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How much workout is safe for the heart? Top cardiologist explains as he warns about the risk of cardiac arrest due to too much gym time

How much workout is safe for the heart? Top cardiologist explains as he warns about the risk of cardiac arrest due to too much gym time

Time of India4 days ago

The pursuit of fitness has become a modern-day obsession—daily gym routines with hardcore workouts. But every now and then, a tragic incident shakes this seemingly health-centric lifestyle to its core. One such case recently emerged from Himachal Pradesh, where a 35-year-old man, known to be a fitness enthusiast, suddenly died of a heart attack. The news sparked a wave of shock and concern across social media platforms, reigniting debates around
workout intensity
, supplement use, and the silent threats that can lurk behind muscular physiques.
Amid the growing speculation, renowned Bengaluru-based cardiologist Dr. Deepak Krishnamurthy stepped in to offer a more measured perspective. Addressing the issue on X (formerly Twitter), he emphasised the importance of waiting for confirmed details, such as postmortem findings and toxicology reports, before drawing any conclusions. He pointed out that the sudden death could have stemmed from several possible causes, ranging from a heart attack or cardiac arrest to underlying genetic conditions like cardiomyopathy or channelopathy. He also raised the possibility of contributing factors such as steroid use, recreational drugs, smoking, or alcohol consumption.
— DrDeepakKrishn1 (@DrDeepakKrishn1)
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In response to a user asking whether intense workouts could be dangerous, Dr. Krishnamurthy acknowledged that over-exercising can indeed be a problem, potentially leading to cardiac arrest. As for protein shakes, another user's concern, he called it 'unlikely' unless the supplement was 'adulterated with something toxic.'
Over the years, several well-known Indian entertainers have tragically died after collapsing during or shortly after workouts. Comedian Raju Srivastava passed away in 2022 after suffering chest pain at a gym. Salman Khan's body double, Sagar Pandey, also died mid-workout. Kannada superstar Puneeth Rajkumar, 46, suffered a fatal heart attack during exercise. Actors Deepesh Bhan and Abir Goswami, aged 41 and 38, respectively, also collapsed following morning workouts, highlighting rising health risks tied to intense training.

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Company running hospital where fake doctor operated saw its Hisar centre blacklisted 3 years ago
Company running hospital where fake doctor operated saw its Hisar centre blacklisted 3 years ago

Time of India

time43 minutes ago

  • Time of India

Company running hospital where fake doctor operated saw its Hisar centre blacklisted 3 years ago

Gurgaon: The private healthcare company that ran a centre at Faridabad 's BK Civil Hospital, where an under-qualified doctor committed an identity theft and operated on patients for months as a cardiologist, saw another centre – in Hisar – blacklisted in 2022 over fake bills. That, however, had no bearing on its contracts to run hospitals under the public-private-partnership ( PPP ) model in other parts of the state. Now, even as allegations of serious malpractice at the Faridabad centre are under investigation by the anti-corruption bureau (ACB), officials said talks continue with Meditirina Hospital Pvt Ltd to restart operations there. The heart centre at BK Civil Hospital's fourth floor was shut abruptly this Feb, four months after ACB filed an FIR under sections 120B criminal conspiracy,420 (cheating), 201 (causing disappearance of evidence), 203 (giving false information) and 467, 468 and 471 (forgery) of IPC on Oct 29, 2024, based on a complaint filed by a lawyer. A 'Temporaily Closed' sign now hangs outside its main door. The lone caretaker, who says he was hired 10 days ago, says he has no idea when the centre will reopen. A second FIR related to the Meditirina-run heart centre in Faridabad was filed on June 10 against SGM Nagar police station in Faridabad against the fake cardiologist and others. Allegations of malpractice made by the lawyer, Sanjay Gupta, in the Oct FIR include reusing equipment such as needles and catheters in surgeries. by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like Free P2,000 GCash eGift UnionBank Credit Card Apply Now Undo Meditirina signed a contract with the state govt to run the heart centre in Faridabad in 2018. Meditirina also runs centres at Panchkula, Gurgaon and Ambala Cantt in Haryana, at Kollam, Palakkad and Thiruvananthapuram in Kerala, and at Jamshedpur and Chas-Bokaro in Jharkhand. Doctors at BK Civil hospital's other departments said Meditirina staffers took all patients' medical records, leaving them with no way to continue treatments for regulars at the heart centre. "Even emergency cardiac cases are being referred elsewhere. We are helpless," a senior physician said. The hospital does not have a separate cardiology department. Meena Devi, a Ballabhgarh resident who took her father to the heart centre regularly for checks, told TOI, "My father needs follow-ups after his stent procedure. Private hospitals are beyond our reach." The allegations Gupta told TOI he had to approach police because multiple complaints to the hospital management, the district's chief medical officer, and the health department did not elicit a response. He said it was in June 2024 that some patients' families and a former centre head hired by Meditirina reached out to him for help. The FIR lists the names of 39 patients who were allegedly treated with re-used devices. "According to guidelines of Medical Council of India and World Health Organization, reused wires, balloons and other equipment should not be used in the treatment of cardiac patients. Doing so poses a serious risk to the patient's life" the FIR reads. The complaint also alleges that Meditirina overcharged patients, issuing bills that exceeded govt-approved rates. Inflated reimbursement claims were also allegedly made in cases of patients who were covered under Ayushman Bharat or other schemes. Seven patients — four from the below-poverty line (BPL) category and three Ayushman Bharat beneficiaries — were named in the FIR, with their bills totaling to almost Rs 14 lakh. Mansingh Bhati, who was the centre head at the facility from 2018 to 2021, said he quit the job because of pressure to force doctors into reusing equipment and raising bill amounts. "Usually, the centre heads were forced to do all the dirty work. We were told to raise fake bills and bills of patients who were exempted. We were also told to use the same equipment again and again on multiple patients," he said. "ACB started investigating the case. As a result, govt halted its payments to the centre in Dec, and in Feb, the company abandoned the centre," Gupta added. The Meditirina CMD did not respond to multiple requests from TOI for a comment. The fake cardiologist While the centre was under scanned for malpractice, some patients in Jan this year found out that Dr Pankaj Mohan Sharma was masquerading as a cardiologist, though he was an MBBS graduate. Patients only found this out after reaching out to a practising cardiologist in the city, Dr Pankaj Mohan, whose identity and registration number was being used by the fake Dr Sharma. Dr Mohan filed a complaint with Indian Medical Association (IMA) the same month and issued a legal notice to Dr Sharma. Asked for his degree by the hospital, Dr Sharma stopped reporting to the heart care centre in Feb. By then, he had operated on 50 patients, including some who underwent critical surgeries. Ram Krishan, who was among those to reach out to Gupta, told TOI his father was 76 years old and had to get a stent in Jan 2025. The surgery, he added, was done by Dr Sharma. "The procedure went wrong. The stent was inserted at 12pm on Jan 11, and he passed away as there were issues during the procedure. I didn't know at the time that the doctor was unqualified," Krishan said. Other than Dr Sharma, the FIR filed in June names four Meditirina officials, including its chief managing director Dr N Pratap Kumar. Asked about the cases, Haryana director general of health services Manish Bansal told TOI the department is looking into each issue separately. "We are trying to resolve the matter. We are also in talks with the (Meditirina) management to restart the centre, keeping in mind the patients. There are various issues that need to be handled carefully in the case before we go any further," Bansal said. Faridabad's chief medical officer Dr Jayant Ahuja said ACB is probing the malpractice case. "The partner hospital walked out. An ACB investigation is currently underway. I can't comment on the matter as I don't have any records," he said. According to a govt official, the Kerala-based Meditirina's centre that was blacklisted for producing fake bills used to run out of Hisar's Maharaja Agrasen Medical College.

Fighting antimicrobial resistance with insect-based livestock feed
Fighting antimicrobial resistance with insect-based livestock feed

The Hindu

timean hour ago

  • The Hindu

Fighting antimicrobial resistance with insect-based livestock feed

Traditional livestock production systems have severe environmental consequences, including high greenhouse gas emissions, extensive land and water use, and risk of fostering antimicrobial resistance (AMR). Together with the steadily rising demand for nutrition, global and regional food systems have been exploring alternative ways to sustainably maintain their supply chains. Insect-based feed has emerged as one promising candidate. The Indian Council of Agriculture (ICAR) and its affiliated centres have already been strengthening the adoption of insect-based feeds in the country. In March 2023, the ICAR-Central Institute of Brackishwater Aquaculture (CIBA) signed an MoU with Ultra Nutri India, Pvt. Ltd. to explore the possibility of using insect-based feed in aquaculture. The aim was to use black soldier fly (Hermetia illucens) larvae as an ingredient in aqua-feed to improve growth and immunity. In June 2024, CIBA and Loopworm, a Bengaluru-based manufacturer of insect-based proteins and fats, inked another MoU to evaluate the use of insect-based feed products in shrimp and Asian seabass. In January 2025, the ICAR-Central Marine Fisheries Research Institute confirmed a formal MoU with Coimbatore-based Bhairav Renderers. AMR and livestock production Animal husbandry accounts for more than half of all antibiotic use around the world and is expected to increase to 200,000 tonnes by 2030, up 53% from 2013. Over the last 70 years, antimicrobial compounds have been becoming embedded in livestock feed. They are used to treat diseases as well as to boost growth, in turn raising productivity. The excessive or inappropriate use of antibiotics in this regard can lead to AMR, which endangers public health. Traces of antibiotics left behind in the intestinal environments of livestock impose selective pressure for bacteria in the gut to acquire and maintain antibiotic resistance genes. These genes replicate when they are expelled into the surrounding environment, such as soil or water, increasing the possibility of human exposure, especially for those who work in agriculture. It has been projected that the number of deaths worldwide from antibiotic-resistant infections will increase from 700,000 a year in 2014 to 10 million by 2050. The increasing demand for proteins of animal origin has in turn increased the costs of production and has encouraged farming practices to intensify. Ultimately, farmers are forced to use non-essential antibiotics to boost growth. The use of such antibiotics remains mostly unregulated in many countries, especially in LMICs. The type and frequency of antibiotic-based animal feed consumption differs across continents and depends highly on socioeconomic conditions, regional demand and production, farming systems, and the national legislative framework. Some common antibiotics in use as feedstock in LMICs are chloramphenicol, tylosin, and TCN (a powdered mixture of oxytetracycline, chloramphenicol, and neomycin); developed countries have banned their use. In humans, over-exposure to these drugs can eventually increase the risk of kidney disease, cancers, and aplastic anaemia. These realities prompted researchers to explore the use of insect-based feed to keep AMR at bay. As of today, 40 countries have accepted and issued regulations to use insect-based feed for animals. Examples of such insects include black soldier flies, house flies (Musca domestica), compost worm (Perionyx excavatus), grasshoppers (Locusts), small mealworms (Alphitobius), house crickets (Acheta localus), tropical crickets (Gryllodes sigillatus), and Jamaican field crickets (Gryllus assimilis). Pros of insect-based livestock feed Insects are nutritious and are healthy additions to human and animal diet. They are good sources of fats, proteins, fibres, and micronutrients like zinc, calcium, and iron. In their natural habitat, both aquatic and terrestrial animals eat insects. Rearing insects emits less greenhouse gases than rearing other sources of animal protein. In most cases, insects are raised on organic waste because they can quickly transform low-grade waste into high-grade crude proteins, fats, and energy. For example, to generate the same quantity of proteins, crickets consume 12-times less feed than cattle. Rearing insects also requires fewer resources, especially land and water, compared to other livestock production enterprises. Insect-based livestock feed is also an attractive option because of its lower overall cost and the ease with which producing it can be made a sustainable activity. In other words, such feed has a better benefit-to-cost ratio in terms of production cost. In fact, some studies have shown that the use of insect-based feed can be even more cost-effective because it provides better digestible proteins than fishmeal- or soybean-based feeds. For example, per one estimate, one kilogram of fish meal can be replaced with 0.76 g of crickets (75% crude proteins), 0.81 g of termites or silkworms (70%), 0.85 g of black soldier flies (66%), 0.91 g of locusts or yellow mealworms (60%), and 950 g of mopane worms (56%). Similarly, one kilogram of soybean meal (49% crude proteins) can be replaced with 0.74 g, 0.79 g, 0.83 g, 0.89 g, and 930 g of the same insect species, respectively. The U.N. Food and Agriculture Organisation has estimated that food production will have to be increased by 70% by 2050 (with meat production expected to double) to meet the world's demand. Unregulated and excessive use of non-essential antibiotics increases the risk of environmental antibiotic-resistant genes in livestock farms. Research has outlined the potential for insect-based feed to become a climate-smart alternative to conventional feed because of its ability to shrink the environmental footprint of livestock farming. At the macroscopic level, the ICAR is still streamlining research and collaboration on insect-based feeds; all the same, efforts should be made at the system's periphery to raise awareness. Given its advantages for the environment, biology, and economy, insect-based feed stands to be a crucial component of livestock production. Irfan Shakeer is an epidemiologist at Clarivate India. Iswarya Lakshmi is senior research associate, Ashoka Trust for Research in Ecology and the Environment (ATREE), Bengaluru.

India faces surge in parkinson's cases and family caregiving challenges by 2050
India faces surge in parkinson's cases and family caregiving challenges by 2050

Time of India

time2 hours ago

  • Time of India

India faces surge in parkinson's cases and family caregiving challenges by 2050

New Delhi: A neurological tsunami is looming over India as projections reveal a staggering 168% surge in Parkinson's disease (PD) cases by 2050. This sharp rise will see India shoulder 10% of the global Parkinson's burden, with an estimated 2.8 million cases, up dramatically from 2021 levels. Globally, Parkinson's is set to affect 25.2 million people—an increase of 112% from 2021. Parkinson's disease is a progressive disorder of the nervous system that primarily affects movement. It develops when dopamine-producing neurons in the brain begin to deteriorate or die. Dopamine is essential for coordinating physical activity, and its decline results in symptoms such as tremors, muscle rigidity, slowed movements and balance difficulties. While Parkinson's is not typically fatal, it significantly diminishes quality of life and currently has no known cure. Dr Puneet Agarwal, principal director of neurology at Max Super Specialty Hospital, Saket, explains that although most cases have no clear cause, about 10–15% can be attributed to genetic mutations. Environmental triggers, such as prolonged exposure to pesticides or heavy metals, are also believed to be contributing factors. Mutations in genes, such as LRRK2, PARKIN, PINK1, DJ-1 and SNCA, are often seen in familial or early-onset Parkinson's. While a majority of cases is diagnosed after the age of 60, early-onset PD can begin before 50, and in rare instances, juvenile cases appear before age 20, usually linked to specific genetic variants. By 2050, two-thirds of global Parkinson's cases are projected to be concentrated in the top 10 most affected countries, with China leading the list, followed closely by India and the United States. As India prepares to face this steep rise in cases, attention often centres on patients. However, the burden on caregivers remains a deeply overlooked aspect of the disease's impact. The story of Sunita (name changed), a resident of Delhi, reflects the personal toll Parkinson's takes on families. Her father, Raman Kumar (name changed), now 68, was diagnosed three years ago. Once a vibrant corporate professional and frequent traveller, his world changed dramatically after the diagnosis. For Sunita, the change was equally life-altering. "I became his caregiver overnight," she says. "It's physically exhausting and emotionally draining, but love keeps me going. " Her daily life revolves around her father's needs—managing his medications, helping him move around the house, and offering emotional comfort. The emotional strain is intensified by the absence of robust support systems and the stigma that still clings to neurological disorders. Providing effective care for Parkinson's patients requires patience, empathy, and emotional strength. Dr Nitin K Sethi, chairman of neurosciences and senior consultant at PSRI Hospital, stresses the importance of encouraging regular physical activity while closely monitoring changes in movement and behaviour. He adds that medical treatments can help manage symptoms such as hallucinations and behavioural disturbances, and that modifying home environments can help prevent falls. Support groups also play a critical role, offering emotional relief and reducing the sense of isolation often felt by both patients and caregivers. Dr Sweta Singh, senior consultant of neurology at Narayana Hospital in Gurgaon, notes that while Parkinson's is not typically hereditary, individuals may face a higher risk if a parent has early-onset PD or a known genetic mutation. However, a majority of age-related cases are not passed on to offspring and are more likely the result of acquired mutations. Although Parkinson's cannot be entirely prevented, lifestyle choices may help delay its onset. Dr Vinit Suri, senior consultant of neurology at Indraprastha Apollo Hospitals, recommends regular exercise and antioxidant-rich diets to support brain health. Reducing exposure to environmental toxins and maintaining active social and cognitive engagement may also lower the risk, particularly for those with a family history of the disease. The early signs of Parkinson's are often movement-related. Dr Jyoti Sehgal, director of Neurology at Medanta, Gurgaon, explains that motor symptoms typically include slower walking and movement, reduced arm swing, hand tremors, an expressionless face, and problems with balance. Non-motor symptoms such as sleep disturbances and behavioural changes are also common. Clinical diagnosis is largely based on the visible emergence of these symptoms, as there is currently no definitive test to detect the disease in its earliest stages.

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