Opinion
Fuel queues and sudden heart attacks

By Dr. Gotabhaya Ranasinghe
We are passing through a very stressful period due to the economic crisis and the social instability of the country. The media reports deaths in fuel queues due to sudden heart attacks. Sadly, being in queues for days and hours is no easy task. People who are already stressed get more stressed, anxious, angry, and feel overly exhausted. Most people miss their meals, medications and even tend not to have the daily requirement of water (or other beverages). The weather, too, is harsh most of the time, and a hot weather quickly dehydrates you.
What is the difference between a heart attack and a sudden cardiac arrest?
A heart attack is triggered when there is an issue with blood circulation or pumping of the heart. A blockage in the coronary artery reduces or completely cuts off the blood flow to the heart resulting in damage to the heart muscle. High blood pressure, high cholesterol, and diabetes, also can lead to heart attacks.
A cardiac arrest occurs due to an “electrical” problem in the heart. This happens when the electrical signals that control the heart’s pumping ability short-circuits. The heart may beat dangerously fast and cause the heart ventricles (pumping chambers) to flutter instead of pumping blood. This disturbed rhythm is called ventricular fibrillation which occurs as a result of an underlying condition that may have or may not have been detected.
Ventricular fibrillation disturbs the heart’s pumping action and stops the blood flow to the rest of the body. A person who experiences sudden cardiac arrest will collapse without warning and lose consciousness with no pulse and breathing. If immediate Cardiopulmonary resuscitation (CPR) and the required medication are not provided, the patient may die within minutes.
One has to be aware that a heart attack can also trigger an electrical malfunction and lead to a sudden cardiac arrest.
What other conditions can trigger a sudden heart attack?
1. Dehydration
People in fuel queues might not carry adequate water supply and may not have the time and the means to grab a few essential sips of pure water. Lack of water might thicken the blood and would trigger a heart attack in certain people.
Also, the thickening of blood decreases the blood circulation through your body, and the heart has to beat faster, causing extra strain and triggering a heart attack.
2. Improper meals
Concentrating on the condition of their vehicle, the long fuel queue, and the frustration due to various other issues in mind, people tend to neglect their meals.
Lack of proper meals, or unhealthy diets, leads to elevated levels of cortisol which is a steroid hormone that the body releases when hungry or stressed. This, too, would increase the risk of heart attacks.
Hunger or improper meals also trigger low blood sugar levels. When this occurs, the body releases stress hormones that make a person feel weak. The release of adrenaline speeds up the heart and triggers heart attacks in vulnerable people.
3. Neglecting to take medications
Staying in long queues with anticipation, people neglect their meals and thereby their medication as well which may trigger diseases that you are already ailing from.
4. Prolonged standing and sitting
People tend to either sit in their vehicles or stand in queues waiting for their turn to get fuel. Prolonged standing in queues also increases the risk of cardiac arrest. Standing for too long results in blood pooling in the legs and puts increased pressure on veins that adds to increased oxidative stress.
Prolonged sitting too contributes to heart attacks. Studies have revealed that people who sit for more than 10 hours a day are at risk of developing heart conditions.
5. Stress
During a crisis, increased levels of stress can be experienced. Financial insecurity, job insecurity, and lack of fundamental needs induce stress in a person. People in fuel queues experience an additional amount of stress and exertion.
6. Anger
Anger and frustration are commonly experienced when people wait in fuel queues for long hours and days. Studies have found that anger increases a person’s risk of heart attack by about five times.
Also, anger causes a rush of adrenaline. It will increase blood pressure, heart rate, and breathing and also may cause a blood clot.
How can we prevent sudden heart attacks?
A lot of my patients inquire from me, and you may also wonder what we can do to prevent sudden heart attacks and help a person who is experiencing a sudden heart attack?
Yes, there are a few things that are good to follow and take to heart that may help you to keep away from a heart attack.
1) If you experience any signs of distress, such as chest pain, blackouts, fainting, dizziness, shortness of breath, palpitations, or fluttering of the heart and become easily fatigued, immediately consult a doctor. These may be the warning signs of a heart attack.
I know it’s easier said than done but always try to:
2) Have proper and healthy meals
3) Drink plenty of water to keep yourself hydrated
4) Never miss your prescribed medications if any
5) Don’t stand or sit too long in queues. Try to walk a bit every 10 to 15 minutes time.
6) It is quite normal to experience stress and anger in the present situation. But try to involve yourself in some activity that may help you release your stress and anger. Don’t isolate yourself. Listen to some music or engage in pleasant conversations with the people that you meet in the queue.
7) Fresh air is essential for a healthy heart. Do not keep the windows closed if you are sleeping while you are in the fuel queue. Closed windows aid in the build-up of carbon monoxide, which can be lethal.
8) If you see a person who is unconscious with a low pulse level, immediately start giving chest massages (Cardiopulmonary resuscitation – CPR) and call for medical assistance without delay.
Opinion
LG polls, what a waste of money!

If the people of this country were asked whether they want elections to the local government, majority of them would say no! How many years have elapsed since the local councils became defunct? And did not the country function without these councils that were labelled as ‘white elephants’?
If the present government’s wish is to do the will of the people, they should reconsider having local government elections. This way the government will not only save a considerable amount of money on holding elections, but also save even a greater amount by not having to maintain these local councils, which have become a bane on the country’s economy.
One would hope that the country will be able to get rid of these local councils and revert back to the days of having competent Government Agents and a team of dedicated government officials been tasked with the responsibility of attending to the needs of the people in those areas.
M. Joseph A. Nihal Perera
Opinion
What not to do

By Dr Upul Wijayawardhana
It is immaterial whether you like him or not but one thing is crystal clear; Donald Trump has shown, very clearly, who is the boss. Surely, presidents of two countries are equal; perhaps, that is the impression Volodymyr Zelensky had when he went to the White House to meet Trump but the hard reality, otherwise, would have dawned on him with his inglorious exit! True, the behaviour of President Trump and VP Vance were hardly praiseworthy but Zelensky did what exactly he should not do. Afterall, he was on a begging mission and beggars cannot be choosers! He behaved like professional beggars in Colombo who throw money back when you give a small amount!!
Despite the risk of belonging to the minority, perhaps of non-Americans, I must say that I quite like Trump and admire him as a straight-talking politician. He keeps to his words; however atrocious they sound! Unfortunately, most critics overlook the fact that what Trump is doing is exactly what he pledged during his election campaign and that the American voters elected him decisively. When he lost to Biden, all political commentators wrote him off, more so because of his refusal to admit defeat and non-condemnation of his supporters who rioted. When he announced his intention to contest, it only evoked pundits’ laughter as they concluded that the Republican Party would never nominate him. Undaunted, Trump got the party to rally round him and won a non-consecutive second term; a feat achieved only once before, by Grover Cleveland around the end of the nineteenth century. His victory, against all predictions, was more decisive as he got more collegiate votes and, even though it does not matter, won the popular vote too which he did not get when he got elected the first term. Even his bitterest critics should accept this fact.
Zelensky was elected the president of Ukraine after the elected pro-Soviet president was deposed by a ‘peoples revolution’ engineered by the EU with the support of USA. After this, the EU attempted to bring Ukraine to NATO, disregarding the Munich agreement which precipitated the Russian invasion. He should have realised that, if not for the air-defence system which Trump authorised for Ukraine during his first term, Russian invasion would have been complete. It may well be that he was not aware as when this happened Zelensky may still have been the comedian acting the part of the president! Very likely, Trump was referring to this when he accused Zelensky of being ungrateful.
Zelensky also should have remembered that he disregarded requests from Trump, after his defeat by Biden, to implicate Biden’s son in some shady deals in Ukraine and that one of the last acts of Biden was to pardon his son and grant immunity to cover the alleged period. Perhaps, actions of the European leaders who embrace him every time they see him, as a long-lost brother, and invitations to address their parliaments has induced an element of the superiority complex in Zelensky that he behaved so combative.
Trump wanted to be the mediator to stop the war and spoke to Putin first. Instead of waiting for Trump to speak to him, egged on by EU leaders Zelensky started criticising Trump for not involving him in the talks. His remark “He should be on our side” demonstrated clearly that Zelensky had not understood the role of a mediator. His lack of political experience was the major reason for the fiasco in the White House and the subsequent actions of Trump clearly showed Zelensky where he stands! PM Starmer and President Macron seem to have given some sensible advice and he seems to be eating humble pie. In the process Trump has ensured that the European nations pay for their defence than piggy-backing on the US, which I am sure would please the American voter. By the way, though Macron talks big about defence France spends less than 2% of GDP. Trump seems vindicated. Of course, Trump could be blamed for being undiplomatic but he can afford to be as he has the upper hand!

Ranil on Al Jazeera
Zelensky has shown what not to do: instead of being diplomatic being aggressive when you need favours! Meanwhile, Ranil has shown what not to do when it comes to TV interviews. God only knows who advised him, and why, for him to go ‘Head to Head’ with Mehdi Hasan on Al-Jazeera. Perhaps, he wanted to broadcast to the world that he was the saviour of Sri Lanka! The experienced politician he is, one would have expected Ranil to realise that he would be questioned about his role in making Sri Lanka bankrupt as well, in addition to raising other issues.
The interview itself was far from head to head; more likely heads to head! It turned out to be an inquisition by Tiger supporters and the only person who spoke sense being Niraj Deva, who demonstrated his maturity by being involved in British and EU politics. The worst was the compere who seems keen to listen his own voice, reminding me of a Sinhala interviewer on a YouTube channel whose interviews I have stopped watching!
Ranil claims, after the interview was broadcast, that it had been heavily edited reduced from a two-hour recording. Surely, despite whatever reason he agreed to, he should have laid ground rules. He could have insisted on unedited broadcast or his approval before broadcast, if it was edited. It was very naïve of Ranil to have walked in to a trap for no gain. Though his performance was not as bad as widely reported, he should have been more composed at the beginning as he turned out to be later. Overall, he gave another opportunity for the Tiger rump and its supporters to bash Sri Lanka, unfortunately.
Medhi Hasan should watch some of David Frost interviews, especially the one with Richard Nixon, and learn how to elicit crucial information in a gentle exploratory manner than shouting with repeated interruptions. He does not seem to think it is necessary to give time for the interviewee to respond to his questions. I will never watch Al-Jazeera’s “Head to Head” again!
Ranil’s best was his parting shot; when asked by Hasan whether he would contest the next presidential election, he said “No, I will retire and watch Al-Jazeera and hope to see you better mannered”!
Opinion
Ajahn Brahm to visit SL in May 2025

The Ajahn Brahm Society of Sri Lanka (ABSSL) is pleased to announce that Ajahn Brahm will be visiting Sri Lanka for a short stay in May this year. Many, both Buddhists and non-Buddhists, know him and have listened to his addresses made on earlier visits, including his 2023 public talk at the BMICH, which was attended by over 4,000 people.
Ajahn Brahmavamso, popularly known as Ajahn Brahm, is the Head Abbot of Bodhinyana Monastery in Serpentine, Perth. He was a pupil of the famous Thai forest monk Ajahn Chah, considered the best Theravada meditation teacher in the last century. By his own choice, Ajahn Brahmavamso shortened his name and was extra pleased that the initials represent the major religions of the world. He is renowned world-wide as an outstanding meditation bhikkhu, teacher and instructor, guiding thousands of practitioners.
As in previous visits, Ajahn Brahm’s schedule will be packed with addresses, meetings with senior professionals, business leaders, and researchers. This year, a special session has been included for teenagers and young adults.
The agenda planned for him includes:
·
Public address at the BMICH to all irrespective of religion and age; then to a younger audience.
· Exclusive Leadership Forum for senior professionals and business leaders.
· Forum with academics engaged in research at the Centre for Meditation Research, University of Colombo.
· A week-long meditation retreat for the Ven Sangha and experienced lay meditators.
Public Addresses
The public addresses will be on Sunday, May 18, 2025, from 7:00 am to 11:00 am, at the BMICH Main Hall and Sirimavo Halls; Ajahn Brahm moving from one hall to another so the entire audience sees him. Each hall will be well equipped with audio and video presentation. The first address: The Art of Meaningful Living, is designed for all, age notwithstanding, offering wisdom and practical insights for a fulfilling life. The second: Coping with Life Transitions and Emotional Challenges, is a special session tailored for teens and young adults, addressing key challenges faced by them in today’s fast-paced, competitive world. Both talks will be in English, with concise translation to Sinhala by Ven Damita Thera.
Exclusive Forums
On Saturday, May 17, 2025, two exclusive forums will be held at the BMICH Committee Room, Jasmine Hall. The first such session will be with eighty invited Sri Lankan academics and scientists engaged in research on meditation at the Centre for Meditation Research of the University of Colombo. This will be followed in the evening by an interactive session for a hundred invited senior professionals and business leaders, featuring a talk on leadership followed by a Q&A session.
Meditation Retreat
The most significant item on Ajahn Brahm’s programme will be a week-long meditation retreat at the Barberyn Waves Ayurveda Resort in Weligama. Focus is intended to be on the fifty members of the Ven Sangha. A limited number of experienced lay meditators will also have the opportunity to participate.
Participation & Registration
Those interested in attending the public talks at the BMICH are kindly advised to register at to secure free passes. For further information, please contact the Ajahn Brahm Society of Sri Lanka at .
-
Editorial7 days ago
Ranil roasted in London
-
Features7 days ago
The JVP insurrection of 1971 as I saw it as GA Ampara
-
Opinion6 days ago
Insulting SL armed forces
-
Features7 days ago
Mr. JR Jayewardene’s passport
-
News4 days ago
Alfred Duraiappa’s relative killed in Canada shooting
-
Features7 days ago
As superpower America falls into chaos, being small is beautiful for Sri Lanka
-
Opinion7 days ago
Beyond Victory: sportsmanship thrives at Moratuwa Big Match
-
Features7 days ago
Memorable moments during my years in Parliament