The 3 things that can go wrong with the heart
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- Опубліковано 28 чер 2024
- At first glance, the subject of heart disease can seem exceptionally complex - consisting of several different conditions, medical jargon and very scary sounding terminology. However when we really examine heart disease closely there are in general mainly 3 things that can go wrong with the heart and cause harm and if we know this then we are able to firstly understand the different conditions better but also get our head around why certain tests are done and what they tell us. This is important because there are many unscrupulous professionals and organizations which will offer expensive heart health tests which really dont tell us very much but other than cause unnecessary anxiety. I will go through these three things and the tests that give us insight into them.
First and foremost, the heart is a pump and its job is to deliver oxygen rich blood around the body and to our vital organs. If the pump is unable to pump blood out (either because it is defective or because something is making it more difficult to pump blood out in some way) then less blood goes around and this can damage our vital organs and be dangerous.
Common conditions that can cause our pump to become defective are:
A previous heart attack - a heart attack means that a part of the heart has died and therefore, the pump has in some way become weaker
Heart valve disease - if our heart valves are abnormally narrowed then they make it a lot more difficult for the heart to pump blood out. If our valves are leaky then again, a smaller volume of blood is effectively ejected because some leaks back
Cardiomyopathies - if the heart muscle itself is defective in some way then that makes it weaker. This includes conditions like familial hypertrophic cardiomyopathy, familial dilated cardiomyopathy etc.
Infections and inflammation of the heart eg myocarditis will cause acute inflammation of the heart and therefore may compromise the pumping ability of the heart
Conditions such as high blood pressure will make the heart work harder and as it does so it will become more muscular. As the heart becomes more muscular, it becomes stiffer and therefore does not fill with as much blood and therefore pumps less blood out. This is termed as diastolic dysfunction.
So what tests tell us about the heart as a pump?
Echocardiography - We can use ultrasound to visualize the heart and look at how well it pumps. This is crude but is easily available and gives us a good basic visualization of the pumping abilities of the heart. A more sophisticated test would be an MRI scan because whilst on echo you will get a general overview.
MRI has much better spatial resolution and therefore you can even detect smaller areas of abnormal or reduced motion i.e. damage. In addition, MRI can actually characterize abnormal tissue and tell us whether the areas of the heart that are not moving are due to inflammation or scar. The problem with both these tests are that they study the heart at rest and sometimes abnormalities may be picked up only when the heart is stressed and therefore combining these modalities with a stress test can be even more helpful and by far the best form of stress is exercise.
Hence to my mind a really good way of assessing the heart as a pump is a test called an exercise stress echo. With this test, an echocardiogram is done at rest to study the pumping ability of the heart. The patient is then exercised on the treadmill and once peak stress is reached, the patient is taken off the treadmill and the heart is studied again by a repeat echo and the pumping function of the heart at rest is compared with peak exercise. If the heart looks strong at rest and gets even better at peak exercise then this indicates that the heart as a pump is strong.
I hope you found this useful and I would love to hear your thoughts.
I recently had a coronary CT angiogram because it was thought I had plaque due to ongoing chest pain and shortness of breath etc and an abnormal stress test. It turned out it wasn't! it found that I had a defect from birth called a myocardial bridge. it explained soooo much of my suffering my whole life since I was a kid nobody believed me when I complained of chest pain. I couldn't run and play sports like other kids. I so so wish that I would have had that test years ago but I am thankful to know about it now. Better late than never
Again an incredibly useful explanation by a very warm and caring doctor.
Just from watching 3 of this man’s videos Ive concluded that, 1) he’s extremely knowledgeable and passionate about his area of study. 2) He thinks unconventionally, and has extreme attention to detail which cause him to look for things your average doctor wouldnt. Which indicates his brilliance. 3) We must protect him at all times LOL jk but seriously & 4) He deserves more recognition should be considered for a Nobel Prize.
Thank you Dr Sanjay , I have a phobia about my heart, the tone of your voice and you smiling is reassuring. The first time I saw your video come up I was afraid to watch and I got enough courage to watch you. I found out you were not here to frighten us , you wanted to educate us about our heart’s. I know all of us would love to ask you questions but I know there’s no way, you could do that. Thank you so much, you have really help me.
I’m thinking the same thing as you! I thought I was alone in my fear! He really has such a good manner!
No you are not alone, my heat started bothering me when I was 18yo. The doctor would give me a nerve pill. I was at work one night and my heart I guess it beat so fast, I put my hand over my ears to hold back what I thought would be blood coming out of my ears . I kept working. When you have your heart bothering you though the years, racing, fluttering, skipping , go to sleep and you wake up during the night with your heart racing and you you are thinking is it going to slow down or is this it . I’m so sorry you are having to go through this thing, if someone doesn’t have problems with their heart, they don’t understand. I have had people to laugh at me when I was having an episode. These were people that was related to me, it hurt my feelings but I didn’t say anything. I pray 🙏 God will bless you and what ever problem you are having He will take them away and give you complete healing.
Love this doc!
Excellent and very “useful” information as so many of us are at the mercy of trained rather than educated physicians
Thanks again. You're, by far, the best youtube doctor I follow. Most are selling something and just churning out videos for views- that, and they're often not even real doctors, they're DC's. You're none of that and you deliver information concisely and easy to understand.
May God bless you Dr. Sanjay. You have a BIG HEART especially to us who really needs to be enlightened. ❤️ You're really an angel 😇
Excellent as always. This is a Dr that makes a huge difference in many many lives. Bless you Dr Gupta...
I always find your explanation of things very calming 🙂
Your videos provide far more knowledge than any of the Drs I’ve seen in the past year.
I get heart palpitations, SVT & SVE. They have now concluded it’s mostly anxiety after only one halter monitor test & one echocardiogram. Yet this happens on the slightest bit of exertion or after eating, so gastro related. But cardiologist isn’t interested in my opinion or in my symptoms. Basically told me to read some self help books and do yoga. Instead of looking for the root cause, they rather brush me off because I’m still relatively young (38).
Why can’t they be more like this Dr Is beyond me.
@shahzaib hassan who are you asking? You put your question as a comment to someone else's comment. And sincerely , noone will give you a dose for a beta blocker here on UA-cam. It's dangerous to listen to other people's opinion. You must ask the doctor who gave you the beta blocker. Take care 🤗
I get palpitations too and have for many years. Mainly from panic attacks also but I can't drink alcohol hardly at all anymore since that makes it worse and I walk daily helps to calm my whole body down.
Ummm yeah, 38 isn't relatively young, it's young, period! Stop trippin and relax, when you're older than 55, THEN be a bit more concerned! But of course, take care of yourself along the way! Eat and sleep right, stay active, etc.
Thank you for this streamlined information. It helps me to focus on which tests to get and for what reasons. You are a good teacher for us laypersons.
I had an echocardiogram and a nuclear stress test. I’m scheduled for an angiogram in 2 weeks. My cardiologist has my permission to place stents as needed. He said that if is found to be too complicated, I will require open heart CABG. So, I’m praying that it will not be complicated. I am learning so very much by watching your videos. Thank you! Best wishes 🌸
Hope you receive good news!
God bless 🙏
Blessings to you.
A whole food plant based diet can reverse heart disease
@ Patricia 🙏🏼 youll be fine and need further invasive surgery. 💐
Thank you for your realistic, calm and knowledgeable videos.
Everything I've learned about the heart, I learned from you, Sanjay. Unlike you, I can't remember it all so I have to listen to your videos time and again. That's why they're so valuable. Thank you for recording them for us! I hope they profit you in some way and at least get the recognition you deserve.
Hello 😊 how are you doing today?
I was diagnosed of Atrial Fibrillation & Ventricular Tachycardia in 2017 & my Cardiologist implanted an ICD. My very first shocked was in August 2021 & I was so scared because it was a strong jolt on my chest. Went to ER Changed some of my medications because I was complaining of discomfort like dizziness, lightheadedness, constipation, etc. I got shocked again last July 1 twice and went to ER again & I was positive for Covid-19 went home to 10 days quarantine. My ICD keeps firing me. Went to ER 5 times last July & 1 in August. During my stay in the hospital they increased the dosage of my Sotalol 80MG 2 tablets 2 x a day, added Metoprolol 25 mg 1 tablet 2 x a day and Ranolazine 500mg 2 tablets 2 x a day for angina or chest pain. I'm also taking Dabigatran (Pradaxa) 1 capsule 2x a day for blood thinner but I was suffering from lightheadedness, dizziness, constipation, my adrenaline was so low all I have to do is lying down on my bed the whole because if I move to do some household chores like washing the dishes, watering the plants, sweeping the leaves on the yard, get dizzy especially when I bend to pick up something on the floor, taking a shower, brushing my teeth, or sponge bath myself or assembling my niece's toys I get shock with my ICD. I walked like an old man and using a cane because I'm scared of falling down, I fell down one time inside my house. So, from August of 2021 to October 1, 2022 experienced about 15 to 20 shocks of my Implantable Cardioverter Defibrillator. I called my Cardiologist and told her about my situation and she said go back to ER and will switch Sotalol 80mg 2 tablets 2x a day to a new medication Ticosyn 500mcg 2x a day. I went to ER October 5 and they slowly taking off the dosage of my Sotalol 80MG 2tabs 2x a day to 80MG 1tab 2x a day unti it totally wash out of my system and waited for 48 hours to start Ticosyn 500mcg. So, today (10/09) it's my first time to take the new medication Ticosyn 500mcg and they're monitoring me closely if something or feel any discomfort but as of now I try to walk around inside my private hospital room but I'm feeling just fine. It's been 2 hours since I took. Hopefully it will work well or control well my heart conditions AF & VT. My Cardiologist said that if it's not working to control my Ventricular Tachycardia & Atrial Fibrillation then I will get an Ablation. I know it's just a procedure but I'm scared but I've been to many procedures already like they Implant my ICD and cut my wrist for stent (got removed because they found out that there's no blockage on my arteries). Dr. Gupta would you recommend me to get ablate if the new medication will not wotkout? Hope you can answer my question asap! Thanks a lot in advance. I enjoy learning new things from you to all videos. More power to you!
Such generosity to take the time and trouble to impart this valuable information in a way we can all understand. Thanks again. It's not only information these vids also provide reassurance and/or awareness so they're also therapeutic.
This was very informative, interesting and explained in a way that is easy to understand. Thank you.
Finally, the best explanation of diastolic hf I've gotten. Extremely helpful. Thank you so very much!
Brilliant explanation and given in terms non medical people like me can understand. This is a great public service by a kind man who makes time to educate us. Thank you.
I so appreciative Sanjay of your no nonsense approach to reversing heart disease addressing the cause of problem instead of bandaging the symptom.
Updating from previous comments. 7 years ago I started a high fat 20-25 carb diet with moderate protein. At the time I had 2 arrhythmia’s/regurgitation of aortic valve, hyper thyroid, depression, lethargy and memory glitches with names and words. My BP was up and down “labile”(35 years for BP) . After 2-3 years my arrhythmias, are gone thanks to Sanjay’s saying deficiency of magnesium causes problem, so I added magnesium and no arrhythmias. Easy way to know if taking to much magnesium, you just get diarrhea so cut back. Six years ago my echo cardiogram 2018 showed only a trace of regurgitation. Cardiologist had previously told me no diet would fix an old valve I am 76 yrs. Well he was 100% wrong, in 2022 I am happy to say my echocardiogram showed valve is normal… my hyper thyroid normal, my cholesterol was 240 but after a year of taking 2000mg of niacin my cholesterol was187 high HDL low triglycerides. In 2022 =190. ALL BLOOD TESTS NORMAL, no kidney or liver problems. The only lingering problem was unstable BP, so after listening to HUBERMAN on alcohol on utube. I decided to 100% cut my 6 oz glass of wine 3-4 times a week out.
Wine does lower my ketones. But it was my one perk since I don’t eat surger starch etc. on keto. Well after huberma impacted me I eliminated wine and results were my energy level doubled, my brain seems clearer and overall it helped my well being.
FYI
I weigh 120 lb and 5’3” 77 yrs in May. I shuffle/walk 2 miles a day do 15 knee push ups, lift /12lb weights for shoulders, and once a week deep muscle exercises and kneeling I do 20 times lifting buttocks so I can get up out of chair LOL. I am so much better than @70 yrs but I Do NOT let my internist or cardiologist manage my health. I use them mainly for blood tests and other tests so I can evaluate any changes. And I do research. If my BP goes up due to stress. I have lisinopril /ace inhibitor for my BP if it goes up to 180+ I take For emergencies, my doctors know because in 35 years if I take meds for 30 days straight they all stop working. But eliminating wine 100% and sugars etc seems to really be helping. My BP rarely goes over 140/85/90. Hope this helps those who want to live without being a zombie to pills.
And thank you again Sanjay and others who helped me change my life style and feel fabulous. ❤
Dr Gupta, can you please address the issue of increased troponin levels found in some patients after receiving the covid vaccine.
Thank you for all your very informative videos.
Excellent information! I got a Calcium CT Scan showing the condition of the blood vessels in my heart. As you said Doctor, it is one of the most valuable tests to see how the heart is. It is not an expensive test.
Why aren’t there more doctors like this in this world ♥️🙏🏻
Follow the $ trail.
All the info you deliver to us thru your videos brings me a lot of comfort to me. A great big THANK YOU.
Thank you, your very much appreciated. You give your time and energy to these videos and I can see you care very deeply. From that frequency of caring and love will return to you in many different ways. Once again thank you 🙏🙋♀️🇬🇧 I agree with many others who say they have learnt more from you than anyone else
I’m honored to have the first like. At the moment I’m outside running wind sprints. When you’re notification came up on my phone. I wear my Fitbit. Watching and working my zone and cardio minutes! I’m going to be 63 in December. Resting heart rate of 59. Thank you for the valuable info! Correction I guess I’m the second like lol
Wholeheartedly agree! My husband and I did the Coronary calcium scan mine was 80 his was 607, 66yo and husband 71, we have been doing carnivore for 11 months but now he's been diagnosed with coronary heart disease and has been out on eliquis and cholesterol lowering meds. Thank you Doctor your videos are comforting!
Hello 😊 how are you doing today??
You are great. Thank you for coming back. 😊
Hello 😊 how are you doing today?
Please continue to share your knowledge and wisdom. It is your videos that have given me the confidence to take control of my health! Thank you so much.
Yes, l agree he should get a noble prize in helping us about our hearts number one Cardiologist. He deserves a Noble prize. Thank you Sir for your excellent explanation about heart. God bless you always Sir
Great video and thank you. Hope your dad is recovering well 🙏🏿
Another helpful contribution, thank you. I hope that all goes well with you.
Thank you for explaining things in clear detail ,it does make a big difference
I am very glad that you are making new videos!
Excellent, Informative, and Useful cardiac explanations---as usual from the best Consulting Cardiologist in York as well as Globally, imo.
You are a fantastic teacher! Thank you and God bless!
I have learned more from you than the docs I see. I have a pace maker and wonder if there was another way to go, if only I knew more. Thank you for this channel.
Thank you for explaining this so clearly !
Thank you for much needed information.
Excellent video as always,very informative.Thank you.
Thank you so much for your educational presentations!
Fantastic info !!! they should be more like you keep up the good work 🙏
Extremely useful and reassuring information about the heart. Thank you for this and for sharing your expertise with us so freely. Best to you!
Life expectancy must be plummeting in this country, the way the NHS is functioning now.
Too many people in UK and a service that has contracted.
Thank you for your reassuring information.
Thank you so much, Dr. Gupta!
As usual quality material delivered by doctor.
🙏
Thanks for the information, appreciate it!
This is so very very helpful. Thank You.
Thank you Dr Sanjay for much required information, it’s relevant and very helpful. Thanks 😊🙏
Thank you very much for the useful & valuable details.
Having my tests and evaluations next month at UC Med. You have just empowered me with info and vocabulary even though similar info is on my referral. Found your videos recently and you are a godsent.
Thanks again another insightful video
Your statements make sense. Even more sense because of your impeccable credentials. Thank you for sharing your knowledge with us.
you never fail to amaze us doc
Well explained ! Thanks !
Thank you for sharing your brilliance and caring heart with us.
congratulations for your excellent video Dr!
Really useful information. Thank you.
Excellent video. Thank you so much for sharing your knowledge. You explained it so well! I am a RN returning to practice after several years and trying to refresh on the heart, as well as many other common conditions. Feeling more confident after watching some of your videos!
Hello 😊 how are you doing today??
Thank you so much. I have watched a lot of your videos and have learned a lot. You seem such a kind and caring doctor, I wish there were more like you. My interest is for education and I have a friend who has A. F.
Once again thank you and keep putting it out there.
Thanks Dr Gupta
Thank you so much.
Thank you, You explain things so well!
Thank you so much ! Great video
You are by far the best cardiologist on internet. Thank you
Very reassuring. Thank you.
Thank You Dr Gupta this is excellent information.
Thanks doctor, really really excellent information
Thank you so much good sir for your time in sharing your knowledge...
💙Super helpful dear doctor Gupta..thank you. it has made me feel less anxious... my understanding more clear..you do help so much.
I can not even see the end of the beautiful ribbon of your good council.💙
Great advice!
Many thanks Doctor your a godsend,terrific heart information
Thank you very much.
Dr. You are heroic for Many,because knowledge is power.And Less is More👌❣️💝
I love your videos. You are a wealth of knowledge. I have a troubling question which I hope you can answer. I am 66 and have had 3 calcification scoring tests done in the past 10 years. All have come back 0 calcification, except this past one a few months ago. Scoring was very low, and showed 3mm of plaque build up in the left descending artery. My LDL usually always runs over the allotted (HDL is always high however) amount no matter how I eat or exercise. Since it took all these 66 years to show any calcification, in your opinion would it be necessary to go on a statin. I don't have peace of my about that option, as I know the side effects are not what I would like. I'm just hanging in there until I can find a valid answer as to whether or not I need to be on one. I just want quality of life. Any advice from you or your team would be so very helpful . Thank you.
that was really useful and helpful. thank you
As always, great thanks for your excellent educational service. I have a question regarding the delivery of blood around the body... Is it possible to have a heart that is strong itself, but to have a disorder involving blood vessels contracting or dilating--perhaps regulatory/autonomic nervous in nature--resulting in extremity tingling and lightheadedness? Edit: Oh and also involving wide swings in heart rate and blood pressure.
My husband had a heart stress test on a treadmill at the hospital after feeling strange twinges in his chest. Whilst waiting for the results he had a massive heart attack and was saved by a defibrillator. When he was recovering he received a letter following the stress test saying his heart appeared to be fine! Maybe a false result as he is very fit and used to the treadmill, so found it easy to do
Excellent explanation thank you so much Sir
Thank you Doctor!!!
Thanks Dr. Sanjay
Thank you doctor!
Thank you for all your wonderful informative videos Dr Gupta, you have been a big help to me since I got Afib in 2021 which I have managed comfortably by following your educational talks ❤❤
Hello 😊 how are you doing today??
Ver very useful, Dr Sanjay thank you very much.
Thank you sir
An very good and informative video.
Dr thanks a lot very useful
That’s very interesting, thank you
V nicely explained 🙏
Very practical and understandable message…proactive may delay or reduce need for more reactive tertiary, invasive interventions.
Dr. Gupta, Thank you for your generous contribution of your time and expertise. I have a question for which I haven’t been able to find an answer anywhere on the Web. Would you be so kind as to discuss the possibility that excessive PVCs (say 25% to 35%) can cause angina?
Good to see your video again Sanjay. Will you be doing any more presentations like before in York? Loved the two I attended.
Hello 😊 how are you doing today?
Very useful video indeed. Couple of years ago I went through the application of two stents. It is useful to say that I am type 1 diabetes, under medications for blood pressure as well as dyslipidemia. So a quite complex situation.
Now what do you suggest in case of angina pectoris discomfort after fatigue due to exercise?
Thank you. I have a stent already and had an afib episode about 10 years ago, no Afib since i stopped drinking. Started getting palpitations recently about 7000 per day per halter. Did an echo fine, 7 day halter, nothing wrong but tried to put me on anti arrhythmic meds. I have cardiac anxiety and have reduced palps significantly down to about 10 per day or less with mindful breathing and magnesium but some are different some are 1-2 second runs that make me dizzy. This video reassures me. Im going for a stress test in couple of months.
I just came across your videos. So glad to find you!!! Thank you for sharing your knowledge. God bless you!! My husband has been having heart palpitations for the last 3 days 😐 he feels as though it goes fast and skips a beat. Few days ago he had an allergic reaction to something he ate. 2 days later the palpitations started. Can these be related?
Thank you for all your reassuring talks and your caring manner, Doctor. Do you think a calcium scan is useful to detect a problem with the heart? I had a nuclear stress test a year ago and I’m wondering if you think that is a good indicator of cardiac problems. Thank you for all you do. P.S. Bluebell is so adorable. I once had a cat named Bluebell!
Oh my word. I’m an old Granny and you could deliver any sort of bad news to me from that sweet smiling face of yours and I’d be okay with it. Yes, very useful information. Thank you.
Thanks for your helpful and insightful videos. I have poor muscle function in my right ventricle. I would like to start and progressively increase cardio activity so my body can better utilise the blood and oxygen. What is the best and safest way to do this? Or is it best not to put the heart under any stress in these circumstances? TIA
great sir