4 Ways to Prevent Heart Attack
4 Ways to Prevent Heart Attack
A heart attack occurs when the flow of blood to the heart is blocked. The blockage is most often a buildup of fat, cholesterol and other substances, which form a plaque in the arteries that feed the heart (coronary arteries).
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Content
0.56 -> there really are four things every
1.839 -> american should do one is not smoke
4.08 -> one is get their body mass index down to
6 -> around 25.
7.52 -> now it doesn't have to be 25 it could be
9.28 -> 27 27 and a half
11.12 -> if you don't know what body mass index
12.639 -> is go on google and search it and it'll
14.48 -> give you a formula
15.679 -> putting your height and weight and it'll
16.72 -> tell you what it is one is eating at
18.8 -> least five fruits and vegetables a day
20.8 -> and that is really important and then
22.64 -> last is trying to
24.24 -> exercise at least 150 minutes a week and
26.56 -> that's vigorous exercise walking fast
29.199 -> something like that if you can do those
31.279 -> four things it's been shown to lower
33.2 -> your risk
34.16 -> of dying having a heart attack having a
36 -> stroke by 40 percent
38.079 -> in just four years now you may say
40.239 -> that's not much
41.2 -> but let's compare that to something else
42.719 -> let's compare that to stents
44.64 -> stents don't lower your chance of that
46.16 -> at all of those things at all
48.559 -> in a stable chronically stable patient
51.44 -> bypass
52.32 -> it's about half that good even if you
54 -> have a lot of narrowing of your arteries
56.239 -> what about the drugs we take lipitor
58.48 -> zocor that's maybe a third or quarter is
60.96 -> good
61.84 -> so the these lifestyle things are
63.76 -> incredibly important
65.04 -> and only three percent of americans do
67.04 -> these four things
68.479 -> and that's the sad part because these
69.84 -> are not things that are toxic these are
71.68 -> not things are going to hurt your liver
73.04 -> not things are going to
74.32 -> cost you a lot of money in fact they'll
76.72 -> probably save you money
78.32 -> yeah it's a couple of groups one is
79.759 -> somebody the family history you know
81.439 -> that i think we're all paying more
82.64 -> attention out of family history
84.479 -> and the people knew their father had a
86.96 -> heart attack at age 48 and they're now
88.799 -> 46 and they wanna they're they're
90.64 -> starting to get concerned about it
92.4 -> it is people that have had problems and
94.799 -> we're seeing
95.6 -> early and earlier patients present with
97.92 -> heart attacks and strokes
99.52 -> we've got a patient on the hospital
100.72 -> service now that's age 21.
103.2 -> that's too young and they're starting to
104.96 -> say gee it may not have been in their
106.799 -> family but may have been a co-worker
108.32 -> somebody like that and says gosh
110.159 -> you know fred or mary had this thing am
112.56 -> i at risk and they're coming in for that
114.88 -> and the third group is people we're
116.24 -> seeing that have known disease
118.32 -> that are doing everything they can in
120 -> terms of getting bypassed getting
121.6 -> medicines
122.32 -> but they're still having trouble and
124.799 -> they're coming in saying what else do i
126.32 -> need to do
127.439 -> it's kind of funny because now we're
128.72 -> kind of going back to what's the basics
131.039 -> and say what do you know what the basic
132.72 -> things you need to do exercise eat right
135.2 -> all the things your mother told you that
136.72 -> we never really had quantified and some
139.12 -> of these studies really are just the
140.56 -> last year and a half that have shown us
142.239 -> how effective
143.52 -> uh in fact this one study of the four
145.599 -> things
146.56 -> was a sixteen thousand patient study
148.56 -> they brought sixteen thousand patients
150.239 -> in and said do these four things eat
152 -> right don't smoke
153.36 -> exercise and lose weight and that just
156.319 -> came out in the last
157.28 -> year and a half because when i was
158.72 -> interventionalist you know patients
159.92 -> would come in with an acute heart attack
161.68 -> they'd be an asystole their heart
163.04 -> wouldn't beat they had a total occlusion
165.12 -> of their front left artery
167.04 -> and their mortality could be you know as
168.8 -> high as 25 30 percent
171.04 -> but with intervention you know a stent a
173.519 -> balloon
174.239 -> you could have a 92 percent chance of
177.12 -> treating them getting out of the
178.159 -> hospital
178.72 -> four or five days later walking out
180.72 -> vertically
181.84 -> success so that was a pretty good
184 -> success rate
185.36 -> very satisfying prevention is a little
187.36 -> different people come in they're not
189.28 -> eating right
189.92 -> they're not exercising their stress
191.599 -> they're not taking care of themselves
193.519 -> the national average to get someone to
195.28 -> change is about two percent
197.599 -> so we have a 98 failure rate and we're
201.04 -> there really is not much research in
202.64 -> that area other than giving statins and
205.04 -> you know
205.519 -> some of those drugs so we're trying to
207.44 -> do research that says
208.64 -> what are the things we really need to do
209.92 -> to help you by getting back to the
212.08 -> basics
212.72 -> because we're finding especially this rx
214.56 -> study has shown us it is so important
216.64 -> just to get back to the basics and
218.239 -> and take care of yourself we're
220.319 -> investigating a couple things you know
221.68 -> one is these agents that that
225.28 -> lower your cholesterol like sandals and
226.959 -> sterols combined with fish oil which we
228.799 -> know
229.28 -> can lower your chance of sudden cardiac
231.12 -> death fish oil is the only food ever
233.519 -> endorsed by the american heart
234.64 -> association
235.68 -> it's the only pill i take every day
237.68 -> because about a thousand milligrams of
239.92 -> dha and epa
241.439 -> the two active ingredients that's on the
243.12 -> side of the bottle and fish oil
245.04 -> will lower your chance of dying suddenly
247.12 -> significantly
248.08 -> it's a pretty low risk thing we're
250.4 -> studying that we're studying what types
252.08 -> of things
253.04 -> make lead patients to change their
254.959 -> behavior
256.32 -> we all tell patients things and that's
258.4 -> educating them
259.519 -> but we're not changing their behavior
261.12 -> which is a whole different
262.639 -> kettle of fish and that takes a lot of
264.56 -> research to look into that
266.16 -> we're looking into your own body's stem
269.199 -> cell response
270.56 -> we know that people that have a heart
272.24 -> attack and start exercising
273.919 -> after a heart attack have more stem
276.88 -> cells
277.52 -> the cells or the progenitors that can go
279.52 -> to your heart and help grow
280.72 -> new muscle that the ones that are active
283.68 -> and do
284.24 -> exercise after heart attacks have a lot
286.16 -> more of those cells
287.28 -> than ones that aren't so again it's
289.44 -> looking in the things you can do as a
290.88 -> patient to really help yourself the most
Source: https://www.youtube.com/watch?v=i2paYHd3PaQ