Winter is here! Some people have died. Some have exacerbation and/or complication of their pre-existing conditions. Some have broken bones. Some have flu. Some are depressed.
The lucky ones if that is an appropriate word for them are in Hawaii or Florida. Some are in Arizona or Palm Springs. Some are on a cruise in Bahamas or South America. Some are on the big mountains, gyrating down the slopes on their ultra super speed skis.
The big chill does create a new dynamics in peoples lives. As soon as the leaves start gathering on the ground, we are gripped with fear or joy depending on what we have planned for the snowy days.
But we carry on. Sometimes smiling, sometimes annoyed and sometimes angry. Each morning, we get ready for work in our best winter clothes. At work, the heating is on and the windows are shut. Your comfort level goes down. Your smile fades and your layers start coming off. You look out of the window for some inspiration and comfort. You see a pile of snow. You feel trapped
Do you find this stressful? Does this affect your health?
It is well known that in all except equatorial regions, the death rate increases in winter, says Dr Caralee Caplan, in the recent edition of Canadian Medical Association Journal.
About 50 percent of deaths in winter are related to coronary artery disease and blood clots in the brain.
Studies have shown that most deaths occur 24 hours after cold days. This appears to be due to brief rather than prolonged exposure to cold. Resulting in rapid changes in the blood viscosity, formation of blood clot and increase demand for oxygen by heart muscles.
Those who are already known to have coronary artery disease are prone to spasm of these vessels. This further aggravates the risk of heart attacks. Asthmatics run the risk of aggravating their condition by inhaling cold air especially during exercise.
The precise mechanism of cold-induced changes is being hotly debated by the experts. Engorgement of blood vessels and release of substances which produce spasm of lung vessels are responsible for asthmatic attacks.
Patients with Raynauds disease suffer significant spasm of blood vessels of hands and feet when exposed to cold. This occurs mainly in young healthy women. Their blood vessels are extremely sensitive to cold or emotions.
Dr Caplan says that no one is immune to the effects of hypothermia, frostbite and seasonal infections and injuries. In most of these conditions, the underlying mechanism appears to be the effect of cold on blood vessels.
Can we prevent heart attacks after shoveling snow and asthma attacks from winter sports? Yes. The best prevention is, of course, avoidance, says Dr Caplan.
Asthmatics, who want to enjoy winter sports, should keep inhalers (bronchodilators) handy at all times. People with heart problems should wear a light face mask to maintain a favorable air temperature and humidity during exertion. Warm clothings, mittens, gloves and socks should protect the rest of the body from the big chill.
Remember, better safe than sorry! We still have almost three months of winter to enjoy. Keep smiling!
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