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Reasons behind women having heart attacks during and after pregnancy

Monitoring Desk
NEW YORK: Despite improvements in treatment, the number of women having heart attacks during pregnancy and shortly after giving birth is on the rise.
The number of women who experience heart attacks while pregnant, giving birth, or during the two months following birth is on the rise.
A study from the New York University School of Medicine found the risk for suffering a heart attack among pregnant and recently pregnant women rose by 25 percent between 2002 and 2014.
The researchers studied over 49 million births recorded in hospitals. They found that 1,061 heart attacks occurred during labor and delivery, 922 women were hospitalized prior to birth due to heart attacks, and 2,390 heart attacks occurred during the two-month recovery period following birth.
Heart attack rates were also shown to have increased from 7.1 out of every 100,000 pregnancies in 2002 to 9.5 out of every 100,000 pregnancies in 2014.
“Heart attacks occur in 1 out of every 12,000 hospitalizations during or immediately following pregnancy. In addition, 1 out of every 20 women who had a heart attack during pregnancy died during their hospital stay,” Dr. Nathaniel Smilowitz, an interventional cardiologist and assistant professor medicine at NYU Langone Health, and lead author of the study, told Healthline. “Although heart attacks in young women are rare, the time during and immediately after pregnancy is a particularly vulnerable period during which heart disease may be unmasked.”
He added, “In light of overall improvements in cardiovascular disease prevention and treatment during the time period we studied, the 25 percent increase in heart attacks during pregnancy was a surprising finding.”
According to the Centers for Disease Control and Prevention, heart disease is second only to cancer as the leading cause of death for Native Americans, Alaskan Natives, Asians, and Pacific Islanders. Annually, approximately 735,000 Americans have a heart attack. Of those, 525,000 are first attacks, and 210,000 occur in those who’ve already had a heart attack.
High cholesterol, high blood pressure, and smoking are main risk factors for a heart attack and 47 percent of Americans have at least one risk factor.
The researchers from NYU say the increase in heart attack rates among pregnant or recently pregnant women could be due to the fact that many women are choosing to have children later in life.
A woman aged between 35 to 39 is five times more likely to have a heart attack while pregnant than a woman in her 20s. A woman in her early 40s is 10 times more likely to have a heart attack than a woman in her 20s.
“Pregnancy and childbirth is the first true metabolic stress test, and it could unmask underlying cardiovascular disease. With older women — especially those with risk factors — this might not just be revealed with issues like high blood pressure or elevated sugars, but could be manifested with an actual heart attack,” Dr. Suzanne Steinbaum, director of Women’s Cardiovascular Prevention, Health and Wellness at Mt. Sinai Heart, told Healthline.
Lifestyle factors may also be contributing to higher rates of obesity and diabetes, which are known risk factors for heart attacks.
“Heart disease is 80 percent preventable through lifestyle intervention. During pregnancy and childbirth, although this risk may go up for some women, the reasons it happens is the same for all,” Steinbaum said. “Managing your risk factors with maintaining a healthy lifestyle is critical. Knowing your numbers and getting them to goal can be the most lifesaving strategy for yourself not only during pregnancy and childbirth, but throughout your life.”
It can happen to healthy pregnant women as well
The researchers found that women who had risk factors were at the highest risk of heart attack. However, it’s also possible for heart attacks to occur in otherwise healthy women.
“Of those who had a heart attack during or immediately after pregnancy in this study, the majority of women did not have known risk factors for heart disease,” Smilowitz said.
Although heart attacks in young women are considered rare, the relatively high death rate has remained the same despite advances in medicine including blood thinning medications and treatments like drug-coated stents.
“Among women who developed a heart attack during or immediately following pregnancy, the in-hospital mortality rate was 4.5 percent, a figure that’s surprisingly high considering that this is an otherwise low-risk population of young women of childbearing age,” Smilowitz said.
During pregnancy, there’s an increase in maternal blood volume, cardiac output, and heart rate. The arteries dilate to accommodate the growing fetus and need to be healthy to allow this dilation to occur as the pregnancy demands. Underlying risk factors can impair the ability of arteries to dilate. This, coupled with an increased heart rate, a cardiac output 40 to 50 percent higher than normal, and the added weight from the fetus, can put additional stress on the heart during pregnancy.
Dr. Katherine Bianco, director of the Maternal Congenital Heart Disorders Program at Lucile Packard Children’s Hospital Stanford says it’s important women are aware of their risk factors before becoming pregnant.
“It’s recommendable that every woman plans her pregnancy, takes prenatal vitamins and folic acid supplements at least six months before conception, and in an ideal world has a preconception well visit with her primary care or general OB-GYN to go over future pregnancy, Bianco advised. “The main idea is to identify any risk factor to the future pregnancy, such as metabolic syndrome, diabetes, HTN [high blood pressure], obesity, malnutrition, tobacco or drug use, and potential teratogenic medications [drugs that can impact the development of a fetus]. Treatment can be started and or modified before conception.”

However, even if a woman has no risk factors, experts say she should still take steps to ensure her heart remains healthy during pregnancy and following birth.
“All women should take steps to monitor their heart. Prevention is critical for all women. Statistics show that more than [70] percent of [adults] aged 20 and older are overweight or obese. With 1 in 3 women living with some form of cardiovascular disease and women accounting for almost half of all cardiovascular deaths, it’s critical that women be in charge of their heart health early on,” Steinbaum said.

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PTI decides to bring Pervaiz Elahi as Punjab speaker

F.P. Report

LAHORE: Former Chief Minister of Punjab, Chaudhry Pervez Elahi will reportedly be the candidate for the speaker of Punjab assembly.

According to reports, the decision was taken in the meeting between the Pakistan Tehreek-e-Insaf (PTI) Pakistan Muslim League-Q leaderships.

Party sources claimed that the PTI leadership agreed to the suggestion as it wants to bring a strong candidate at the position since it leads against the Pakistan Muslim League-Nawaz (PML-N) with a slight margin in the provincial assembly.

However, if the PML-Q leader agrees, he will have to give up his two National Assembly seats which will bring down the PTI’s total count and dent its efforts to form a government in the centre.

The PTI leadership has been busy holding meetings with allied parties and independents in a bid to acquire the necessary numbers to form provincial and federal governments.

The Imran Khan led PTI claims it has gained the support of 17 independents and PML-Q MPAs which, in addition to its own 123 members elected to the house, brings its total tally to 149 members in the present provincial assembly of 295 — enough to form a coalition government.

However, PML-N leader Rana Sanaullah, whose party gained 127 seats in the provincial assembly, says they have enough MPAs, including independents, to form a government and are not revealing their identities on purpose.

In the meeting, PTI leaders Shah Mehmood Qureshi, Jahangir Tareen, Asad Umar, Naeem-ul-Haq and others were also present.

The PTI said that seven PML-Q members and one independent expressed support to the party in Punjab. According to a PTI press statement, PML-Q chief Chaudhry Shujaat Hussain ensured complete support to Imran.


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Apex court orders NAB to continue investigation into PIA CEO’s appointment

F.P. Report

ISLAMABAD: National Accountability Bureau (NAB) was ordered by Chief Justice of Pakistan Justice Mian Saqib Nisar on Tuesday to continue its investigation against Pakistan International Airlines (PIA) CEO Musharraf Rasool Cyan’s appointment.

While hearing a suo motu case pertaining to a PIA air safari on Tuesday, CJP remarked that the Supreme Court is not suspending Cyan in a petition filed against him as we do not want to set any wrong examples.

CJP Saqib Nisar had taken suo motu notice of difficulties faced by passengers at Skardu airport following a special PIA ‘air safari’ that caused a four-hour delay of a Skardu-Islamabad flight earlier this month.

During the proceedings, regarding the appointment of PIA CEO, Top judge remarked that laws were not followed in the appointment of Cyan as PIA CEO.

The chief justice further observed, “I was informed that the PIA CEO draws a salary of Rs1.4 million but later found out that he is paid Rs2 million.”

Further, the chief justice noted, “We will be able to pinpoint corruption in the state-owned airline after we receive the audit reports.”

The chief justice then adjourned the hearing till Monday.

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Priyanka Chopra and Nick Jonas to marry in September

Monitoring Desk

MUMBAI: The news of American pop star Nick Jonas and Priyanka Chopra apparently tying the knot soon, caused much excitement for their fans world across. It all happened when reports of Priyanka walking out of Salman Khan-starrer Bharat came out.

Director Ali Abbas Zafar confirmed the same in a tweet saying that Priyanka had informed him about the same in the ‘Nick’ of time. He wished the actress luck for her life ahead. Soon after that, reports that the couple had got engaged in London on the actor’s birthday on July 18 were circulated. Sources informed that Nick had shut down Tiffany’s outlet in New York City as he wanted to choose the perfect ring for Priyanka. It was with the same ring that he apparently proposed to the global diva.

Now the latest we hear on the Nick – PC romance is that the couple may exchange vows in September this year on the American star’s 26th birthday. A source close to the couple informed a daily that Nick and Priyanka may walk down the aisle on September 26 as it will be a double celebration for them. As excited as we are for the starry wedding, we can’t wait for the duo to make an official announcement soon.


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SOTY 2 will now release in 2019

Monitoring Desk

MUMBAI: Student of the Year is currently being shot in full swing. The film will launch two fresh faces, Tara Sutaria and Ananya Panday into Bollywood. The first and the second schedule of the film was shot in Mussorrie and Dehradhun respectively, after which a few days of shooting happened in Mumbai.

SOTY 2’s filming was then halted and this weekend it started again with a bang. Tiger Shroff will be leading the student pack in the sequel of Student of the Year that was earlier going to release in November this year. However, now the release date of the film has been shifted to 2019. The makers have not revealed why they have shifted the release date to May 10, 2019, but it can be due to too many big films hitting the theatres in 2018.

Dharma Productions’ head, Karan Johar took to Twitter to reveal the new release date of the film, he wrote, “There is a NEW DATE for #SOTY2! The admissions are now in summer 2019! Watch this space! @punitdmalhotra @iTIGERSHROFF @DharmaMovies @apoorvamehta18 @foxstarhindi” We hope this change turns out to be a boon for team SOTY 2.

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Katrina Kaif replaces Priyanka in Salman starrer ‘Bharat’

Monitoring Desk
MUMBAI: Ali Abbas Zafar’s big announcement of Priyanka Chopra walking out of Salman Khan starrer Bharat, and hinting towards the ‘special’ reason being her marriage plans with Nick Jonas, broke the internet a few days back.
However, over the weekend, things have become more settled as to who will step in PeeCee’s shoes. The director himself confirmed this morning that it was none other than Katrina Kaif. The gorgeous actress has shared a warm bond with both Ali and Salman through the years. The actress stepped in for her friends in crisis and no one’s complaining. Salman and Katrina’s crackling chemistry on screen has always been loved. Their latest film, Tiger Zinda Hai, was also a blockbuster.
Ali confirmed the news to a leading daily saying, “I am extremely excited to work with Katrina and Salman again. We have had exciting collaborations in the past. Katrina got on board in the Nick of time for this project.” All’s well, that ends well. We wish the team all the best for their upcoming shooting schedules. Katrina will commence shooting for the film from September onwards.

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Two policemen martyred in D.I.Khan firing

F.P. Report

DERA ISMAIL KHAN: As many as two policemen were martyred after unidentified opened fire on them in Dera Ismail Khan district on Tuesday.

According to reports, some unidentified suspects opened fire in Khana Sharif and targeted the policemen in a result both the officers’ embraced martyrdom.

The criminals managed to escape after committing the crime.

The security forces said that investigation into the matter has been launched to nab the culprits.

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Bilawal calls emergency PPP meeting in Karachi today

F.P. Report

KARACHI: Chairman of Pakistan Peoples Party (PPP) Bilawal Bhutto Zardari has called a emergency meeting of party leaders in Karachi on Tuesday.

According to the party sources, the senior party leadership will discuss the strategy regarding formation of government.

Former Opposition Leader in National Assembly Syed Khursheed Shah will brief the PPP Chief over their negotiations with other parties elated to election 2018.

Earlier, Bhutto Zardari had suggested the political parties to use Parliament’s floor to protest against the alleged rigging in general elections.

He said that his party rejects the results of the Wednesday’s general elections and demanded immediate resignation of the chief election commissioner.



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OGRA recommends Rs 2.75 liter increase in petrol prices

F.P. Report

ISLAMABAD: The Oil and Gas Regulatory Authority (OGRA) has sent a summary to the Power Division suggesting and recommend increasing the prices of various petroleum products from August 1.

As per the summary sent by OGRA, it recommended an increase of Rs2.75 per litre in petrol prices, Rs3 per litre for diesel, and Rs4 per litre for kerosene oil, sources familiar with the matter said.

However, the caretaker government may leave the decision for a revision in petroleum prices to the incoming government.

Earlier on July 1, the interim government had hiked the price of petrol by Rs7.54 to Rs99.50 per litre, diesel by Rs14 to Rs119.3 per litre and kerosene oil by Rs3.36 to Rs87.7 per litre. It had also raised rates of other petroleum products.

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IHC to hear Sharifs’ petitions against Avenfield verdict today

F.P. Report

ISLAMABAD: The Islamabad High Court will hear the petitions on Monday filed by former prime minister Nawaz Sharif, his daughter Maryam and son-in-law Captain (retd) Safdar against their convictions and verdict of Accountability court in Avenfield reference.

Earlier on July 6, NAB an court had sentenced Nawaz to a total of 11 years in prison and slapped a £8 million fine (Rs1.3 billion) in the corruption reference, while his daughter Maryam was sentenced to eight years with a £2 million fine (Rs335 million). Nawaz’s son-in-law Capt (retd) Safdar was also given a one-year sentence without any fine.

Later, former premier Nawaz Sharif, Maryam Nawaz and Captain Safdar had challenged their convictions in the IHC, highlighting the legal flaws in the Avenfield judgment and asking for the accountability court’s verdict to be declared null and void and the three convicts to be released on bail.

An additional appeal was also filed requesting the court to transfer the Al-Azizia and Flagship Investment references against Nawaz from the court of Accountability Judge-I Mohammad Bashir to another accountability court.

The Sharifs appeal stated that the Panamagate JIT head, Wajid Zia himself accepted that a response to the mutual legal assistance (MLA) request was not received.

NAB had filed three references against Nawaz Sharif on the directives of Supreme Court. Nawaz and his sons, Hussain and Hasan, are accused in all three references whereas Maryam and Safdar were accused in the Avenfield reference only.

The two brothers, based abroad, have been absconding since the proceedings began last year and were declared proclaimed offenders by the court.