implanting a normal metallic frame stent, there is a 15 to 30 per cent chance of it coming back. Apart from this, the patient has to take blood-thinning medicines for life, which also affects their quality of life.
However, to reduce all these complications, new technology like implanted stents will dissolve in the artery after two to three years. Biodegradable scaffold stent technology is very effective in reducing complications after angioplasty. This stent will dissolve in the artery two to three years after it is implanted and the patient's artery will return to its natural position, says the doctor.
"The biggest advantage of this to the patient is that there is no problem of affecting the functionality of the artery due to the placement of the stent. On the other hand, if there is a blockage back in his artery, then he can have angioplasty again. The biodegradable scaffold stent is a technology that does not use a metallic frame. This stent is made of polymers that will automatically dissolve in the body after two to three years of implantation."
"Advantages of biodegradable scaffold stents are: After the stent has dissolved, the patient will not need to take blood thinners for a long time; If there is a need to do angioplasty back in the same artery in the future, then there are no problems related to having stents already; Due to metallic stent implant, there will be no problems in tests like MRI, CT scan in this stent; The patient will feel psychological relief that there is no implant in his body," says Sanjeeb Roy, while mentioning a new technology.
Here's what to keep in mind for good heart health post angioplasty:
Avoid driving for a few weeks, and even riding in the car for long distances. As your body needs time to recuperate, make sure you're using pillows to prop yourself up and are supporting the delicate parts of your chest post-surgery.
Do not be in a rush to head back to an intense, high-stress life. Make sure your day has periods of activity interspersed with adequate periods of rest. Make sure you are working in an environment that can allow you to lie down if need be.
Shortness of breath may be experienced for a few days. Avoid exerting exercises and climbing stairs, and if this continues, speak to a family member and your doctor or surgeon.
It is likely that your doctor has recommended a change of diet for your post-surgery days. Make sure you follow it religiously and include greens and fruits as much as possible. This will aid recovery. Strictly avoid smoking and alcohol intake.
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New Delhi, June 30 (IANS) The Supreme Court on Wednesday said the Centre failed to perform its statutory duty, under Section 12 of the Disaster Management Act (DMA), to issue minimum standards of relief for families of those people who lost their lives to Covid-19. It directed the National Disaster Management Authority (NDMA) to recommend guidelines for ex gratia assistance, on account of loss of life, to families concerned, within 6 weeks.A bench comprising Justices Ashok Bhushan and M.R. Shah said: "Guidelines for ex gratia assistance on account of loss of life due to Covid-19 pandemic, while recommending other guidelines for the minimum standards of relief, it can be said that the National Authority has failed to perform its statutory duty cast under Section 12.."The bench noted that if the statutory authority has failed to perform its statutory duty under the statute or constitutional duty, the court would be absolutely justified in issuing a writ of mandamus directing the authority to perform its statutory duty.The Centre had argued that the term "shall" used in Section 12 of the DMA, will have to be read as "may", thereby making the provision directory/discretionary and not mandatory, in the light of peculiar facts and comprehensive steps taken by the government in mitigating the pandemic. Contesting the ex gratia, it argued that funds have been sanctioned for creating infrastructure, hospitals, testing, vaccination, ICU facilities and other allied matters including providing food to the BPL/migrant labourers, and not to pay ex gratia assistance.However, the bench, in its 66-page judgment, held: "The beneficial provision of the legislation must be literally construed so as to fulfil the statutory purpose and not to frustrate it."It observed if Centre were to construe the word "shall" as "may", in the act, it would "defeat its purpose" and object to issue guidelines for minimum standards of relief, including ex-gratia assistance in the Covid-19 pandemic, which is a disaster.The bench emphasised that the word "shall" used twice in Section 12 of the act significantly imposes a duty cast upon the national authority to issue guidelines for the minimum standards of relief which shall include ex gratia assistance on account of loss of life as also assistance on account of damage to houses and for restoration of means of livelihood.It did not accept the Centre's contention that even if Covid-19 pandemic is declared and/or considered as a disaster, Section 12 may not be applicable and/or the word "shall" should be construed as "may" as when the act came. The Centre emphasised that the legislature might not have visualised that such a pandemic/disaster would occur which would have a long-time effect/impact.The court, however, said said it cannot be disputed that Covid-19 pandemic is a disaster within the meaning of Section 2(d) of the act. Against this backdrop, it directed the NDMA to recommend guidelines, within 6 weeks, for ex gratia assistance to family members of those persons who died due to Covid-19. The bench emphasised it is mandated under Section 12(iii) for the minimum standards of relief to be provided to the persons affected by disaster. However, the court refrained from passing any direction to fix the amount of ex-gratia payment."What amount to be paid by way of ex-gratia assistance to the family members of the persons who died due to Covid-19 pandemic should be left to the National Authority/Central Government," said the bench.The top court order came on PILs which were filed by advocates Gaurav Kumar Bansal and Reepak Kansal seeking court's intervention for payment of Rs 4 lakh ex-gratia amount to the Covid victims' families.The bench held that it should be left to the wisdom of national authority while considering the guidelines/recommendations of the Finance Commission in its 15th Finance Commission Report and the funds required for other reliefs/priorities.--IANSss/vd
New Delhi, June 22 (IANS) Asserting that India has the capacity to administer 1.25 crore Covid vaccine doses a day, the Centre on Tuesday made it clear that "there will not be any issue regarding vaccine supply" in the days ahead and that "around 20-22 crore doses will be administered next month".Chairperson of National Technical Advisory Group on Immunisation in India (NTAGI) Dr N.K. Arora made the announcement considering a record 85 lakh doses administered across the country till Monday midnight under new vaccination policy, in which Centre is procuring 75 per cent of domestically available vaccines for free jabs to the 18-plus population.Noting that the dosage achieved on Monday as a "big achievement", a Ministry of Health and Family Welfare (MoHF) statement quoting Arora said: "Our aim is to vaccinate at least one crore people every day. Our capacity is such that we will easily be able to administer 1.25 crore doses of Covid-19 vaccine every day.""This target is especially achievable in the wake of good support from private sector, and this was proved on the very first day when revised guidelines came into force."The NTAGI Chairperson assured that there won't be any issue regarding availability of vaccine. "We will have around 20-22 crore doses next month.""There will not be any issue regarding vaccine supply."Arora also assured that the health infrastructure is well spread out to ensure that the vaccination drive reaches every corner of the country, including the hilly, tribal and very sparsely populated areas.Speaking how India has been successful in the past as well, Arora said: "This is not unprecedented. In one week, we give polio vaccines to around 17 crore children. So, when India decides to do something, we are able to achieve it."India's Covid-19 vaccination drive is becoming a prime example of how public and private sectors can join together to better address and solve problems faced by the nation, he added.Responding to a query on dosage interval of Covishield vaccines, the Chairperson said that no need is felt at the moment to change the interval. "We are collecting data under the National Vaccine Tracking System and doing real-time evaluation regarding effectiveness of vaccines, dose interval, region-wise impact, variants; at present, no need is felt for changing dose interval of Covishield."The basic principle is that our people should get the maximum benefit from every dose of the vaccine. We find that the current dosages are proving to be beneficial."He added that at the same time, nothing is written in stone.The NTAGI Chairperson emphasised on the significance of people's participation and public awareness in order to avoid rumours and misconceptions against vaccination."Jan Bhagidari and Jan Jagran are very essential to eradicate the fear of vaccination. Ultimately it is in the hands of the public to come forward and get vaccinated".Arora also mentioned that preparations have been made for spreading awareness about vaccination and ASHA workers and frontline workers have already started working from grassroots levels to fight vaccine hesitancy.--IANS rak/dpb
Lisbon, June 17 (IANS) The Portuguese health authorities began to issue the EU (European Union) Digital Covid Certificate on Wednesday, which will allow free transit in the bloc's 27 member countries as well as Iceland, Liechtenstein, Norway, and Switzerland.According to the authorities, the so-called "Covid-19 passport" will be granted to those who have already been vaccinated, recovered from the disease, and those who present a negative result in polymerase chain reaction (PCR) tests.The Certificate can be requested and received over the internet free of charge for Portuguese residents. It's also available through a smartphone application integrated with other EU countries, the Xinhua news agency reported.President of the European Commission Ursula von der Leyen, on her visit to Portugal on Wednesday, was the first to publicly test the system."I am now starting my tour of the 27 Member States within the framework of 'NextGenerationEU', our recovery and resilience plan, and I am very curious to test and see how this certificate works," she said, adding that the system is already in use in 15 member states.Portugal has administered at least 6.96 million doses of Covid-19 vaccines so far, according to the health authorities.As the world is struggling to contain the pandemic, vaccination is underway in an increasing number of countries with the already-authorised coronavirus vaccines.A total of 287 candidate vaccines are still being developed worldwide -- 102 of them in clinical trials -- in countries including Germany, China, Russia, Britain, and the US, according to information released by the World Health Organization on June 15. --IANSint/rs
Ottawa, June 12 (IANS) The state-run Health Canada said that it will not use the 300,000 Johnson & Johnson Covid-19 vaccine doses which arrived in the country in April due to a possible quality issue."To protect the health and safety of Canadians in response to concerns regarding a drug substance produced at the Emergent BioSolutions facility in Baltimore Maryland, Health Canada will not be releasing the shipment," the government department said in a statement on Friday.The drug substance produced at the facility was used in the manufacturing of this shipment of Janssen vaccines, reports Xinhua news agency."The drug substance was manufactured at the time a separate batch of vaccines was contaminated by the components of a different vaccine. "Health Canada was unable to determine that this shipment of Janssen vaccines meets the Department's rigorous quality standards," the statement added.To ensure the safety of any future vaccine supply from this facility, Health Canada is planning an on-site inspection, expected to take place later this year."Until this inspection has been completed, Canada will not be accepting any product or ingredients made at this site," it said.The statement came after the US Food and Drug Administration (FDA) said on Friday that Johnson & Johnson must discard millions of doses of its Covid-19 vaccine that were manufactured at the Baltimore facility.The FDA halted production at the Baltimore site after discovering that ingredients from AstraZeneca's Covid-19 vaccine also being produced at the plant at the time contaminated a batch of Johnson & Johnson jab.An FDA inspection also reportedly found sanitary problems and bad manufacturing practices at the plant.The AstraZeneca vaccine is no longer being made at the Baltimore facility, and Health Canada previously said that the 1.5 million doses it had imported from this facility were safe and met quality specifications. --IANSksk/
Thiruvananthapuram, May 31 (IANS) Kerala Chief Minister Pinarayi Vijayan on Monday reached out to 11 other non-BJP Chief Ministers, stressing the need for jointly taking up the issue of vaccine for all with Prime Minister Narendra Modi.In a letter to his counterparts in Tamil Nadu, Andhra Pradesh, Telengana, Maharashtra, Punjab, Odisha, Rajasthan, West Bengal, Jharkhand, Chhattisgarh, and Delhi, he said that this is the need of the hour as with an expected third wave on the anvil, the only way to deal with it for mass vaccination through which herd immunity can be developed.Vijayan said all the states should put before the PM the need for giving the vaccines free of cost to all the states, but the Centre is trying to wash its hands of it and asking the states to make its own arrangements even as companies are not that keen to enter into arrangements with the states.Hence if the Centre invites a global tender for the vaccines, it would be much better and moreover if the burden of vaccines comes on the states, it could well turn out to be huge financial burden, he said. Besides the issue of federalism is also there, he noted.--IANSsg/vd