Heart ailments & diabetes provefatal for corona patients in Rajasthan

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JAIPUR: While Covid-19 affects lungs and those with lung ailments are considered the most vulnerable, a state government Covid death audit shows a different trend. Heart ailments, kidney diseases and diabetes have proved more fatal for patients as per the audit than lung diseases. However, it also confirmed that not all deaths are related to comorbid conditions. Some 30% of Covid patients, who died in the state, did not have any comorbidity, the health department report shows.
According to the report, based on Covid deaths in the state till July 5, 46% of those who died of the disease had heart diseases, while only 15% had lung disease as a comorbid condition.

“In SMS Hospital, where 162 patients died, only a very few had lung disease as a comorbidity,” said Dr Ajit Singh from SMS Hospital.
The finding has come as a surprise for those who initially believed that Covid will be fatal for those people who are suffering from asthma, chronic obstructive pulmonary diseases, interstitial lung ailments or any other lung disease,” said Dr Ajit Singh, one of the five-members of the core group of doctors treating Covid patients at SMS Hospital.
Of the total 453 deaths till July 5, 139 patients did not have a comorbidity, while the rest 314 had comorbidities. Among those, 154 had one comorbidity, 111 two, 39 had three, eight had four and two had five comorbidities.
The health department figures show that 46% of patients who died had heart ailments such as coronary artery disease and hypertension as a comorbidity. Besides, diabetes was found in 38% of Covid fatalities. And 35% of patients had multiple comorbidities such as heart and kidney diseases as well as diabetes.
In Bikaner too, doctors made a similar finding. In the district, more than 25 people died of Covid till July 5. “It is not lung disease but diabetes and kidney disease which we found in a majority of patients who died of Covid. Almost half the patients who died had kidney ailments and diabetes,” said Dr Sanjay Kochar, nodal officer (Covid-19), PBM Hospital.
"Since we found that diabetes is one of the leading comorbidities in patients who died, it is clear that people with low immunity are at a higher risk of death. Diabetes weakens the immunity system. It is also seen that the virus directly affects beta cells in pancreas which results in decrease in insulin secretion. So, Covid in itself can cause diabetes and weaken the immunity of such patients. Diabetes patients should take more protein to strengthen their immunity and control the disease," said Dr Prakash Keswani, senior professor (medicine), SMS Medical College.
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