IPL to return to its old home and away format in 2023, confirms Sourav Ganguly

The Indian Express | 4 days ago | 22-09-2022 | 02:35 pm

IPL to return to its old home and away format in 2023, confirms Sourav Ganguly

The Indian Premier League (IPL) will return to its original, pre-COVID-19, home-and-away format from the 2023 season, BCCI President Sourav Ganguly has conveyed to the Board’s affiliated state units.The IPL has been held at only a few venues since the outbreak of COVID-19 in 2020 as the lucrative league unfolded behind close doors across three venues in UAE — Dubai, Sharjah and Abu Dhabi.In 2021 too, the tournament was held across four venues — Delhi, Ahmedabad, Mumbai and Chennai.However, with the pandemic under control, the cash-rich league will return to its old format in which each team plays one home and one away match.“The next season of men’s IPL will also go back to the home and away format with all ten teams playing their home matches at their designated venues,” read a Ganguly’s note to state units.The note gave them a “snapshot” of the ongoing domestic season.The BCCI is conducting a full-fledged domestic season for the first time since 2020 and all multi-day tournaments will also return to the traditional home and away format.Expecting Women’s IPL to to start early next yearThe BCCI is also working to host the inaugural edition of the much-anticipated Women’s IPL early next year.PTI had last month reported that the tournament is likely to take place in March after the Women’s T20 World Cup in South Africa.“The BCCI is currently working on the much-awaited Women’s IPL. We are expecting to start the first season early next year,” Ganguly wrote in the letter dated September 20.The Women’s IPL is expected to raise the standard of women’s cricket in India.Besides the the Women’s IPL, the BCCI is also launching a girls under-15 ODI tournament.“We are glad to introduce a girls U15 One Day tournament from this season. Women’s cricket has seen phenomenal growth across the world and our national team has been performing well. This new tournament will create a pathway for our young girls to play at the national and international level,” Ganguly wrote.The inaugural women’s under-15 event will be played from December 26 to January 12 across five venues — Bangalore, Ranchi, Rajkot, Indore, Raipur, Pune.

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1.49 lakh youths get job, apprenticeship letters
The Indian Express | 12 hours ago | 26-09-2022 | 10:35 pm
The Indian Express
12 hours ago | 26-09-2022 | 10:35 pm

The Gujarat government provided appointment letters and apprenticeship contract letters to 1.49 lakh youths at employment appointment letter distribution programmes held in 33 districts and seven municipalities in the state on Monday.“Providing employment opportunities to 1.49 lakh youth is historic,” said Chief Minister Bhupendra Patel as handed over the letters to 17 youths in Ahmedabad.Attributing the development in Gujarat to the strong foundation laid by Prime Minister Narendra Modi, the CM said that today Gujarat has become the growth engine of the country.“During the Covid pandemic, even major countries got tired. At that time, PM Modi gave the call of Atmanirbhar Bharat… through free vaccination, the PM got us out of Covid and made sure no one slept hungry during that time by providing free ration,” CM said.Describing the comprehensive development of the state, the CM said that Gujarat has become identical with strong development in every sector under the direction of PM Modi.“Two decades ago, the state was producing 99 MW of renewable energy that has reached 16,588 MW today and 8,750 MW power generation has reached 40,138 MW,” he said adding that 26 per cent of Narmada’s water that was taken for use has now reached 94.86 per cent.Two decades ago there were 2.74 lakh MSME industries in the state which has now increased to 8.66 lakh, he added. With the support of the state government and private institutions, 2.17 lakh students are being trained in 125 courses in the 600 ITIs in the state to create a skilled workforce, he added.Under the Mukhyamantri Apprentice Scheme, more than one lakh youth were trained in four years, he said.“More than three lakh employment have been provided to youths through rozgar melas. In the past five months, nearly 900 rozgar melas were organised. More than two lakh jobs were given through Anubandham portal that links employers and employees… and 13,000 vacancies are still available on the portal,” said principal secretary Labour, Skill Development and Employment Department Anju Sharma.

1.49 lakh youths get job, apprenticeship letters
Post Covid, Gujarat govt invites Pune’s Galaxy hospital surgeons to perform uterine transplants
The Indian Express | 15 hours ago | 26-09-2022 | 07:35 pm
The Indian Express
15 hours ago | 26-09-2022 | 07:35 pm

Post Covid pandemic and after a gap of two and half years, the Pune team of surgeons from Galaxy Care hospital flew to Gujarat over the weekend to carry out a record back to back uterine transplants in two women in their 20s. “Prior to the pandemic, nine uterine transplants – all in Maharashtra -were performed.Now with the Gujarat government giving permission for uterine transplant, our team decided to carry out the procedure for the women on Sunday (Sept 25),” Dr Shailesh Puntambekar, medical director at Galaxy care hospital told The Indian Express. The next state to invite the team is West Bengal where the team is already planning their next surgery.On Monday morning the entire 11 member team returned to Pune and according to Dr Puntambekar both uterine transplant procedures were completed in a span of nine hours. According to Dr Milind Telang, chief gynaecologist with Galaxy Care hospital, the two women who underwent uterine transplants are stable.“The first patient was a 28 year old woman who had a small uterus and was infertile. Her mother was 49 and as per the transplant norms were evaluated. The second woman had an absent uterus and suffered from a condition called Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome and was married for three years. She was evaluated and her mother also agreed to donate her uterus. Both patients and their families were counselled,” Dr Telang said. The incidence of MRKH syndrome is one in 5000 girls that are born.“In our Indian scenario it would approximate to nearly 1.25 lakh girls who are born with this condition,” Dr Telang said. Both cases were of absolute uterine factor infertility. The entire procedure was completed in less than 12 hours. “Starting at 9 am we finished both operations by 7.45 pm,” Dr Telang said. Both donor and recipients are stable with no blood transfusion.Both women were earlier registered with the hospital in Pune for the transplant. Pune’s Galaxy Care hospital had conducted India’s first two successful uterine transplants in May 2017 with the third one in January 2018 being completed by the team in six hours.The womb transplants were performed through laparoscopic surgery that made the surgeries painless and helped in faster recovery. After nine uterine transplants the Covid pandemic brought about a temporary stop to the procedures.While the institute awaits a formal inspection and renewal of its license as a uterine transplant centre the Gujarat government in the meantime had invited Dr Puntambekar and his qualified team members to perform the transplant in Ahmedabad. The permission from the Gujarat government was like a bonus for the families of the transplant recipients as they could stay in their home state and undergo the procedure, Dr Puntambekar said.The transplants were performed at the Institute of Kidney Diseases and Research Centre at the Ahmedabad civil hospital campus.The state authorization committee, transplantation of human organ act, government of Gujarat had granted registration of uterus transplant centre to the institute and in a letter issued recently had stated that during the first year the uterus transplantation has to be done by Dr Shailesh Puntambekar and his qualified team members.Dr Vasanthi Ramesh, Director of National Organ and Tissue Transplant Organisation (NOTTO) when contacted told The Indian Express that the registry is in the process of being updated. “Uterine transplantation is not a life saving procedure. However one can live without a uterus and hence it can be a life enhancing or life giving procedure,” Dr Ramesh said.

Post Covid, Gujarat govt invites Pune’s Galaxy hospital surgeons to perform uterine transplants
950+ class owners benefited through GoI Intellectual Property Right (IPR) awareness program at Maharashtra Class Owners’ Association (MCOA) Teachers Felicitation Function
Ahmedabad Mirror | 3 days ago | 23-09-2022 | 04:59 pm
Ahmedabad Mirror
3 days ago | 23-09-2022 | 04:59 pm

Mumbai, Maharashtra, India, 22-Sept-22:Our Nation is commemorating the 75th Anniversary of India’s Independence under the banner of Azadi ka Amrit Mahotsav, and the Government of India has taken the initiative of the National Intellectual Property Awareness Mission (NIPAM) under which awareness and training are imparted on Intellectual Property Rights (IPRs).As part of said Mission, the Office of Controller General of Patents, Designs and Trade Marks conducted an Intellectual Property Right awareness program during theMaharashtra Class Owners’ Association (MCOA) annual function which is generally organised to facilitate and boost the morale of Senior Teachers, Authors and NGOs for rendering noble service to society at large.The said IPR program was of 15 to 20 minutes duration wherein more than 950 teachers and class owners were not only enlightened to different types of Intellectual Property Rights (IPRs) but also motivated to convert their ideas into innovation and further transformation into IP assets through the protection of their IP rights. After completion of the said program, every participant was awarded an e-certificate from the competent authority.This year, MCOA’s annual ‘Teachers Day Celebration and Felicitation 2022’ witnessed the presence ofER. B. S. Yadav - Chancellor of IES University, Bhopal as aChief GuestandShri. Thakur Ravi Singh – Managing Trustee of Thakur Ramnarayan Educational Campus as a Guest of Honor.Speaking on the occasion,ER. B. S. Yadav - Chancellor of IES Universitywas of the view that“Looking post covid situation there is a challenge to each teacher to excel with a lot of change in terms of expectation of the students, parents and every stakeholder. So, I would say the thought process that I have gained in the last 20 years towards educating the kids right from nursery level to doctor level, basic fundamentals will always remain the same; what was before covid and after covid and until the existence of the human being, so we have to work on these parameters. Every teacher’s success is different in how he/she takes this challenge towards making an excess of education to all the students in his/her class.Secondly, I will also put my last 20 years of personal experience towards education on how I myself contribute towards the education, particularly how we make our consistent success in our performance that is very important. So, whether it is a small or big success if you achieve your milestone continuously you always feel motivated. And teachers should always be motivated.I congratulate MCOA to have organized this program to give recognition to these teachers who deserve respect.”Shri. Thakur Ravi Singhsaid “We need to focus on the holistic development of students and make sure that along with the coaching we need to imbibe social awareness. At Thakur Ramnarayan Educational Campus we have NSS which is specially focused on this aspect. The students here are socially and environmentally conscious and even have projects in waste recycling etc””MCOA planned to celebrate Teachers Day on 17-09-2022 so that they can pay tribute to our beloved Hon. Prime Minister on the auspicious occasion of his birthday. He is a role model for all our us and happy to have him serving the county to the best” saidMr. Santosh Vaskar, Hon. President, MCOA.“MCOA is a- non-profit making association of class owners. At the association level, it is our constant endeavor to give the best to our fellow class owners and members by conducting knowledge series/ seminars/ workshops and training programs on a regular basis which in turn benefit the students at large. Coming together, asking for help, and working in harmony with each other is not a sign of weakness, it is a sign of wisdom. It is a call for the greater strength that lives in our togetherness. MCOA does not work for getting Membership, we work towards updating, upgrading and uplifting the Coaching Class Community. Great Strength Lives in Togetherness. Let us Merge to Emerge” saidMr. Santosh Vaskar added.“Boosting the morale of Teachers by recognizing and rewarding efforts of Teachers of Coaching classes is the need of the hour as they continuously mentor and support all the students around the year. We are also planning to launch very soon a monthly e-magazine in association with Just Brainz I Pvt Ltd. This is a unique initiative from the Association to connect & engage with all Class owners.”Mr. Santosh Vaskar further added.“MCOA is committed to the betterment of our segment. We are taking various steps by approaching & representing our views to the Government on issues like Teachers & Colleges involved in the Capitation & Reduction of GST for Coaching Classes. MCOA is always at the forefront in taking up matters with Education Minister like paper leaks, wrong question papers, clashing timetables, exam centres etc. MCOA has become the Voice for Coaching Class Industry.”said Mr. Prajesh Trotsky, Hon. Vice-President, MCOA.“MCOA has formed 8 Zonal Committees so that Class Owners can get local connect. Members can also attend seminars in any or all zones along with one AGM cum picnic & participate in the inter-Coaching Class Cricket tournament of Teaching Staff which is conducted annually.To have an entry barrier for Coaching Classes to protect and sustain the Coaching Class Industry, MCOA becomes the right platform where all Class Owners of a particular area can come together to decide the uniform fee structure and various other parameters which will help all Class Owners to survive in the currently hyper-competitive market in long run. An attempt towards the same is been done the Kalyan Dombivili Zone where all the Class Owners of Commerce Domain met to decide on a uniform fee structure for all Class Owners. We have also formed a separate body called Teacher’s Training Academy which runs a comprehensive certified course “Train the Teacher” for the teachers. Here we train them in Teaching Skills, Educational Psychology & Personality Development.”said Mr. Amit Sanghania (CEC Committee Member, Chairman – MCOA Western Zone)Pavan Keshari, Founder, Sparkling Wings NGO (SWN)initiatives of providing education to every single child and making people aware of the importance of education and how it can help their children to have a healthy and wealthy living further in the future was highly appreciated by the Class Owners and Guests.The special performance was given by SingerMunawar Aliwhich enthralled the audience and sparkled the event with joy.The following people were awarded from each section:School Section - Tr.Hirubhai B Desai, Tr. Rajini K Adsule, Tr. Jaya ViswanathanArts Section - Tr. Anit Ashok Mukherji, Tr. Cyril Shah, Tr. Daksha Deepak NaikCommerce Section - Tr. Ambelal Patel, Tr. Ramesh Melkunde, Tr. Ramnath IyerScience Section - Tr. Hari Deshmukh, Tr. Ravi Prakash Singh, Tr. Shriram SailOther Boards Section - Tr. K. H. Jayaram, Tr. Rakesh DattaniOut Of Mumbai - Tr. Vinayak ParicharakDhwanee Events helped in managing the event. The program ended with a Vote of Thanks by Mr. Rajesh Kasat, Secretary, MCOAFor more information, kindly visit:www.classowners.com#Tags:MCOA,Maharashtra Class Owners’ Association,Santosh Vaskar,ER. B. S. Yadav,Thakur Ravi Singh.950+ class owners benefited through GoI Intellectual Property Right (IPR) awareness program at Maharashtra Class Owners’ Association (MCOA) Teachers Felicitation FunctionMumbai, Maharashtra, India, 22-Sept-22:Our Nation is commemorating the 75th Anniversary of India’s Independence under the banner of Azadi ka Amrit Mahotsav, and the Government of India has taken the initiative of the National Intellectual Property Awareness Mission (NIPAM) under which awareness and training are imparted on Intellectual Property Rights (IPRs).As part of said Mission, the Office of Controller General of Patents, Designs and Trade Marks conducted an Intellectual Property Right awareness program during theMaharashtra Class Owners’ Association (MCOA) annual function which is generally organised to facilitate and boost the morale of Senior Teachers, Authors and NGOs for rendering noble service to society at large.The said IPR program was of 15 to 20 minutes duration wherein more than 950 teachers and class owners were not only enlightened to different types of Intellectual Property Rights (IPRs) but also motivated to convert their ideas into innovation and further transformation into IP assets through the protection of their IP rights. After completion of the said program, every participant was awarded an e-certificate from the competent authority.This year, MCOA’s annual ‘Teachers Day Celebration and Felicitation 2022’ witnessed the presence ofER. B. S. Yadav - Chancellor of IES University, Bhopal as aChief GuestandShri. Thakur Ravi Singh – Managing Trustee of Thakur Ramnarayan Educational Campus as a Guest of Honor.Speaking on the occasion,ER. B. S. Yadav - Chancellor of IES Universitywas of the view that“Looking post covid situation there is a challenge to each teacher to excel with a lot of change in terms of expectation of the students, parents and every stakeholder. So, I would say the thought process that I have gained in the last 20 years towards educating the kids right from nursery level to doctor level, basic fundamentals will always remain the same; what was before covid and after covid and until the existence of the human being, so we have to work on these parameters. Every teacher’s success is different in how he/she takes this challenge towards making an excess of education to all the students in his/her class.Secondly, I will also put my last 20 years of personal experience towards education on how I myself contribute towards the education, particularly how we make our consistent success in our performance that is very important. So, whether it is a small or big success if you achieve your milestone continuously you always feel motivated. And teachers should always be motivated.I congratulate MCOA to have organized this program to give recognition to these teachers who deserve respect.”Shri. Thakur Ravi Singhsaid “We need to focus on the holistic development of students and make sure that along with the coaching we need to imbibe social awareness. At Thakur Ramnarayan Educational Campus we have NSS which is specially focused on this aspect. The students here are socially and environmentally conscious and even have projects in waste recycling etc””MCOA planned to celebrate Teachers Day on 17-09-2022 so that they can pay tribute to our beloved Hon. Prime Minister on the auspicious occasion of his birthday. He is a role model for all our us and happy to have him serving the county to the best” saidMr. Santosh Vaskar, Hon. President, MCOA.“MCOA is a- non-profit making association of class owners. At the association level, it is our constant endeavor to give the best to our fellow class owners and members by conducting knowledge series/ seminars/ workshops and training programs on a regular basis which in turn benefit the students at large. Coming together, asking for help, and working in harmony with each other is not a sign of weakness, it is a sign of wisdom. It is a call for the greater strength that lives in our togetherness. MCOA does not work for getting Membership, we work towards updating, upgrading and uplifting the Coaching Class Community. Great Strength Lives in Togetherness. Let us Merge to Emerge” saidMr. Santosh Vaskar added.“Boosting the morale of Teachers by recognizing and rewarding efforts of Teachers of Coaching classes is the need of the hour as they continuously mentor and support all the students around the year. We are also planning to launch very soon a monthly e-magazine in association with Just Brainz I Pvt Ltd. This is a unique initiative from the Association to connect & engage with all Class owners.”Mr. Santosh Vaskar further added.“MCOA is committed to the betterment of our segment. We are taking various steps by approaching & representing our views to the Government on issues like Teachers & Colleges involved in the Capitation & Reduction of GST for Coaching Classes. MCOA is always at the forefront in taking up matters with Education Minister like paper leaks, wrong question papers, clashing timetables, exam centres etc. MCOA has become the Voice for Coaching Class Industry.”said Mr. Prajesh Trotsky, Hon. Vice-President, MCOA.“MCOA has formed 8 Zonal Committees so that Class Owners can get local connect. Members can also attend seminars in any or all zones along with one AGM cum picnic & participate in the inter-Coaching Class Cricket tournament of Teaching Staff which is conducted annually.To have an entry barrier for Coaching Classes to protect and sustain the Coaching Class Industry, MCOA becomes the right platform where all Class Owners of a particular area can come together to decide the uniform fee structure and various other parameters which will help all Class Owners to survive in the currently hyper-competitive market in long run. An attempt towards the same is been done the Kalyan Dombivili Zone where all the Class Owners of Commerce Domain met to decide on a uniform fee structure for all Class Owners. We have also formed a separate body called Teacher’s Training Academy which runs a comprehensive certified course “Train the Teacher” for the teachers. Here we train them in Teaching Skills, Educational Psychology & Personality Development.”said Mr. Amit Sanghania (CEC Committee Member, Chairman – MCOA Western Zone)Pavan Keshari, Founder, Sparkling Wings NGO (SWN)initiatives of providing education to every single child and making people aware of the importance of education and how it can help their children to have a healthy and wealthy living further in the future was highly appreciated by the Class Owners and Guests.The special performance was given by SingerMunawar Aliwhich enthralled the audience and sparkled the event with joy.The following people were awarded from each section:School Section - Tr.Hirubhai B Desai, Tr. Rajini K Adsule, Tr. Jaya ViswanathanArts Section - Tr. Anit Ashok Mukherji, Tr. Cyril Shah, Tr. Daksha Deepak NaikCommerce Section - Tr. Ambelal Patel, Tr. Ramesh Melkunde, Tr. Ramnath IyerScience Section - Tr. Hari Deshmukh, Tr. Ravi Prakash Singh, Tr. Shriram SailOther Boards Section - Tr. K. H. Jayaram, Tr. Rakesh DattaniOut Of Mumbai - Tr. Vinayak ParicharakDhwanee Events helped in managing the event. The program ended with a Vote of Thanks by Mr. Rajesh Kasat, Secretary, MCOAFor more information, kindly visit:www.classowners.com

950+ class owners benefited through GoI Intellectual Property Right (IPR) awareness program at Maharashtra Class Owners’ Association (MCOA) Teachers Felicitation Function
Raju Srivastava death: Is over-exertion at the gym damaging your heart? Why a TMT test is not enough?
The Indian Express | 5 days ago | 21-09-2022 | 05:35 pm
The Indian Express
5 days ago | 21-09-2022 | 05:35 pm

Comedian Raju Srivastava’s death, after suffering a cardiac arrest and collapsing on a treadmill last month, raises a key question: Should we have a limit on our exercise regimen, and are we taking out fitness mantra to extremes and over-exerting ourselves? Is our obsession with getting lean stressing the heart out? Cardiologists say that 150 minutes of any exercise regime every week are good enough and a longer routine than that does not guarantee extra benefits. In fact, it may do harm than good if the person is already prone to heart disease and suffers from markers like hypertension, anxiety or even a silent blockage that has not harmed him thus far.“All you need are 150 minutes for five days a week, or 30 minutes of exercise each day. It should be a healthy mix of aerobics, weight training (this strengthens muscles, including the heart) and stretching (yoga and breathing exercises). This rotational regime is good for both physical and mental health. Stop during exercise if you have discomfort and get yourself tested before you adopt any high-intensity regime,” advises Dr Ruchit Shah, Interventional Cardiologist, Masina Hospital, Mumbai.“Regular exercise increases your heart rate, improves your cardiac muscles and aids in enhancing your lung capacity. On the other hand, there is a phenomenon known as over-exercising. Continual over-exertion has been linked to an increased risk of ‘atrial fibrillation’, a form of irregular heart rhythm that can be fatal if left untreated. Besides, it can potentially raise the risk of cardiac abnormalities, particularly for those with hypertrophic cardiomyopathy or coronary heart disease,” says Dr Shalin Thakore, Senior Interventional Cardiologist, Shalby Hospitals Ahmedabad.What is Hypertrophic Obstructive Cardiomyopathy?Hypertrophic cardiomyopathy, usually caused by genes, is when the walls of the heart chamber (left ventricle) become thicker than normal. The thickened walls may become stiff and this can reduce the amount of blood taken in and pumped out to the body with each heartbeat. The thickened part of the heart muscle, usually the wall (septum) between the two bottom chambers (ventricles), blocks or reduces the blood flow from the left ventricle to the aorta.“This can provoke sudden cardiac arrest and a patient needs resuscitation in the first 60 seconds. In fact, we must train students in schools and colleges about CPR. All of us should know how to administer this. Besides, every public place should have defibrillators, schools and college students,” says Dr Shah.THE PRE-GYM MUST-DOS: NOT JUST A TMT TESTDr RR Kasliwal, Chairman of Clinical and Preventive Cardiology at Medanta hospital, Gurgaon, advocates a full cardiac work-up for any person going to the gym or doing any strenuous activity. “Just a TMT (treadmill test) doesn’t cut it. These days there are CT angiographies that can tell even if there is a 40 to 50 per cent blockage. Such a blockage would not show up on TMT because there is not much impairment in the patient’s capacity. Always know your heart before you take up some strenuous activity. Many people who get cardiac arrest do not live to tell the tale.”He said the same should apply to anyone who stopped working out during the pandemic and is now resuming an old routine. Such check-ups are particularly essential for diabetics and women, he said, because they might not experience a heart attack as a typical pain in the chest.Dr Kasliwal said that the Covid-19 status of the patient is also very important. “If you have had Covid-19 — and we know now that long Covid-19 is leading to sudden cardiac death — it is very important that you check your heart health. Those who have had Covid-19 also have high heart rate (tachycardia) sometimes.”Intensity and duration act as critical factors“When treadmill is done at very high speed and /or inclination, there is a double impact, that is the heart rate and blood pressure, which is a determinant of the oxygen demand in the heart. High mets (metabolic equivalent) during higher speed and for prolonged periods can cause undue stress on a compromised heart circulation in a setting of heart blockages. They cause sudden arrhythmia, undue low blood pressure or a heart attack. Such people need to be evaluated urgently with coronary angiography and should have appropriate revascularisation, for example, stenting procedure as per current guidelines,” says Dr Suman Bhandari, Visiting Consultant, Interventional Cardiology, Fortis Escorts Heart Institute.Vigorous activity makes you breathless and sweat heavily. Go for moderate-intensity workouts instead, which comprise activities that increase your heart rate, such as casual sports, brisk walking, jogging, cycling, and swimming. “Every individual must engage in 30 minutes of moderate-intensity physical activity on a daily basis in order to receive the health benefits. One must avoid testing their physical strength and physique. Whether you are a novice or a seasoned exerciser, you should not overdo it. In addition, allow sufficient time for your body to recuperate and mend. Consult a doctor if you experience any difficulties,” adds Dr Thakore.How to prevent over-exertion?Exercise has both direct and indirect beneficial effects on the heart. Direct effects include, helping the heart muscles get stronger and pump more blood per heartbeat as well as the ability to withstand abnormal heart rhythms better. Indirect effects include beneficial effects on blood pressure, sugar, cholesterol, and body fat, all of which reduce the chances of a heart attack.“It is important to keep in mind that sudden cardiac death very rarely occurs in someone with a healthy heart. Exercise may be the trigger to have a cardiac event in individuals who have undetected or silent heart disease. In terms of a single episode of exercise, there is no absolute upper limit defined, and it all depends on the individual’s training level. One should avoid high levels of unaccustomed exertion, the rule of thumb being that any given bout of exercise should not be more than a ten per cent increase compared to previous bouts. Environmental conditions should also be considered, and outdoor exercise should be avoided in extreme weather conditions; as this is one scenario where even a healthy person could suffer serious consequences,” says Dr Aashish Contractor, Director, Sports Medicine and Rehabilitation, Sir H N Reliance Foundation Hospital, Mumbai.He adds that “Another way to look at ‘too much exercise’, is the overall volume of exercise accumulated over the years. Here, the research has shown that a very large volume of exercise over several decades might cause some changes in the heart muscle, as well as accumulation of calcium in the coronary arteries. At this point, the amount of exercise has not been defined, and the consequences of these changes have not been fully understood. However, it is well known that to reap optimum health benefits, moderate exercise is the way to go. So how does one reduce the risk? In my opinion, risk can be reduced by taking care of the following:1. Pre-participation health check2. Paying heed to warning signs3. Sensible and appropriate training programmes.”Balancing fitness routine with a healthy dietIndians are genetically prone to developing heart disease 15 or 20 years earlier than their Western and Japanese counterparts. And since our genes are not modifiable, we have to look at modifiable factors like lifestyle, sleep cycles and stress. “Now stress is compounded by tobacco, tobacco-derived products and alcohol. Did you know that the effect of even a single tobacco use lasts for three to six months? By rough estimates, a cigarette shortens your life by five to seven minutes. Which means a moderate smoker can easily reduce his/her life by three to five years. Instead of ‘no smoking’ banners, we should start a ‘why you should not start smoking’ campaign,” says Dr Shah.Maintaining physical and mental health requires a good diet and regular exercise. “When people conduct high-intensity workouts and consume less, the body uses nutrition reserves, causing deficits. Following fad diets to lose weight promotes starvation, anaemia, heart disease, stroke, poor mental health, etc. Align your diet with your workout regimen. Choose healthy carbs as they power one’s brain and body. Carbohydrates recharge the body after a workout. Eating quality proteins post-workout repairs muscle microtears and boosts blood flow. Some fats are actually healthy despite being calorically dense. Polyunsaturated fat is advantageous. One can also look for sunflower oil, soybean oil, and various nuts and seedsas they contain omega fatty acids. In conclusion, the benefits of exercise should not be called into doubt; on the contrary, they should be reinforced. However, moderate activity and a healthy diet are strongly affirmed for a healthy heart,” says Dr Thakore.Dr Shah advocates the “Ek chamach kam (One teaspoon less)” campaign, which entails cutting down on our use of the three whites in our food — salt and sugar and oil. More fruits and vegetables. Minimise cakes and junk foods.”When should you get tested for cardiac fitness?Coronary Artery Disease (CAD) can start as early as your teen years. Plaque can form that early. “To prevent further build-up, your first BP, sugar test and lipid profile test should be done at age 18 and then once every three to four years. Do check your BP during every clinical visit. You need to do the ECG once a year when you turn 40 and depending on your other parameters, space out the frequency as advised by your doctor. Watch your LDL levels and for those who have not undergone intervention, maintain the level at less than 60 mg/dL less and for those with cardiac intervention like stenting, less than 30 mg/dL,” advises Dr Shah. No test is foolproof. What we need is a good alertness level.UNDERSTANDING PLAQUE RUPTUREExplaining these sudden episodes, Prof K. Srinath Reddy, a cardiologist, epidemiologist and president, Public Health Foundation of India (PHFI), says, “Chronic obstruction of 70 per cent or more in a coronary artery produces angina or chest pain on exertion, since available blood supply does not meet the increased oxygen demand of the exercising body and straining heart. However, a heart attack (acute myocardial infarction) can occur when soft plaques that form in the coronary arteries rupture and cause a large clot to form. This may come without any prior warning symptoms. Even plaques of 30 per cent can rupture and set up the formation of a large obstructive clot.”

Raju Srivastava death: Is over-exertion at the gym damaging your heart? Why a TMT test is not enough?