With all the meds for heart failure, I could not get out of bed. I slept almost 24/7. Now I eat free range chicken eggs every day, real butter, grass fed and finished beef, wild caught salmon, etc. I'm walking 30 min a day, cutting my grass and growing my own vegetables. I could use more energy but feel alot , 80 percent better. Praise our Heavenly Father!!
so what meds , I am having trouble with all the ones I tried they wire me out , can't sleep , tried entresto, carvadaral , metatropal, and speralactone, have have so many side effects , im not sure who to trust in Drs now they all told me that the side effects would go away and they didn't ,
Brilliant ! You just listed all the meds I was given at my local hospital after my recent heart attack, including dapagliflozin. I found this very reassuring.
I thank you so very much for the time you take to do these videos….I hang on to every word… ❤️ I am 66 and just had a major heart attack. 100% blockage in the main artery … my doctor put a stent in and it saved my life…🙏❤️
... in today's world there is so much advise. CHF here Dr.put me on entresto small dose ...says he wants to build up the heart muscle ... he did a panarametic of the heart as well ... I think he is on to something ...
Thanks again Dr Gupta I'm recovering from Stroke (6 months) with Left side Paralysis.I was in hospital for 3 months.During investigations it was found that I have a heart failure..Left Ventricular Systolic Dysfunction I'm also Type2 diabetic. I'm on the drugs mentioned in your clip.. THANK YOU SO MUCH for explaining it all.Im 74years old. God bless you
I wish you would include the script under 'More' for all your videos. I always find the printed text immensely helpful and particularly when it comes to the names of pharmaceuticals and medical conditions. I know this happens with many or most of your videos but I really miss it when it is not there.
Dr Gupta, thank you so, so much for this video. I have an almost lifelong case of Afib, which seems to have gotten worse after every ablation surgery I had (four of them). After two of those surgeries, which obviously never worked, I actually got worse, which eventually resulted in heart failure. For several years I had doctors arguing about whether or not I even had heart failure, even though my cardiologist was treating me for heart failure. Finally, someone decided there was an actual thing called HF-Pef......Finally, finally acknowledging that HF-Pef was not only real heart failure but actually represents more of heart failure than the traditional type. But there was still no medication to help HF-Pef patients. Now there is! I am so hopeful now that this might actually help my symptoms, and maybe make life a little easier! Thank you, thank you, thank you.
I just want to say, for the last 2 weeks, for some reason I’ve had PVCs every 3-5th beat. It has been the worst 2 weeks of my life. I’ve never been more anxious or miserable. Thankfully they’ve subsided today and I’m really hoping they never come back, or at least as bad as this. Dr. Gupta, your videos have helped me get through the last few weeks. Thank you so much for giving us some peace of mind.
And the more anxious it makes you the more they stick around. I know because I'm the same way. I have panick disorder and anxiety disorder and have weeks and even months with ectopic beats every couple beats but once I stop worrying about it I noticed they get less frequent. I also have rbbb that I developed at 27 years old
Amazing information well spoken and informative I usually skip these videos because they're usually repetitive and I don't gain anything from them with you I am reminded to address heart disease and you've made it abundantly clear that you have a lot of the answers that I have been earnestly seeking thank you for the presentation and the new medication that you have provided I will speak to my cardiologist and I'm sure he's aware for him as well as well as all that you are healthy to live a better life with heart problems thank you
Recently my father was prescribed "Dapavale" by our cardiologist even though he wasn't diabetic. I had certain doubts about this tablet. You've cleared it very nicely. Thankyou!
I have appointment with cardiologist in 3 weeks. I am still out and about exercising but have a slow heart rate usually in range 40 to 60 bpm but drops to 36 bpm when asleep and also have Afib. It is when I am laid in bed that ny problems become more. Quite frightening when heart gives a big 'kick' in the middle of the night. It has happened several times and doctors dont appear concerned. They have not offered any medication to help. Trying to find out as much as I can from Dr Gupta's videos before my appointment. knowledge, understanding, and education mean everything - thank you
I am Norwegian and I have chf. Less than 30% erf….large scarring after major heart attack. Am on the combo of drugs you mentioned including entresto and forxiga…made a significant improvement for me ……
Though I am not in any medical field, out of desperation to get my spiked BP down (meds were not working)...I gave up all sugar sources aside from occasional watermelon or blueberries. Within one week, I lost 10 lbs...BP remained high. After 2 weeks, I lost 5 lbs...bp came down slightly. After 2 1/2 months, I have lost 28 lbs and my bp is normal. My heart rate is in the sixties again. The weird thing is that I had gone vegan about 3 years ago and that was when I gained most of my weight and when my bp started climbing. I still cannot eat meat but eat seafoods occasionally. It just goes to show that veganism isn’t for everyone.
@@opal777 I have the same intuition that sugar is the root of all problems, including BP. But if a cardiologist like Dr Sanjay confirms this, then nothing better.
@@opal777 You are mixing sugar intake and vegan diet. You could still be vegan, eat lots of french fries and vegan cupcakes, and load up on weight. So, understanding the root cause is important. Vegan lifestyle has improved my life tremendously.
Yet again you have shown us some new and valuable information which we would probably never otherwise have heard of! Thank you so much - I am waiting for an ECHO once it's safe to go for one and having this info in my back pocket should the ECHO result indicate heart failure, will give me a point to discuss with my GP when results are back. Bless you x
My uncle is 77, had a heart attack, diabetic, and once he started on empaglifozin, which is another sglt2 inhibitor like dapa, he is doing significantly better. 4 months now and still alive.
Thank you for this information. I have recently been prescribed Entresto, and it has been a game-changer for me. Very quickly too. I will keep the name of this new drug on hand to discuss with my cardiologist in the future.
My cardiologist has recommended for me to switch over to Entresto. Could you expand on your experience; in what way was it a game changer for you? Thanks.
Natural supplements can also significantly increase ejection fraction in patients with HF. CoQ10+D-Ribose+L-Carnitine+Magnesium Taurate to increase EF taken along with Boron to reduce inflammation and C Reactive protein by up to 40%. Consult with your physician to get clearance especially if you are on blood thinners.
@It's Highway Time Yes, I also add in the acetyl version as well to help with the brain. Dr. Sinatra is definitely the go to doc when it comes to HF and he has documented studies on the supplements we mentioned.
@It's Highway Time I've tried R lipoic acid and always makes me feel sick. After doing some research some docs say it causes a release of toxins and you have to use a binder with it or the toxins can float around in the bloodstream and cause adverse effects and/or the toxins get reabsorbed. Have you ever heard of that?
@It's Highway Time Yea, doc put me on a product called Blackbox by QuickSilver and I took it for 30 days. I told him I wanted to try the sauna for 30 days as well and then retest because honestly I don't feel too much a difference after the Blackbox. Still lightheaded, dizzy, and waking up 3-4 times per night. Been going on for the last 6 years. I've also just recently increased my caloric intake and good fats to see if that will help with sleep and being lightheaded. I think my caloric intake was too low because every time I would exercise it would get worse. Just started the increase a couple of days ago. I'm in the health and fitness business for the last 27 years and know a ton about the human body but this has been throwing me for a loop for the last 6 years along with several other doctors I've seen because other than the heavy metal toxicity all other blood markers are perfect.
@It's Highway Time Yes, doc wanted to do IV chelation which if I am not mistaken contained EDTA. I was a little nervous about it so wanted to try the blackbox instead. Now I will do sauna and then if blood tests still show high metals I will more than likely do the IV chelation. Dr Garry Gordon has a vitamin C formula that contains EDTA, but my doc said it would take years to get it out of my body compared to IV chelation because it takes so long to get the lead out of the bones. Frustrating for sure.... Appreciate your input.
Dear Doctor. When I saw the title I hoped that you had good research on diet and lifestyle, not new drugs. Have you seen Ivor Cummins research on the links between sugar and carb intake, and CVD, diabetes, cancers, and alzheimer's? Ivor has a wealth of great information and is well worth listening to.
I am a healthy 65Y man and yet very happy to have listened to all your videos and specially to this new video that brings the news of this hopeful medicine. Kindly prepare some videos in the future on how to stay healthy
I note that Dapagliflozin is contraindicated when on a low salt diet yet a low salt diet is recommended as part of my heart failure management plan. Something to consider when assessing this new drug.
Are you referring to dehydration and sodium excretion as a byproduct of taking an sglt2 inhibitor? Because that’s a help for heart failure patients many of whom also develop type2 diabetes. Dapagliflozin - farxiga, jardiance etc are not contraindicated when on a low salt diet
@quacker998 apart it’s all stated on the leaflet, those on this drug since my question have all confirmed genital warts and have had numerous problems to the point they had to stop this drug, it helps one problem and causes others. No thanks
Dr Sanjay: would you do a video on how to improve ejection factor with diet and exercise. I am not fond of meds as almost all have intolerable side effects, for me. I've been on my own heart improvement regimen with exercise diet meditation and prayer and deep breathing and can now walk for an hour at a brisk pace most days, after being exhausted after a 20 minute walk. The vaccines greatly worsened my heart health. I listen to your channel every day and wish you were here in the USA. God bless you and thank you!!!
WOW! What timing to come across this video! Feb 10 guy goes into cardiac arrest, shocked 3x, brought back eventually 3x. (Told died 10 mins, 5 mins and a few minutes) VT (V-Tach) for 7 hours, plus awake, alert, responding by eyes open or a hand squeeze or slight head gesture, during the entire ordeal. Both ICU doctors verified what they were seeing was real ie monitor alarms/readings vs patient status. They'd never seen such. At hour 4 the hospital ICU doctors reached outside to a cardiac electrophysiologist who specializes in treating rhythm disorders of the heart, and by hour 7 he was out of VT, because those doctors were told to reverse SOP for heart attack patients. They did a take down and it worked. In a couple days the breathing tube (in this non-aggitated calm 61 year old patient) came out, and in which a balloon pump was put in through groin by cardiac cath lab. They've done double testing to see if he is a candidate for open heart or stent placement / (pacemaker). He is a diabetic (hyperglycemia) with pretty normal Blood Pressure, except for new USA guidelines along with added white coat syndrome which occurs with every doctor except his Primary Care Doctor. We are still awaiting careful Thoracic Cardiac Doctor decision on what the end result will be to rectify his issues, as 6 days later it is still undecided, but hoping for something concrete in the next couple days. After all that, I have done a lot of reading on the studies associated with Farxiga / Dapa-hf and Entresto, of which I've never heard of until your more than informative videos! Thank you for that! But, wondering if anything "new" could be beneficial in respect to the prior mentioned person, that we could talk to his cardio or endocrinologist about, in future?... (Heck at this point they are considering stent, but I think why wait till something happens again and you are perhaps 20 years older and in worse shape, so why not be done with it and have the open heart since the main artery was 100% occluded and the other 2 nearly as much again. I think the number 55 was for the main and 40 was the other two which actually created Collateral Circulation (amazing I must say)! / Arteriogenesis / Fluid Sheer Stress. Patient guessed could have been 1.5 yrs since was heart cleared for last surgery. Fascinating! I'm trying to recall the number count by those whose care he was under at both facilites and stated they had no idea why or how he could even be alive, let alone functioning normally without current impairment. Astonishing journey this week with this person. Hoping the future outcome proves impressive. There were several not so great things but I think the worst was being in VT so incredibly long which I am quite sure had to have had a significant further impact on heart quality which was already obviously somewhat diminished. Almost shocking really!
Thanks for the update and show you are caring (a rare quality these days) Just an idea, have you looked into blood profiles of heart failure patients you are treating to see whether any raised markers for pre-diabetes or insulin resistance or hypertriglyceride status?
This video would indicate that the root cause is Heart Failure patients that benefit from this use of this game changing drug are consuming too much glucose and therefore, rather that taking a drug they should go on a low carb diet and do moderate exercise., like going for walk after each meal to burn up some of the glucose consumed during the meal. Cardiologist like most medical specialists got to where they are because they are great "rote learning machines", not because they are good at problem solving.
Tony that is exactly what I was thinking while watching this. However, I am staunch fan of Dr Sanjay Gupta; his reliably thorough yet concise honest presentations far surpass any cardiologist's communication that I've actually seen in clinic.
If most people could easily control themselves including their appetites readily in this world with pockets of plenty, the world would be inhabited by a different species, one perhaps more Swiss- or Japanese- like. Certainly not like me, my family, my friends or neighbors or countrymen who eat heartily just waiting for the famine
Thank you so much for this ray of hope. My husband takes ramipril, bisoprolol, epleronone and amlodipine but he suffers from breathlessness and fatigue. His heart failure symptoms worsened significantly six months ago after a fall which resulted in a subdural haematoma. I wonder if you have ever come across a case of this happening.
Thank you AP. D3k2 sounds especially appropriate as he also has a severely calcified artery (LAD) and is waiting for a stent, which he can’t have just yet as he would need blood thinners first, which his neurosurgeon won’t allow yet because of the risk of another bleed on the brain. Thanks again.
This is great news. Sadly too late for my dad who passed away with this a year ago but great there are more options for CHF patients currently suffering this horrible illness.
So pleased to see this video because my cardiologist at Barts has just put me on dapa. I picked up the drugs today for the first time. Excited that my doc was so on the ball, and also I’m at the cutting edge of new treatments.
@@bricktop6402 Fine. It may well be a coincidence but since starting dapa, I’ve shed a lot of weight, and lost three inches off my waist! Who knows if it’s linked?
@@martshankleman oh well that can’t be a bad thing. What other meds are you on ? I’m also on Entresto , amiodarone and blood thinners oh and bisoprolol I’m quite hesitant with new meds but this has positive reviews
An amazing video doctor. You give hope to the hopeless. I have a cardiologist who is very funny. Not really worried bout what happens to patients. I am on entresto. Boy, the side effects of that medication on me were challenging. Drops blood pressure very much. Abdominal pains. Just pains in your back arms neck dizziness etc. I told her and she said everyone who has heart failure like yours feels like you do coz the heart is bigger than normal. Asking bout the side effects of entresto there was no answer. I hope most wont be like me. I cant even take the recommended 1g vit C, vit D 50000iu and zinc 50mg to help my immunity because I did and the blood pressure further very very low and am very dizzy.
Am on Entresto as well the side effects are a challenge to deal with. Correct!! It causes low blood pressure, dizziness, diahrrea and some more effects. Doctors swear by it that this medication is the top notch for heart condition. Only time will tell with the side effects. Much blessings 🙏 and be well.
Dr Gupta, I am chemical sensitive and meds like Corey give me TIA's. BP meds caused me to pass out within 15 min after taking. Because of this I have to find alternatives, but doctors insist on making me suffer rather than to work with me and my alternative physician. How would you react and help me?
It would be helpful to have the name of the medicine spelled out. I have no idea how it is spelled. Also I would like to see the study you are referring to; can you provide a link? Thanks.
Would you please spell out the medication you talking about.. Also this week had echo- normal sinus rhythm with biaterial enlargement and ST andT wave abnormalities. He says one of bottom chambers is doing extra beats. Did prescp of Diltiazem HCL ER Coasted BE 120 CP24 I think its for high blood pressure. Would this clear up the extra beats, Thanks
Leona Owen diltiazem is a calcium channel blocker which does lower blood pressure. But it also slows conduction through the AV node and bundle of HIS, so it will slow your lower chamber contractions. It can definitely stop or slow the extra ventricular contractions.
Hello Doctor, Please update the Dapagliflozin information with explanations of WHY it works for CHF patients who do not also have diabetes. If the method of action is by washing out glucose from the bloodstream then why is is this beneficial for heart patients ? If blood glucose levels are not an issue for us would Dapagliflozin reduce blood sugar to a dangerous level ?
Hmmm seems to me that the solution would simply be not to consume any sugar, if what you're saying is that this new medicine flushes out glucose from the body.
That's because there's no money in not consuming sugar (and carbs in general). Actually, the complete solution (AS IN CURE) is FASTING and FASTING MIMICKING diets (like KETO) since Heart Disease is part of Metabolic Syndrome whose primary symptom's are Obesity and Diabetes. But again, YOU CAN'T SELL FASTING. LDL isn't bad: SUGAR COATED LDL is bad, because the body doesn't recognize the LDL anymore (lost it), and can't use it so the body makes more LDL: Where do you think all that lost LDL winds up? York Cardiology is only in it for themselves. They should move to the US and stop destroying the UK health system. This is a video by the guy promoting FASTING explaining why people like York Cardiology pushes meds: ua-cam.com/video/z6IO2DZjOkY/v-deo.html
Great information Im a 56 yr old active male and have had two heart failures in the last 3 months 1 month apart lVOTO 122mmHg gradient They are talking Campzyos, alcohol ablasion, or septal myeptomy for treatment Im down at the mayo clinic for a sexond opinion as i type this!
My husband had chf, EF 40%, was on lisinopril cardiologist switch to farxiga, he’s not diabetic but had side effect of burning sensation on urination, so he stopped it then was switch to entresto the lowest dose he was ok for 2 weeks but on the 3rd week, he has a lot of muscle pain, 8/10 scale n severe bronchi spasm coughing so he called the cardio n stopped the meds for 3 days now after 3 days switch back to his usual lisinopril
Sadly my father developed CHF a few weeks after getting his second booster. He was walking 4 miles daily and now can barely walk 1/2 a mile. His cardiologist surprisingly hasn’t mentioned SGLT inhibitors. We see him in a week and I will definitely bring it up since dad is only decling on metoprolol, lisnolpril and amlodipine. I’m praying the SGLT works.
My father is a heart failure patient, doc said nothing much can be done, just wait God to call him, thanks for ur recommendation, I have bought the medicine for my father, regardless of the result I would like to said a big thank to u
Doc there are reported side effects of the gliflazines to pancreas, kidneys etc not to mention severe thrush, can these drugs be taken as a preventive measure for patients with none heart failure ?
I am on dapa entresto eplirinone and Ivabradin for a year now and he’s restored me to normal and my heart failure with reduced ef has reversed its miraculous I’m in my 50s with lv cardiomyopathy
I was diagnosed in June 2022 with left side heart failure probably due to the medication I was being given to treat the after effects of covid depleting my steer of vitamin B12.My EF was 21% ie severe heart failure. I was put on dapiflagloxin and other medications along with eod B12 injections. My EF is now 41% and the chambers in the heart have returned to normal size. The downside of Entresto is that it raises blood sugar so every time I have a blood test I have to explain to the GP that ‘ No I don’t have diabetes . It’s the medication I take’
My dad has 50/55% left ventrical. He is on Furesimide, 3 tablets, spirolactone, and a few others you mentioned. But he can loose too many salts, his are 1.32. His legs are big and his feet, can't get shoes on. He had to go to hospital in April to have water drained off him as it went to his groin area and up to his chest. He isn't too bad now, but the swelling is still there on his feet/legs. If he takes too many diuretics then it mucks his kidneys up
Diabetes type 2 is linked with heart attacks, insulin resistance, inflammation, heart disease, plaque build up in the arteries. Is it possible that people suffering from heart failure may be suffering also from direct side effects of Diabetes type 2. It is now very well proven that a low carbohydrate diet, high good fat, no sugar, no vegetable oils diet will reverse diabetes and the high levels of glucose and insulin that cause so many other health problems! Thank you for discussing a pharmaceutical drug that shows incredible promise for patients that will not eat a healthy diet or those that have done so much to weaken their heart that they may have a chance at some semblance of decent heart health. Thank you for sharing your incredible knowledge with us on You Tube!
Do I need this drug? My chest X ray says: Aortic Atherosclerosis is 170.0, so how bad is that? Is there a chart that shows what that means? I have eleminated any supplements with calcium phosphate. Is it too late?
So to access this drug, would it just be clinician awareness when getting to use the drug for heart failure? As it’s already approved for diabetes, I think it’s called “off label” prescribing in the US when you use an approved drug for a condition or age group other than what it was intended. The doctor has to state it is medically necessary.
I used entresto for 2 and half years very expensive even with insurance and it didn't me any good still my EF 25 I will try the dapagliflozin hopefully it will work thank DR
That was a wonderful video. However, I would recommend working on your graphics: put up the names of the drugs, etc., that you are referring to as you speak of them.
💕💕💕 I'm taking 88 MCG. Levothyroxine every morning. On my last visit to the doctor's office, I was asked (when he was headed out the door) if I've ever thought about stopping this medication because my latest test shows my thyroid is normal. Question: Under the circumstances, could this medication be the cause of my heart palpitations at night? 💕💕💕
Dapagliflozin was first approved by FDA in 2014. There are risk factors and side effects and it may not be the best option for some heart patients. Ask your doctor about Entresto if he hasn't already prescribed it instead of Dapagliflozin.
Why did they include people also on ACEi in the PARALLAX trial? That's gonna have a negative effect, no? what are they afraid of? why won't they direct compare to valsartan alone?
What a fantastic cardiologist, thank you
Thank you Doctor
You are a gift from God
Your honesty
Thank you so much
Hi I have been diagnosed with heart failure but my doctor has not put me on any medication should I be on anything???????? Thanks Trisha
With all the meds for heart failure, I could not get out of bed. I slept almost 24/7. Now I eat free range chicken eggs every day, real butter, grass fed and finished beef, wild caught salmon, etc. I'm walking 30 min a day, cutting my grass and growing my own vegetables. I could use more energy but feel alot , 80 percent better. Praise our Heavenly Father!!
so what meds , I am having trouble with all the ones I tried they wire me out , can't sleep , tried entresto, carvadaral , metatropal, and speralactone, have have so many side effects , im not sure who to trust in Drs now they all told me that the side effects would go away and they didn't ,
Praise God!!!!!
Brilliant ! You just listed all the meds I was given at my local hospital after my recent heart attack, including dapagliflozin. I found this very reassuring.
I thank you so very much for the time you take to do these videos….I hang on to every word… ❤️ I am 66 and just had a major heart attack. 100% blockage in the main artery … my doctor put a stent in and it saved my life…🙏❤️
Always great to hear anything you can share with us. You are the only medical professional I listen to. Really appreciate everything you've taught us!
... in today's world there is so much advise. CHF here Dr.put me on entresto small dose ...says he wants to build up the heart muscle ... he did a panarametic of the heart as well ... I think he is on to something ...
Thank you so much for all that you do.
You have become the world's cardiologist and we're blessed to have you.
I pray God heal everyone with a sickness in the name of Jesus Amen,🙏🙏🙏
❤amen amen amen In Jesus name amen!
@Anonymous Won always work please try.
Amen
Tried praying…didn’t work…
I’m betting on scientists and doctors 😉
Thanks again Dr Gupta
I'm recovering from Stroke (6 months) with Left side Paralysis.I was in hospital for 3 months.During investigations it was found that I have a heart failure..Left Ventricular Systolic Dysfunction
I'm also Type2 diabetic.
I'm on the drugs mentioned in your clip..
THANK YOU SO MUCH for explaining it all.Im 74years old.
God bless you
I wish you would include the script under 'More' for all your videos. I always find the printed text immensely helpful and particularly when it comes to the names of pharmaceuticals and medical conditions. I know this happens with many or most of your videos but I really miss it when it is not there.
I love when people call you "Dr. Sanjay"! That's something most doctors never receive from their patients. That's real success. Take care, Doc.
I wish that the spelling of some of these meds were printed on the bottom of the screen.
Dapavel
thank you for another genuinely informative and useful video. you’re just great.
Dr Gupta, thank you so, so much for this video. I have an almost lifelong case of Afib, which seems to have gotten worse after every ablation surgery I had (four of them). After two of those surgeries, which obviously never worked, I actually got worse, which eventually resulted in heart failure. For several years I had doctors arguing about whether or not I even had heart failure, even though my cardiologist was treating me for heart failure. Finally, someone decided there was an actual thing called HF-Pef......Finally, finally acknowledging that HF-Pef was not only real heart failure but actually represents more of heart failure than the traditional type. But there was still no medication to help HF-Pef patients. Now there is! I am so hopeful now that this might actually help my symptoms, and maybe make life a little easier! Thank you, thank you, thank you.
I am HF-pef too. It can make it hard to get the proper diagnosis and treatment. Dr. Gupta seems to be the only Dr who even addresses it!
I’ve had 3 ablations which didn’t work. What is HP-Pef
THANKS for enlightening our minds. GOD BLESS YOU!
I just want to say, for the last 2 weeks, for some reason I’ve had PVCs every 3-5th beat. It has been the worst 2 weeks of my life. I’ve never been more anxious or miserable. Thankfully they’ve subsided today and I’m really hoping they never come back, or at least as bad as this. Dr. Gupta, your videos have helped me get through the last few weeks. Thank you so much for giving us some peace of mind.
And the more anxious it makes you the more they stick around. I know because I'm the same way. I have panick disorder and anxiety disorder and have weeks and even months with ectopic beats every couple beats but once I stop worrying about it I noticed they get less frequent. I also have rbbb that I developed at 27 years old
Dr. Gupta is brilliant!!!!
Amazing information well spoken and informative I usually skip these videos because they're usually repetitive and I don't gain anything from them with you I am reminded to address heart disease and you've made it abundantly clear that you have a lot of the answers that I have been earnestly seeking thank you for the presentation and the new medication that you have provided I will speak to my cardiologist and I'm sure he's aware for him as well as well as all that you are healthy to live a better life with heart problems thank you
Recently my father was prescribed "Dapavale" by our cardiologist even though he wasn't diabetic. I had certain doubts about this tablet. You've cleared it very nicely. Thankyou!
Hi is that how it’s spelled as I can’t find info., and how is your father doing in terms of side affects. Hope he’s better.
Thanks for this critical info for HF patients like me
I have appointment with cardiologist in 3 weeks. I am still out and about exercising but have a slow heart rate usually in range 40 to 60 bpm but drops to 36 bpm when asleep and also have Afib. It is when I am laid in bed that ny problems become more. Quite frightening when heart gives a big 'kick' in the middle of the night. It has happened several times and doctors dont appear concerned. They have not offered any medication to help. Trying to find out as much as I can from Dr Gupta's videos before my appointment. knowledge, understanding, and education mean everything - thank you
Great news and encouragement you give us, Doctor!
Excellent...so simplified....crisp n to the point thank u for the CME....keep posting such educational videos
I am Norwegian and I have chf. Less than 30% erf….large scarring after major heart attack. Am on the combo of drugs you mentioned including entresto and forxiga…made a significant improvement for me ……
Sir can you please come up with a video on impact of low-carb high-fat diet on cardiovascular health, including hypertension.
Though I am not in any medical field, out of desperation to get my spiked BP down (meds were not working)...I gave up all sugar sources aside from occasional watermelon or blueberries. Within one week, I lost 10 lbs...BP remained high. After 2 weeks, I lost 5 lbs...bp came down slightly. After 2 1/2 months, I have lost 28 lbs and my bp is normal. My heart rate is in the sixties again. The weird thing is that I had gone vegan about 3 years ago and that was when I gained most of my weight and when my bp started climbing. I still cannot eat meat but eat seafoods occasionally. It just goes to show that veganism isn’t for everyone.
@@opal777 I have the same intuition that sugar is the root of all problems, including BP. But if a cardiologist like Dr Sanjay confirms this, then nothing better.
@@opal777
the heart is a muscle it needs fats and proteins. veganism will not help there.
@@opal777 You are mixing sugar intake and vegan diet. You could still be vegan, eat lots of french fries and vegan cupcakes, and load up on weight. So, understanding the root cause is important. Vegan lifestyle has improved my life tremendously.
@@AP-bo1if heart has nothing to do with protein. Fat clogs the heart especially animal fat. Very very false information.
Thankyou Dr Gupta for all your vids. The information you share with us is really helpful and reassuring. You are a true gentleman and a credit.👍👍🇬🇧
This is exactly how my Cardio is treating me. I feel better after 2 weeks. More energy and able to do more
Yet again you have shown us some new and valuable information which we would probably never otherwise have heard of! Thank you so much - I am waiting for an ECHO once it's safe to go for one and having this info in my back pocket should the ECHO result indicate heart failure, will give me a point to discuss with my GP when results are back. Bless you x
Thank you Dr.Sanjay for your Guidance and Support
My uncle is 77, had a heart attack, diabetic, and once he started on empaglifozin, which is another sglt2 inhibitor like dapa, he is doing significantly better. 4 months now and still alive.
Brilliant sir greatly impressed.
Thank you for this information. I have recently been prescribed Entresto, and it has been a game-changer for me. Very quickly too. I will keep the name of this new drug on hand to discuss with my cardiologist in the future.
My cardiologist has recommended for me to switch over to Entresto. Could you expand on your experience; in what way was it a game changer for you? Thanks.
Natural supplements can also significantly increase ejection fraction in patients with HF. CoQ10+D-Ribose+L-Carnitine+Magnesium Taurate to increase EF taken along with Boron to reduce inflammation and C Reactive protein by up to 40%. Consult with your physician to get clearance especially if you are on blood thinners.
@It's Highway Time Yes, I also add in the acetyl version as well to help with the brain. Dr. Sinatra is definitely the go to doc when it comes to HF and he has documented studies on the supplements we mentioned.
@It's Highway Time I've tried R lipoic acid and always makes me feel sick. After doing some research some docs say it causes a release of toxins and you have to use a binder with it or the toxins can float around in the bloodstream and cause adverse effects and/or the toxins get reabsorbed. Have you ever heard of that?
@It's Highway Time My doc said I had high levels of lead and arsenic so more than likely why I felt like crap when taking the R lipoic acid.
@It's Highway Time Yea, doc put me on a product called Blackbox by QuickSilver and I took it for 30 days. I told him I wanted to try the sauna for 30 days as well and then retest because honestly I don't feel too much a difference after the Blackbox. Still lightheaded, dizzy, and waking up 3-4 times per night. Been going on for the last 6 years. I've also just recently increased my caloric intake and good fats to see if that will help with sleep and being lightheaded. I think my caloric intake was too low because every time I would exercise it would get worse. Just started the increase a couple of days ago. I'm in the health and fitness business for the last 27 years and know a ton about the human body but this has been throwing me for a loop for the last 6 years along with several other doctors I've seen because other than the heavy metal toxicity all other blood markers are perfect.
@It's Highway Time Yes, doc wanted to do IV chelation which if I am not mistaken contained EDTA. I was a little nervous about it so wanted to try the blackbox instead. Now I will do sauna and then if blood tests still show high metals I will more than likely do the IV chelation. Dr Garry Gordon has a vitamin C formula that contains EDTA, but my doc said it would take years to get it out of my body compared to IV chelation because it takes so long to get the lead out of the bones. Frustrating for sure.... Appreciate your input.
Dear Doctor. When I saw the title I hoped that you had good research on diet and lifestyle, not new drugs. Have you seen Ivor Cummins research on the links between sugar and carb intake, and CVD, diabetes, cancers, and alzheimer's? Ivor has a wealth of great information and is well worth listening to.
Always a pleasure to listen to doc Gupta...
I'm due a consultation from my cardiologist. I will mention Dapa. My EF is 39. I'm on beta blocker but no Ace inhibitor. Great education..thankyou...
Me too. On a blocker but no inhibitor. Good luck🙏
I am a healthy 65Y man and yet very happy to have listened to all your videos and specially to this new video that brings the news of this hopeful medicine. Kindly prepare some videos in the future on how to stay healthy
I note that Dapagliflozin is contraindicated when on a low salt diet yet a low salt diet is recommended as part of my heart failure management plan. Something to consider when assessing this new drug.
I turned down taking this med because it’s known to cause UTI’s and genital worts, May I ask if you feel any better for it? Hope you’re better.
Are you referring to dehydration and sodium excretion as a byproduct of taking an sglt2 inhibitor? Because that’s a help for heart failure patients many of whom also develop type2 diabetes. Dapagliflozin - farxiga, jardiance etc are not contraindicated when on a low salt diet
@@nellab5314 rare genital infection yes, possible uti’s yes, not genital warts which is an std
@quacker998 apart it’s all stated on the leaflet, those on this drug since my question have all confirmed genital warts and have had numerous problems to the point they had to stop this drug, it helps one problem and causes others. No thanks
Doctor, please include the names of the medications you mention in the description of the video.
Dapagliflozin
@@limmoblack in America sold as Farziga.
Dr Sanjay: would you do a video on how to improve ejection factor with diet and exercise. I am not fond of meds as almost all have intolerable side effects, for me. I've been on my own heart improvement regimen with exercise diet meditation and prayer and deep breathing and can now walk for an hour at a brisk pace most days, after being exhausted after a 20 minute walk. The vaccines greatly worsened my heart health. I listen to your channel every day and wish you were here in the USA. God bless you and thank you!!!
Hi Jill I am also trying to avoid medications. And incorporated a few supplements with life style changes.
I’m just watching this informative video now. Are there any updates, Dr Gupta??
WOW! What timing to come across this video! Feb 10 guy goes into cardiac arrest, shocked 3x, brought back eventually 3x. (Told died 10 mins, 5 mins and a few minutes) VT (V-Tach) for 7 hours, plus awake, alert, responding by eyes open or a hand squeeze or slight head gesture, during the entire ordeal. Both ICU doctors verified what they were seeing was real ie monitor alarms/readings vs patient status. They'd never seen such. At hour 4 the hospital ICU doctors reached outside to a cardiac electrophysiologist who specializes in treating rhythm disorders of the heart, and by hour 7 he was out of VT, because those doctors were told to reverse SOP for heart attack patients. They did a take down and it worked. In a couple days the breathing tube (in this non-aggitated calm 61 year old patient) came out, and in which a balloon pump was put in through groin by cardiac cath lab. They've done double testing to see if he is a candidate for open heart or stent placement / (pacemaker). He is a diabetic (hyperglycemia) with pretty normal Blood Pressure, except for new USA guidelines along with added white coat syndrome which occurs with every doctor except his Primary Care Doctor. We are still awaiting careful Thoracic Cardiac Doctor decision on what the end result will be to rectify his issues, as 6 days later it is still undecided, but hoping for something concrete in the next couple days. After all that, I have done a lot of reading on the studies associated with Farxiga / Dapa-hf and Entresto, of which I've never heard of until your more than informative videos! Thank you for that! But, wondering if anything "new" could be beneficial in respect to the prior mentioned person, that we could talk to his cardio or endocrinologist about, in future?... (Heck at this point they are considering stent, but I think why wait till something happens again and you are perhaps 20 years older and in worse shape, so why not be done with it and have the open heart since the main artery was 100% occluded and the other 2 nearly as much again. I think the number 55 was for the main and 40 was the other two which actually created Collateral Circulation (amazing I must say)! / Arteriogenesis / Fluid Sheer Stress. Patient guessed could have been 1.5 yrs since was heart cleared for last surgery. Fascinating! I'm trying to recall the number count by those whose care he was under at both facilites and stated they had no idea why or how he could even be alive, let alone functioning normally without current impairment. Astonishing journey this week with this person. Hoping the future outcome proves impressive. There were several not so great things but I think the worst was being in VT so incredibly long which I am quite sure had to have had a significant further impact on heart quality which was already obviously somewhat diminished. Almost shocking really!
Thanks for the update and show you are caring (a rare quality these days)
Just an idea, have you looked into blood profiles of heart failure patients you are treating to see whether any raised markers for pre-diabetes or insulin resistance or hypertriglyceride status?
This video would indicate that the root cause is Heart Failure patients that benefit from this use of this game changing drug are consuming too much glucose and therefore, rather that taking a drug they should go on a low carb diet and do moderate exercise., like going for walk after each meal to burn up some of the glucose consumed during the meal. Cardiologist like most medical specialists got to where they are because they are great "rote learning machines", not because they are good at problem solving.
Tony that is exactly what I was thinking while watching this. However, I am staunch fan of Dr Sanjay Gupta; his reliably thorough yet concise honest presentations far surpass any cardiologist's communication that I've actually seen in clinic.
If most people could easily control themselves including their appetites readily in this world with pockets of plenty, the world would be inhabited by a different species, one perhaps more Swiss- or Japanese- like.
Certainly not like me, my family, my friends or neighbors or countrymen who eat heartily just waiting for the famine
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Bingo!
Thank you Sanjay so caring, a true professional
Thank you so much for this ray of hope. My husband takes ramipril, bisoprolol, epleronone and amlodipine but he suffers from breathlessness and fatigue. His heart failure symptoms worsened significantly six months ago after a fall which resulted in a subdural haematoma. I wonder if you have ever come across a case of this happening.
- ubiquinol supplement
- d3 k2 supplement
- magnesium
- eliminate sugar and salt from diet
- take daily walks
Thank you AP. D3k2 sounds especially appropriate as he also has a severely calcified artery (LAD) and is waiting for a stent, which he can’t have just yet as he would need blood thinners first, which his neurosurgeon won’t allow yet because of the risk of another bleed on the brain. Thanks again.
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Hello there!! Love your videos and magnesium!! Thanks again for the information. Vegas Fan.
This is great news. Sadly too late for my dad who passed away with this a year ago but great there are more options for CHF patients currently suffering this horrible illness.
So pleased to see this video because my cardiologist at Barts has just put me on dapa. I picked up the drugs today for the first time. Excited that my doc was so on the ball, and also I’m at the cutting edge of new treatments.
How are you getting on with it ?
@@bricktop6402 Fine. It may well be a coincidence but since starting dapa, I’ve shed a lot of weight, and lost three inches off my waist! Who knows if it’s linked?
@@martshankleman oh well that can’t be a bad thing. What other meds are you on ? I’m also on Entresto , amiodarone and blood thinners oh and bisoprolol I’m quite hesitant with new meds but this has positive reviews
Love these videos please keep them coming Thanks
Thank you so much. I am going to see a cardiologist. I’ll let you know. 🙏
An amazing video doctor. You give hope to the hopeless. I have a cardiologist who is very funny. Not really worried bout what happens to patients. I am on entresto. Boy, the side effects of that medication on me were challenging. Drops blood pressure very much. Abdominal pains. Just pains in your back arms neck dizziness etc. I told her and she said everyone who has heart failure like yours feels like you do coz the heart is bigger than normal. Asking bout the side effects of entresto there was no answer. I hope most wont be like me. I cant even take the recommended 1g vit C, vit D 50000iu and zinc 50mg to help my immunity because I did and the blood pressure further very very low and am very dizzy.
Am on Entresto as well the side effects are a challenge to deal with.
Correct!! It causes low blood pressure, dizziness, diahrrea and some more effects. Doctors swear by it that this medication is the top notch for heart condition.
Only time will tell with the side effects.
Much blessings 🙏 and be well.
Dr Gupta, I am chemical sensitive and meds like Corey give me TIA's. BP meds caused me to pass out within 15 min after taking. Because of this I have to find alternatives, but doctors insist on making me suffer rather than to work with me and my alternative physician. How would you react and help me?
Thank you for the information, regards
What wrong with coq10, ribose, taurine with no side effect
It would be helpful to have the name of the medicine spelled out. I have no idea how it is spelled. Also I would like to see the study you are referring to; can you provide a link? Thanks.
Would you please spell out the medication you talking about.. Also this week had echo- normal sinus rhythm with biaterial enlargement and ST andT wave abnormalities. He says one of bottom chambers is doing extra beats. Did prescp of
Diltiazem HCL ER Coasted BE 120 CP24 I think its for high blood pressure. Would this clear up the extra beats, Thanks
Dapagliflozin
Meldonium
Leona Owen diltiazem is a calcium channel blocker which does lower blood pressure. But it also slows conduction through the AV node and bundle of HIS, so it will slow your lower chamber contractions. It can definitely stop or slow the extra ventricular contractions.
@@bimiup1 thanks much for reply
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Hello Doctor,
Please update the Dapagliflozin information with explanations of WHY it works for CHF patients who do not also have diabetes. If the method of action is by washing out glucose from the bloodstream then why is is this beneficial for heart patients ? If blood glucose levels are not an issue for us would Dapagliflozin reduce blood sugar to a dangerous level ?
Exactly
Hmmm seems to me that the solution would simply be not to consume any sugar, if what you're saying is that this new medicine flushes out glucose from the body.
That's because there's no money in not consuming sugar (and carbs in general). Actually, the complete solution (AS IN CURE) is FASTING and FASTING MIMICKING diets (like KETO) since Heart Disease is part of Metabolic Syndrome whose primary symptom's are Obesity and Diabetes.
But again, YOU CAN'T SELL FASTING.
LDL isn't bad: SUGAR COATED LDL is bad, because the body doesn't recognize the LDL anymore (lost it), and can't use it so the body makes more LDL:
Where do you think all that lost LDL winds up?
York Cardiology is only in it for themselves. They should move to the US and stop destroying the UK health system.
This is a video by the guy promoting FASTING explaining why people like York Cardiology pushes meds: ua-cam.com/video/z6IO2DZjOkY/v-deo.html
Eat once or twice daily
@Axel Just like exercising increases cortisol.
Great information
Im a 56 yr old active male and have had two heart failures in the last 3 months 1 month apart lVOTO 122mmHg gradient
They are talking Campzyos, alcohol ablasion, or septal myeptomy for treatment
Im down at the mayo clinic for a sexond opinion as i type this!
Brilliant and Much Appreciated. Thanks so much Dr Gupta, you're a gem
Is This The Same As Empaglifozin ??? Thanks !!!
Obviously, you have to be good at tongue twisters to be a Cardiologist!!😀 Great informative video, thank you.
My husband had chf, EF 40%, was on lisinopril cardiologist switch to farxiga, he’s not diabetic but had side effect of burning sensation on urination, so he stopped it then was switch to entresto the lowest dose he was ok for 2 weeks but on the 3rd week, he has a lot of muscle pain, 8/10 scale n severe bronchi spasm coughing so he called the cardio n stopped the meds for 3 days now after 3 days switch back to his usual lisinopril
How would dapa affect your sugar levels if you are not diabetic?
Sadly my father developed CHF a few weeks after getting his second booster. He was walking 4 miles daily and now can barely walk 1/2 a mile. His cardiologist surprisingly hasn’t mentioned SGLT inhibitors. We see him in a week and I will definitely bring it up since dad is only decling on metoprolol, lisnolpril and amlodipine. I’m praying the SGLT works.
Question ... "second booster" of what ... a Covid 19 vaccine, a seasonal flu vaccine, shingles vaccine, or?
Thank You!
Thank you! i wonder if i can get this in Ecuador?! I am not ready to get on loads of meds, or surgery.
My father is a heart failure patient, doc said nothing much can be done, just wait God to call him, thanks for ur recommendation, I have bought the medicine for my father, regardless of the result I would like to said a big thank to u
Name the 💊 medicine
Doc there are reported side effects of the gliflazines to pancreas, kidneys etc not to mention severe thrush, can these drugs be taken as a preventive measure for patients with none heart failure ?
I am on dapa entresto eplirinone and Ivabradin for a year now and he’s restored me to normal and my heart failure with reduced ef has reversed its miraculous I’m in my 50s with lv cardiomyopathy
Wow!, thanks to the Lord. You are also one of the positive testimonies reversing HF.
God bless you doctor
Great information..gd job!
Thank you for this Dapero?
Very important information. Thank you Doctor.
I was diagnosed in June 2022 with left side heart failure probably due to the medication I was being given to treat the after effects of covid depleting my steer of vitamin B12.My EF was 21% ie severe heart failure. I was put on dapiflagloxin and other medications along with eod B12 injections. My EF is now 41% and the chambers in the heart have returned to normal size.
The downside of Entresto is that it raises blood sugar so every time I have a blood test I have to explain to the GP that ‘ No I don’t have diabetes . It’s the medication I take’
My dad has 50/55% left ventrical. He is on Furesimide, 3 tablets, spirolactone, and a few others you mentioned. But he can loose too many salts, his are 1.32. His legs are big and his feet, can't get shoes on. He had to go to hospital in April to have water drained off him as it went to his groin area and up to his chest. He isn't too bad now, but the swelling is still there on his feet/legs. If he takes too many diuretics then it mucks his kidneys up
Doctor, you either missed Eplerenone mention in your talk or is it that it is not considered useful now.
I’m in Northern Ireland if just been put on dapa and entersto doing well
Great video I have heart failure with reduced ejection cardiology have recommended dapagliflozin are the side effects bearable
Very very good but please can you name the tablet of sglt2 is it jardiance or invokana please explain
Thank you for doing this video.
Nice informative video' ' Thank You Doctor''
Diabetes type 2 is linked with heart attacks, insulin resistance, inflammation, heart disease, plaque build up in the arteries. Is it possible that people suffering from heart failure may be suffering also from direct side effects of Diabetes type 2. It is now very well proven that a low carbohydrate diet, high good fat, no sugar, no vegetable oils diet will reverse diabetes and the high levels of glucose and insulin that cause so many other health problems! Thank you for discussing a pharmaceutical drug that shows incredible promise for patients that will not eat a healthy diet or those that have done so much to weaken their heart that they may have a chance at some semblance of decent heart health. Thank you for sharing your incredible knowledge with us on You Tube!
DAPA-HF? Is it additive in combination with entresto?
Thx for the video
It gave some positive thougts
great news … thanks for sharing it!
Thanks very much.
Do I need this drug? My chest X ray says: Aortic Atherosclerosis is 170.0, so how bad is that? Is there a chart that shows what that means? I have eleminated any supplements with calcium phosphate. Is it too late?
So to access this drug, would it just be clinician awareness when getting to use the drug for heart failure? As it’s already approved for diabetes, I think it’s called “off label” prescribing in the US when you use an approved drug for a condition or age group other than what it was intended. The doctor has to state it is medically necessary.
Thank you. We need knowledge and you bring us hope.😊
I used entresto for 2 and half years very expensive even with insurance and it didn't me any good still my EF 25 I will try the dapagliflozin hopefully it will work thank DR
THANKS VERY INFORMATIVE.
Thanks sanjay your a legend mate bless you 🙏
Doc please write all medication names ..
So Informative thank you! My brother has heart failure so I try to stay educated on this illness. 😊
What is the symptoms before heart failure for ur brother?
Metabolic cardiology google it
Arsath Ahamed shortness of breath. Fatigue. Swollen legs. I hope this helps 🙏
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That was a wonderful video. However, I would recommend working on your graphics: put up the names of the drugs, etc., that you are referring to as you speak of them.
💕💕💕 I'm taking 88 MCG. Levothyroxine every morning. On my last visit to the doctor's office, I was asked (when he was headed out the door) if I've ever thought about stopping this medication because my latest test shows my thyroid is normal. Question: Under the circumstances, could this medication be the cause of my heart palpitations at night? 💕💕💕
Dapagliflozin was first approved by FDA in 2014. There are risk factors and side effects and it may not be the best option for some heart patients. Ask your doctor about Entresto if he hasn't already prescribed it instead of Dapagliflozin.
Can you write the name of this medicine so I can tell my cardiologist please 🙏
Why did they include people also on ACEi in the PARALLAX trial? That's gonna have a negative effect, no? what are they afraid of? why won't they direct compare to valsartan alone?
Foxglove flowers are medicinal for the heart apparently, but is their scent or smell beneficial too?
I have LVNC and just got diagnosed with HF