Don’t Ignore Symptoms like Chest Pain, Exhaustion even if There is No Fever: Says ASSOCHAM’s Experts

The expert panel of cardiologists was holding discussions at the fifth edition of the series themed – Heart Wellness During Covid-19.

The Associated Chambers of Commerce and Industry of India (ASSOCHAM), one of the apex trade associations of India concluded the fifth edition of the ‘Illness to Wellness’ series themed ‘Heart Wellness During COVID-19’. The event saw an illustrious panel of cardiologists from across the country hold active dialogues on the best preventive measures to be taken for heart patients during COVID-19. The discussion saw the panellists put forth a plethora of measures like increasing safety precautions, eating right, exercising regularly and knowing when to reach out to doctors as symptoms develop for citizens to take up during the pandemic.

Supported by the hygiene brand SAVLON, the programme which promotes healthy living with focus on wellness and preventive health through healthy habits, diet, exercise, and holistic health saw the speakers discuss at great length why patients should not be scared to reach out to doctors or hospitals in fear of contraction, rather they should be on the lookout for symptoms other than fever to be for early detection of COVID-19.

Dr. Mohsin Wali, Cardiologist and Former Physician to The President of India, said, “The most harmful feature of this virus is that it is uncertain. The virus either increases the heartbeat or decreases it, even if there is no fever. Patients need to be aware of their normal heart rate and any changes to it, they should inform their doctor.  The first symptom of this disease is no symptom. In some people I noticed they would get tired easily. At such a stage if we are alert then we can be prepared for further possible damages. In working young people, we sometimes notice changes in their chest, even if they received a COVID negative report the previous day. It is important that patients reach out to doctors immediately for any symptoms. It is not necessary that you develop symptoms like fever, cough or severe pneumonia and then call for help. These might be there, but when you start to feel slowness, exhaustion or reduced oxygen level then you should reach out to a doctor.”

Dr. Wali also stressed on the importance of reaching out for mental health support and the increased need for psychological counselling now and in future as he expects a surge in its demand owning to the distress caused by COVID-19. He further stressed on the importance of keeping lungs active and increasing their capacities by undertaking activities like blowing conch shells, balloons and whistles.

Highlighting the multiple ways in which the heart gets affected by COVID-19, Dr. Ashok Seth, Chairman, Fortis Escorts Heart Institute and Chairman, Cardiology Council, Fortis Group of Hospitals, said, “There are multiple ways in which this virus attacks the heart. Clinical effecting of the heart can happen directly even in people with mild symptoms. The virus tends to form clots in the body. It is one of the ways in which virus attacks the body. It also forms inflammations which can lead to heart attacks. Formation of clots in young people in lungs can lead to severe breathlessness, low blood pressure and low oxygenations. The clotting tendency can even lead to stroke in young people. These are direct effects of the cardiovascular system. Inflammation can also affect the heart muscles leading to reduced pumping efficiency of the heart. The virus can also cause heart rate disturbances. There are multiple ways the heart gets affected by the virus. The more serious the patient gets, the more the heart gets affected.”

He further added that after a patient recovers from COVID-19 and gets discharged from hospital, they might suffer from After COVID Syndrome that will see majority of them suffer from symptoms like breathlessness, tiredness, exhaustion, joint paints, coughs or inefficiency in performing daily activities for weeks or months. For complete recovery, they might need support of cardiologists, internal medicine specialists, respiratory physicians, pulmonologists, physiotherapists and psychologist to be restored to life completely.

He also emphasized that precaution on part of citizens needs to be heightened if not increased further despite the economy opening as India is currently on the upward slope of its COVID track and its peak is yet to be reached.

Laying out the best diet to incorporate in meals during COVID-19 for healthy living, Dr. K. K. Aggarwal, Cardiologist, Physician and Former President of the Indian Medical Association, said, “Balanced food should involve all seven colours and six tastes of food in moderation and variety along with a non-inflammatory diet. Food we have during fasting season is non-inflammatory and inflammatory ingredients are like sugar, rice, refined flour or oil. Anything refined is inflammatory and should be avoided. Take up a non-inflammatory diet and add all supplements that are lost by the virus.” He further added that for individuals who are prone to inflammations, COVID-19 if contracted, can be harmful as the virus has a tendency to accelerate inflammations in the body leading to increased health complications.

Supporting the discussion, Mr. Anil Rajput, Chairperson, ASSOCHAM CSR Council, said, “The Illness to Wellness series has been sharing expert opinions on how to take care of your mental and physical health during the pandemic. The Coronavirus has set forth a wide range of damages and challenges for the world that doctors and researches are still struggling to get a grasp on. Therefore, the old and golden adage of prevention is better than cure is something we should all follow. As iterated by the veteran doctors today, masks need to be strictly worn in public spaces with adequate distancing measures to keep ourselves safe. We hope that the expert measures shared by the eminent panellists enlightened the attendees and the insightful information shared equipped them to fight the virus proactively.”

Dr. Rajesh Kesari, Founder and Director, Total Care Control, acted as the moderator of the event and raised pertinent questions before the panellists to guide the discussion into a strong knowledge-sharing webinar. Dr. Kesari summed up the discussion at the end by focusing on the importance of masks in our precautionary measures for both heart patients and healthy citizens. 

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