Widely conceived to occur in 'obese' and 'high-on-cholesterol' people, recent instances of young people 'collapsing' from heart attacks may tell a different, alarming story.
Many videos have emerged showing people doing everyday activities such as walking on the street, working out at gyms and dancing at weddings before seemingly 'dropping' due to a heart attack but eminent cardiologists feel the reason could be 'unaccustomed exercise' or 'over exercise' that could precipitate heart attacks in the young.
Over the past couple of years, there has been a surge in cases of heart attacks, especially between 25 and 50 years of age including several Indian celebrities like Kannada superstar Puneeth Rajkumar, singer KK and the recent case of comedian Raju Srivastava.
This has brought to the fore some widely held misconceptions about heart attacks and cardiac arrests and the need to address them.
Biologically, what is going on? "Heart attacks happen due to sudden blockages in arteries that supply blood and nutrition to the heart," says Dr Nitish Naik, professor, Department of Cardiology, All India Institute of Medical Sciences here.
"There is fat plaque build-up in the artery. It ruptures and enters the blood vessel, forming a clot and suddenly choking it," explains Dr Ajay Kaul, chairman of Cardiac Sciences, Fortis Hospital Noida (India) and in-charge of cardiac surgery and cardiology.
But what causes this to happen? "People who smoke, have a sedentary lifestyle, are morbidly obese, have poorly controlled blood pressure or diabetes or have high cholesterol levels are prone to develop such conditions," says Naik.
However, it is not as simple as that. Undertaking strenuous activity at the gym may also be the cause.
"Unaccustomed exercise can precipitate a cardiac arrest, therefore, untrained exercise should not be done," says Dr Viveka Kumar, principal director & chief of Cath Labs, Pan Max - Cardiac Sciences.
"Yes, over-exercise can cause rupture of plaques in the coronary vessels, leading to cardiac arrests," says Dr Vijaya Kumar, senior consultant and interventional Cardiologist, Ujala Cygnus BrightStar Hospital, Moradabad.
"Plaque rupture is the disruption of the cap of the plaque build-up, leading to the exposure of plaque material to the blood in the vessel. A rapid sequence of events follows, resulting in clot formation, blocking the blood flow," explains Dr Vineet Bhatia, Associate Director, Department of Cardiology, Max Hospital, Patparganj, New Delhi.
But it is not just unaccustomed exercise. There is talk of Covid too causing heart attacks. So, how much is Covid a contributor? "Statistically speaking, in young people, 15-18 per cent of the cases," says Viveka Kumar.
"It is true that Covid has caused a lot of problems. Covid leads to blood clotting. Covid leads to heart and lung problems and cardiovascular diseases," says Kaul.
So, how can one know if Covid or over-exercise are the culprits causing heart problems? "Evaluation. Go to a doctor, and they will tell you whether Covid was limited only to your lungs or not," says Kaul.
In the fight against Covid, vaccines have been instrumental. However, Covid vaccines have also been known to cause some heart attacks. How worried should we be about this being the case? "Benefits far outweigh the risks. Vaccination has a lot of other problems. Yes, it has. But the numbers are so small, that you need to ignore them. Secondly, it is Covid that can lead to heart problems more," says Kaul.
"According to a recent report in the British Medical Journal, COVID-19 vaccines may rarely (1.7 out of 100,000 people) lead to myocarditis. The benefits of vaccination far outweigh the risk of adverse reactions," says Bhatia, justifying taking the Covid vaccine.
"On the other hand, a review of 51 studies in a leading British medical journal "The Heart", which included 48,317 people with COVID-19, found that cardiac ailments, high blood pressure, and diabetes were associated with a higher risk of severe disease or death due to COVID-19 across all age groups," he adds.
Cardiologists agree on the notion of getting a cardiac risk evaluation or consulting with a physician to inform oneself if long Covid is causing heart problems, of their exercise requirements or if one is genetically predisposed to getting a heart attack.
"Before going to the gym, people should first get a cardiac evaluation for fitness," says Viveka Kumar.
What does getting a cardiac evaluation entail? "We look at everything. We ask patients about their family history. We tell them to get their cholesterol checked, their sugar tested, to take precautions and step up their exercise regime if need be," says Kaul.
Among gym-goers, the intake of protein supplements has steeped and doctors generally seemed to be against this trend. "Why can't you take fish, mutton, chicken or eggs? Dal, rajma and soya also are very good sources of proteins," says Kaul.
According to Bhatia, "They overlook the fact that a smart diet plan and using existing protein sources can build muscle, strengthen bones and power our body functions. However, wanting quick and overnight results and often peer pressure prompts people to use over-the-counter supplements available in an unregulated market." Coming back to heart attacks, there have been suggestions that people should keep Aspirin 300 in their pockets. How reliable advice is this for everyone? "While doctors prescribe Aspirin to prevent clot formation, Aspirin has a serious problem of stomach bleeding. A doctor knows best when to get started on Aspirin. Self-medication of Aspirin is dangerous," says Kaul.
"Aspirin is an important drug in our armamentarium while treating heart attacks but if consumed inappropriately, it enhances the risk of bleeding. It is best to take the drug only under medical supervision," says Bhatia.
On people resorting to herbal remedies upon surviving heart attacks, neither of the doctors could vouch for their safety or their effectiveness.
"They have not been tested in any major clinical trials, so their role in managing such patients is dubious and, in fact, may even be detrimental. They should be proscribed," says Bhatia.
"If you take good care of your health, don't eat junk food, eat chapatis and vegetables cooked at home, then one should be fine," says Kaul.
Both leaders reaffirm commitment to India-US partnership
Trade talks resume in New Delhi amid tariff tensions
India defends purchase of discounted Russian oil
US PRESIDENT Donald Trump on Tuesday called Indian prime minister Narendra Modi and greeted him ahead of his 75th birthday. The phone call sparked hopes of a reset in India-US ties, which had been under strain after Washington doubled tariffs on Indian goods to 50 per cent.
In a social media post, Modi said that like Trump, he is also "fully" committed to taking the India-US comprehensive and global partnership to "new heights."
"Thank you, my friend, President Trump, for your phone call and warm greetings on my 75th birthday," Modi wrote on X. "Like you, I am also fully committed to taking the India-US Comprehensive and Global Partnership to new heights. We support your initiatives towards a peaceful resolution of the Ukraine conflict."
Thank you, my friend, President Trump, for your phone call and warm greetings on my 75th birthday. Like you, I am also fully committed to taking the India-US Comprehensive and Global Partnership to new heights. We support your initiatives towards a peaceful resolution of the… — Narendra Modi (@narendramodi) September 16, 2025
Trump praises Modi
Trump said Modi is "doing a tremendous job" and thanked him for supporting his efforts to end the war in Ukraine.
"Just had a wonderful phone call with my friend, Prime Minister Narendra Modi. I wished him a very Happy Birthday! He is doing a tremendous job," Trump said on Truth Social. "Narendra: Thank you for your support on ending the war between Russia and Ukraine."
The call came a day before Modi’s 75th birthday and was the first since the US imposed 50 per cent tariffs on India.
Trade talks in New Delhi
The call coincided with a new round of India-US talks in New Delhi on a proposed bilateral trade agreement.
A spokesperson at the US embassy said: "Assistant US Trade Representative Brendan Lynch had a positive meeting in Delhi with his counterpart Ministry of Commerce and Industry special secretary Rajesh Agrawal on September 16 to discuss next steps in bilateral trade negotiations."
Tariffs and tensions
The phone call followed social media exchanges between the two leaders in recent days, which indicated intent to rebuild ties.
Relations had been strained after the Trump administration doubled tariffs on Indian goods to 50 per cent, including a 25 per cent additional duty on India’s purchase of Russian crude oil. India described the action as "unfair, unjustified and unreasonable."
In recent weeks, several Trump administration officials, including White House trade adviser Peter Navarro, used offensive language while criticising India’s energy ties with Russia.
India defends Russian oil purchases
India has maintained that its energy procurement is based on national interest and market factors. It turned to Russian crude offered at discounted prices after Western sanctions on Moscow following its invasion of Ukraine in February 2022.
Ongoing trade negotiations
The fresh round of trade talks came after Modi responded to Trump’s recent remarks on addressing "trade barriers."
Trump had said he looked forward to speaking with Modi in the "upcoming weeks" and expressed confidence that both sides could finalise the proposed deal.
Modi has said India and the US are natural partners and that both sides are working to conclude the negotiations.
In the past few months, several rounds of talks were held, but a deal could not be reached due to differences in areas including agriculture and dairy.
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Forecasters say 30–40mm of rain is likely to fall widely
Two yellow weather warnings issued for parts of Wales and the Midlands
Up to 70mm of rain expected, bringing risk of flooding, power cuts and travel delays
Flood alerts in place for rivers in Cumbria, Devon, Cornwall and Carmarthenshire
Residents advised to prepare emergency kits and stay updated with forecasts
Heavy rainfall set to cause disruption
The Met Office has issued two yellow weather warnings covering parts of Wales and the Midlands today, with forecasters warning of potential flooding, travel disruption and power cuts. Between 6am and 11am, persistent downpours are expected to sweep eastwards, bringing nearly a month’s worth of rain in just a few hours.
Areas under warning
South and southwest Wales are expected to be worst affected, with Ceredigion, Conwy, Gwynedd and Powys in the Midlands also on alert. In Wales, warnings apply to Blaenau Gwent, Bridgend, Caerphilly, Cardiff, Carmarthenshire, Merthyr Tydfil, Neath Port Talbot, Powys, Rhondda Cynon Taf, Swansea and the Vale of Glamorgan.
Rainfall and flood risks
Forecasters say 30–40mm of rain is likely to fall widely, with some southwest-facing hills facing totals of 50–70mm. The Met Office has cautioned that flooding of homes and businesses is possible, while spray and standing water could make journeys hazardous. Public transport, including bus and rail services, is also likely to be affected.
Flood alerts already in place
Flood alerts have already been issued in parts of Cumbria, including along the River Greta and River Derwent near Keswick, where nearby campsites face risk. In the southwest, alerts are in force for the Exmoor rivers in Devon and the Upper River Tamar on the Devon-Cornwall border. Natural Resources Wales has issued further alerts for rivers in Carmarthenshire, Llanelli, Llangennech, Pwll and Burry Port.
Public advice and emergency preparation
The Met Office has urged residents in affected areas to prepare a flood plan and consider assembling an emergency kit. Recommended items include torches, spare batteries, a mobile phone power pack and essential supplies in case of power cuts. Officials stress the importance of checking travel updates and staying informed, as weather warnings can change quickly.
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Donald Trump and Melania Trump exit Air Force One after arriving at London Stansted Airport for a state visit on September 16, 2025 in Stansted, Essex.
Trump begins his second state visit to the UK with a royal welcome at Windsor Castle
Prince William, Catherine, King Charles and Queen Camilla take part in ceremony
State banquet and trade talks with prime minister Keir Starmer scheduled
Protests and security operation mark visit amid political challenges
US PRESIDENT Donald Trump began his unprecedented second state visit to Britain on Wednesday with a lavish welcome from King Charles and the royal family at Windsor Castle.
The visit opened with heir to the throne Prince William and his wife Catherine greeting Trump and First Lady Melania Trump, before King Charles and Queen Camilla joined them for a carriage procession through the grounds of Windsor Castle. A wreath was laid on the tomb of Queen Elizabeth, who died in 2022.
UK officials said the visit involves the largest military ceremonial welcome for a state visit in living memory, with 1,300 troops, 120 horses, a military band ceremony, and a flypast by US and British F-35 fighter jets alongside the Royal Air Force’s Red Arrows display team.
Trump, who has often expressed admiration for the British monarchy, said on arrival: “A lot of things here warm my heart.” He described Charles, who is undergoing cancer treatment, as “my friend.” Earlier this year, Trump had written on social media, “I Love King Charles.”
The day will conclude with a white-tie state banquet at Windsor Castle, where Trump and King Charles are expected to deliver speeches.
prime minister Keir Starmer will host Trump on Thursday at Chequers for talks on trade, investment, and international issues including Ukraine and Gaza.
Britain is seeking to deepen economic ties and build on a new technology pact covering AI, quantum computing, and civil nuclear energy. Microsoft has pledged 31 billion pounds ($42 billion) in UK investments.
“Basically, I’m there also on trade. They want to see if they can refine the trade deal a little bit. We made a deal, and it’s a great deal. And I’m into helping them,” Trump said before departing for Britain. “They’d like to see if they could get a little bit better deal, so we’ll talk to them.”
The visit comes at a time of political challenges for Starmer, who last week dismissed UK ambassador to Washington Peter Mandelson over links to the late Jeffrey Epstein. Trump has also been linked to the Epstein scandal, which he has called a “hoax.”
The issue resurfaced on Tuesday night when protesters projected images of Trump and Epstein onto Windsor Castle. Police said four people were arrested for malicious communications over what was described as an unauthorised projection stunt.
A large security operation is in place for the visit, with 1,600 officers deployed in London to manage planned protests.
Trump is the first US president and the first elected politician to be invited for two state visits by a British monarch.
The 11th UK National Gatka Championship was hosted near Cardiff, marking the first time in Wales.
Winners included Roop Kaur (girls), Navjot Singh (boys), and Gurdeep Singh (men’s).
Gatka Federation UK awarded £1,000 to each participating Akhara to support martial arts promotion.
Chief guests included MP Tanmanjeet Singh Dhesi and Harjeet Singh Grewal, President of the World Gatka Federation.
Gatka Championship marks Welsh debut
The 11th UK National Gatka Championship concluded on a high note near Cardiff, Wales, showcasing the traditional Sikh martial art with flair. Seven leading Gatka Akharas participated, thrilling spectators with their lightning-fast strikes, precision moves and elegant techniques.
Inauguration by global leaders
The tournament was inaugurated by Harjeet Singh Grewal, President of the World Gatka Federation (WGF) and the National Gatka Association of India (NGAI). He was joined by Tanmanjeet Singh Dhesi MP, President of Gatka Federation UK, alongside other dignitaries including Jagbir Singh Jagga Chakar, President of Wales Kabaddi Club, and community leaders from the Haveli Hotel Pontyclun.
The 11th UK National Gatka Championship concluded on a high note near Cardiff, WalesUK Parliament
Competition results
All events were held in the Farrie-Soti (individual) format:
Girls’ Category: Roop Kaur (Akali Phoola Singh Gatka Akhara Coventry) won first place, defeating teammate Manroop Kaur. Rihanna Kaur (Baba Banda Singh Gatka Akhara Gravesend) took third.
Boys’ Category: Navjot Singh (Baba Fateh Singh Gatka Akhara Woolwich) secured first place against teammate Jashan Singh. Dharam Singh and Tejveer Singh (both from Akali Phoola Singh Gatka Akhara Coventry) shared third.
Men’s Category: Gurdeep Singh (Jangi Horses Club Wolverhampton) claimed the title, defeating Kuldeep Singh (Baba Banda Singh Gatka Akhara Gravesend). Third place was shared by Anmoldeep Singh and Nihal Singh (both Baba Mitt Singh Gatka Akhara Wolverhampton).
Awards and recognition
All winners received medals and trophies. In a significant gesture, Gatka Federation UK presented £1,000 to each participating Akhara to strengthen training facilities and promote wider engagement in the sport.
Leaders praise UK’s Gatka growth
Harjeet Singh Grewal commended MP Tan Dhesi for his sustained efforts in promoting Gatka since 2013, pledging WGF and NGAI’s continued support in advancing the martial art across Britain.
In his address, MP Dhesi — also Chairman of the House of Commons Defence Committee — highlighted the growing enthusiasm among young people in the UK and thanked the Gurdwara committees of Swansea and Cardiff for their support in making the event a success.
Dignitaries in attendance
The championship was attended by prominent figures including Herman Singh Johal (General Secretary, Gatka Federation UK), representatives from Swansea and Cardiff Gurdwara committees, media partners from Akaal Channel, Sikh Channel, Jan Shakti News, and several community leaders.
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The site, located in Gujarat, houses hundreds of elephants, as well as 50 bears, 160 tigers, 200 lions, 250 leopards, and 900 crocodiles. (Photo: Instagram/Vantara)
AN INDIAN Supreme Court-ordered investigation has cleared a large private animal facility run by the son of Asia’s richest man, rejecting allegations of wildlife violations.
Vantara, described as the “world’s biggest wild animal rescue centre,” is operated by Anant Ambani, son of Reliance Industries chairman Mukesh Ambani.
The site, located in Gujarat, houses hundreds of elephants, as well as 50 bears, 160 tigers, 200 lions, 250 leopards, and 900 crocodiles, according to India’s Central Zoo Authority.
Last month, the Supreme Court asked a panel led by retired judges to examine allegations of unlawful acquisition of animals, including elephants, and possible violations of wildlife laws and money laundering. The court acted after receiving petitions based on media reports and complaints by wildlife groups.
Wildlife activists had raised concerns about the facility, saying it was keeping endangered species next to a large oil refinery without plans to reintroduce them into the wild.
The panel’s report, presented in court on Monday, said the “allegations rest wholly on conjecture and surmises on secondary reporting, and activist commentary.” It added, “The complaints are, therefore, devoid of merit.”
In March, German newspaper Süddeutsche Zeitung reported that Vantara imported about 39,000 animals in 2024, including from the Democratic Republic of Congo, the United Arab Emirates, and Venezuela. According to the centre, dozens of elephants were also transported from across India in specially adapted trucks.
The probe report said “each of the imports has undergone multi-layered and multi-jurisdictional verification.”
The Supreme Court accepted the findings, saying it had “no hesitation in accepting the conclusion so drawn in the report.” It added, “We are more than satisfied that the facilities at Vantara in certain respects exceeds the prescribed standards.”
Vantara welcomed the outcome. “With utmost humility and gratitude, we welcome the findings of the Special Investigation Team (SIT), appointed by the Hon’ble Supreme Court of India. The SIT's report and the Hon’ble Supreme Court’s order have made it clear that the doubts and allegations raised against Vantara’s animal welfare mission were without any basis. The validation of the truth by the distinguished and widely respected members of the SIT is neot just a relief for everyone at Vantara but also a blessing, because it allows our work to speak for itself."
"We take this occasion to pledge our solidarity with the Government of India, State Governments, and all other stakeholders involved in the huge and challenging task of animal care, and affirm that Vantara will always be ready to work in close collaboration with them. Let’s together make Mother Earth a better place for all living beings,” the facility said in a statement.