Excellent presentation and presenter. My first cardiologist diagnosed ischemia and unstable angina. Started medications but got progressively weaker. Saw a second cardiologist. He diagnosed heart failure. Lungs were filled with fluid and EF 17%. I never knew there was such disparity in cardiologist quality.
Dr. Gupta, I'm now well and have gotten back to cycling because I followed your advice of increased salt intake for Long COVID. I was bedridden for almost 9 months and I really felt I was close to dying. You gave me my life back. You gave my children their mother back. Thank you so much.
@Nunal Sa Paa, can you please explain what is Long COVID? I have not heard of it. How did increased salt intake help? Why were you bedridden for 9 months? Sorry for asking such personal questions, I totally understand if you don't want to answer. But your comment makes me want to know more, and hopefully your answer will help those who are maybe having the same health issues. Thank you.
I've been suffering with breathlessness, fatigue, A fib, swelling of legs and stomach for years. I had rheumatic fever as a child, was diagnosed with mild atrial stenosis and mild mitral valve regurgitation over 20 years ago. I've seen a cardiologist for echo's every few years but they always said I was symptomless despite being so puffed out i now have to keep stopping in the street to get my breath. My quality of life is awful. I was just hospitalised over night with a bad episode of A Fib and the echo showed severe tricuspid regurgitation, and my heart is not contracting fully. I'm terrified and so upset that they ignored me for so long. My ejection fraction is 50% which they say is okay but it doesn't feel like it. I'm 65 and very scared. I have a cardiology appointment this week so will see what they say. Thank you so much for your wonderful videos.
Dr Gupta I have watched many of your videos from years ago and I am quite astonished that you haven't changed at all. You obviously are a great example to us all. Thank you for your work.
I know this video is not new, at least a year old, but it's new to me. For the last year I'd been getting very breathless and more and more lethargic. Doing light work in the garden, I had to stop for a rest every five or ten minutes. Sitting down on a garden bench I was prone to nodding off and having a thirty minute doze. I could no longer walk to the local shops, only a few hundred yards away, I had to drive. My GP's had not been very helpful but emboldened by your video I decided to try to persuade them. A different (Younger?) GP was more helpful. He said he thought I'd had heart failure for six years, this based on my records, particularly an echo in 2018. I'd long suspected this but the other GP's had been reluctant to agree. He upped my diuretic, bumetanide, from two per week to daily. He also suggested Rybelsus which has only recently become available in sufficient numbers for our local NHS to allow GP's to prescribe it. A different GP, a diabetes specialist, was the one who had the keys to the gate. He was extremely reluctant to prescribe it. Apparently metformin is the recommended first step but I wanted something to tackle my Heart Failure, not diabetes. I'm too old to be hanging around whilst they hum and hah. Fortunately I was armed with lots of research papers backing up my argument. I had to be quite forceful, almost rude, but eventually he agreed to it. The outcome is amazing. Four days after Rybelsus and ten days after daily bumetanide I can now work for hours in the garden without a rest. I can walk to the shops. I don't need to sit down for a couple of minutes after I walk up the stairs. I am a country mile from where I want to be but I'm now confident I can get there. Thank you so much. I would be still waiting if I hadn't watched your video.
So interesting, I’m determined to speak with my cardiologist intelligently rather than being brushed off as unable to comprehend what’s happening to my own body. Thank you!
I have been a Pediatric ICU nurse in the US all my life and most of the info is not new to me, BUT, love watching you as as I learn to make it easier for me to explain things to family and friends in words they understand . ( I have them follow you but some need me to interpret). Thank you
Thanks for what you do, Ani. My ex has been an ICU (high level) nurse for years. What a tough job. I hope you are caring for yourself and get some pampering now and then. Caregivers often give so much of themselves, but ignore their own care, or are so busy caring they forget/don’t have time to perform that critical self-care.
@@onerider808 I am not proud to say I never took care of myself… I exercised to cope but pampering? No! Just retired but I miss work tremendously! Thank you for the advice!
Finding your channel has been a godsend. You provide the information and reassurance that my cardiologist is too busy to address. Thank you so much for taking the time to make these videos.
Wow, this video just popped up in my feed today and today I was diagnosed with heart failure with an EF of 58% per recent echo. So timely for me. Thank you 😊
Very interesting. I will be asking about the SGL 2 inhibitors. Thank you for all the time that you spend educating us all. Please don’t leave….we rely on you so much to keep us all posted! Happy Christmas to you and yours.
"Failure" seems like an inappropriate term. In ordinary experience, if a dynamic mechanical thing fails, it doesn't work anymore at all. (E.g. a failed bridge doesn't still partially work). Why is this called "failure" when in fact it actually indicates reduced function below a certain level? The psychological effect on a person who is told their heart has "failed" can itself be very damaging and badly impact their activity compared to what they should be doing for the best possible outcome. So often, it seems to me, medical conditions are misnomered, inducing a degree of catastrophising in people. (The term becomes a self-fulfilling prophecy). The psychological impact of what things are called and how they are medically described is taken too lightly by many medical professionals. Just making a general observation, not saying you are doing this, Dr. Gupta. [I love your channel and you have been very helpful to me.] An older member of my family hangs on every utterance of her GP and the slightest remark can make a significant long term impact on her entire mental perspective of her own status and capabilities. (And this can be, at times, disproportionately negative compared to the true reality of the situation, because of how a term is perceived. )
Thank you so much for this comment. My father (65 non smoker/drinker- obese builder- pre diabetic And hasn’t been in hospital since he was a teenager) has just been through the most traumatic 2 months of his life. We were under the assumption that he was just having a stent and then it progressed to a quadruple bypass. Thankfully he made it through but was discharged too early and he had a lot of breathing problems/ coughing up phlegm and swelling. After multiple calls to the hospital to see if this was normal, we took him to his GP to get the stitches out and a general consult. The GP took a look at my dad while he was out of breath and flippantly said “I think you have heart failure.” And moved on to the stitches. We lost our damn minds, I’ve never been through something so traumatic in my life and it has brought on panic attacks I haven’t had in years. My father is doing as well now as he can be at home but we will never be the same. To all Doctors…..THINK BEFORE YOU SPEAK!!!!!
This video is very interesting Dr Sanjay and is serendipitous. I've been hospitalised 3 times in the past 8 weeks with unstable angina since having a stent placement 12 weeks ago. Each time I have been prescribed an increased dosage of nitrate. I'm not eligible for further stenosis as I have diffuse disease (calcification and >50% blockage) of LAD, D1, LCx and RCA. The ED doctor mentioned two nights ago that SGLT-2 drugs, particularly Dapagliflozin may benefit me. While SGLT-2 drugs are currently unfunded in NZ I will bring this information forward to me cardiologist, who I am seeing in 3 weeks. Serendipitous, yes, seriously worth investigating for me, yes! Thanks for sharing and caring Sanjay.
Thank you for your videos, they're very helpful. My father was diagnosed with ischaemic heart failure in his early 70s a few years ago (no signs at all until he had a 'faint' and was investigated with various tests). However, he had high cholesterol and hypertension in his 40s, going on to have TIAs and strokes in his 50s, as well as having silent heart attacks somewhere in his life (leading to severe scarring of his left ventricle). To my knowledge, no echo was ever performed until his recent HF diagnosis. My sister in her early 30s was diagnosed with hypertension, and on a recent echo at the age of 40, she has a reduced ejection fraction for her age and hypokinesia of the septal wall. I too developed an atrial tachycardia in my early twenties (ongoing), and have mitral annular disjunction on a recent echo and grade 1 diastolic dysfunction of left ventricle). My question is, how can one differentiate between heart disease/failure that are familial/genetic and those that are purely ischaemic (especially in situations like my father where he was a late diagnosis)?
Hello I have just come across your video on Slow heart rate or Bradycardia that you made 5 years ago and just wanted to say thank you very much for posting that video as I have a slow heart rate of 50 when I am sleeping or just relaxing and when I went for my sleep apnea test the specialist said she was concerned about it but did not suggest I do anything about it not even talk to my primary care doctor but now I am relieved to hear it's not a problem as long as I am not experiencing fainting or dizziness which I don't so thank you for this information I have just subscribed to your channel please keep the videos coming they are vital and necessary.
I forgot to make a comment. I’m 72 y/o grandfather died age 45 with cardiomyopathy. In 2020 was in the hospital and had cardiopulmonary arrest. I have been having a heart rate at night in the 40’s cardiologist says he is not worried about it and I should not be concerned. I also have gone the other way to SVT. They say tachy /Brady syndrome. I have had 5 heart Caths for what ever reason. I’m always find no blockage but have aortic plaque. I have been having periods of air hunger and a drop of my oxygen level from 96% to 84% not long it changes back. Only to repeat over and over when I am resting. Makes me anxious. Then my heart rate goes up. Lots of leg spasms and jerking and pitting edema in my legs. With much pain. When feeling breathless . I have fatigue a lot and have to Rest. Last ef was 60%. Around 5 month ago. I asked to see the doctor again for the edema and breathing problem but have to wait 6 more days for appointment.
This is very interesting. I go to echo screenings every five years since I was a kid. In the 90s it was only ECGs. In the 2000s I started getting remitted to echos instead and the cardiologist would tell me it was a really good method. Mid 2000 I first came into contact with BNP measurements as a screening method. And now we're at a place where people are saying echo is a crude method. I don't think failure with preserved EF was even recognized back then. Considering the effect of SGL-2 inhibitors in reducing risk in diabetes, are there any studies on using these as a preventative in people with high risk for heart failure before they've developed failure e.g. people with myocardial damage? I really appreciate these calming and factual videos because everything about heart disease is so alarming and fills me with panic, not to mention the horrors you find when googling.
Thank you so much for this information! I'm in heart failure with reduced ejection fraction and I feel so bad for those people who haven't got a proper diagnosis because they have preserved ejection fraction. Heart failure is already a terrible thing to have to live with, but not even getting a proper diagnosis and treatment is horrible. I always thought the echocardiogram was the definitive diagnosis. But I think there is an overreliance on technology in a number of diagnostic tools. So now finally these people can start to get some help. I personally stopped the traditional cocktail of beta blockers, ace inhibitors, and diuretics because of the side effects. My biventricular pacemaker seems to be the only thing that has elevated my injection fraction from 20 to 45. But now I can have a different conversation with my cardiologist to see if these drugs for people with preserved ejection fraction might work for me.
I hope you get good news re the posdible help of this drug. I've only very recently been prescribed it (haven't begun yet). I hope this is good news for us all.
Thank you for your information. I had a pacemaker/defibrillator 8mths ago. EF 20 - 25% LV. I didn't know the EF could be increased, I just assumed it slowly deteriated. I am amazed you went off your drugs, didn't even know that was possible. I am currently gathering info on K2 MK7/D3, & Hawthorne, to take with my drugs, plus I just stopped stations to replace with Berberine, oats/ceylon cinnamon. Not sure if I just go with staying in my drugs, or if Hawthorne would do any harm, or ease off the dose to replace with Hawthorn. I am monitored on small machine at home, seem to be OK.
🥰🥰😍Dr. Gupta I love your videos you are just wonderful, thank you so much for your very helpful information to those of us who have heart related medical issues. Your videos always seem to calm me down when I have health anxiety🙏🙏🙏
Another excellent video. I do have a qustion. In your discussion of patient outcomes in the Emperor study, you said the placebo group had a 17% hospitalization (or death) rate compared with 13% for the medicated group. That's a difference of 4%, which would infer 1 out of 25 patients given the drug would benefit. Yet, you said 1 out of 31. How did you (or the study?) arrive at that number?
Hello Dr Gupta, I have been diagnosed with severe AS with preserved ejection fraction, no history of heart issues, a murmur was detected randomly during a hospital visit for rheumatology. Now being told valve surgery is the only option. Listening to your session has been very helpful as I understand some of what is happening with my heart function, so thank you.
I got a stent inserted yesterday.l had been having Angina pain for2 years but wasn't been taking seriously.Two weeks ago l could only walk about 6 metres and the Angina pain would start.On Tuesday chest pain woke me up and l got appointment with GP early next morning snd she got me admitted to hospital.My Artery was 95 % blocked.Glad she spotted how serious it was .
Good evening. How I rely on your video re dizziness, low blood pressure 113/69?, I'm turning 61 yrs. old. It's good to hear your explanations and recommendations. Take care ❤
Yesterday I felt like I was going to die, I was carrying my groceries home, knew I shouldn’t have. Carrying 10ish lbs on my left shoulder my 2, 15ish per bags of chicken, 3 flights of stairs and singing opera home… took me 20 minutes to cool down and catch my wind, yes chest kind of hurt, angina… should I call ambulance, no… finally I cooled down… had to make a dinner… burping like an idiot… I had my heart attack back in 2019, 70% blockage RCA stent… thank you for sharing ♥️🇨🇦🌏🎄
Thank you for your time. Could you please do a video on Entresto. Partner is triple heart bypass of 24 years ago. Hospitalised after Covid vaccine and reduced EF to 20-25%. Came out in Ramipril and transferred to Entresto, hailed as a miracle support and possibility of increasing EF. No such result has been paired with Dapagliflozin again no improvement. His tiredness is becoming more. His consultant has said that as his EF has not improved in this time it is unlikely to. I am also researching CoQ10 but it’s taking time as my degree isn’t in Medicine. But would be great to hear more in the Entresto please.
@@shanes.9089 Yes his EF went up to 40 after being in low 20’s. He was hoping this would mean they could lower his meds a bit but there has been no suggestion of this. It certainly does seem to be as good a drug as the studies suggest. They also put him in Dapagliflozin. Which is a diabetic medication that they almost accidentally found helped with heart failure. He has also had an ICD fitted. He wasn’t happy about it. He’s not had a problem and it’s not gone off. But it did recently alert the team that he had a build up of fluid. All very clever. I hope that helps.
I love your videos Dr Sanjay Gupta! I first came across your channel when looking around RUclips about Afib, which I've been having some out of control episodes the last few months. Hearing your advice on Vitamin C and trying it out, I have been episode free for almost a week now. So yea, THANK YOU! Quick question for you Dr Sanjay Gupta. What does a heart specialist do for his own heart after knowing so much information? Wondering if you have a video or can make one up about what a specialist does to take care of his own heart. When not taking care of others? Thank you Thank you Thank you! Cheers Take Care -Nick
My husband has just had an aortic valve replacement. He also needs to have dental work. Can you do a video on the implications of dental work on patients with artificial heart valves.
Great video, very informative. But could you address those of us who have a low EF but no hospitalization, no swelling, and able to walk 2 or more miles without being out of breath. I’ve been taking medication for seven years but reduced over the past year.
Thank you so much for your videos Dr Gupta 🙏 I would be interested to hear your views on Franks crease, a crease on the earlobe that could indicate heart disease, there is not much info about but apparently it’s a very good indicator for heart attack , many thanks and God bless you for all you do 🙏
Good morning DR HNY, I was diagnose with mid range HF and just recently started on ENTRESTO. Been athletic my whole life never had Symptomen was in hospital due to elevated liver enzymes and that’s when they ran a bunch of test including eco gram and saw my condition. How do you feel about ENTRESTO thank you for your time😊
Dear Dr. Gupta, I've had heart attack six months ago and my Left Ventricular ejection fraction (LVEF )reduced from 60%( normal) to 45%. I'm wondering can I restore my ejection fraction back to normal (60%) by life style changes such as diet and exercise without taking medicines. Awaiting your reply.
Highly informative and thought provoking. Thank you for these ongoing videos. Subscribed and listening. Greetings👋 from Sunnyvale California USA .👱♀️🐈🐈🐈⬛💕💜🇺🇲
Dr Gupta, love your videos! I wonder my ejection fraction has improved from 20% to 33% in 6 months taking jardience and entresto. My question is odd. Can I go into a pool to “ splash about” or will that put added stress on my heart at this stage. I’d love your input as I’d love to be able to holiday and go into water.
Good news on your improved EF with those two medications question have you felt different or had any side effects from that cocktail? Also I assume they are monitoring your kidney function has that stayed normal? Happy they have worked for you I may be put on the same regiment is why I am asking thank you!
Great video Dr Gupta ! Your videos are always so appreciated! I as well as many commenters here would love a follow up video about how its going now data wise with these drugs like Jardiance and Entresto . Cardiologists in the States seem to want to put patients on a cocktail of the two together to improve EF . They want me to and my EF is 50 so not sure if it is a good idea with the known side effects and with what I am on already.
I would be very curious to see SGLT-2 vs optimally managed diuretics. Just adding a drug with a diuretic effect and noting a reduction in hospitalizations (where patients are given extra diuretics) doesn't necessarily prove a unique beneficial class effect of the medication on heart function.
Yeah, a lot of doctors agree. But, do you think you’ll ever see a study? Extremely simple to to but no way Big Pharma will allow it. They’d much rather pay speakers to push these drugs.
I know the v a x caused my pericarditis because I was on an island working in the field as a biologist (an island without the virus), and only got symptoms after getting the jab. My question is how do I get healthy now?
Why did my ejection fraction reduce by half in 10 years? In 2013 I had a heart bypass op. Four months later I had a follow-up with the hospital cardiologist. I had an echo cardiogram. From my patient record I can see that EF was measured at 60%. Six weeks ago I was admitted to hospital with shortness of breath. Among other tests, I had another echo cardiogram. This time the EF was measured at between 25% and 35%. But what caused this huge reduction in EF? For the past 10 years I've tried to eat healthily. Lots of fish, including oily fish. Chicken mostly, with red meat consumption considerably reduced. I don't eat fast food more than once a week, if that. I cook most of my meals from scratch with fresh ingredients . I was diagnosed with Type II diabetes approximately 10 years ago, but managed it by diet control with an annual check-up. About 2 years ago I was pronounced to be in remission from Type II diabetes with an HbA1C finally back within range. My weight dropped from 82kg to now 65kg in 10 years for a height of 1.65m. 1 don't know what else I could have done to maintain EF. I'm 77 years old, male.
Will be interesting to see if 102 ¾ year old mother will be a candidate with 60-65% EF, no periph edema, no fluid in lungs heard. Concerned about UTI and fungi though. UTI for her is debilitating. Was listening to you a long while back b/f Mom's diagnosis last spring. Very grateful that your many insightful and clear explanations helped us both understand the diagnosis and treatment.
Have you done any video on methylene blue? So many things I wish I had known a decade before. Do you cook or have any recipes for healthy hearts? What about exercise routines? Have any suggestions for a daily routine? Should everyone buy a dog to have an excuse to keep the dog healthy by taking it for a walk? Are there any worthwhile wrist band heart rate monitor blood pressure calculators?
Have you or will you cover how kidney disease can effect the heart? Particularly, if it can cause LVH. Also, if poisoning causes the CKD, what the time frame would be for the thickening? Thank you!
Those diabetic drugs made me so sick for two weeks ..I had to get off them they dropped my bp by huge scary amounts...My ejection fraction was 40 % My doctor has still not gotten back to me with a alternative yet. .Thank you for this video..
My cardiologist started me on sgt2 which I took for 5 weeks I lost pulses in my legs I stopped sgt2 immediately I believe that was side effects of medication
Two years ago I was laid up with some bug for six weeks, fatigue, tiredness wiped out. Then after six weeks I had a chest infection for two weeks. After the chest infection my heart rate when standing went up to 180 bpm. This went on for a week then I woke with a pain in my chest and stomach and my heart rate dropped to 44 bpm, with escape and miss beats. I went to the Hospital they said this is normal. No way, your heart do not change like that suddenly. With the history of illness for the last Eight weeks. Some thing has gone wrong with my heart. But they will not listen. At the time I was doing keto diet, which lately have proved heart scaring. I firmly believe my heart problems is from this keto or I have had a virus hit my Heart. I'm 57 and before this I never had any heart problems. Now I'm fatigued, shortness of breath and sleeping a lot.
An American cardiologist whose name escapes me said, "There are two kinds of cardiologists -who are vegan and those who haven't read the data." Go vegan and supplement B 12 sublingually. Keep advocating for yourself until someone believes you and helps you.
I was diagnosed with heart failure,DCM and AF after i had two strokes . . . .that was 13 years ago and still waiting for symptoms when i walk 5 miles a day and cycle 1 hour a day.
I had an echo stress test that was positive recently. I have been out breathe and fatigued for a while but thought my asthma was getting worse. My cardiologist said I had heart failure. I'm not over weight or have any swelling. Blood pressure was 130/80 put I also have anxiety. He put me on carvedilol twice a day so to soften my arteries. I go for a heart cath soon. I'm scared. I haven't had to take on going meds until now and I'm 57. A ct scan did show calcium plaque. I'm still shocked after getting the news last week 😢
Dr Gupta I'd appreciate your advice, even if it is from a distance. I am 70 years old, 1.82, 80 kgs, normal blood pressure. I was diagnosed with LVH during a regular check up for insurance purposes. I have a background in bicycle racing from 1980 to 1995. I had VO2max from 60 to 75. Rest heart rate in the early 80s 40 to 45. For the last couple of years i feel chest pains when exercising, 9 months ago the LVH was pointed out to me during that check up. A simple question, what to do? I'm a bit worried. Thanks in advance, and Happy New Year.
Dr.- I have had CHF with reduced ejection fraction (~40%) for about 3-years and my cardiologist has been pressing me to begin a prescription for Farxiga for the last year. I have declined because he was not able to explain to me why or how Farxiga works for CHF patients. There is lots of available information on what it does and why it is beneficial for diabetic patients but I have not seen or read ANYTHING on the how's and why's for heart failure patients. Can you (or anyone reading this) explain the mechanism for why SGLT2 inhibitors work for CHF ? Thanks if you can.
Very interesting, I have exactly those symptoms. Treatment offered? Blood tests, still continuing no results provided from 1 doctor, 2nd doctor, nothing increase blood pressure tablets, "you need nothing else" I was told. Neither doctor has offered what you describe, why?
I've been to the A&E twice and have had my bloods, lungs, checked with Xray and ECG. My blood pressure was high, but I think it was me being anxious amd the ECG showed an ectopic heart beat. I had an incident recently while exercising (standing band fly). I felt an odd feeling not much pain very low, took a deep breath out, at the end of the breath I had a crushing sharp stab pain across chest and lungs. It didn't go away but if I had some air in my lungs the pain wasn't there. I woke up the next day fine but noticed I was getting a bit more tired walking. Now I feel a little lightheaded/dizzy throughout the day when moving around as well as palpitations, It's really affecting my work and what I do day to day. My weight is fine, I eat healthy, and I used to prior to this event work out 3 or 4 times a week. They said lungs, heart were fine nothing was concerning. Just don't understand why I feel like this.
Dr Gupta , I have been watching your videos regularly they are very informative.Could you do a video on Hypertrophic Obstructive Cardio Myopathy and the research and treatment for it. Thank you .
I really don’t know what to do so I’m writing this I’m 21 years old girl.For 7 months my heart beat shakes all of my body. Even my head shakes with my heart beat. I went to cardiologist they done every test but they said there’s nothing wrong with my heart.they gave me propranolol I’ve been taking it regularly everyday but I’m still feeling same my body still shaking with my heartbeat I can’t even sleeping at night because of this its really so annoying. And for last 2 days I started feeling my pulse in my throat and my ears make sound I don’t know how to explain its like ringing and pressure. My life is like hell for 7 months because of this.
What about no edema in legs but just abdomen would this be happening because bilateral occlusion of femoral arteries? My husband has this he had a heart attack about three weeks ago. His arteries to his heart were clear. What should the treatment be? His EF was 13.
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Excellent presentation and presenter. My first cardiologist diagnosed ischemia and unstable angina. Started medications but got progressively weaker. Saw a second cardiologist. He diagnosed heart failure. Lungs were filled with fluid and EF 17%. I never knew there was such disparity in cardiologist quality.
Dr. Gupta, I'm now well and have gotten back to cycling because I followed your advice of increased salt intake for Long COVID. I was bedridden for almost 9 months and I really felt I was close to dying. You gave me my life back. You gave my children their mother back. Thank you so much.
@Nunal Sa Paa, can you please explain what is Long COVID? I have not heard of it. How did increased salt intake help? Why were you bedridden for 9 months? Sorry for asking such personal questions, I totally understand if you don't want to answer. But your comment makes me want to know more, and hopefully your answer will help those who are maybe having the same health issues. Thank you.
@@vandanakerur9318 Long Covid , long term infliction of COVID 19 that does not get better even after months.
Increased salt intake? Could you elaborate?
@@jameskantor0459 Thank you
Take the spike protein neutralizer from the wellness company. Long covid is due to spike protein presence
I love this doctor cardiologist.❤ He gives soothing information, light of hope to the hopeless.❤
I've been suffering with breathlessness, fatigue, A fib, swelling of legs and stomach for years. I had rheumatic fever as a child, was diagnosed with mild atrial stenosis and mild mitral valve regurgitation over 20 years ago. I've seen a cardiologist for echo's every few years but they always said I was symptomless despite being so puffed out i now have to keep stopping in the street to get my breath. My quality of life is awful. I was just hospitalised over night with a bad episode of A Fib and the echo showed severe tricuspid regurgitation, and my heart is not contracting fully. I'm terrified and so upset that they ignored me for so long. My ejection fraction is 50% which they say is okay but it doesn't feel like it. I'm 65 and very scared. I have a cardiology appointment this week so will see what they say. Thank you so much for your wonderful videos.
Follow up? How are you doing now ? Were you put on Jardiance or any meds for help?
Praying for you....any updates?
Dr Gupta I have watched many of your videos from years ago and I am quite astonished that you haven't changed at all. You obviously are a great example to us all. Thank you for your work.
Well done Dr Gupta for treating people as human beings with intelligence to understand what’s going on in their bodies. Xx
I know this video is not new, at least a year old, but it's new to me. For the last year I'd been getting very breathless and more and more lethargic. Doing light work in the garden, I had to stop for a rest every five or ten minutes. Sitting down on a garden bench I was prone to nodding off and having a thirty minute doze. I could no longer walk to the local shops, only a few hundred yards away, I had to drive.
My GP's had not been very helpful but emboldened by your video I decided to try to persuade them. A different (Younger?) GP was more helpful. He said he thought I'd had heart failure for six years, this based on my records, particularly an echo in 2018. I'd long suspected this but the other GP's had been reluctant to agree. He upped my diuretic, bumetanide, from two per week to daily. He also suggested Rybelsus which has only recently become available in sufficient numbers for our local NHS to allow GP's to prescribe it. A different GP, a diabetes specialist, was the one who had the keys to the gate. He was extremely reluctant to prescribe it. Apparently metformin is the recommended first step but I wanted something to tackle my Heart Failure, not diabetes. I'm too old to be hanging around whilst they hum and hah. Fortunately I was armed with lots of research papers backing up my argument. I had to be quite forceful, almost rude, but eventually he agreed to it. The outcome is amazing.
Four days after Rybelsus and ten days after daily bumetanide I can now work for hours in the garden without a rest. I can walk to the shops. I don't need to sit down for a couple of minutes after I walk up the stairs. I am a country mile from where I want to be but I'm now confident I can get there. Thank you so much. I would be still waiting if I hadn't watched your video.
So interesting, I’m determined to speak with my cardiologist intelligently rather than being brushed off as unable to comprehend what’s happening to my own body. Thank you!
I have been a Pediatric ICU nurse in the US all my life and most of the info is not new to me, BUT, love watching you as as I learn to make it easier for me to explain things to family and friends in words they understand . ( I have them follow you but some need me to interpret). Thank you
Thanks for what you do, Ani. My ex has been an ICU (high level) nurse for years. What a tough job. I hope you are caring for yourself and get some pampering now and then. Caregivers often give so much of themselves, but ignore their own care, or are so busy caring they forget/don’t have time to perform that critical self-care.
@@onerider808 I am not proud to say I never took care of myself… I exercised to cope but pampering? No!
Just retired but I miss work tremendously!
Thank you for the advice!
Finding your channel has been a godsend. You provide the information and reassurance that my cardiologist is too busy to address. Thank you so much for taking the time to make these videos.
I agree, a very big heartfelt thank you Doctor.
More likely too insensitive and greedy. Cardiologists tend to make stupid amounts of money, which they can't do if you're not sick.
Wow, this video just popped up in my feed today and today I was diagnosed with heart failure with an EF of 58% per recent echo. So timely for me. Thank you 😊
58% EF is a good number…
Not bad number
Very interesting. I will be asking about the SGL 2 inhibitors. Thank you for all the time that you spend educating us all. Please don’t leave….we rely on you so much to keep us all posted! Happy Christmas to you and yours.
I so look forward to Dr Gupta's Tutorials, they are routinely superbly done and highly informative as well as helpful.
"Failure" seems like an inappropriate term. In ordinary experience, if a dynamic mechanical thing fails, it doesn't work anymore at all. (E.g. a failed bridge doesn't still partially work). Why is this called "failure" when in fact it actually indicates reduced function below a certain level? The psychological effect on a person who is told their heart has "failed" can itself be very damaging and badly impact their activity compared to what they should be doing for the best possible outcome.
So often, it seems to me, medical conditions are misnomered, inducing a degree of catastrophising in people. (The term becomes a self-fulfilling prophecy). The psychological impact of what things are called and how they are medically described is taken too lightly by many medical professionals.
Just making a general observation, not saying you are doing this, Dr. Gupta. [I love your channel and you have been very helpful to me.] An older member of my family hangs on every utterance of her GP and the slightest remark can make a significant long term impact on her entire mental perspective of her own status and capabilities. (And this can be, at times, disproportionately negative compared to the true reality of the situation, because of how a term is perceived. )
Thank you so much for this comment.
My father (65 non smoker/drinker- obese builder- pre diabetic And hasn’t been in hospital since he was a teenager) has just been through the most traumatic 2 months of his life. We were under the assumption that he was just having a stent and then it progressed to a quadruple bypass. Thankfully he made it through but was discharged too early and he had a lot of breathing problems/ coughing up phlegm and swelling. After multiple calls to the hospital to see if this was normal, we took him to his GP to get the stitches out and a general consult.
The GP took a look at my dad while he was out of breath and flippantly said “I think you have heart failure.” And moved on to the stitches.
We lost our damn minds, I’ve never been through something so traumatic in my life and it has brought on panic attacks I haven’t had in years. My father is doing as well now as he can be at home but we will never be the same.
To all Doctors…..THINK BEFORE YOU SPEAK!!!!!
I agree. It’s a term that causes people to give up.
Yes!
This video is very interesting Dr Sanjay and is serendipitous. I've been hospitalised 3 times in the past 8 weeks with unstable angina since having a stent placement 12 weeks ago. Each time I have been prescribed an increased dosage of nitrate. I'm not eligible for further stenosis as I have diffuse disease (calcification and >50% blockage) of LAD, D1, LCx and RCA. The ED doctor mentioned two nights ago that SGLT-2 drugs, particularly Dapagliflozin may benefit me. While SGLT-2 drugs are currently unfunded in NZ I will bring this information forward to me cardiologist, who I am seeing in 3 weeks. Serendipitous, yes, seriously worth investigating for me, yes! Thanks for sharing and caring Sanjay.
Thank you for your videos, they're very helpful. My father was diagnosed with ischaemic heart failure in his early 70s a few years ago (no signs at all until he had a 'faint' and was investigated with various tests). However, he had high cholesterol and hypertension in his 40s, going on to have TIAs and strokes in his 50s, as well as having silent heart attacks somewhere in his life (leading to severe scarring of his left ventricle). To my knowledge, no echo was ever performed until his recent HF diagnosis. My sister in her early 30s was diagnosed with hypertension, and on a recent echo at the age of 40, she has a reduced ejection fraction for her age and hypokinesia of the septal wall. I too developed an atrial tachycardia in my early twenties (ongoing), and have mitral annular disjunction on a recent echo and grade 1 diastolic dysfunction of left ventricle). My question is, how can one differentiate between heart disease/failure that are familial/genetic and those that are purely ischaemic (especially in situations like my father where he was a late diagnosis)?
You can sent up a zoom appointment with him. Just contact York Cardiology, I don't know the cost.
@@jeffreybaier5312 Thank you.
Hello I have just come across your video on Slow heart rate or Bradycardia that you made 5 years ago and just wanted to say thank you very much for posting that video as I have a slow heart rate of 50 when I am sleeping or just relaxing and when I went for my sleep apnea test the specialist said she was concerned about it but did not suggest I do anything about it not even talk to my primary care doctor but now I am relieved to hear it's not a problem as long as I am not experiencing fainting or dizziness which I don't so thank you for this information I have just subscribed to your channel please keep the videos coming they are vital and necessary.
Thank you Dr. Gupta.. upload more videos...continue to be a blessing to many especially to patients. May GOD bless you always.
I forgot to make a comment. I’m 72 y/o grandfather died age 45 with cardiomyopathy. In 2020 was in the hospital and had cardiopulmonary arrest. I have been having a heart rate at night in the 40’s cardiologist says he is not worried about it and I should not be concerned. I also have gone the other way to SVT. They say tachy /Brady syndrome. I have had 5 heart Caths for what ever reason. I’m always find no blockage but have aortic plaque. I have been having periods of air hunger and a drop of my oxygen level from 96% to 84% not long it changes back. Only to repeat over and over when I am resting. Makes me anxious. Then my heart rate goes up. Lots of leg spasms and jerking and pitting edema in my legs. With much pain. When feeling breathless . I have fatigue a lot and have to Rest. Last ef was 60%. Around 5 month ago. I asked to see the doctor again for the edema and breathing problem but have to wait 6 more days for appointment.
Dr.Gupta, you have explained beautifully, even a layman can understand the topic. Thank You
An extremely informative video !! Are there ways to increase EF without medications ? I mean by certain exercises or lifestyle modifications ?
This is very interesting. I go to echo screenings every five years since I was a kid. In the 90s it was only ECGs. In the 2000s I started getting remitted to echos instead and the cardiologist would tell me it was a really good method. Mid 2000 I first came into contact with BNP measurements as a screening method. And now we're at a place where people are saying echo is a crude method. I don't think failure with preserved EF was even recognized back then.
Considering the effect of SGL-2 inhibitors in reducing risk in diabetes, are there any studies on using these as a preventative in people with high risk for heart failure before they've developed failure e.g. people with myocardial damage?
I really appreciate these calming and factual videos because everything about heart disease is so alarming and fills me with panic, not to mention the horrors you find when googling.
Thank You you are so good at explaining about the heart in such a simple matter. You make it easy to understand.
Thank you Dr Gupta and the best cardiology department! 🌿💕
Thank you so much for this information! I'm in heart failure with reduced ejection fraction and I feel so bad for those people who haven't got a proper diagnosis because they have preserved ejection fraction. Heart failure is already a terrible thing to have to live with, but not even getting a proper diagnosis and treatment is horrible. I always thought the echocardiogram was the definitive diagnosis. But I think there is an overreliance on technology in a number of diagnostic tools. So now finally these people can start to get some help. I personally stopped the traditional cocktail of beta blockers, ace inhibitors, and diuretics because of the side effects. My biventricular pacemaker seems to be the only thing that has elevated my injection fraction from 20 to 45. But now I can have a different conversation with my cardiologist to see if these drugs for people with preserved ejection fraction might work for me.
I hope you get good news re the posdible help of this drug. I've only very recently been prescribed it (haven't begun yet). I hope this is good news for us all.
Thank you for your information. I had a pacemaker/defibrillator 8mths ago. EF 20 - 25% LV. I didn't know the EF could be increased, I just assumed it slowly deteriated. I am amazed you went off your drugs, didn't even know that was possible. I am currently gathering info on K2 MK7/D3, & Hawthorne, to take with my drugs, plus I just stopped stations to replace with Berberine, oats/ceylon cinnamon. Not sure if I just go with staying in my drugs, or if Hawthorne would do any harm, or ease off the dose to replace with Hawthorn. I am monitored on small machine at home, seem to be OK.
Can you lay flat? Do you get symptoms when you do?
@@Jacobs_Travail I can lie flat and I don't get more symptoms.
Thank you Dr Gupta for your info on heart failure. It is good to be informed of new develpments.Happy Christmas to you.
Thank you so much Dr. Gupta for your clear and detailed explanations.
🥰🥰😍Dr. Gupta I love your videos you are just wonderful, thank you so much for your very helpful information to those of us who have heart related medical issues. Your videos always seem to calm me down when I have health anxiety🙏🙏🙏
Great content; We appreciate your efforts of education and information 👍
Another excellent video.
I do have a qustion. In your discussion of patient outcomes in the Emperor study, you said the placebo group had a 17% hospitalization (or death) rate compared with 13% for the medicated group. That's a difference of 4%, which would infer 1 out of 25 patients given the drug would benefit. Yet, you said 1 out of 31. How did you (or the study?) arrive at that number?
Hello Dr Gupta, I have been diagnosed with severe AS with preserved ejection fraction, no history of heart issues, a murmur was detected randomly during a hospital visit for rheumatology. Now being told valve surgery is the only option. Listening to your session has been very helpful as I understand some of what is happening with my heart function, so thank you.
Thank you Dr. Gupta! Your videos are very educational and useful!
I got a stent inserted yesterday.l had been having Angina pain for2 years but wasn't been taking seriously.Two weeks ago l could only walk about 6 metres and the Angina pain would start.On Tuesday chest pain woke me up and l got appointment with GP early next morning snd she got me admitted to hospital.My Artery was 95 % blocked.Glad she spotted how serious it was .
Thank you for video 🙏💜
Thank you Sanjay always a pleasure hearing your lectures
Good evening. How I rely on your video re dizziness, low blood pressure 113/69?, I'm turning 61 yrs. old. It's good to hear your explanations and recommendations. Take care ❤
Yesterday I felt like I was going to die, I was carrying my groceries home, knew I shouldn’t have. Carrying 10ish lbs on my left shoulder my 2, 15ish per bags of chicken, 3 flights of stairs and singing opera home… took me 20 minutes to cool down and catch my wind, yes chest kind of hurt, angina… should I call ambulance, no… finally I cooled down… had to make a dinner… burping like an idiot… I had my heart attack back in 2019, 70% blockage RCA stent… thank you for sharing ♥️🇨🇦🌏🎄
So would magnesium glycinate relax the heart enough to improve the ejection rate?
Thank you for giving your time and such valuable information.
Thank you fir more up to date info.wishing you a good wknd also.it really is helpful to see through the obvious confusions and opinions.thank you.
Is there any way to bring back the condition of the heart with exercise if the ejection fraction is preserved?
Thanks Doctor! I wish you were my cardiologist.
Thank you for your time. Could you please do a video on Entresto. Partner is triple heart bypass of 24 years ago. Hospitalised after Covid vaccine and reduced EF to 20-25%. Came out in Ramipril and transferred to Entresto, hailed as a miracle support and possibility of increasing EF. No such result has been paired with Dapagliflozin again no improvement. His tiredness is becoming more. His consultant has said that as his EF has not improved in this time it is unlikely to. I am also researching CoQ10 but it’s taking time as my degree isn’t in Medicine.
But would be great to hear more in the Entresto please.
Has your partners EF improved on Entresto or Jardiance? How is he doing these days?
@@shanes.9089 Yes his EF went up to 40 after being in low 20’s. He was hoping this would mean they could lower his meds a bit but there has been no suggestion of this. It certainly does seem to be as good a drug as the studies suggest. They also put him in Dapagliflozin. Which is a diabetic medication that they almost accidentally found helped with heart failure. He has also had an ICD fitted. He wasn’t happy about it. He’s not had a problem and it’s not gone off. But it did recently alert the team that he had a build up of fluid. All very clever. I hope that helps.
I love your videos Dr Sanjay Gupta! I first came across your channel when looking around RUclips about Afib, which I've been having some out of control episodes the last few months. Hearing your advice on Vitamin C and trying it out, I have been episode free for almost a week now. So yea, THANK YOU!
Quick question for you Dr Sanjay Gupta. What does a heart specialist do for his own heart after knowing so much information? Wondering if you have a video or can make one up about what a specialist does to take care of his own heart. When not taking care of others?
Thank you Thank you Thank you!
Cheers
Take Care
-Nick
You explain so well.Really informative.
My husband has just had an aortic valve replacement. He also needs to have dental work. Can you do a video on the implications of dental work on patients with artificial heart valves.
May the Lord bless you , I've been watching you since pandemic & I got covid last 2021,
good morning sir I love watching your videos thank you for your time I'm watching from guyana
Love uuu sir big fan I am also an heart patients and i have a leaky heart valve and now i am 19 I love to see your video
Thank you so much for your good information and hard work.
Would this medication be prescribed for someone like me with permanent fast AFib and heart failure? Thank you.
discovered you just day in 2022. So much wonderful information for the lay-person. Really love your videos. Yorkshire girl now in Australia.
Great video, very informative. But could you address those of us who have a low EF but no hospitalization, no swelling, and able to walk 2 or more miles without being out of breath. I’ve been taking medication for seven years but reduced over the past year.
it just means you are well compensated. how are you doing now?
Thank you so much for your videos Dr Gupta 🙏 I would be interested to hear your views on Franks crease, a crease on the earlobe that could indicate heart disease, there is not much info about but apparently it’s a very good indicator for heart attack , many thanks and God bless you for all you do 🙏
Dr. Thank you for this video on such an important topic.
Good morning DR HNY, I was diagnose with mid range HF and just recently started on ENTRESTO. Been athletic my whole life never had Symptomen was in hospital due to elevated liver enzymes and that’s when they ran a bunch of test including eco gram and saw my condition. How do you feel about ENTRESTO thank you for your time😊
Dear Dr. Gupta,
I've had heart attack six months ago and my Left Ventricular ejection fraction (LVEF )reduced from 60%( normal) to 45%. I'm wondering can I restore my ejection fraction back to normal (60%) by life style changes such as diet and exercise without taking medicines. Awaiting your reply.
Thank you for the information. I am trying to learn as much as I can to help my husband and his doctors.
Highly informative and thought provoking. Thank you for these ongoing videos. Subscribed and listening. Greetings👋 from Sunnyvale California USA .👱♀️🐈🐈🐈⬛💕💜🇺🇲
Dr Gupta, love your videos! I wonder my ejection fraction has improved from 20% to 33% in 6 months taking jardience and entresto. My question is odd. Can I go into a pool to “ splash about” or will that put added stress on my heart at this stage. I’d love your input as I’d love to be able to holiday and go into water.
Good news on your improved EF with those two medications question have you felt different or had any side effects from that cocktail? Also I assume they are monitoring your kidney function has that stayed normal? Happy they have worked for you I may be put on the same regiment is why I am asking thank you!
Excellent video even among your standard excellent videos.
Very informative, interesting and even exciting. Thank you.
Great video Dr Gupta ! Your videos are always so appreciated! I as well as many commenters here would love a follow up video about how its going now data wise with these drugs like Jardiance and Entresto . Cardiologists in the States seem to want to put patients on a cocktail of the two together to improve EF . They want me to and my EF is 50 so not sure if it is a good idea with the known side effects and with what I am on already.
Will watch later...sounds spectacular...Emporer??.. saw that on Tony!...I agree
I would be very curious to see SGLT-2 vs optimally managed diuretics. Just adding a drug with a diuretic effect and noting a reduction in hospitalizations (where patients are given extra diuretics) doesn't necessarily prove a unique beneficial class effect of the medication on heart function.
Yeah, a lot of doctors agree. But, do you think you’ll ever see a study? Extremely simple to to but no way Big Pharma will allow it. They’d much rather pay speakers to push these drugs.
Is diastole/relaxation passive? Or does that require energy too?
Hey Dr Sanjay, how about talking about aneurisms is a future video?
And dilation of sinuses of Valsalva.
I know the v a x caused my pericarditis because I was on an island working in the field as a biologist (an island without the virus), and only got symptoms after getting the jab. My question is how do I get healthy now?
Why did my ejection fraction reduce by half in 10 years? In 2013 I had a heart bypass op. Four months later I had a follow-up with the hospital cardiologist. I had an echo cardiogram. From my patient record I can see that EF was measured at 60%. Six weeks ago I was admitted to hospital with shortness of breath. Among other tests, I had another echo cardiogram. This time the EF was measured at between 25% and 35%. But what caused this huge reduction in EF? For the past 10 years I've tried to eat healthily. Lots of fish, including oily fish. Chicken mostly, with red meat consumption considerably reduced. I don't eat fast food more than once a week, if that. I cook most of my meals from scratch with fresh ingredients . I was diagnosed with Type II diabetes approximately 10 years ago, but managed it by diet control with an annual check-up. About 2 years ago I was pronounced to be in remission from Type II diabetes with an HbA1C finally back within range. My weight dropped from 82kg to now 65kg in 10 years for a height of 1.65m. 1 don't know what else I could have done to maintain EF. I'm 77 years old, male.
Will be interesting to see if 102 ¾ year old mother will be a candidate with 60-65% EF, no periph edema, no fluid in lungs heard. Concerned about UTI and fungi though. UTI for her is debilitating.
Was listening to you a long while back b/f Mom's diagnosis last spring. Very grateful that your many insightful and clear explanations helped us both understand the diagnosis and treatment.
Hi do you have any videos on Pre-eclampsia? I searched and couldn't find any by you
Thank God fir you sir. Dr. Hope ur dad is back to perfect health.
Please share with us your own expert opinion about how Covid 19 and vaccines affect or not heart health
Yes. Very important.
Have you done any video on methylene blue?
So many things I wish I had known a decade before.
Do you cook or have any recipes for healthy hearts?
What about exercise routines? Have any suggestions for a daily routine?
Should everyone buy a dog to have an excuse to keep the dog healthy by taking it for a walk?
Are there any worthwhile wrist band heart rate monitor blood pressure calculators?
Why can't they measure the actual systolic output in mls?
In which of the shows are the injections discussed? Thank you ❤
Hello Dr. What do you think of red wine consumption (in moderation) and how it affects the heart and body?
Have you or will you cover how kidney disease can effect the heart? Particularly, if it can cause LVH. Also, if poisoning causes the CKD, what the time frame would be for the thickening? Thank you!
Yes please dr. Thank u.
Dr Sanjay gupta sir your every video gives me fresh feedback about heart and also other symptoms, thanks good WISHES 29/02/2024
can you please do a video on Frank's Sign (diagonal earlobe crease) is this actually a marker for future heart attacks.
Thank You for this Info!!
I have a question: What do you advise for wild type cardiac amyloidosis? ❤ Thank you.
Those diabetic drugs made me so sick for two weeks ..I had to get off them they dropped my bp by huge scary amounts...My ejection fraction was 40 % My doctor has still not gotten back to me with a alternative yet. .Thank you for this video..
My cardiologist started me on sgt2 which I took for 5 weeks I lost pulses in my legs I stopped sgt2 immediately I believe that was side effects of medication
Two years ago I was laid up with some bug for six weeks, fatigue, tiredness wiped out. Then after six weeks I had a chest infection for two weeks. After the chest infection my heart rate when standing went up to 180 bpm. This went on for a week then I woke with a pain in my chest and stomach and my heart rate dropped to 44 bpm, with escape and miss beats. I went to the Hospital they said this is normal. No way, your heart do not change like that suddenly. With the history of illness for the last Eight weeks. Some thing has gone wrong with my heart. But they will not listen. At the time I was doing keto diet, which lately have proved heart scaring. I firmly believe my heart problems is from this keto or I have had a virus hit my Heart. I'm 57 and before this I never had any heart problems. Now I'm fatigued, shortness of breath and sleeping a lot.
Did u get the covid shots?
An American cardiologist whose name escapes me said, "There are two kinds of cardiologists -who are vegan and those who haven't read the data." Go vegan and supplement B 12 sublingually. Keep advocating for yourself until someone believes you and helps you.
I was diagnosed with heart failure,DCM and AF after i had two strokes . . . .that was 13 years ago and still waiting for symptoms when i walk 5 miles a day and cycle 1 hour a day.
I had an echo stress test that was positive recently. I have been out breathe and fatigued for a while but thought my asthma was getting worse. My cardiologist said I had heart failure. I'm not over weight or have any swelling. Blood pressure was 130/80 put I also have anxiety. He put me on carvedilol twice a day so to soften my arteries.
I go for a heart cath soon. I'm scared. I haven't had to take on going meds until now and I'm 57. A ct scan did show calcium plaque. I'm still shocked after getting the news last week 😢
Dr Gupta I'd appreciate your advice, even if it is from a distance.
I am 70 years old, 1.82, 80 kgs, normal blood pressure.
I was diagnosed with LVH during a regular check up for insurance purposes.
I have a background in bicycle racing from 1980 to 1995. I had VO2max from 60 to 75. Rest heart rate in the early 80s 40 to 45.
For the last couple of years i feel chest pains when exercising, 9 months ago the LVH was pointed out to me during that check up.
A simple question, what to do? I'm a bit worried.
Thanks in advance, and Happy New Year.
Dr.-
I have had CHF with reduced ejection fraction (~40%) for about 3-years and my cardiologist has been pressing me to begin a prescription for Farxiga for the last year. I have declined because he was not able to explain to me why or how Farxiga works for CHF patients. There is lots of available information on what it does and why it is beneficial for diabetic patients but I have not seen or read ANYTHING on the how's and why's for heart failure patients. Can you (or anyone reading this) explain the mechanism for why SGLT2 inhibitors work for CHF ?
Thanks if you can.
Very interesting, I have exactly those symptoms. Treatment offered? Blood tests, still continuing no results provided from 1 doctor, 2nd doctor, nothing increase blood pressure tablets, "you need nothing else" I was told. Neither doctor has offered what you describe, why?
I've been to the A&E twice and have had my bloods, lungs, checked with Xray and ECG. My blood pressure was high, but I think it was me being anxious amd the ECG showed an ectopic heart beat. I had an incident recently while exercising (standing band fly). I felt an odd feeling not much pain very low, took a deep breath out, at the end of the breath I had a crushing sharp stab pain across chest and lungs. It didn't go away but if I had some air in my lungs the pain wasn't there. I woke up the next day fine but noticed I was getting a bit more tired walking. Now I feel a little lightheaded/dizzy throughout the day when moving around as well as palpitations, It's really affecting my work and what I do day to day. My weight is fine, I eat healthy, and I used to prior to this event work out 3 or 4 times a week. They said lungs, heart were fine nothing was concerning. Just don't understand why I feel like this.
Dr Gupta , I have been watching your videos regularly they are very informative.Could you do a video on Hypertrophic Obstructive Cardio Myopathy and the research and treatment for it. Thank you .
What do you make of British Heart Foundation hiding information Dr?
Thank you Dr. Gupta.
Very interesting. Thank you very much.
I use carb restriction and fasting to manage my T2D so I would be concerned about hypoglycemia with an SGLT2 inhibitor. Has this been studied?
I really don’t know what to do so I’m writing this I’m 21 years old girl.For 7 months my heart beat shakes all of my body. Even my head shakes with my heart beat. I went to cardiologist they done every test but they said there’s nothing wrong with my heart.they gave me propranolol I’ve been taking it regularly everyday but I’m still feeling same my body still shaking with my heartbeat I can’t even sleeping at night because of this its really so annoying. And for last 2 days I started feeling my pulse in my throat and my ears make sound I don’t know how to explain its like ringing and pressure. My life is like hell for 7 months because of this.
Do you think it can be anxiety?
@@alexim.rodriguez5388 I am not sure if it's anxiety or not because I feel like that even when I have no stress
@@oyku836 ooh geeez, then it's weird.
@@oyku836 Take magnesium glycinate ❤
hello DR Gupta would you be willing to make a video on brugada syndrom? it would be extremely helpful
Dr. Gupta you are a very kind gifted gentleman sharing vital information in a way we can all understand. Thank you sir and may God be with us all. ❤️
Whenever I just finish a set when working out my HR gets slow then speeds back up what is that?
What about no edema in legs but just abdomen would this be happening because bilateral occlusion of femoral arteries?
My husband has this he had a heart attack about three weeks ago.
His arteries to his heart were clear.
What should the treatment be?
His EF was 13.