Coronary Artery Disease and Cardiovascular Surgery, Part 2
Coronary Artery Disease and Cardiovascular Surgery, Part 2
Cardiovascular Thoracic Surgeon, Vernon Dencklau, DO, discusses risks and symptoms of heart attack and steps to take if experiencing symptoms
Content
0.23 -> Welcome back to McLaren Port Huron's
Today's Health and we're talking with
4.74 -> board-certified cardiovascular thoracic
surgeon Vernon Dencklau about coronary
9.84 -> artery disease okay we talked a little
bit in the first segment about what it
14.28 -> is what happens if it goes untreated not
treating coronary disease results in
20.55 -> either symptoms or major problems what
happens is when the arteries that we
29.46 -> described on the surface of the heart as
they narrow you then get dysfunction or
36 -> a lack of good function of the muscle
that that vessel supplies how
42.989 -> bad the symptoms are can depend on
either how bad the blockage is or what's
47.91 -> happening at the time if it's just a
narrowing and you've provided too much
52.89 -> demand on that part of the heart and you
relax you stop exercise you stop what
60.51 -> exertion you're doing then the chest
pain that you're experiencing can relax
66.57 -> and that would be just termed an anginal
episode if it's been an abrupt blockage
72.299 -> then it can progress to actually heart
damage a heart attack where actually
77.22 -> that muscle actually dies what are the
symptoms then other than are there
82.47 -> symptoms other than chest pain of a
heart attack obviously chest pain is the
86.85 -> most prominent one and it's most
commonly described as an elephant
90.36 -> sitting on your chest but it can be a
typical some people have this pain
96.29 -> radiating up into their neck up into
their jaw into the left arm especially
100.68 -> or into both arms or into the back I
can't tell you how many people I've seen
106.829 -> and treated for heart attacks that felt
that it was indigestion and the best way
113.759 -> to determine those two is that if it has
the characteristics that one typically
118.68 -> considers a heart attack it needs to be
checked out especially if it lasts more
122.61 -> than a couple of minutes the other
symptoms like symptoms like heartburn
128.19 -> you could simply try some tums if it
doesn't go away quickly then you're
132.33 -> thinking maybe it's not heartburn
and then again it should be checked out
135.62 -> so what should you do if you are having
some of these symptoms and you're
139.95 -> thinking gee maybe I am having a heart
attack like many things you have to
144.45 -> exercise a little sense about how bad
they are and how urgent they are if you
150.51 -> have significant chest pain and it lasts
more than a few minutes then you need to
153.87 -> seek emergency help and you should be
seen in an emergency room and again
160.98 -> depending on the acuity of the symptoms
if you're having typical chest pain then
164.97 -> it would be call an ambulance if you
have a little bit what seems like
168.39 -> indigestion and it goes away then that
would mean a trip to your doctor to have
173.55 -> him check it out in more detail so if
why is it so important to call an
178.709 -> ambulance if you think you're having a
heart attack if you really have chest
182.43 -> pain the there are several reasons for
that number one is you need to be
186.9 -> treated quickly in our parlance where
say we say that time is muscle the
195.72 -> longer the heart muscle is deprived of
proper oxygen and nutrition by having a
201.06 -> pinched artery the more damage to that
heart muscle and in fact if it goes long
206.34 -> enough you can actually have that muscle
be dead and beyond repair that portion
211.44 -> of muscle that's applied also if you are
having those kind of significant
216.12 -> symptoms you can actually develop a
funny rhythm because the heart is more
221.7 -> irritable when it's deprived of oxygen
and those rhythms can make you pass out
225.93 -> or make your heart not function well
enough and when the circulation stops
231.51 -> you stop well obviously there's a lot of
anxiety and you know I personally live
236.34 -> really close to the hospital so what
would be wrong with my husband I just
240.42 -> jumping in the car getting to the
hospital as quick as I possibly can
243.87 -> there a couple of things that make that
not a good idea number one is if you're
248.28 -> driving yourself and you get an
arrhythmia v-fib or vtec or one of these
253.68 -> arrhythmias that means your heart isn't
functioning you stop functioning your
257.94 -> brain stops functioning crash if that
happens and you're being driven by
263.37 -> another person they've got nothing that
they can do
267.7 -> and if your heart stops or isn't
functioning properly for a period of
273.1 -> over three or four minutes then you can
have lasting damage to your organs like
277.39 -> your brain and so it's best that you get
the fastest help possible with EMS they
284.95 -> can quickly put you on monitors there
are certain treatment regimens that they
290.05 -> can use they can communicate immediately
with the emergency room and emergency
294.01 -> room physician so even if you're not in
the emergency room you can get treatment
298.3 -> also if their EKG monitors which are
transmitted back to the emergency room
303.96 -> show what we call a STEMI or ST
elevation mi an EKG picture that looks
310.24 -> like a heart attack they can then
mobilize the team to deal with that with
318.04 -> stenting or other treatments so are
there things that would be helpful that
322.54 -> I could do while I'm at home waiting
there are a few things number one is sit
327.31 -> comfortably and relaxed do your best to
calm yourself that decreases the demand
332.59 -> on the heart the loop the less beats you
have and the less blood pressure you
338.05 -> have the more easy it makes on your
heart chewing an aspirin at that time
344.86 -> has been shown to be of some benefit it
makes our platelets or clotting
349.51 -> mechanisms within the blood a little
less sticky and does have some benefit
353.59 -> if you are a patient who has been known
to have heart disease and have
358.39 -> nitroglycerin on hand putting a
nitroglycerin under your tongue and
361.8 -> another one every five to ten minutes
after that for up to three may help as
367.15 -> well well we're going to take a break
and come back and talk a little bit
371.2 -> about treatment
Source: https://www.youtube.com/watch?v=FBcu4KLaJSQ