Understanding Heart Failure: Visual Explanation for Students
ฝัง
- เผยแพร่เมื่อ 5 ก.พ. 2019
- This episode covers the pathophysiology, presentation, diagnosis causes and management of chronic heart failure. We also look in detail at a phenomenon called paroxysmal nocturnal dyspnoea.
More written notes and diagrams about chronic heart failure are available on the website at zerotofinals.com/medicine/car...
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DISCLAIMER: This video is for education and entertainment only, and is not medical advice. This video should NOT be used for medical advice or to guide clinical practice. The Zero to Finals content should not be used in any way to guide medical decision making. Zero to Finals takes no responsibility for any actions taken or not taken based on the information provided. Local and national guidelines and senior clinicians are there to help you make decisions, not TH-cam videos. If you need medical advice or information, seek it from an appropriately trained and licenced doctor or healthcare provider that can address your individual needs. Zero to Finals cannot guarantee the accuracy of information in this video. Please highlight any errors you notice in the comments below - thank you.
RIP Mom 1967-2022. She died 5 days after her 55th Birthday. It’s almost been a month and I miss talking to her about my day. She liked to listen to everything I had to say and I made her laugh when she was feeling down. She was really funny too and I miss her humour a lot. I’m turning 20 on the 18th and I’m sad she won’t be there to see it.
I am sorry to hear that your mom passed. You have my condolences.
Very sorry that your mom passed. I will definitely pray for you that you will find strength and peace right now.
So sorry for your loss. I pray that Jesus brings you peace
So sorry for your loss.
Tell your family write a book for your other generation to read
I had Endocarditis at 38. Causing an abscess covering my heart. My Aortic valve went, I got septicaemia and pneumonia, Triple bypass, valve replacement. I'm 46 now and still living a pretty normal life. It's not the end of the world. You can recover. Never give up!
Hang in there Dan !
Thank u Dan 😊
Wow! You are blessed. You been through a lot. Glad your doing well. 👍
I hope you’re feeling good. Take care of yourself. God bless you!
@@mr.wright4447 I swapped my motorbike for a dog. Best thing I ever did. Brilliant for mental and physical health. I ended up with PTSD after all that, but I beat that too. The only thing that will beat me is Tyson Fury or myself, giving in.
I’m 39 and heart issues run in my family. I was diagnosed last year with heart failure 😞 can no longer live like I use to but have a great team of drs and I’m very happy to be alive . A lot of meds and diet change just want to live to see my kids grow to be great humans
I recommend you listen to Linus Pauling's lecture on Vitamin C
Plant based diet can help
Ameen
hopeful passes away soon for you
Plz tell me what all pills they have u taking to reduce fluid build up?I'm 40 and my entire family have heart problems so n I was diagnosed last yr with congestive heart failure and I can't stop swelling and can't breath,I tale entresto, and 40mg of
Fursomide and I'm still swelling plz help.i got a 5yr old I want2see grow up,I go next week to get my defibrillator and I'm afraid of that I can't work I can't do anything anymore,and in the breadwinner of our home,I need to get back to work so any info would help plz
I had a heart transplant in 2019 (37 years old). I was born with dilated cardiomyopathy and received a pacemaker at 14 months. Suffered a Cardiac arrest in 2018 and had a defibrillator implanted. I went down hill and spent about 7 months on the wait list. I now take over 10,000 tablets a year, many of those being anti-rejection. If you suspect you may have an issue get it checked! Because if my amazing team I'm still here my 1 year old son (at the time of transplant - now 4 ) still has his dad.
god bless you brother
Stay strong brother!! You deserve to see your son grow, as your son needs you as he grows🙏
Thank you for the hope...
Keep going mate. Be strong 💪
I also have cardiomyopathy for the last ten years give are take I try not to eat salt are drink alcohol which I'm not perfect but I work out and run every day but when I do to much it's all down hill for a few days some times weeks yes I takes meds twice a day but it's hard to loose weight depending on if your heart allows you to work out are stop eating certain foods because protein is needed so most of that comes from meat which I stop eating it was hard on my heart and body but I made it through keep your head up because the doctors really have no answers for us really so takes care of yourself
My husband just died on January 6th of heart failure/cardiac arrest. His heart is still being studied by a pathologist to find out exactly what happened to him. He was a perfectly healthy 44 year old. I am watching a lot of these videos to try and figure it all out. He was asthmatic so shortness of breath was considered somewhat normal for him but he did get up a few nights in the weeks before he died to take his puffer which was unusual for him. Pray for us that we get some answers. If it’s genetic my kids will need to be tested.
So sorry for your loss. Hopefully they can get to some answers . Take care of your self.
So, so sorry for your loss.
Better than dementia
Sorry for you and your family ,madam. That's called suddenly heart death in Medicine. Your children will have to be tested but anyway, when they grow up,there will be better options and treatment for sever heart diseases. Be positive, keep on being optimistic. I' m sure your husband is always with you and supports you,even if not in a manner we cannot see. You have more spiritual force than you believe. A big hug to all your family from Italy.
I have atrial fibrillation or AF. Idiopathic. No known cause. Cardiologist says stress. I believe him. On heart meds now. We don't know when we will take our last breath.
In 2018 I was admitted to the hospital for heart failure. I had a 19% ejection fraction.Turned out that I have lupus and it was attacking my heart 😢. I was also diagnosed with mixed connective tissue disease. My heart is much better now with Metoprolol and Losartan. Take care of yourselves ❤
How are you feeling now?
I will never put a Big Pharma drug in my body. I'd rather die.
What were your lupus symptoms?
I had virus caused cardio myopathy 6 years ago. Refraction was 15 % now 55%. However, I’m still listed as congestive heart failure, also now have severe COPD. Recently have been doing exactly what this video says. My heart doc says my heart is fine. Coughing sputum constantly, especially at night after I’ve been asleep. Time to have another appointment or find another.
I lost my father he suffered a heart attack in his sleep. I still miss him more than a decade later. He was a very busy man when he was working as a journalist. He retired as a journalist and only had about ĺess than 20 years to live it was very sad to see him suffer from heart trouble in the final years of his life. Gone but never forgotten he was a wonderful person.
You're not alone.
Sorry for your loss
Sorry for your loss.
My condolences
My dad had an heart attack 2wks ago and he's still in ICU done had multiple surgeries including brain surgery
Anyone else feel the need to have their heart checked after watching this?
Dude! 👌🏼
I know I do!
Just did 😝
Seeing a cardiologist in Britain is an impossible task atm
I'm 44, and I think I'm ok.. but after watching this I want to be checked as my family has a history of heart issues.
I had a heart attack 2 years ago at the age of 60 I trained hard at the gym each day, id completed 3 triathlons, I got small chest pains went to the doctor and he said go straight to the hospital I thought he's got it wrong I'm okay I'm fit enough I went 2 days later I never even told my wife, when I gave the hospital a letter the doctor gave me I was rushed through, I know have 2 stents I allowed my ego to get the better of me. my wife was rightly angry with me. it does not matter how fit you are how strong you are and how young or old you are it can happen at any time to anyone. I reflect a lot on life know seeing things differently, please do not allow your ego to get in the way if I can admit to being a selfish idiot and it helps one person then something good has come from me being stupid x
Glad you are well and still here with us.
Glad you're ok.
Yep
It can happen to anyone at anytime, but exercise and nutrition help tremendously. Just because it can happen to anyone at anytime is no excuse to not eat right and exercise.
I'd give you more credit than you give yourself. You felt fine- had abundant energy and stamina, and felt fit and strong. You were right to question the verdict until you were shown the clinical evidence and had all your questions answered. Your responses were more normal than that of an egotist. God Bless You
I had a heart attack new year's eve 2001, I was convinced that I was going to die. I was unable to get the right treatment for four days. When I was finally taken for the procedure I had five stents installed which finally stopped the pain. The treatment and after care was very good. The whole process of what had happened to me was explained at length be both the doctors involved and the after care heart nurses. Even with all this information I never really understood everything. This short little video has helped me understand what has happened to me and what the medication is for and how it works. Thank you so much.
Had a 35min conversation with my mother’s cardiologist and I found this video 100x more helpful than anything he shared with me about my mother’s heart condition.
Agreed! I’m a nursing student and this was 100x more helpful then the 3 weeks we spent on the cardiovascular disease
I'm sorry to hear that. I've noticed that alot of doctors are actually horrible communicators. Sometimes it even feels like they are trying to be confusing on purpose.
@@sereal2091 thanks for sharing sereal! Your feedback is always welcomed
I have every single one of these symptoms. Swollen ankles, seemingly permanent intermittent cough for years now. Very, almost bright, white spittle. Wake several times per night gasping and trying to catch my breath, very scary. I was born with a hole in my heart. They said it healed over during early childhood. I also pass out and hit the floor upon standing, then get right back up....at least three times per day, up to as many at 7 or 8 times per day. I've seen one cardiologist, a hoard of md's, general practitioners and internal med md's, they did a chemically induced stress test; and, several years back, when I was able, they did a physical stress test. I've known for a decade that it was chronic heart failure. The first time I passed out I fell down a two story flight of stairs. I was NINE years old. I'm 56 now! I've had these symptoms ALL OF MY LIFE. The medical fraternity in general, in the U.S., is nothing but a money hungry beast. They've proven one thing to me and one thing only. They don't have a clue. Totally indifferent. I've met veterinarians who show much more concern and put forth way more effort. Truly a travesty. I figure it's in God's hands. I'm ready when He is. There's no help to be found here.
@@Mark-oj9to We are not patients. We are customers. Mark, thank you for sharing your story and experience. I have nothing but respect and admiration for you sir. And although you might always question “WHY YOU?” Just remember that you have a purpose in this life as you will in your next life. Bless your heart.
Thank you that is the clearest explanation of my condition I have ever seen .no doctor has taken the time to talk about the meds I'm on or my heart condition .I have learned more in this short film than I have this last few years so Thank you again .
I’m a cardiac arrest survivor. It was 5 years ago at 4am. My wife somehow awoke and found me non-responsive. She checked my pulse ( which there was none) She immediately started CPR and called 911. I awoke 3 days later in the hospital. She later told me everything that went down. Including the paramedics continuing CPR and using the shock device on me (2 shocks). Medically induced coma etc.... I now have an implanted defibrillator/pacemaker. Which went off and saved my life again about a year later. So I’m still here as a survivor. I became a licensed professional counselor in hopes of counseling those who experienced what I went through.
My husband had his mitral valve rupture 4 years ago, he spent 5 days on ECMO and impella device, in an induced coma. He is a survivor as well, modern medicine is wonderful. It is great that you are working with others who have had similar experiences, as it is very traumatic.
What age were you? Any symptoms beforehand?
Does a pacemaker save people with heart failure?
@@natevic1867 a defibrillator/pacemaker does which is what I have now.
@@u04pww2 I was 42. Absolutely zero issues or warnings. It just happened.
My wonderful father died exactly three weeks ago with heart failure at home while sitting on his chair and watching T.V. He died peacefully on his sleep. He was 82 years old. His death was so sudden and unexpected because I was not expecting him to die so quickly like that. He has a valve replacement 18 months ago because he had a sticky valve. His death was a total shock for me because he seemed fine in the morning, lunch, and afternoon where he got up at 7:50 a.m. We were laughing and making jokes in the morning. He even drove to the grocery store to buy some beer and he watched his soccer game in the computer in the morning. At lunch, he helped me cut my meat and was happy that I was going for a walk. He had his supper because he washed his dish. He left a bowl of potato chips uneaten. When I went to speak to him at 6:00 p.m. in the evening, he did not respond and I assumed that he was fast asleep because when he was fast asleep, he did not hear me and always fell asleep after having a meal. When I went at 7 something in the evening, he still was not responding when I told him that I wanted to watch T.V. I tapped him and he still was not moving. I felt his hand and they felt as cold as ice, so I went to call my neighbors down the street for help. My neighbors called the paramedics and they did CPR on him and told me that he passed away probably from cardiac arrest. Then the police came to do an investigation on him. The doctor finally came and examined him and told me that his cause of death was heart failure and that he had been having it for quite a long time. She also told me even if he was not feeling ill and felt asymptomatic, it was still going to kill him. She informed that he took many heavy medications which did not help. My father's death is a huge loss for me since I was very close to him and the grieving is going to go on for quite a long time.
So sorry for your loss. I am a retired nurse who has heart failure issues and having seen things from both sides your story made me appreciate what a lovely ending your father was able to have. In his own home, armchair, having had a wonderfully 'normal' day, full of contentment and peace. I hope I am so lucky in the end. Thank you for sharing. God bless you both.
I'm sorry. Its hard but what a blessed way he went 🙏 He is always with you 💜💜💜
I read this word for word it made me sad i am close to my 84 year old dad, god help me when he goes,. But i inow it will only be a temporary goodbye. This is what youtube is about for me sharing real stories about real lives.
Sorry for your loss. He passed on in peaceful way. No nursing home or prolonged suffering. Be thankful if at least for that
I have heart failure almost every night when I get up to go for a pee. Because I struggle to pee my heart gets stressed and I start drowning in the fluid in my chest.....it's horrible. I struggle all day with kidney cancer but I'm certain that my heart will quit before the cancer kills me. With all the things I believe in I struggle with the idea that life can be so cruel
Fascinating lecture sir, thank you for sharing it. All the best, Paul
Great video. I wish I had watched it a few years ago when husband was diagnosed with Heart Failure.
What symptons?
New sub! As a " veteran " , I am a medical ( wonder ) n consternation for the VA..my medical support..! Lol! Diagnosed in 2011...n told I probably had 3-5 years of normal life..to go..n then a down grade to the end!
Well..I'm still chuggin along n it surprises many! Thanks for sharing this moment n info..." see ya on the trail"!?
EDIT: JUNE,2023!! Still here,n , still chuggin along!! Guess I still have more to do in this
world, before I change " commands" n move on to my next......
assignment !?
👍🐺🧙♂️🤙
Thank you Doctor. Now I can ask ‘smart’ & pointed questions when I see my cardiologist next Wednesday. This really helped me understand why I’m on the medicine I’m on. Now onto shedding this weight!!
So sorry for your loss and I pray everything works out well for your children.
My brother passed last year of a heart attack (blockage). Obviously makes one review those things we tend to ignore. I had arrhythmia a few years ago though they could never detect it (24 hr monitor). More recently, I get out of breath when laying down. I can sleep on my right side much better than my left side or back. Generally I can do most anything without running out of breath. This video definitely makes me learn more and discuss more with my doctor. Thank you.
Plant based diet can help
Did you get a diagnosis
Thank you for the explanation and education, you have just explained my wife's medical condition "now deceased due to her condition " , and thanks again know I understand stand it better . She's been gone know nearly eight weeks end of this month, God bless her and comfort her and keep her safe and pain free MY BEAUTIFUL LADY , rest in peace 😪.
A few years back when I was doing my AEMT clinicals at a local hospital, we had an older country gentleman come in and was Dx with heart failure. The doc is trying to describe it to him, but he just wasn't getting it, not a dumb fella, probably knew more about farming than I could ever hope to, just not following. Finally his son says "dad, one of the chamber of your heart has a misfire!" while not exactly perfect, it made sense!
I'm studying nursing as a mature age student and feel that type of communication will be my strength.
Plant based diet can help
Thank you, a clear and precise explanation that can be understood well. Look forward to other videos
As someone who has suffered from heart failure all his life this video has helped me understand the condition a lot more clearly, Many thanks.
Im 13 and I have shortness of breath at night idk what to do I also don’t have insurance idk what to do
@@uiccs you are 100% likely to have nothing don’t get yourself worked up over stuff like that if you look online long enough you can find a problem for everything you have
Plague if it keeps happening get checked for allergies or asthma
@@uiccs could be as simple as allergic to your washing detergent
@@uiccs , tell your parents and let them schedule you an appointment to see the Doctor. I'm sure it's nothing major, could be minor anxiety.
Apart from ARB definition this presentation is great.
I am 61 and developed Aortic Stenosis years ago and my body seemed to work around it for about 15 years. Just this year I developed a case of Anemia so it was recommended that I do an echocardiogram. In a years time my heart "fell off a cliff" and now have severe heart failure. I just had a heart catheter and found I need my Aortic Stenosis corrected by replacing the valve. I am doing the TAVR procedure in Denver. This video is spot on and please take the advice and stay on top of it. I am a Prostate Cancer Survivor and my Heart Specialist stated he would rather give me a Cancer Diagnosis that this. "Severe Heart Failure"
He stated I have 2 years to live untreated and an 87% chance of living 15 more years if I do this procedure. I have Grandkids to live for so I feel blessed from guys and Doctors who educate you like this Video does. To all the people who share their experiences. THANK YOU. You don't realize how much this helps save lives and the quality of those lives.
Plant based diet can help
If you haven't had your procedure done yet, prepare yourself to be healing for quite a long time & take it very easy. Do not do any hard word as this will cause you a lot of pain & might not heal up good.
I had 2 stents fitted last year and had post proceedure problems. I have discusions with 2nd yr cardio students quite often now via invite from my local surgery. I try to help as much ad i can as i owe the NHS for saving my life.
Thanks for this excellent teaching vid. I've had CABG myself and this adds to my knowledge.
Just diagnosed with cardiomyopathy. Their not sure what type. I have none of these symptoms. Hear failure and heart disease covers wide variety of issues. Every day is always so precious. X
This is going to be very important for a lot of people over the next few years. Make sure you monetize the vid, will get a ton of views guaranteed.
Why? It's only a temporary effect, heart disease resolves itself, dontcha know?
@@tripleyoker2049 heart disease healing itself?? Didn't know...
@@tripleyoker2049 I believe OP is referring to the 💉
Uh huh... Those who know, know.
Very educational and worth watching to know the facts explain properly by people who have knowledge and capability of explaining it in all its details very very well explained thank you
Have most of symptoms. My Doctor is hearing from me tomorrow. Thank you! I had my suspicions.
RIP in Advance
@@choudharyrk2404 what's wrong with you. GL Linda.
Good afternoon sir. I am an imposter as I am not a formal medical student but merely very interested in the subject(s) at least as far as I am able to understand.
From a patient perspective (myelomeningocele) I wanted to make a couple of comments if I may. Firstly I was very impressed with your statement about the importance of discussion and explanation. Gone (hopefully) are the old days of the patient being talked about rather than included in his/her management. Secondly, your voice was extremely pleasant, calming and reassuring which is also extremely important, at least to me!
Thank you for all your work.
Blessings and peace.
Am also a medical student from the Gambia let's be good friends
You're weird lol
@@rezzer7918 Why?
I was diagnosed with idiopathic Heart Failure in 2005 after suffering an episode of pulmonary edema in the middle of the night. I was seen in the ER by a cardiologist. My ejection fraction the next day was 30. Other than mild HTN, I had no other cardiac issues.
Fast forward to 2021 and I am still kicking. New technology in echocardiograms has now revealed I suffer from something called Non-compacted cardiomyopathy. My heart muscle did not form properly in utero. So I now have a pump that doesn’t work perfectly, but at least my pipes (arteries) are in very good shape.
I was lucky to be assigned to a Cardiac Nurse Practitioner at the cardiologist office. She was able to tweak my meds, and get me doing very well.
My most current echo has my ejection fraction at 45%. I will always be on my Lisinopril, Carvedilol and Spironolactone. And am also on some Inderal for atypical angina. But at least I am still here.
God Bless You- I sure wish you could cut back on all those meds.
Plant based diet can help
good luck Im with you
Spirolactolone is the same medication they use to ca st rate ped o Phil es my uncle was also on it for his heart and then I was listening to a podcast that was talking about the medications they use to stop them and that one was brought up and it floored me.
I'm not a medical professional - but I found this informative and helpful.
Had trouble waking up about every two hours in the night, sometimes it felt like compression on my chest other times it seemed like I had to pee urgently. Finally got a cpap machine and I'm sleeping better now.
Were you diagnosed with heart failure? I have the same things you're talking about.
@@pokinapllu4781 my Dr. Mentioned that my heart beat was irregular. But didn't seem too worried about it.
@@danieldennison6248 so you're fine? Yeah, my heartbeat is irregular as well, but my dr doesn't seem to think there's anything severely wrong. Glad to hear you're ok.
@@pokinapllu4781 go see a cardiologist
Plant based diet can help
Excellent and thankfully concise discussion. Nice high-altitude presentation. Many thanks!
This really helps me when you indicated about the pillows. I have had a major heart attack and a quad approximately in 2004..have had 4 stints since then thru out. It’s almost the end of October 2021.. and this has been very helpful to me. Thanks for putting this out there all the way from Fort Worth TeXas!
Since I was diagnosed with hypertension last year which was caused by drinking a lot of Jameson whisky, I have been taking Ace inhibitors and Diuretics but the saddest thing about the whole thing is that I think about having a heart attack or dying in my sleep all the time, I am 40yrs old though I look 30 but it is really scary. How have you managed to live with this condition since 2004?
Plant based diet can help
OK Bill gates
@@jamberry1135 I would ask your doctor, a lot of problems with lack of vitamins if you go plant base, also it’s got to be what they call clean eating, not eating all this prepared rubbish they pass of as plant base that’s got loads of sugars and stuff you’ve never heard of. The best diet is the Mediterranean Diet, with fish and chicken and olive oil or avocado oil. All these seed oils are highly processed and bad for you.
Great video. Clear and concise
Stay away from junk food, gmo, refined sugars, refined salts. Get some daily exercise such as a going for long walks and don’t get into heavy intensive training which puts tremendous stress on the heart. Eat a lot of healthy fruits, vegetables, and consume mostly organic meats. Eat foods rich in potassium and magnesium which is beneficial to the heart.
Good job putting an otherwise complex diagnosis into simple terminology.
thanks!
I didn't know I had heart failure. It was tough just going up and down a few steps. At a normal Drs visit, my Dr right away knew something was wrong with me, and before I knew it, I was rushed to another hosp. My legs were swollen, and my skin was splitting open on my legs, it was a tough time for me, my youngest brother recently died of heart failure, and my dad always had heart problems and died. Makes me wonder about this happening to my kids. 💜🙏🕊
🙏🙏🙏
🙏💟
I'm not getting the shot , I'm a type 2 diabetic with congestive heart failure, lymphodema complicated by stage 4 cellulitis(both legs),23mm kidney stone(25= 1 inch). Neuropathy In both feet and cancer.. if that hasn't killed me, yet, what chance does covid have?
@@michaelkendrickane7493 you got that right. God will give me my appointed time die, I'm not going to let our gov or scientist tell me to take their creation and trust them and I'll be just fine. No thanks 💜🙏🕊
Plant based diet can help
I have have three deaths with all heat failures within 2016 - my half sister had open bypass surgery. This leaves me worried and scared, plus my anxiety attacks issues on top of it !All those deaths we’re close family members
My mother and two uncles!
Simple solution.. Loose some blood every few weeks..
This video has given me a more better perspective of my diagnosis, I understand better and all that is mentioned here is my problem...Thank you so much
Man, you just saved my life.
You had all the points spot on!!!!
Amazing post... Really love it 😊...need more & more video
Coming in August!
Had heart surgery when i was 9 and recently began experiencing symptoms of unstable angina then this pops up in my feed after never having watched anything even related to medical videos. Neat.
Excelente presentation.
Your videos are helping me with my nursing studies, thank you :)
so glad to help!
Don't waste ur Life.
Just work make$$ & enjoy life!!!!
@@ZeroToFinals i only feel like that at night, could it be anxiety? I feel like i run out of breath
Amazing vid, thank you
Wonderful explanation Tom, thank you very much🥰
Amazing. Thanks for sharing.
@zerotofinals The orthopnea caused is due to pulmonary hypertension or due to reservoir function of pulmonary veins?
Excellent video suggestion for the coof jab recipients.
Interesting talk, I suffer a lot of breathless,I also have Asthma, I have also been diagnosed with heart failure, and I get Angina attacks, this wasn’t mentioned, but I am on all those tablets you suggested so the best is being done, I try to enjoy each day I have. All these things run in my family, both side, my fathers and mothers, so not much can be done. But I have been concerned at how breathless I get without doing much, I did wonder if this was normal but from your talk it obviously is, so thank you for the information.
Really useful and simple to understand. Thank you so much.
I have a severe case of P.O.T.S disease and I experience all of the above issues multiple times in a 24hr period. Everytine I stand up and sit down I clinically die. My P.O.T.S is very very bad. I cannot see or hear but I have experienced this my who life. The choking started about 15 years ago after I was in my second coma for over 2.5 weeks. They still don't know why. I had a migraine needed to be sick and told thing I wanted to pass out. Knowone believed me. Then I woke up over 2.5 weeks later nurse on top on me holding me down yelling me name. I guess I had taken a major seizure and kept doing so in a coma for the whole time. I was also 6.5 to 7 months pregnant at the time.
Thank ou for the uploads very informative information
How are you?
I’ve just been diagnosed with unstable angina, in other words the small vessels go into spasms causing angina pains, shortness of breath and exhaustion. I’d not heard of it before and I get attacks mostly at night, during rest but sometimes on exertion. It’s often missed in A&E as happened to me three times because your ECG and cardiac bloods are “ normal” . In fact the hospital only started taking things seriously because one dr gave me a GTN spray to try and when I had to use it three times in 15 minutes without relief then I was taken into hospital by paramedics and admitted to the Cardiac ward where they started me on other drugs as well as all the blood pressure drugs I was already on. I was in hospital for nearly two weeks and the cardiologist decided I needed an angiogram as he started to notice suspicious changes on the ECGS. Thankfully the main cardiac arteries are clear and there’s no blockage however they said I do have micro vascular angina with some vasospasticity where the arteries go into spasm. In fact the main artery in my arm went into spasm during the angiogram which was incredibly painful and one week on my arm is still very painful, then unfortunately they hit my collarbone with the arterial “wire” and I got shooting pain right down my spine so it wasn’t the best experience 🥴. The one good outcome is at least I have a diagnosis and a treatment plan and whilst no one wants to hear they have angina I’m at low risk of a heart attack within the next three years. The downside is they stopped the clopidogrel the Ranexa and a third tablet which they said was for Ischemia and since they’ve stopped them within 12 hours my blood pressure went back up to the 170/180’s/ 110’s but fluctuates a lot. I can record a resting BP of 180/115 -109/75 within an hour and back up to the 180’s again. No matter what we do or try we cannot seem to get my BP down or stabilised.
This is what my sister had for a year before she went into cardiac arrest, doctors were treating her for panic and anxiety disorders, luckily she was at work and a fast tinking coworker did CPR until paramedics arrived, she is alive today thanks to God, she is doing well, they never did this test on her until after the cardiac arrest.
I have the same thing happen Sarah. I have been on high dose medications for BP but none seem to bring if down for any length of time. Im considering stopping everything and see where it lands...Im 74 and have been going through all this since I was 61
@@CharleneSawe please do not stop taking medication without your doctors say so, my father did that and had a massive stroke that left him speechless and incontinence , and he live or existed like that for 4 years.
Thank You for the INFORMATION!
After 4 trips to the ER and the last 2 visits I was admitted to the hospital, one for 5 day, out for 6 days and back in for 6 days, I was diagnosed with Diastolic heart failure. I had the symptoms discussed here. Especially waking up in the middle of the night not able to breath. I called it the "void" because I could not move air in or out and it felt like an emptiness in front of me. It was scary because all I could think of was I need to breath now. If not I'm going to die in like 5 minutes. It was hard to calm yourself down and start with short breaths until finally being able to take a "real" breath. I am learning how to take better care of my heart now. My heath problem is because of high blood pressure. Even though I was on bp meds They weren't regulating my bp. But now I have a medical team that cares and are helping me. So if your PCP is not helping you go find another one. There are doctors out there to help us get better and not there for a paycheck and we are a number that he got thru to the end of the day!
Are you obese? If you are you did it to yourself.
@@ThePresentation010 yes I am obese, very obese. Along with the fluid retention I also have hypothyroidism. This also adds to my lack of weight loss. It’s nothing for me to gain 7 pounds in a day and take a diarrhetic and loose 4 pounds. Buts I’m stuck with 3 pounds that I yo-yo back and forth with until the next large weight gain. Then those 3 add up over time. I would love to weigh 180-200 pounds. But with sever COPD, hypothyroidism, diastolic heart failure, and now dealing with this cancer I’m not loosing anymore. I continue to gain. Have an appointment with a dietitian to help me come up with a plan to reach my goal.
@@jimlong4182 what in the...
Avoid carbs, sugar, starch.
Focus on fiber and protein.
Learn to fast, aqua diets: soups, light drinks.
Sea food, Pesceterian or Mediterranean diets.
And very importantly... exercise, resistance training.
Muscle figuratively, acts like a stomach. Itll burn the weight off quick the more muscle is developed.
It takes time but so did gaining weight. But you either build weight or build muscle.
It's time to build muscle.
Start with legs it's easier and takes less will power. Also developed legs enhances your ability to run, breathing, stamina and endurance. So you can then incorporate cardio and other exercises.
You'll know you're making progress when you get sore. Because you're 'leveling up muscle'.
Dont do cardio without leg training. I see big ppl doing it... it's not wrong- but its not an effective way to go about it. Also dont try to be a weight lifter. Just do a lot of reps.
Instead of trying to lift 300lb with legs just do 125 or 150, whatever you feel is decent. And do alot of reps. Lift it many times. Like 10 x 8. Also you don't have to do 10 at a time as a base number. Can do it up till 5. 10 sets of 5.
If you lift heavy it's only gonna make the muscle bigger and make you look bigger. That's no what we're going for here.
@@ThePresentation010 thank you. Once I get a clearance this is what I want to do. I turn 62 next week. I want to be one of those active seniors who are healthy and happy. That’s my goal in 2023. I definitely don’t want to die like this.
@@jimlong4182 all you really gotta do at the end of the day is build muscle. You're only where you're at because of the lack of muscle.
You have alot of 'stored energy.' Your body wouldve burned through all of it if you had muscle.
But because theres no muscle it's being stored and disrupting body processes and causing severe health issues.
Subscribed. Thank you for a clear video, and no silly hand scribbling the diagrams on the whiteboard ! :-D
Neverendings thanks for your video : super great job,well done!!! 👏👏👏👏I wish I had professors like that before!!!!!!!!
I am an old bloke with a few problems (mild COPD, obesity, decreasing mobility, Type 2 diabetes, infuriating itching on legs, arms and back). I find these videos of yours extremely informative. I have no medical knowledge or training, although my knowledge of Latin and Greek helps in understanding the terminology. I applaud you in lucidly explaining the issues to students, which furthers my own understanding!
Stay hydrated..start walking.
@lukebrel7969 I'm not a doctor, so please take this as a friendly heads-up . I don't want to alarm you either, I only want to make you aware that the itching you describe could be an important symptom of some cancers, including lymphoma, gastrointestinal cancer, PV, and melanoma. Maybe you should inform your doctor. Hopefully it's nothing but dry skin, but you should have it checked out anyway. Hope you're not offended about my concern. I mean well. 😊
Excellent presentation, thank you! If a 30 y/o presenting these exact symptoms with distinct orthopnea but all tests come out negative with the exception of tachycardia. What would be the suggested follow up to that?
Very, very well explained. I like how you broke things down in chunks, and explained each.
Great Video. Why isn't CXR mentioned during the investigation process?
✅
Drugs with Mortality benefit in Heart Failure with reduced Ejection fraction are
1. ARNIs/ACEI/ARBs
2. Beta blockers
3. Spironolactone
4. Hydralazine/Nitrate
5. Ivabradine
6. SGLT2 Inhibitors
Number 3 I take daily along with furosemide
My husband passed away and he was taking most of the medicine on this list. His kidneys did die.
I lost my dad 47 yrs ago he collapsed in the street going to work one Sunday morning I was 13, I was the one that found him it's still clear today as it was all those years ago, my mum is still alive she is 92 now and often says she lost her sole mate that day, it happened the day after her 45th birthday.
What an excellent presentation. Thanks so much 💯
I am on digoxin, ACE inhibitor Ramipril, Beta Blocker tritace, Spirolactone diuretic, Fish Oil, and Coenzyme q 10 for A/F and heart failure. It has been stable for fifteen years. Coq10 helps the body recycle oxygen in the cells.
as a heart failure patient .Thank you , well done .
Plant based diet can help
My dog is dying of congestive heart failure. This video helped me understand what to ask her vet to best manage her care in her last months. Thank you.
I’m so sorry. I love dogs & would be devastated if my pupper was going through that. Hang in there buddy 💕
Aw *hug*
@@craigdavis5818 8
Mine as well. She’s a 15 year old chihuahua. Poor girl almost left us a few weeks ago. We got her stabilized and on meds. She’s tired all the time and gets a little confused but she’s well enough to enjoy life for a little while longer. Sorry about your dog. It’s hard.
@@wickedlee664 My little Chi mix almost died from CHF. The vet gave him enalapril, vetmetin, and lasix. That was over 3 years ago and he's doing great. We really thought he was a goner.
3 years ago!!! Comments only go back two years I just went through them all. It’s strange this huge access death rate has only been out since the roll out of the covid vaccine. Most of my family and friends that had the vaccine are all sick, some heart attacks, some blood clots, some cancers an so on. But everyone of my family and friends that never had the vaccine are all fine and healthy.
For me, it's the opposite, except I know someone who actually died from Covid-19. Another was paralysed, had to learn to walk again. Everyone vaxxed is fine.
Hello Tom,
I am a fan of your videos and been learning a lot from your concise presentation for revision and test preparations.
Just a minor feedback on the clip ; ARB should be “Angiotensin Receptor Blockers” Not the “aldosterone receptor blockers” just my 2 cents
Thank you so much
wow, thanks for explaining this out. I get it now. great explanation and video, Thanks
Diagnosed with cardiomyopathy in 2019 I have the death sentence five years after diagnoses I'm actually relived and ready the world is getting worse, everyone has to die at some point, get over the fear and accept the transformation
Yep we will all die & They'll say it was covid19
@@pearlperlitavenegas2023 Vaccine causes enlarged heart as well.
@@cmorichie7202 😬😥 & other side effects
@@pearlperlitavenegas2023 absolutely
I Agree on the World getting worse.Not going to get political,but we have a weak,scared old man as a president,immigration out of control,NO borders,the west coast is burning up,Global warming,and many other environment problems,Big Problems.Economy is done.I'm 63,had a great life,just feel bad for my kids..hope things get better somehow..I'll be long gone..I lived the the 70's 80's and 90's,it was the best,little did I know....Bye
I had heart failure this time last year. Very low on iron, diagnosed with diabetes, high blood pressure, overweight, coughing & out of breath. Spent 4 nights in hospital. A year on I'm still on the mend, just struggling with diet. Beneficial video this ✍🏾
Hello brother how old are you if you dont mind, and how obese were you as I am 18 st and have really been struggling with long sets of stairs recently, also can you tell me what the symptoms were leading up to it and what it was like please, thanks mate I no the feeling of struggling with a diet.
This is fantastic🙂 thank you, subscribed immediately😊
Thank you for an understandable presentation.
Great vedio
Love from Nepal🇳🇵🇳🇵
I was a healthy 61. Walked 3 miles a day. My weight is good. Regular check ups and good blood values. One day I couldn’t maintain my pace during my walk. Next day couldn’t breathe correctly. Off to the emergency room. Diagnosis Saddle Pulmonary Embolism. 4 days in the ICU. Now have atrial flutter and heart failure. Totally out of the blue.
took the snake juice???
Thank God for people like you.
Excellent explanation.
My dad was misdiagnosed for two years before he finally died in my arms from what they described as blocked arteries. We had spent the entire day before his death going from station to station at a hospital while they "tried" to figure out why a previously vigorous man was suddenly unable to take six steps without requiring rest. The useless hospitals kept insisting that it was some kind of lung disorder. Nope, he turned blue, passed out, and died of cardiac issues.
So sorry Leanie. I just liked your comment. Not because of what happened obviously but because I understand having to deal with the pain and feelings of helplessness of such a traumatic event that the different choices of others could have had an alternate outcome. It's so weird how a few sentences scribbled in a comment that a bunch of strangers might possibly read can help you to get things off of your chest and how the story of your beloved father contained in those same sentences could possibly arm a stranger with enough information that saves a loved one in their lives. I lost my father before I turned 30 to something there was nothing I could have done about. I know every situation is different but there was something in your story I could relate to. Hang in there.
Plant based diet can help
Agree with you it is unfortunate that we trust stupid doctors who don't diagnose properly
@@vijayakumarn5274 also all my Drs. don't talk to one another about my health. One gives medicine
that I will read may be detrimental to my other issues. I only see a real Dr. once a year. The rest is nurse practitioners. But they spend much more time with me.
Blood clots…
71 here had my first heart incident a week ago thank God it was very short chest pain and I almost passed out. Spent two days in the hospital found my potassium was really low six bags intravenously and I felt better ever better hours later but now I have high BP now. Waiting to get into the cardiologist in two weeks. My medications have changed as two were detrimental to my heart under these conditions.
W?hich meds were not doing well.? And what did they switch you over to? My Mom is starting to have issues as she can't sleep laying down ..and is told she has high BP,...and fluid around the heart,...CHF?,...She is 80
@@bodymanruss518 VALSARTAN 80mg not good you get dizzy chills and sweat. The last dose I'm ever talked about was last night. Hasn't lowered my BP at all.
@@bodymanruss518 PS: Thanks for asking.
Idk what to do cause I can’t breath at night when laying down idk IDK I’m only 13
@@uiccs please tell a school nurse if your parents won't listen 👍😀
Very helpful yesterday I see heart failure pt with above same symptoms very helpful ❤💯😇
Thanks for the update. I lost someone I cared for 5 yrs died recently he had open heart surgery and valve replacement. He died in the restaurant after dinner gone I'm still traumatized he was obese and the fluid didn't flow he was on lasik and I couldn't believe he died so suddenly and fast. He told me he has conjested heart failure I was illeterate about the decease till I cared for him. His kidney only function 23%.Bless his good soul.
Sorry for your lost. How obese was he. Would be so kind to tell me his weight and height
Plant based diet can help
I’m 39 years old roughly 9 years ago I had blood clots in my lungs which caused me to have an enlarged heart and a pulmonary embolism
After taking warfarin for a year and getting checked I was left with scar tissue on my lungs but I started to go to the gym as well as work a manual job
Roughly 2/3 years ago I started to have similar symptoms as before and thought I had clots again but they checked my blood and nothing so I went back as I was starting to struggle doing things I previously had no issues doing and they gave me an x ray said I was fine
I know my own body basically I went a lot of times and only when a nurse finally done an echocardiogram they found my left ventricle was impaired so I waited on the doctor calling me saying that it was “mild”so a short while passed and I went back as I still didn’t feel right I was tired all the time had no energy etc then out of the blue with no explanation I received a prescription for ramipril through the door I was confused as I didn’t know what it was for or why I was to take it
So a while after that I went back as I wasn’t getting better bearing in mind I didn’t know having left ventricle impairment was heart failure until I looked into it
The last time I got checked was months ago and the heart specialist said it’s not any better but it’s not worse
So I’m currently still working a manual job that is hard for me to keep doing as I struggle to do the same things I can’t lift weights like I used to I hardly sleep and they still haven’t been told that I have heart failure in any form after seeing this video you say they shouldn’t give ace inhibitors for valvular heart disease which I’m assuming is what I have as my left ventricle is not working properly I would love to go private but that au t an option so anyone any advice or the guy who done the video any advice? Appreciate it
Thanks so much . Very informative and easy to understand.
Great presentation ! Thank you !
Great explanation of paroxysmal nocturnal dyspnea. Better than my book.
If you have PND due to heart failure, Oramorph really helps.
you didn't mention the fact, sleep apnea and hemochromatosis iron overload can cause heart failure, and whilst you put this on here, thousands of NHS DOCTORS chose to ignore the symptoms.
SEVERE sleep apnea. Went to the hospital NUMEROUS times thinking it was a heart attack. (One of the trips was a heart attack)
They ran the same tests repeatedly. FINALLY, a doctor compared my lung pressure and my heart pressure.
Bingo! After 3 years of tests, it was diagnosed.
Congestive Heart Failure.
Looking back, I realized my symptoms had steadily increased.
I blamed it on age and out of shape.
Go get checked!
@@terilee5751 i got that bad the heart was out of rhythm and i caught pneumonia died on a ward, brought back to life, then spent 5 days in a coma on life support, its called the silent killer, my sister was sweating for years, when i came out I begged her to go and have a sleep test done, she had 28 apneas phr, she's now on a machine and all is well. like you said go get checked.
Very helpful. Thank you!!
Well done on the explanation…
Thank you for this my husband had a hole in the heart from birth he didn't know about, surgery was performed age 69, we are 7 yrs on now & this is going to be useful information going forward in understanding his treatment regime & what each tablet is for
I too had a hole in heart which was ASD closed a year ago through device closure right now i am 23 year old.. and i am too afraid.. how did they closed your husband’s through device or open heart surgery and do he follow some diet?
@@rizwan308 well hello nice to hear from you. Okay well you asked so... he had open heart surgery they put in a fenistrated patch, with lots of microscopic holes that would not cause big changes to the heart pressure all at once but the body puts a protective layer over it in time so the holes close naturally. He also had Atrial fibrillation which she used a laser for striated the area misfiring & that did the trick. No special diet was required but I would suggest that our overall healthy eating no red meat, low salt, reduce cholesterol by cutting down on processed foods& keeping weight down has helped give some good years after surgery, its only now I'm noticing small changes but he is 77 this year. Enjoy everyday try not to worry, advances in surgical procedures will benefit you as you go through life. Fitness is important but no exercises with hands above your head it forces the heart to work harder, build up slowly try to find a local group recovering from similar things. Best of luck to you. Karen
Plant based diet can help
Blimey, a hole in the heart from birth! I am sorry for being inquisitive, madam. But how was he feeling prior to being diagnosed? What exam did uncover the culprit? Thank you in advance for your input.
Quick comment: I've noticed that people not eating well can indicate heart failure as well. I think that digesting food or being even close to full puts enough stress on the heart that people dislike eating even a properly portioned meal; it causes them to feel tired or out of breath. This may be hard for a patient to judge though; a lot of people have really bad ideas of what constitutes a reasonable portion of anything nowdays.
Suspected APECED or SIBO might also cause some of these symptoms.
Yes a big meal makes me feel really bad..less is best
@Quasemodo lee yes and the people who don’t care end up getting screwed over the worst. Better to care about your health.
@Quasemodo lee yes and the people who are indifferent and don’t have any fear usually end up dead first. In fact 100% of the people I’ve known in my life who were laid back and didn’t care about their mortality ended up dead or disabled first.
@Quasemodo lee aww ty that means a lot I sub to you as well 💜
Thank you! Very clear, plain English and with soothing voice. Has helped me understand symptoms experienced by my elderly mother, and her treatment.
Subscribed and here's a comment to help with the algorithms. Great video. Very clearly explained. Perfect.
Thank you!
Going through all this just now and my heart failure almost stopped me getting my kidney transplant but a great anaesthetist got me perform certain tests and gave me the ok 👍. Very interesting video 👏👏👏👏
Wishing you much success in your health journey. God bless 🙏🌿
Plant based diet can help