I have mitral and tricuspid regurgitation, a congenital murmur, sinus tachycardia, a couple of times heart went into afib, and low blood pressure. I am 41. Never smoked any tobacco, never took alcohol, never touched a drug. I manage with a healthy lifestyle. One day a heart doctor will probably have to save my life. If I could choose the dr. it would definitely be Dr. Gupta. He is outstanding.
Thank you for making your videos and putting them on UA-cam. I'm a 71 year old male. I have stable angina, I've had it for almost 8 years now and it was pretty bad when it first showed up. I was pretty disappointed with myself for allowing this to happen, I knew better. Instead of stents or by-pass I did a life style change, started walking (short painful walks at first but things got better and better), started riding a bike after a couple of years, lost weight (80 lbs) and completely changed my diet. I'm getting along pretty well now, ride the bike when the weather allows, my dog and I walk a mile most every day. I carry nitro tablets and use one when needed which might be twice a week or once month or I can just rest a bit and the angina passes rather quickly. Stress, yes that can set angina off with me, sometimes cold weather, full stomach, more than normal exertion, pretty typical things from what I've read. Interesting to think, my dog and I have walked a couple of thousand miles, a mile or two at a time in the past 7.5 years and I've ridden my bike at least that far and probably more. When all this started I remember seeing a big wall chart in the cardiologist's office showing how the smaller blood vessels enlarge over time to compensate for the blockages of the major ones and at that time I thought, that's what I'll try to do, so far it seems to have worked.
@@keieichsee A couple of years later and I'm still alive ! Doing the same thing, same dog and we walk the same old mile most every day. We are well known for our walks and have made several friends through the years. Yes, I still have angina and carry the nitro tabs. More for convenience now than actually need but stress will bring on my angina now than exercise. I had the annual check up this month and my doctor said there wasn't any need for blood work this year since there had been no change the past few years. I'm 73 now..... 73 and a half . Dr. Brewer has a good youtube channel and warns that many who get stents but don't change lifestyle go on to needing more stents or by-pass surgery later.
@@oldroscoe2590 A big thank you to you for sharing your experience which is most valuable to me as I was in June last diagnosed with a clogged LAD. It's a huge surprise to receive an update in a matter of hours from good people like you. All the best.
Totally irrelevant but I swear you get more handsome every video!! Plus you are an incredibly knowledgeable cardiologist and educator. You have quite honestly made my life so much better over the years (I have PACs/PVCs). Thank you for all you do for all of us.
Thank you for mentioning diet, exercise, stopping smoking, stress management. I’m hearing a lot about whole food mostly plant based diet being good for prevention of heart disease and cancer. We have such an unhealthy culture in the US these days. Everywhere I look I see so much obesity and sedentary people. Thank you for your great videos! You’re smart and handsome! I love your voice too and could listen to you for hours!
WOW. What a fine description of angina and the treatments. You are clearly a very bright, caring fellow and physician. I am the kind of patient who wants to know what the processes are that I am experiencing. At moving toward 81 and in good health, this proactive interest in my own health has been a great benefit. My docs know how I am, and they indulge me. Thank you very much, sir.
Dr. Gupta all your videos are always enlightening and easily assimilated. They are compassionate and devoid of ego. You speak to us not above us. The knowledge you so generously impart is life enhancing and life saving and for that I am filled with gratitude.
Very Well done! One of the often overlooked responsibilities in a busy healthcare practice is educating patients…without talking down to them or ignoring the stress caused by fear.
Thank you Sanjay. Very clearly explained. My angina progressed very quickly as you described from pain with moderate exercise to pain from just walking within a week. I had an angiogram and had a 97% blockage in my L.A.D. which I learnt was quite serious. I had a stent inserted. The procedure was amazing and potentially life saving. Your engine analogy was quite good. My engine was in pretty good condition but there was a fuel blockage!
@@rqjgaming I had the same problem that was diagnosed in April 2019 in July 2019 I had a coronary angigram and they found a 99% occlusion in artery 3, they came to me and said "Darren we have to do an emergency stent NOW! because if it goes you won't survive and it could go at any second", so there and then they put in a very expensive metal drug inducing onyx covered stent developed in Japan, I have to admit at 47 it caught me off guard and as they were doing it I cried like a child, it was the thought that I could have gone at any second just blew my mind. I wanted to kiss his feet after he had done the procedure for me. I knew it was bad because back in the April one day I was fine the next day I got out the car walked a small distance and collapsed in the street.
Same here, except I had a 99 percent blockage in my RCA which caused me to have a massive heart attack and almost die.. I had a stent inserted, but I was in critical condition so they put me out for the procedure, I also had to stay in the hospital a couple of days after my procedure.. I still have a 70 percent that is being treated with meds and I do still on occasion have angina, but it is more controlled now...
Thank you for explaining on the video what angina is. My doctor never told me as much as you have done and I’m very grateful to you for doing so. Thank you and may you long keep helping us all understand what’s happening to us. Brilliant video.
Sanjay, you were made for your shirts and they were made for you! They enhance your beauty and you enhance theirs. Softens (and sometimes, distracts) the technical and complicated information you're trying to relay to us. Thanks for sharing 💓!
Very good video! As a nurse, I feel that I get so much good advise here to pass on to my patients. Like the fact that modest exercise can create new collateral blood vessels. Thank you for continuing to educate us!
Thank you Your talk and explanation is very informative and practical. Nobody comes to earth 100% perfect. Be blessed with joy and happiness. Rushen,Trishen and Suminthra Oojugir Kwa Zulu Natal South Africa
This video was done 1 year ago and looking on youtube the other videos are all a number of years old. Please tell me you are ok and still practicing medicine as you are a godsend to people who recognise their symptoms only through your time and patience to explain. My best wishes to you and hope you and your family are well.
This is so enlightening. I was diagnosed with angina with my old cardiologist and he put me on all the mess you talked about. Than he said l had heart failure but it turned out to be afib. Now trying to lose weight. Since covid l gained weight and going through a divorce. You are such a blessing. Praying for your dad.
This was so enlightening. I am pretty certain I have experienced angina, on several occasions when I have not been exercising for several years, and then started to exercise again. This must have happened to me at least 4 times in the most recent 15 years. Eventually after a few weeks of exercise, I find that the pain in the chest during exercise decreases, almost as if a blockade causing the constriction goes away. And because of this awesome explanation in this video, I can now appreciate that what may have occured was the collateral creation of new blood vessels which eased the flow of blood. Dr Sanjay Gupta - you deserve a place in heaven, for the good you have done to people like me, to take away our fear and replace it with understanding, and corrective action. I have recently also resumed my Magnesium supplementation and my exercise regime, over the recent month. Now I understand so much more about what is needed to maintain good health, I will never stop these good lifestyle habits. I have also cut out almost all processed food, adding just a bit of shop bought mayonnaise to make my boiled vegetables more palatable. York Cardiology is one of the best resources on health in the world. Thank you ever so much, for this xhaustive explanation about angina and its treatment.
The Dr gave me spray today I was feeling nervous anx scared to use it! You have made me feel at ease. Such an informative calming video. Thank You very much! 🙏
Great description and examples and also what to do about it. I had an angiogram due to abnormal stress test and unexplained discomfort on left side. I was fortunate that I had no blockage but am being treated with a beta blocker and statin for high blood pressure and cholesterol . Love to watch your videos, thank you Dt. Gupta.
Aww ...I am delighted the video was helpful. I really appreciate your support:-) it’d mean a tonne if you’d consider subscribing to the yorkcardiology channel on UA-cam:-) Best wishes Sanjay
Why are you on here? Why don't you just read the paper? Dr. Gupta explains his papers for those of us that might have trouble understanding the technicalitirs.
Your videos are very helpful. By seeing your videos,it helps me a lot . Whatever fear I have , it goes away . I have angina . I get chest pain sometimes, I used to wonder whether it is reflux or chest related . Now I understand.This video has helped a lot . Thank you.
I'm 41 and was diagnosed with FH over a decade ago. I currently have unstable angina. My angiogram has revealed 5 blockages ranging from 70% to 90% on my left side so to speak. I was initially suggested CABG due to the area of blockages but requested specialised stenting instead. I am due for the procedure in 2 weeks. I am on a cocktail of medication some of which include nitrates, beta blockers and Aspirin currently which has helped alot. Please take care of yourselves folks.
Very informative one of the best explanation given .I love this doctor's analogy from this description I can now understand the nature of the angina I had recently thank you Dr .
Yeah, this is really helpful I just discovered I have LVH after some proper ECG test and I'm still very young I feel bad but with this you put out it's good for me to manage my life. I pray that I could reverse it on time just to live a good life. Thank you sir God will strengthen you ❤️
I underwent bypass surgery in Feb 2019 as a consequence of Triple vessel disease. now I have developed angina and feel uncomfortable after taking 1600 or so steps. Dr has prescribed Ranozac 500 b.d! After 2 months I don't feel like before. Please advise if I have to take any other medications. (Already taking Nebistar 5, Clopitab A 150, Tonact 40, Eptus 25) pl reply. your video, is very informative and nice.
This is a truly excellent video. Dr. Gupta has explained everything so well and so clearly. I very much appreciate this: I have learned a lot from this video. Thank you so much!
An excellent informative video. My dad was diagnosed with Angina after getting a shocking news at his age 67. He spent 7 days in the ICU and was prescribed CIPLAR and in worst cases Sorbide nitrate to be placed under the tongue. After watching your video I realize this was of course Stable Angine because he continued to live a healthy life till he expired at age 97. There was never an occasion requiring another hospitalisation or any invasive or non invasive surgery. I feel his stable angina condition never became critical and reamined as it is due to his healthy lifestyle. Walking, eating a vegetarian diet, Pranayam which is a breathing exercise, never smoked and never consumed alcohol.
Excellent informative video, well explained and explicitly presented information. However the golden question here, can Angina come without effort? Can someone have no problem jogging and working out, then out of the blues and during resting, angina pain occurs? I have been having left chest pain for a year now, it feels like a squeezing pain in the heart that is deep that comes and goes. It comes and goes throughout the year, sometimes lasting for a couple of days, lasting for seconds or minutes throughout the day yet dull pain trances remains in the background. It usually comes while resting of laying down, not while exercising. So could it be angina? could it be coronary disease related? if not, what could it be? I have had an ECG and an Echocardiogram done and both are normal. Should I get a cardiac CT scan with dye, or the chances that this pain is cardiac is far and I should just let it be and investigate elsewhere far away from the heart? I am also assuming it is not intercostal muscle pain because nothing hurts when I touch my chest and try to pinpoint the pain. it is only felt deep inside.
I do as well! They come in very sudden and it feels like a stabbing pain in my chest, shoulders, neck with difficulty breathing and I get very clammy feeling all over and this laat anywhere from 10 min to in and off for a couple hours. It truly is scary!!!! All my cardiac tests have been normal except I have PVC's. I don't know what's causing this but I would like to!
I've been having chest pains for over a year that's located on the upper chest and spreads to my upper left arm. Multiple visits to the ER, doctors office. Stress stressed, cardiac ultrasound were normal. Is it angina?
@@evasheridan9428 I believe that the only way to tell if you have any blockage in your artery is to perform a coronary CT scan. No other test shows the arteries except this one. This one is less invasive than the Coronary Angiogram which uses a catheter to enter your blood vessels to see the blockage. However, they need to use a dye during a procedure to make the images clear. As for diagnosing variant angina or unstable angina that is caused by coronary spasms which usually happens during sleep or early morning right before you wake up, it is difficult to diagnose and needs other measures and tests.
@@Luv_Exotics I believe that the only way to tell if you have any blockage in your artery is to perform a coronary CT scan. No other test shows the arteries except this one. This one is less invasive than the Coronary Angiogram which uses a catheter to enter your blood vessels to see the blockage. However, they need to use a dye during a procedure to make the images clear. As for diagnosing variant angina or unstable angina that is caused by coronary spasms which usually happens during sleep or early morning right before you wake up, it is difficult to diagnose and needs other measures and tests.
Thank you so much for ALL your superb and informative videos on the different medical presentations very precise and simply demonstrated in layman's terms. I am a stable angina patient since 2003 and have never had any problems. My lifestyle is full of continuous travel adventures mainly in India. Last year I was white water rafting in the Himalayas and included some trekking at age 80 years. This year at age 81 I went on yet another adventure in India visiting villages riding a motorcycle and had planned on gong white water rafting however, Covid 19 put an end to all my plans and I have been in Lockdown housebound for eight months, the good news I got a flight back home to the UK tomorrow. As a matter of interest to anyone reading my post, I am on Lispirnel, Asprin, and Simvastatin.
@@ferozemalik7171 Just 3 pills. I'm 81 and was white water rafting last year and went up a mountain to 15000 feet, still riding a motorbike in India. Covid has me lockdown and missing my activities which I am looking forward to resuming my adventures in India asap.
wow that last part you told 'bout formations of tiny vessels and rerouting that block, that's actually the body's very little own way and saying "i want to live some more" and like that tree forming roots 'round some concrete surroundings. i don't know how that really works but I can only imagine so cute.
Thank you very informative, I have been an enthusiastic cyclist and walker for many years, but this year my performance has dropped off, I thought it was just my age, I'm 64, but a few months ago I experienced chest pain within 3 miles of a cycle ride, since then I have been diagnosed with angina and have stopped working and exercising. Yesterday I had an angiagram with results that showed 2 arteries partially blocked and 1 almost fully blocked. I am waiting for my consultant to decide what to do next. I have been prescribed 6 different tablets to control it. I will take your advice and start some gentle exercise again taking my gtn spray with me. As a note I have been under a lot of pressure at work and as you say it could have been a contributing factor.
Perfect explanation for Angina. I don't get pain just get the urge to burp after doing exercise. I am on the mentioned Meds. Should I take Magnesium as well? If only all doctors were like you what a wonderful world it would be...
Very good video! I have a question. I know someone that has had symptoms of unstable angina for seven months. How long can they have these symptoms before something serious happens? This person is not getting any type of treatment.
Once again Dr. Gupta, thank you so much for your excellent explanations and advice. I cannot express the relief of the knowledge that you impart to your patients!
I’m just watching this video. Last night I had an angina attack and it’s now starting to concern me since hearing about the different types. I’ve had my arteries check and was told 0 blockages, I did the stress test in May and everything came back normal which is giving me the idea that I may have unstable angina. My father died at age 49 (I’m 42) from a heart attack/ hypertension. I do have extreme bouts of anxiety however when I have the angina attacks I’m usually relaxed and watching tv or in bed and it causes me to wake up. I have to sit there for about 8 mins until the symptoms go away. I guess what I’m trying to figure out.. at what point do you go to the ER.. should I just take aspirin everyday? Change of diet, I get.
Loved the video, I suffer from Princemetal angina, managed it by loosing 30lbs on a low carb diet and resistance weight lifting. Have stoped using Nicorandil and isosorbidemononitrate but sometimes use GTN spray. What are your thoughts about CAC scans to see the level of calcification in the heart arteries? Stopped my Statins to try to reduce the calcification in my arteries, have 4 stents fitted after a heart attack, trying to clear my arteries from calcium with vit D3 & K2 keeping insulin levels low going 20 hours a day without eating.
I also have Prinzmetal angina which has given me two heart attacks first aged 39 yrs and second 45 yrs old I am now 52yrs old and manage my angina with large doses of Diltiazem. Do you have micro vascular angina as well ? I do so have angina at rest.
Holly Hocks yes I have narrowing in small arteries that are too small to stent, with hind sight annoyed I did not persist bothering my GP with my obvious angina symptoms, just given a stress test and told had no heart problems, a CAC scan would perhaps saved me from the damage done by the subsequent heart attack.ie congestive heart failure
My mum and all her family had this . I am out of breath and have pain in my chest . But I have chronic asthma and arthritis . My uncle was one of the first to have a triple bypass in the UK . I may try taking pomegranate juice they day that defines your arteries .
I really enjoy your You Tube videos. There very plain and concise. And easy to understand. Wish we had more Doctors like you here in the states. But I am blessed with a great doctor. Keep up the good work . Your awesome 😊
Hello Dr. Gupta - when you have a chance, could you please explain QT Prolongation? I find it confusing and frightening. Thank you in advance for any wisdom you can share.
Very interesting, I have stable angina, and at times, I hurt but not a lot.. I had a stent procedure in 2021 in my RCA, it was 98 percent blocked. and I also have a 70 which was NOT stented and is being treated with medications..My chest is not the sight of my pain, it is more in the front throat area to the right of my collarbone and right shoulder, not sure if it is even related but that is what I am thinking is angina.. will have my cardiologist check it further on my next return appt in January, until then, I will continue to walk slowly and stop if I hurt... Have a beautiful day...
It was my stable angina, but it is since pretty much under control, they upped my metoprolol a little bit and it has helped tremendously.. plus I take the standard regime of drugs for a heart patient, which includes, of course, the Metoprolol, Lisinopril, Clopidogrel, Aspirin and Atorvastatin... but just wanted to let ya know it was in fact angina... Have a beautiful day..
I have CHF and Pulmonary Fibrosis....as long as I am sitting still, I can put my Oxygen on 2 liters but if I excerpt myself any at all especially walking my Oxygen level will drop from about 96% to 88%. At that point, I struggle to breath and I need to put my Oxygen up to 8 liters for a few minutes until I can compose my breathing back to a normal state. I am a 76 year old male. Is there anything I can do to help these issues?
This worked and is working for me. Symptoms were strangulation in the middle between breast. During walk Distance about 70 yards symptoms come on. Persistent Several weeks. Stopping, sitting & standing eased strangulation pain.(rest) Did this - symptoms ceased. Taking deep breaths slowly & holding breath 5secs exhale. 10 times- rest -10 mins rest-repeat Take 5 green limes not lemon. Squeeze the lime into a half litre mug (dispose seeds only) . Put in the lime peel core together into the mug ,top up with water & consume. Keep topping the mug with water -same lime ,whenever in thirst have it through out the day. ( 24 hrs. ) No other beverages. Same process for a week. Worked for me. Give it a go . Hope it does work for you too.
Thanks for a wonderful description, which a layman such as me can understand. With life style changes & medication (Deplat & Met XL,ofcourse without Statins)), is it possible to overcome the problem.Also, how long Collaterals take to develop to play effective role.
Dr. I am 84 year old- Female.I have lung & heart problem. With medication my BP, Cholestrol and all other parameters are good, but my Spirometry lung test shows SEVERE DEGREE OF SMALL AIRWAYS OBSTRUCTION. Very often I am getting Pulpitation, and breathlessness, is it due to lung problem? I am taking FORACORT 400 INHALER & MUCINAC-600 TABLET twice a day for lung probem. I was getting techicardia very often but after starting CALAPTIN- 40 it's better now, then why I am getting Pulpitation & breathlessness? Dr. Your videos are very informative. MAY GOD BLESS YOU, ALWAYS...
I get pain in my chest after any kind exertion even gardening but also get this at rest and it does not go away after I lay down. I get out of breath and Pain radiates to shoulder and my back and also get belching that relieves the chest pain for a bit. I also have tachycardia and bradycardia and heart block type 1. Am 26 years old and really need some advice. Thank you god bless you.
Hi Jackie. If you'd like to speak with Dr. Gupta to get some advice then please do email us at yorkcardiology@gmail.com and I can help arrange a phone or Skype consultation for you. Many thanks, Carrie, Dr. Gupta's Assistant.
I wonder, has anyone used a ketogenic diet to treat angina? From what I've learned the heart is extremely happy running on ketones and if I remember correctly burning ketones as fuel is more oxygen efficient. Do you have any knowledge of this doc?
He says narrowing is caused by inflammation so ketones should help as they reduce inflammation. It's best not to shock the system by doing carb ups though, as I expect that will induce inflammation. Take a look at the randle cycle as it describes why we get chronic inflammation.
I'm on a carnivore diet. And I noticed an improvement. I have far less palpitations. And my blood pressure is lower. I also take berberine supplements, and it helps my endurance.
I also do a carnivore style diet, but I think most people who attempt any ketogenic type of diet give up too early before their body has completed the adaptation phase.
@@chrissowerby69 I agree Chris. I went from keto to carnivore. Keto solved most of my health problems, carnivore is controlling the arthritis in my knee which got worse on keto (loads of leafy greens)
Hello doc! I would be delighted if you would answer my question. I am a 21 year old male and not being overweight, no hypertension and physically active, never had such type of encounter but from past few days, I get a chest pain, discomfort and nausea when I work out a little then I stop doing it. What could it be?
I have unstable angina. I get the pain when I am at rest. I take 2 heart pills for the pain. One pill is Nifedipine that I take at bedtime and Isosorbide that I take in the morning. It’s been doing fine and I occasionally get pain but I have nitroglycerin if the pain becomes severe. I have taken the nitroglycerin only twice since I have been on my two pills for the unstable angina.
I have shortness of breath and sometimes followed by chest discomfort that feels more like an ache not sharp pain or pressure when I exert myself but not always. Relief by rest. I have PVC’s and two valves that regurgitate. Plus LGL Leukemia. I have a cardiologist appt this month. Trying to wrap my head on what’s going on 🤷♂️
I get what seems to be Angina. It gets triggered if I get pretty irritated, or with some amount of moderate exercise, yet goes away if I stop what I'm doing within a minute or two. The odd thing is, it's not really in my chest. The best way to describe the area of pain is if you stick your thumbs in your under arms, and just move them towards your chest, it's right there. Basically, just outside of my under arms, towards my chest. Like half way between my nipples and underarm, but closer to under my arm, on both sides. The odd thing is, I only started experiencing this, some months after I quit smoking, and switched to a nicotine pouch called Zyn. I'm not saying it's related, just saying what happened and when.
I've been having pics, and a strange sharp pain feels like it's on the left side of my heart. When I get the pain my hands sweat and I feel weird for a couple seconds. I've been to the cardiologist and he did every test except for a1c . I exercise regularly and that's really when I feel better. It's when I'm laying down or sitting. Its really weird. Cardiologist said I have hbp and put me on lisinopril, but I don't know. He said I'm fine and I am researching too much, lol.
Hi Sanjay thanks you for doing your video and please can you do a video on chest pain with high heart rate and high blood pressure when I stand up it causes me a lot of pain and pressure and I am 35yrs old I am getting a lot of pain and my local A.E said I might have Angina
I have mitral and tricuspid regurgitation, a congenital murmur, sinus tachycardia, a couple of times heart went into afib, and low blood pressure. I am 41. Never smoked any tobacco, never took alcohol, never touched a drug. I manage with a healthy lifestyle. One day a heart doctor will probably have to save my life. If I could choose the dr. it would definitely be Dr. Gupta. He is outstanding.
Valve conditions can be corrected without open heart surgery, rather via catheter angiography.
He is indeed , I'm sorry for what you are going through
@@abdollahgilani4119 thanks god for this option. Open heart is crazy scary.
@@C.I366 thank you so much. ❤️ I think i’ll be alright 🙏
Have you had any thyroid issues? Do you take medication for that? Have you had any recent vaccinations?
Thank you for making your videos and putting them on UA-cam. I'm a 71 year old male. I have stable angina, I've had it for almost 8 years now and it was pretty bad when it first showed up. I was pretty disappointed with myself for allowing this to happen, I knew better. Instead of stents or by-pass I did a life style change, started walking (short painful walks at first but things got better and better), started riding a bike after a couple of years, lost weight (80 lbs) and completely changed my diet. I'm getting along pretty well now, ride the bike when the weather allows, my dog and I walk a mile most every day. I carry nitro tablets and use one when needed which might be twice a week or once month or I can just rest a bit and the angina passes rather quickly. Stress, yes that can set angina off with me, sometimes cold weather, full stomach, more than normal exertion, pretty typical things from what I've read. Interesting to think, my dog and I have walked a couple of thousand miles, a mile or two at a time in the past 7.5 years and I've ridden my bike at least that far and probably more. When all this started I remember seeing a big wall chart in the cardiologist's office showing how the smaller blood vessels enlarge over time to compensate for the blockages of the major ones and at that time I thought, that's what I'll try to do, so far it seems to have worked.
@Old Roscoe How are you feeling now?
Many thanks for sharing your experience. I am indebted to you. Again of course a big thank-you to Dr Gupta who produced this very informative video.
@@keieichsee A couple of years later and I'm still alive ! Doing the same thing, same dog and we walk the same old mile most every day. We are well known for our walks and have made several friends through the years. Yes, I still have angina and carry the nitro tabs. More for convenience now than actually need but stress will bring on my angina now than exercise. I had the annual check up this month and my doctor said there wasn't any need for blood work this year since there had been no change the past few years. I'm 73 now..... 73 and a half . Dr. Brewer has a good youtube channel and warns that many who get stents but don't change lifestyle go on to needing more stents or by-pass surgery later.
@@oldroscoe2590 A big thank you to you for sharing your experience which is most valuable to me as I was in June last diagnosed with a clogged LAD. It's a huge surprise to receive an update in a matter of hours from good people like you. All the best.
I bet your walks are your dog's greatest joy! And I think its great!
Totally irrelevant but I swear you get more handsome every video!! Plus you are an incredibly knowledgeable cardiologist and educator. You have quite honestly made my life so much better over the years (I have PACs/PVCs). Thank you for all you do for all of us.
Clare 🤪😜
Totally agree
Thank you for mentioning diet, exercise, stopping smoking, stress management. I’m hearing a lot about whole food mostly plant based diet being good for prevention of heart disease and cancer. We have such an unhealthy culture in the US these days. Everywhere I look I see so much obesity and sedentary people. Thank you for your great videos! You’re smart and handsome! I love your voice too and could listen to you for hours!
WOW. What a fine description of angina and the treatments. You are clearly a very bright, caring fellow and physician. I am the kind of patient who wants to know what the processes are that I am experiencing. At moving toward 81 and in good health, this proactive interest in my own health has been a great benefit. My docs know how I am, and they indulge me. Thank you very much, sir.
The production of your videos is getting MUCH better doctor.
This has to be the best cardiology video I've seen done in a way even I can understand my condition.
Dr. Gupta all your videos are always enlightening and easily assimilated. They are compassionate and devoid of ego. You speak to us not above us. The knowledge you so generously impart is life enhancing and life saving and for that I am filled with gratitude.
Thank you for sharing, this was an helpful topic and im going to share it with families and friends
Very Well done! One of the often overlooked responsibilities in a busy healthcare practice is educating patients…without talking down to them or ignoring the stress caused by fear.
Thank you Sanjay. Very clearly explained. My angina progressed very quickly as you described from pain with moderate exercise to pain from just walking within a week. I had an angiogram and had a 97% blockage in my L.A.D. which I learnt was quite serious. I had a stent inserted. The procedure was amazing and potentially life saving. Your engine analogy was quite good. My engine was in pretty good condition but there was a fuel blockage!
How many years or months did you have angina
Also how old are u ?
@@rqjgaming I had the same problem that was diagnosed in April 2019 in July 2019 I had a coronary angigram and they found a 99% occlusion in artery 3, they came to me and said "Darren we have to do an emergency stent NOW! because if it goes you won't survive and it could go at any second", so there and then they put in a very expensive metal
drug inducing onyx covered stent developed in Japan, I have to admit at 47 it caught me off guard and as they were doing it I cried like a child, it was the thought that I could have gone at any second just blew my mind. I wanted to kiss his feet after he had done the procedure for me. I knew it was bad because back in the April one day I was fine the next day I got out the car walked a small distance and collapsed in the street.
Same here, except I had a 99 percent blockage in my RCA which caused me to have a massive heart attack and almost die.. I had a stent inserted, but I was in critical condition so they put me out for the procedure, I also had to stay in the hospital a couple of days after my procedure.. I still have a 70 percent that is being treated with meds and I do still on occasion have angina, but it is more controlled now...
Thank you for explaining on the video what angina is. My doctor never told me as much as you have done and I’m very grateful to you for doing so. Thank you and may you long keep helping us all understand what’s happening to us. Brilliant video.
Recently found you. Appreciate your method of explaining issues. Thank you for treating your viewers like intelligent people.
Sanjay, you were made for your shirts and they were made for you! They enhance your beauty and you enhance theirs. Softens (and sometimes, distracts) the technical and complicated information you're trying to relay to us. Thanks for sharing 💓!
Thank you for this very informative video, it really helps me to understand what is going on with my husbands heart issues.
Very good video! As a nurse, I feel that I get so much good advise here to pass on to my patients. Like the fact that modest exercise can create new collateral blood vessels. Thank you for continuing to educate us!
Thank you
Your talk and explanation is very informative and practical.
Nobody comes to earth 100%
perfect.
Be blessed with joy and happiness.
Rushen,Trishen and Suminthra Oojugir
Kwa Zulu Natal
South Africa
This video was done 1 year ago and looking on youtube the other videos are all a number of years old.
Please tell me you are ok and still practicing medicine as you are a godsend to people who recognise their symptoms
only through your time and patience to explain. My best wishes to you and hope you and your family are well.
👍🏽🙏🏽
This is so enlightening. I was diagnosed with angina with my old cardiologist and he put me on all the mess you talked about. Than he said l had heart failure but it turned out to be afib. Now trying to lose weight. Since covid l gained weight and going through a divorce. You are such a blessing. Praying for your dad.
How are you now
This was so enlightening. I am pretty certain I have experienced angina, on several occasions when I have not been exercising for several years, and then started to exercise again. This must have happened to me at least 4 times in the most recent 15 years.
Eventually after a few weeks of exercise, I find that the pain in the chest during exercise decreases, almost as if a blockade causing the constriction goes away. And because of this awesome explanation in this video, I can now appreciate that what may have occured was the collateral creation of new blood vessels which eased the flow of blood.
Dr Sanjay Gupta - you deserve a place in heaven, for the good you have done to people like me, to take away our fear and replace it with understanding, and corrective action.
I have recently also resumed my Magnesium supplementation and my exercise regime, over the recent month. Now I understand so much more about what is needed to maintain good health, I will never stop these good lifestyle habits. I have also cut out almost all processed food, adding just a bit of shop bought mayonnaise to make my boiled vegetables more palatable.
York Cardiology is one of the best resources on health in the world. Thank you ever so much, for this xhaustive explanation about angina and its treatment.
The Dr gave me spray today I was feeling nervous anx scared to use it!
You have made me feel at ease.
Such an informative calming video.
Thank You very much! 🙏
Great description and examples and also what to do about it. I had an angiogram due to abnormal stress test and unexplained discomfort on left side. I was fortunate that I had no blockage but am being treated with a beta blocker and statin for high blood pressure and cholesterol . Love to watch your videos, thank you Dt. Gupta.
Really you are so lovely not only as doctor but as motivator, philosopher , truly your videos give confidence
Thank you so much for your channel Dr. Gupta. Your calm manner reduces my anxiety.
Aww ...I am delighted the video was helpful. I really appreciate your support:-)
it’d mean a tonne if you’d consider subscribing to the yorkcardiology channel on UA-cam:-)
Best wishes
Sanjay
Thank you very informative, sent this to my friend who is waiting for a stent. You explain things so well, nice accent. Very polite.
Thank you for reading the original paper out loud .
Are you are Dr?
Why are you on here? Why don't you just read the paper? Dr. Gupta explains his papers for those of us that might have trouble understanding the technicalitirs.
Your videos are very helpful. By seeing your videos,it helps me a lot . Whatever fear I have , it goes away . I have angina . I get chest pain sometimes, I used to wonder whether it is reflux or chest related . Now I understand.This video has helped a lot . Thank you.
I'm 41 and was diagnosed with FH over a decade ago. I currently have unstable angina. My angiogram has revealed 5 blockages ranging from 70% to 90% on my left side so to speak. I was initially suggested CABG due to the area of blockages but requested specialised stenting instead. I am due for the procedure in 2 weeks. I am on a cocktail of medication some of which include nitrates, beta blockers and Aspirin currently which has helped alot. Please take care of yourselves folks.
Fantastic presentation, thank you for your time doctor.
Excellent description.
Very informative one of the best explanation given .I love this doctor's analogy from this description I can now understand the nature of the angina I had recently thank you Dr .
so easily explained.
u r the top doc ❤👍
Thank you Dr great health tips very helpful to us God bless you 🙏❤️
Thank you so much for sharing about Angina Pectoris . God bless
Yeah, this is really helpful I just discovered I have LVH after some proper ECG test and I'm still very young I feel bad but with this you put out it's good for me to manage my life. I pray that I could reverse it on time just to live a good life. Thank you sir God will strengthen you ❤️
dont worry you most probably will be fine. its not bad of a disease as its been said in media
Brilliant discripton thank sir.
I underwent bypass surgery in Feb 2019 as a consequence of Triple vessel disease. now I have developed angina and feel uncomfortable after taking 1600 or so steps. Dr has prescribed Ranozac 500 b.d! After 2 months I don't feel like before. Please advise if I have to take any other medications. (Already taking Nebistar 5, Clopitab A 150, Tonact 40, Eptus 25)
pl reply.
your video, is very informative and nice.
Could you make a video on supplements that are great for your heart!,,
magnesium
This is a truly excellent video. Dr. Gupta has explained everything so well and so clearly. I very much appreciate this: I have learned a lot from this video. Thank you so much!
Very good explanation of angina and blockage of the heart arteries. Also how the angina is temporarily fixed to allow more blood flow.
Great video as always Dr. Gupta! And may I also add, love the shirt!! Hope all is well.
An excellent informative video. My dad was diagnosed with Angina after getting a shocking news at his age 67. He spent 7 days in the ICU and was prescribed CIPLAR and in worst cases Sorbide nitrate to be placed under the tongue. After watching your video I realize this was of course Stable Angine because he continued to live a healthy life till he expired at age 97. There was never an occasion requiring another hospitalisation or any invasive or non invasive surgery. I feel his stable angina condition never became critical and reamined as it is due to his healthy lifestyle. Walking, eating a vegetarian diet, Pranayam which is a breathing exercise, never smoked and never consumed alcohol.
Excellent informative video, well explained and explicitly presented information. However the golden question here, can Angina come without effort? Can someone have no problem jogging and working out, then out of the blues and during resting, angina pain occurs? I have been having left chest pain for a year now, it feels like a squeezing pain in the heart that is deep that comes and goes. It comes and goes throughout the year, sometimes lasting for a couple of days, lasting for seconds or minutes throughout the day yet dull pain trances remains in the background. It usually comes while resting of laying down, not while exercising. So could it be angina? could it be coronary disease related? if not, what could it be? I have had an ECG and an Echocardiogram done and both are normal. Should I get a cardiac CT scan with dye, or the chances that this pain is cardiac is far and I should just let it be and investigate elsewhere far away from the heart? I am also assuming it is not intercostal muscle pain because nothing hurts when I touch my chest and try to pinpoint the pain. it is only felt deep inside.
I have the same symptoms as you. Is it Angina ? Or what have the doctors told you ?
I do as well! They come in very sudden and it feels like a stabbing pain in my chest, shoulders, neck with difficulty breathing and I get very clammy feeling all over and this laat anywhere from 10 min to in and off for a couple hours. It truly is scary!!!! All my cardiac tests have been normal except I have PVC's. I don't know what's causing this but I would like to!
I've been having chest pains for over a year that's located on the upper chest and spreads to my upper left arm. Multiple visits to the ER, doctors office. Stress stressed, cardiac ultrasound were normal.
Is it angina?
@@evasheridan9428 I believe that the only way to tell if you have any blockage in your artery is to perform a coronary CT scan. No other test shows the arteries except this one. This one is less invasive than the Coronary Angiogram which uses a catheter to enter your blood vessels to see the blockage. However, they need to use a dye during a procedure to make the images clear. As for diagnosing variant angina or unstable angina that is caused by coronary spasms which usually happens during sleep or early morning right before you wake up, it is difficult to diagnose and needs other measures and tests.
@@Luv_Exotics I believe that the only way to tell if you have any blockage in your artery is to perform a coronary CT scan. No other test shows the arteries except this one. This one is less invasive than the Coronary Angiogram which uses a catheter to enter your blood vessels to see the blockage. However, they need to use a dye during a procedure to make the images clear. As for diagnosing variant angina or unstable angina that is caused by coronary spasms which usually happens during sleep or early morning right before you wake up, it is difficult to diagnose and needs other measures and tests.
Outstanding information very well explained. Thank you so very much.
Thank you so much for ALL your superb and informative videos on the different medical presentations very precise and simply demonstrated in layman's terms. I am a stable angina patient since 2003 and have never had any problems. My lifestyle is full of continuous travel adventures mainly in India. Last year I was white water rafting in the Himalayas and included some trekking at age 80 years. This year at age 81 I went on yet another adventure in India visiting villages riding a motorcycle and had planned on gong white water rafting however, Covid 19 put an end to all my plans and I have been in Lockdown housebound for eight months, the good news I got a flight back home to the UK tomorrow. As a matter of interest to anyone reading my post, I am on Lispirnel, Asprin, and Simvastatin.
Did you have any heart attack? Did you have stenting or bypass?
@Haemish Kane did you have a bypass operation or stenting or just medicines?
@@ferozemalik7171 Just 3 pills. I'm 81 and was white water rafting last year and went up a mountain to 15000 feet, still riding a motorbike in India. Covid has me lockdown and missing my activities which I am looking forward to resuming my adventures in India asap.
@@ferozemalik7171 NO. no operations.
@@augustsky6248 Did you also had severe chest pain?
wow that last part you told 'bout formations of tiny vessels and rerouting that block, that's actually the body's very little own way and saying "i want to live some more" and like that tree forming roots 'round some concrete surroundings. i don't know how that really works but I can only imagine so cute.
Explains in a very good manner. Very useful.
Great great advice doc ,thank u so much
Thank you very informative, I have been an enthusiastic cyclist and walker for many years, but this year my performance has dropped off, I thought it was just my age, I'm 64, but a few months ago I experienced chest pain within 3 miles of a cycle ride, since then I have been diagnosed with angina and have stopped working and exercising. Yesterday I had an angiagram with results that showed 2 arteries partially blocked and 1 almost fully blocked. I am waiting for my consultant to decide what to do next. I have been prescribed 6 different tablets to control it. I will take your advice and start some gentle exercise again taking my gtn spray with me. As a note I have been under a lot of pressure at work and as you say it could have been a contributing factor.
Perfect explanation for Angina. I don't get pain just get the urge to burp after doing exercise. I am on the mentioned Meds. Should I take Magnesium as well? If only all doctors were like you what a wonderful world it would be...
Wonderful and helpful presentation.
amazing explanation doctor, thank you.
Thank you so much for the info 🙏
You are giving the most useful advice and greatly appreciated
Excellently you have explained the problem 👍
Great informational video -- provided enough knowledge to be able to speak some what intelligently to my doctor.
Dr. Gupta what do you think about taking the pure blacktseed oil to help with some of the health problem.
Thank you for a truly great explanation, I will share this video as it should help a lot of people.
Very good video! I have a question. I know someone that has had symptoms of unstable angina for seven months. How long can they have these symptoms before something serious happens? This person is not getting any type of treatment.
Thank you Dr.
Can statins help with this condition?
Once again Dr. Gupta, thank you so much for your excellent explanations and advice. I cannot express the relief of the knowledge that you impart to your patients!
I’m just watching this video. Last night I had an angina attack and it’s now starting to concern me since hearing about the different types. I’ve had my arteries check and was told 0 blockages, I did the stress test in May and everything came back normal which is giving me the idea that I may have unstable angina. My father died at age 49 (I’m 42) from a heart attack/ hypertension. I do have extreme bouts of anxiety however when I have the angina attacks I’m usually relaxed and watching tv or in bed and it causes me to wake up. I have to sit there for about 8 mins until the symptoms go away. I guess what I’m trying to figure out.. at what point do you go to the ER.. should I just take aspirin everyday? Change of diet, I get.
Hi Doctor ..do u recommend vitamin D3 an vitamin K2?
Loved the video, I suffer from Princemetal angina, managed it by loosing 30lbs on a low carb diet and resistance weight lifting. Have stoped using Nicorandil and isosorbidemononitrate but sometimes use GTN spray.
What are your thoughts about CAC scans to see the level of calcification in the heart arteries?
Stopped my Statins to try to reduce the calcification in my arteries, have 4 stents fitted after a heart attack, trying to clear my arteries from calcium with vit D3 & K2 keeping insulin levels low going 20 hours a day without eating.
I also have Prinzmetal angina which has given me two heart attacks first aged 39 yrs and second 45 yrs old I am now 52yrs old and manage my angina with large doses of Diltiazem. Do you have micro vascular angina as well ? I do so have angina at rest.
Holly Hocks yes I have narrowing in small arteries that are too small to stent, with hind sight annoyed I did not persist bothering my GP with my obvious angina symptoms, just given a stress test and told had no heart problems, a CAC scan would perhaps saved me from the damage done by the subsequent heart attack.ie congestive heart failure
My mum and all her family had this . I am out of breath and have pain in my chest . But I have chronic asthma and arthritis . My uncle was one of the first to have a triple bypass in the UK . I may try taking pomegranate juice they day that defines your arteries .
What a wonderful doctor!
A wonderful description Dr, thank you so very much indeed.
Thank you for such an informative video.
I really enjoy your You Tube videos. There very plain and concise. And easy to understand. Wish we had more Doctors like you here in the states. But I am blessed with a great doctor. Keep up the good work . Your awesome 😊
I second Nd that wish. I want to know the physiology of what any issue I have is. To have it demystified makes me more proactive about self help.
Nice information, very helpful
Hello Dr. Gupta - when you have a chance, could you please explain QT Prolongation? I find it confusing and frightening. Thank you in advance for any wisdom you can share.
as I'm 83 you explained a lot !
Very interesting, I have stable angina, and at times, I hurt but not a lot.. I had a stent procedure in 2021 in my RCA, it was 98 percent blocked. and I also have a 70 which was NOT stented and is being treated with medications..My chest is not the sight of my pain, it is more in the front throat area to the right of my collarbone and right shoulder, not sure if it is even related but that is what I am thinking is angina.. will have my cardiologist check it further on my next return appt in January, until then, I will continue to walk slowly and stop if I hurt... Have a beautiful day...
It was my stable angina, but it is since pretty much under control, they upped my metoprolol a little bit and it has helped tremendously.. plus I take the standard regime of drugs for a heart patient, which includes, of course, the Metoprolol, Lisinopril, Clopidogrel, Aspirin and Atorvastatin... but just wanted to let ya know it was in fact angina... Have a beautiful day..
I have CHF and Pulmonary Fibrosis....as long as I am sitting still, I can put my Oxygen on 2 liters but if I excerpt myself any at all especially walking my Oxygen level will drop from about 96% to 88%. At that point, I struggle to breath and I need to put my Oxygen up to 8 liters for a few minutes until I can compose my breathing back to a normal state. I am a 76 year old male. Is there anything I can do to help these issues?
Excellent analysis.
This worked and is working for me.
Symptoms were strangulation in the middle between breast.
During walk Distance about 70 yards symptoms come on.
Persistent Several weeks.
Stopping, sitting & standing eased strangulation pain.(rest)
Did this - symptoms ceased.
Taking deep breaths slowly & holding breath 5secs exhale.
10 times- rest -10 mins rest-repeat
Take 5 green limes not lemon.
Squeeze the lime into a half litre mug (dispose seeds only) .
Put in the lime peel core together into the mug ,top up with water & consume. Keep topping the mug with water -same lime ,whenever in thirst have it through out the day. ( 24 hrs. )
No other beverages.
Same process for a week.
Worked for me.
Give it a go .
Hope it does work for you too.
Can the pain be in the left shoulder and be constant? I have trouble sleeping and it creates lots of anxiety!
Can anxiety cause.angina and can drinking cayenne pepper with lemon clear out blocked arteries?
Thanks for a wonderful description, which a layman such as me can understand. With life style changes & medication (Deplat & Met XL,ofcourse without Statins)), is it possible to overcome the problem.Also, how long Collaterals take to develop to play effective role.
Dr. I am 84 year old- Female.I have lung & heart problem. With medication my BP, Cholestrol and all other parameters are good, but my Spirometry lung test shows SEVERE DEGREE OF SMALL AIRWAYS OBSTRUCTION. Very often I am getting Pulpitation, and breathlessness, is it due to lung problem? I am taking FORACORT 400 INHALER & MUCINAC-600 TABLET twice a day for lung probem. I was getting techicardia very often but after starting CALAPTIN- 40 it's better now, then why I am getting Pulpitation & breathlessness? Dr. Your videos are very informative. MAY GOD BLESS YOU, ALWAYS...
Thanks great video I have angina ..when I walked up hill ..I wondering would breathing exercises such as wim hoff method
Thank you for the exclamation and simplifying it.
My nocturnal angina just came back last night.
Ginger tea and ice footbaths tend to help.
@ decentradical in what way does the ginger tea help. Does any other tea help? Thanks
Prinzmetal variant angina is a different form could you explain a little about this angina ?
Could you tell us what can be done to get rid of the impediments.
It's really informative..thank you Soo much sir...
Can you please find a 100% cure for pvcs/pacs already 😭 I want my life back and I have tried everything..
I get pain in my chest after any kind exertion even gardening but also get this at rest and it does not go away after I lay down. I get out of breath and Pain radiates to shoulder and my back and also get belching that relieves the chest pain for a bit. I also have tachycardia and bradycardia and heart block type 1.
Am 26 years old and really need some advice. Thank you god bless you.
Hi Jackie. If you'd like to speak with Dr. Gupta to get some advice then please do email us at yorkcardiology@gmail.com and I can help arrange a phone or Skype consultation for you. Many thanks, Carrie, Dr. Gupta's Assistant.
What's your diagnosis what happened
Dr Gupta are DP's symptoms serious?
I wonder, has anyone used a ketogenic diet to treat angina? From what I've learned the heart is extremely happy running on ketones and if I remember correctly burning ketones as fuel is more oxygen efficient. Do you have any knowledge of this doc?
Im doing keto with a carb phase every few weeks. I don't notice any pattern. For me the angina is tied to stress.
He says narrowing is caused by inflammation so ketones should help as they reduce inflammation. It's best not to shock the system by doing carb ups though, as I expect that will induce inflammation. Take a look at the randle cycle as it describes why we get chronic inflammation.
I'm on a carnivore diet. And I noticed an improvement. I have far less palpitations. And my blood pressure is lower. I also take berberine supplements, and it helps my endurance.
I also do a carnivore style diet, but I think most people who attempt any ketogenic type of diet give up too early before their body has completed the adaptation phase.
@@chrissowerby69 I agree Chris. I went from keto to carnivore. Keto solved most of my health problems, carnivore is controlling the arthritis in my knee which got worse on keto (loads of leafy greens)
Hello doc! I would be delighted if you would answer my question. I am a 21 year old male and not being overweight, no hypertension and physically active, never had such type of encounter but from past few days, I get a chest pain, discomfort and nausea when I work out a little then I stop doing it. What could it be?
Thanks dr gupta sir very wide knowledge on angina symptoms treatment as well precUtions worth keeping record 07/02/2020
I have unstable angina. I get the pain when I am at rest. I take 2 heart pills for the pain. One pill is Nifedipine that I take at bedtime and Isosorbide that I take in the morning. It’s been doing fine and I occasionally get pain but I have nitroglycerin if the pain becomes severe. I have taken the nitroglycerin only twice since I have been on my two pills for the unstable angina.
Did you do Stenting or had Bypass Operation or just medicines?
Hello dr. New to your channel. Informative and comprehensive. Thanks n hi from japan.
I have shortness of breath and sometimes followed by chest discomfort that feels more like an ache not sharp pain or pressure when I exert myself but not always. Relief by rest. I have PVC’s and two valves that regurgitate. Plus LGL Leukemia. I have a cardiologist appt this month. Trying to wrap my head on what’s going on 🤷♂️
Thanks for the information ❤❤❤
I get what seems to be Angina. It gets triggered if I get pretty irritated, or with some amount of moderate exercise, yet goes away if I stop what I'm doing within a minute or two. The odd thing is, it's not really in my chest. The best way to describe the area of pain is if you stick your thumbs in your under arms, and just move them towards your chest, it's right there. Basically, just outside of my under arms, towards my chest. Like half way between my nipples and underarm, but closer to under my arm, on both sides.
The odd thing is, I only started experiencing this, some months after I quit smoking, and switched to a nicotine pouch called Zyn. I'm not saying it's related, just saying what happened and when.
I had the same issue
I did to. So I went back to copenhagen.
I've been having pics, and a strange sharp pain feels like it's on the left side of my heart. When I get the pain my hands sweat and I feel weird for a couple seconds. I've been to the cardiologist and he did every test except for a1c . I exercise regularly and that's really when I feel better. It's when I'm laying down or sitting. Its really weird. Cardiologist said I have hbp and put me on lisinopril, but I don't know. He said I'm fine and I am researching too much, lol.
Thanks for educating us
Thank you for important info
Hi Sanjay thanks you for doing your video and please can you do a video on chest pain with high heart rate and high blood pressure when I stand up it causes me a lot of pain and pressure and I am 35yrs old I am getting a lot of pain and my local A.E said I might have Angina
Is it possible to have angina at 20 years old? I’ve seen multiple cardiologist and have gotten tests done cant seem to explain my symptoms.
Look up Dr Ford Brewer on YT. Also look up best cardiology hospital in your city or state and try there
I had mine
Im 21 yrs old
Great advice sir