As a former nurse in the USA, now semi-retirement, I totally agree with you. You are a shining example of how a doctor should educate and also respect their patients. A doctor may have a skill set that I do not have, yet that does not mean I do not have some knowledge of a given situation. When money is the motivating factor in treating illness, I would be very suspicious of an all-or-nothing approach. Many thanks for all the knowledge you share with us.
All treatments are now money driven...because we are a money driven society...to change medical field, you need to change the society and it is not going to happen any time soon... doctors are paid by insurance companies for doing elective surgeries and by pharma companies for prescribing questionnable drugs
I found this VERY useful and educative. I have learned a lot from you Doctor. I have had a STEMI and two stents placed. I have had to do a crash course on cardiology, and you have explained things to me and helped me tremedously. Thank you for sharing your knowledge. You are a very gifted teacher!
A brilliant mind, an exceptional communicator, an immense heart and a man of vision! Witnessing such genuine qualities eases my own heart. May all your projects bloom Dr Gupta!
I take my pills everyday and I feel fine but I now feel much better after hearing you say that medication is sometime better than going through the physical act of a stent or open heart surgery and I am 90 years old so those pills have extended my life. Thanks for such a good description of what angina is...
Why not go on a plant base diet, that suppose to reverse heart disease. When pres. Clinton went to the Cleveland clinic they put him on a plant base diet an he is doing very well. You basically have to be a vegan for a shot time until you improve.
Hi Dr. Gupta, I always look forward to seeing your educational videos. You are a blessing to this world. I really wish you were easily accessible to all of us for consultation. Your patients are so lucky to have a doctor who is so smart,kind and such humble gentleman. May God bless you always. Really adore you Dr.Gupta
Excellent. As so many commenting on your videos have said, we need more doctors like you ! Both caring and informative. They exist but it is far from standard these days.
As always, I am grateful for the education you offer to us. Heart disease is a family problem for me, but I am "managed" well with the current approach. So reassuring to have your input as well. Thank you.
@keithworley6222: I personally know several people who have had heart bypasses: 48years old: Currently still alive at age 78. 52 years old: Past away at age 84 from cancer. 59 years old: Currently still alive at 80 years old. 62 years old: Currently still alive at 84 years old. It seems it has increased peoples life span based on my anecdotal evidence 😅.
I had surgery a week ago and now I am on recovery after 6 days in the hospital. Every morning I walk for about 1 hour. Would like to know what is your experience after surgery in term of life, activity erc
I just wanted to come here and say THANK YOU! you have helped me with the ectopics that i started having this past 3 months and i took your advice on taking magnesium it has changed my life back around these past weeks. I cried tears of joy feeling like im not going to die every day .you have truly taught me so many things and i am really from the bottom of my heart Thankful that you use your time to help us with your knowledge and spread it to those who need it.
@user-ps5vz2un6h Same here. The average spouse and children feel equally helpless, though. In the end, in most cases, we are essentially alone, anyway. So, to be in the hands of a capable medical professional would be a stroke of good luck. Take care of your nutrition. Eat vegetables and meats. Go to sleep in peace without bad feelings towards anyone, knowing that there are millions of us in the same boat and we can do a lot to help ourselves.
Thanks doctor for your informative videos. My dad had a major heart attack and was angiogram with a stent operation at 57. I started following your videos few months back and you're one in a million. Please do educate us with more videos to reduce heart attack and cardiac arrests. Thanks in advance
Without doubt this is the most informative and helpful video I've ever seen on RUclips. As my hubby faces this exact dilemma the information given here, at least gives him a sound basis for further discussion with his cardiologist. Thank you.
Wholeheartedly agree with you. My heart just went wooooosh with relief when Dr. Gupta clearly outlined that there are 3 ways of addressing ischemia. I’ve been feeling like a walking time bomb. None of the 4 cardiologists that I have seen so clearly outlined the ways my ischemia could be navigated. Now I understand that I’ve been placed on the medicine option, Repatha. I’m blessed with being asymptomatic, I think. I’m scheduling a virtual appointment with Dr. Gupta for next week. I have incredible confidence that it will be some of the best time I could ever invest in my new cardio arena!
Thank You so much for taking the time to make your informative vidio's. Really very helpfull. You are an exceptional Consultant cardiologist. Kind and generous person... you explainations so easy to understand..I hope you realise how special you are. How much we appreciate you. Thank You so much.
Oh thank you, thank you! You are what health care should be, truth and genuine interest in what is best for the patient. You are a mighty fine doctor, extremely capable and your videos are delivering a lot of understanding and relief to those of us with heart conditions.
Had a bypass in 2017 after having an angio investigation which I know caused some damage. One of my arteries was found to be a different round way to 98% of people. I did have stable angina which got a bit worse after the angio procedure. I still suffer PTSD some 5 years later. Am 82 now, Asian, with other health issues and very petite. But I am still here and grateful. My surgeon did say to me after the surgery” l’ve given you another 10 years”
This is a wonderful presentation. I am a seventy-two-year-old Sri Lankan who was asked by my cardiologist to undergo an angiogram three years ago without any symptoms. After the angiogram, I was asked to go for an 'immediate' heart bypass surgery and even went as far as saying that she could not guarantee my life if I don't accede to her request. However, I consulted another cardiologist for a second opinion. I am still asymptomatic and continue with pills without any hindrance to my normal activities of life. You have stressed a very important point that, unless I have symptoms of angina, it really doesn't make any difference whether I continue with pills or go for a CABG. Thanks for your enlightening video, doctor.
You explain it with your usual patience and clarity. My first stent lasted 12 years, now replaced in urgence and I am fine, with a good Cardiologe who talks like you and I live a happy life and accept the side effects from the pils better and no additional stents, thanks to doctors who cares about the well-being of their patients. (76 years old) 🙏🇩🇰🤗
My father had a stable angina, he was 57 years old, he went to cardiologist specialist in India, he performed ECG said everything is fine in ECG, no blood work or angiography done or referred. Only pills were given for fifteen days. On next day (22 January 2023) he passed away with cardiac arrest. Later we showed ECG to other doctors they said he had a MI. But I was shocked why doctor didn’t suggest or guide him, so I went to his clinic asked him if he had a problem in ECG why he was not referred for angioplasty and doctor replied stents or biopsy will not likely do anything and he didn't want to scare a patient by telling him that he is having a heart attacks already. I'm so sad because of doctor's malpractice. I lost my father. even if could save him for another 1 year, I would have spent my all money. but sudden loss has broken me and my family. he was a hardworking person, father of two daughters, non smoker non alcoholic for whole life. we will miss him in our marriages, family functions, his grandchildren will never able to see how great thier grandfather was💔
I wish I had seen this before my triple bypass surgery. I would have probably held off having this for a while, or maybe never have done it .But I WAS tiring more easily than usual; a deer in the headlights moment! Five months after the procedure, I am having chest discomfort due to the wires in my sternum. Maybe this will go away in time. Thanks for your insight! I'm 74 now, and plan to watch more of your videos to go for 84, at least! I appreciate your educated opinion and honesty!
I think you're better off with the bypass, as while the medical therapy can reduce symptoms it can't reverse a blockage. Beta blockers will slow down your heart, but will also slow down your activity.
Thank you for breaking the societal mis conception that cardiac surgery is a long term fix in all cases and extends life in all cases. Especially when ones vitals and symptoms are manageable on medication. Thank you for giving us case studies and your opinion as you see it truly honestly. It can be stressful as a patient to get frustration from a personal support system (friends family etc.) that sometimes view heart surgery in a “fix it “manor as if it is like a car engine. Unfortunate that the human body does not work that way. But true 💯.
Do no harm is the rule - it us so scary to hear you telling us about these unscrupulous doctors in these countries. We are so fortunate here in the UK aren’t we? Thank you for this explanation, it is extremely interesting to hear about the ‘no advantage’ of stents or bypass if the symptoms are controlled with pills - what a surprise!
I watched this vid and was totally impressed your discussion how to work with your doctor. Which I had done. My result is a slightly different technique. I was judged high risk PCI and offered open heart traditional for my RM, LM, LAD. I declined since my wife had open heart for aerobic valve and judged mini-strokes which gave cognitive difficulties. 2nd opinion to include totally endoscopic CAB but that would not address my blockages. Subsequently went to original Dr for stentimg with Impella blood flow assist. Wonderful quality of life from the day after the procedure. It's now a year later. I am not complaining; just reinforcing your words from this video for others. Miss you on CNN. (Should note I avoided the typical 7-10 days recovery in hospital and 4-8 weeks recovery at home. I am 80 a widower and retired engineer. I love and appreciate the medical advances!)
Omg this has helped so much ! I was just told I have to see a vascular specialist because of build up of plague in one of my arteries… had a CABG 3 1/2 years ago . This will help with what they throw at me next . Thank you
I'm 47 and had triple bypass 3 weeks ago. I had 2 arteries 100% blocked and 1 90%, and the doctors said my angina had transitioned from stable to unstable. They said I had an intermediate risk of imminent heart attack without the surgery (stents were too dangerous and not an option). So now I'm recovering, and I hope I made the right decision. I've been in a lot of pain but am starting to recover a bit.
I have just got surgery with triple bypass a week ago and now am at home for recovery after 6 days in hospital. Next day after getting home started walk every morning for about 1 hour.
I absolutely love your philosophy of what a doctor should be. My mother was a wonderful nurse and she had quite similar views about medical professionals. Bravo!
Very I formative, I have stable angina, i understand it much better Now, thank You, God bless and keep on putting out these information for people like us
I am 13 days out of the modified Bentall procedure with the konect bovine tissue valve. Was in great shape when I went in with minimal damage and classified as Stage C: A Symptomatic. I am 60 years old and made the decision to have surgery one year after the diagnosis of severe aorta valve stenosis. Took me that long to get my nerve up. I was working, and I felt great, what the heck? Third opinion I said let's do it because I didn't want the recovery to be ridiculously long and/or my heart to be irreversibly damaged by my own hand because of my cowardness. The first week out of general anesthesia is NO JOKE and it does hurt. I've been home for three days and begin warfarin tomorrow evening for three months. Feeling very good. Surgery is not the problem it is the solution. 02/28/24
@@laureldevine I’m February 15 2024 modified Bentall procedure and they say it is the best procedure for the future insertion of another valve. I feel very normal for my age 60 and I’m working full time as a delivery driver.
Oh my gosh, I found this video exceptionally useful. Both my mom and dad had bypass surgeries and I often wondered what would happen if they didn’t go through all that. So, thank you, thank you, thank you as it may be my turn in the future to decide on this type of surgery.🙏
@@YorkCardiology I have been subscribed for years. You are wonderful, don't misinterpret science but in the same time try not to scare people. I really appreciate your videos. I have shared a few also because I am a Psychologist (prof) with specialty in panic disorder. Thank you for all you do.
I feel vindicated after watching this video Dr. I was diagnosed with 3 very serious blocks in my right (100%), centre (99%) & left (80%) arteries in an angiogram in 2016. I was asymptomatic then until now. I went against Dr advice then to do a bypass. However, I still follow up with regular visits to my Dr. including the Cardiotorasic Dr. Bypass is a very major surgery and the chances is 50:50 especially with my past stroke in 2012. I do my morning walk daily and it includes walking up & down 3.5m high staircase 5 times each way. I do not pant. I’ve stopped excessive strenuous sports like golf since my stroke in 2012 where I lost control of my right limbs and blurry speech. However, through very discipline physiotherapy at home ( 10 hrs per day, 5 each on my hand and leg ) I regained control ( 85%) of my limbs within a month. I’m thankful that I’m independent and does not require any help in eating and mobility including driving. I accept that I’ll never be able to regain 100% thus have been adjusting the things I do. Recently, I’ve learnt that our national heart institute can do a procedure like angioplasty where it drilled the plaques in the arteries before inserting the stents. I’ll be talking to my Dr in Feb appointment.
Thank you, Dr. for taking the time to share needed information for we who are at the mercy of the medical system here in the USA. The information you offer is life-saving, thank you, thank you, thank you. You give so many of us hope, who otherwise would be hopeless.
DR Gupta Yes I found it very educational and very proud of you for standing up for the patient with being threatened by the doctor a patient should never be yelled at from a doctor they should remember moral integrity and oaths made by contract with the job patients stability treating patients with respect because of fears and lack of knowledge or be little people for their benefit doctors should have patients with the patient Thank you Dr Gupta for sharing this story with the world
My Uncle and my Landlord both had a heart bypass in the same month. The Doctors had to harvest vein from their legs. Both of them said that was much more painful than the heart site and they both wanted to die from the discomfort. After a few weeks they both felt better but it was an eye opener in that heart health should be on everyone's mind when they eat.
I think that's the usual place that they harvest veins for heart bypass surgery? The lower legs?🤔 Never knew it caused so much pain at the harvest site!😩#Yikes! But yeah, I'm sure they both felt a lot better once they fully recovered!!😉
@@gloriamaryhaywood2217 They both were cut from upper crotch to ankle. both of them had several bypass sites and I was told that was done so they could match up the best section of vein for each area needed. They were both in their 70's at the time and both lived into their 90's
I had a triple bypass operation two years ago and experienced no pain whatsoever in any parts of my body. The saphenous vein removal does not create any pain as far as I can tell.
@@g.e.b.8159 That's what I thought! I have never heard where somebody has pain, much less a lot of lasting pain, where the vein was removed from the leg!? Hmmmm?🤔
Thanks. im 54 live in England and have been told to have a double bypass...soon...infact by taking the additional medication for blood thinners has made a significant improvement in my life.
I couldn't agree more regarding unscrupulous doctors. I am a diabetic and I was hospitalized for unstable blood sugar. A. Cardiologist came to visit and suggested that I have a blockage and needed to have an angioplasty done. I was rather surprised because I have never had any problems with my heart other than a murmur that was diagnosed 30 years prior, but had complaints about anything else in that regard. I was not buying it. I told him that I need to go home and secure my pets and my home, and he told me that it was urgent and I could die if I did not have it immediately. 1) He was not my PC, and I have no symptoms and never had. It's been nine years, I am now 65 and I have not had any problems with my heart. Now I do have some narrowing of vessel (s) but I have no symptoms of any kind.
Did you ever consult and have testing done with another cardiologist of your own choosing? I wonder WHY that cardio doctor decided that you needed emergency surgery bc of a blockage?🤔 (And are you also saying that you never had the surgery at all?)
OMG thank you so much for confirming my prevalent intuitions. My case is identical and I had my angiogram last Friday and have been weighing up wether to have a by pass performed or not - at present my echo gram showed an improvement and I was actually feeling very strong and accepting of the medicines which I eventually adjusted to. I feel I made the right decision yesterday pretty much on the same logic you tendered here. Thank you so much for uploading this video.
Dr Gupta provides thorough information that provides people the ability to ask the right questions and make decisions for their situations without fear or pressure. A service money cannot buy. Sending love and thankfulness.
Thank you Dr. GUPTA for talking about it. I'm a Cardiologist trained in the U.S. and practiced there for more than four decades. I retired and permanently returned to India. I don't practice here. I, now and then, some one coming to me for a second opinion regarding the very problem you discussed. I don't charge them any fees. I see so many people being frightened by saying that if they didn't get the Stent or a bypass they will die or get a massive heart attack! They all have stable angina well controlled by medications alone. I advise them to stay away from such enethical doctors and continue with their medical therapy. They all are doing well. This is a wide spread problem in India and I feel sorry for some patients who have to sell everything they own or borrow to pay the doctors. Unethical practice is very wide-spread here.
Your videos are very informative and easy to understand.Really very helpful because i did an angiogram and i have a few blockage .Have to go talk to my cardiologist and see what he recommends.Thanks for all the helpful information.❤❤
Thank you for such an educational and interesting video. Such a problems run in my family and Im always interested in knowing more about it. You are the best.
I think getting a second opinion might be a good idea as I had a heart murmur from my early years and it progressed more in my late 6ixties! Went to Mass General Hospital for second opinion and they were very thorough with my heart condition and after an angiogram found a 80 and 100 percent blockage.Also I needed to have a mitral valve repair as I was slowing down from exertion! That said I went through the surgery on April 3rd and I am glad I did because I feel strongly that if I hadn’t my life expectancy would be significantly lower! So I’m a strong believer in a second opinion with a top notch Medical Center and also doing your part to lower your risk from surgery by getting in shape to the best of your ability! I lost 13 lbs prior to surgery and I was trying to lose another 6lbs but they moved my surgery date up by a month! With that said I feel 20 years younger after surgery and am looking forward to seeing another 20 years added to my life thanks to Mass General Hospital!
Hey Doctor Gupta, 😊 Thank you so VERY much for sharing this, and ALL you share 😊 You are the BEST!!!!! LOVE ❤ to you and your beautiful companion 🐕 ❤ 👍 👍 👍 👍 👍
I had a heart attack and the cardiologist said, i don't know you got up off the floor. Had to have 4 bypasses, 12 yrs ago now, through narrowing of the arteries. I never had any angina at all. But people notice i was slower at doing things. But 6 mths ago they found an old blood clot in the heart, that was laminated, and won't move. I think the clot is caused by the damage bit of the heart. One thing i will say, that fish oil has helped me in keeping blood pressure down and in general, just doing good things for the body. After bypasses i thought i would live maybe 2-5 yrs, but still kicking on and i think walking every day a Kilometre helps. Cheers.
Thank you, Dr. Gupta. I am an Australian former nurse. I have three stents LAD, Circumflex. I started to worry about chest pains after 8 years of pain-free. I wanted a change so consulted Dr. Omar Farouk, he ordered a medical stress test. positive, angiogram, stretched a thickening instead of stenting as the previous dr had done. The chest pains continued- Rx microvascular angina, so no unnecessary stenting. I love my new cardiologist.
A cardiolo doctor took an isotope examination of my heart in mars 2018. I sat on a cykle for five minutes with the isotope in my body, doctor and nurses checked my ECG all the time. Then I had to walk and wait 20 minutes before I layed in a machine that took pictures of my heart for 20-25 minutes. I could watch a monitor where my heart was "glowing" by the isotope. It showed that I my heart, the vessels was clear, no blockages. I wonder if I have heart problems now. Chestpain every day. Heart rate 120-140, I take betablockers. Ultrasound of my heart in october 2021 showed nothing was wrong. I don't know what to think. Thank you for your videos. You really educate us so much.
I had a quadruple bypass in 2008. All 4 arteries were 90 per cent blocked. I lead a completely normal life, I do aqua fit 3 times a week and walking football. I take 4 tablets, statins, blood pressure etc. Im 68 years old. I wouldn't be here without the bypass but I guess everyone is different
A big change in lifestyle ... what probably caused the problem must be addressed. I've had stable angina for over 8 years. Lost weight, started walking and later riding a bike. Nitrostat works well for me, when I need it. For me stress will bring on angina as fast or faster than physical exercise. I don't see much about collateral arteries as nature's by-pass, it would be interesting to hear your thoughts on the matter.
I am surprised that you did not touch on the role of life style, diet, and exercise ( in conjunction with meditation of course) for stable angina patients. I know of a cardiologist who stresses strongly on life style in addition to better sleep and optimism to reverse to a certain extent the narrowing of some coronary arteries of stable angina patients who of course also take a regimen of medication. Thank you for opening our eyes to an extremely important input that anyone of us may face.
My question is the degree to which a follow-up of only three years is definitiive. I have read, foor example, that the trial evaluating the closing of PFO's in patients who have had crytogenic strokes and/or TIAs, using the Amplatzer device, initially found no benefit at around two years. Yet, as the trial proceded to four of five years, clear benefit was shown.
Dear Doctor, Please know that I found this video extremely useful and I thank you very much for it. My mom, dad and sister had bypass and stents put in and I am assuming at some point I too will have to make some sort of decision regarding my heart. So again thank you so very much. I watch every one of your videos and feel more educated and empowered with each.🙏❤️
Hello Doc, Medicine is supposed to be a caring profession. You are an example. You are right about the profit-driven medical practice of some doctors in India and South East Asia. You are right about the crippling profit-driven medical practice of some doctors in India and South East Asia. 3 years ago, I took my father to a hospital in India, and they did everything to make money. My father died shortly afterwards, thank you for enlightening the public like the gentleman from India.[...] Thank you for educating the public.
Nice of you . You videos are so interesting &lifesaver for patient and their relatives as malintent is rampant in India and good advice is not readily available
Had my triple bypass in 2022 at White Plains (NY) hospital age 68 I feel terrific and consider myself a lucky man to have such fine surgeons.
As a former nurse in the USA, now semi-retirement, I totally agree with you. You are a shining example of how a doctor should educate and also respect their patients. A doctor may have a skill set that I do not have, yet that does not mean I do not have some knowledge of a given situation. When money is the motivating factor in treating illness, I would be very suspicious of an all-or-nothing approach. Many thanks for all the knowledge you share with us.
All treatments are now money driven...because we are a money driven society...to change medical field, you need to change the society and it is not going to happen any time soon... doctors are paid by insurance companies for doing elective surgeries and by pharma companies for prescribing questionnable drugs
Jennifer Lee as an RN in USA also I agree with everything you’ve said. I like all of the Doctors videos. He is excellent !!!!
I found this VERY useful and educative. I have learned a lot from you Doctor. I have had a STEMI and two stents placed. I have had to do a crash course on cardiology, and you have explained things to me and helped me tremedously. Thank you for sharing your knowledge. You are a very gifted teacher!
A brilliant mind, an exceptional communicator, an immense heart and a man of vision! Witnessing such genuine qualities eases my own heart. May all your projects bloom Dr Gupta!
I take my pills everyday and I feel fine but I now feel much better after hearing you say that medication is sometime better than going through the physical act of a stent or open heart surgery and I am 90 years old so those pills have extended my life. Thanks for such a good description of what angina is...
How long ago did you start treatment by medication only?
Why not go on a plant base diet, that suppose to reverse heart disease. When pres. Clinton went to the Cleveland clinic they put him on a plant base diet an he is doing very well. You basically have to be a vegan for a shot time until you improve.
Always questions, but never answers
Hi Dr. Gupta, I always look forward to seeing your educational videos. You are a blessing to this world. I really wish you were easily accessible to all of us for consultation. Your patients are so lucky to have a doctor who is so smart,kind and such humble gentleman. May God bless you always. Really adore you Dr.Gupta
Excellent. As so many commenting on your videos have said, we need more doctors like you ! Both caring and informative. They exist but it is far from standard these days.
As always, I am grateful for the education you offer to us. Heart disease is a family problem for me, but I am "managed" well with the current approach. So reassuring to have your input as well. Thank you.
A quadrupal bypass gave my hubby 26 extra years
@keithworley6222: I personally know several people who have had heart bypasses:
48years old: Currently still alive at age 78.
52 years old: Past away at age 84 from cancer.
59 years old: Currently still alive at 80 years old.
62 years old: Currently still alive at 84 years old.
It seems it has increased peoples life span based on my anecdotal evidence 😅.
thank you im preparing for mine now
I had surgery a week ago and now I am on recovery after 6 days in the hospital.
Every morning I walk for about 1 hour.
Would like to know what is your experience after surgery in term of life, activity erc
May I ask how old was he ?
May I ask how old was he when he had a quadruple bypass
I just wanted to come here and say THANK YOU! you have helped me with the ectopics that i started having this past 3 months and i took your advice on taking magnesium it has changed my life back around these past weeks. I cried tears of joy feeling like im not going to die every day .you have truly taught me so many things and i am really from the bottom of my heart Thankful that you use your time to help us with your knowledge and spread it to those who need it.
I am terrified of any invasive procedure of the heart. I am alone in the world with no one to help me. Thank you for your reassuring words
@user-ps5vz2un6h Same here. The average spouse and children feel equally helpless, though. In the end, in most cases, we are essentially alone, anyway. So, to be in the hands of a capable medical professional would be a stroke of good luck.
Take care of your nutrition. Eat vegetables and meats. Go to sleep in peace without bad feelings towards anyone, knowing that there are millions of us in the same boat and we can do a lot to help ourselves.
Thanks doctor for your informative videos. My dad had a major heart attack and was angiogram with a stent operation at 57. I started following your videos few months back and you're one in a million. Please do educate us with more videos to reduce heart attack and cardiac arrests. Thanks in advance
Without doubt this is the most informative and helpful video I've ever seen on RUclips. As my hubby faces this exact dilemma the information given here, at least gives him a sound basis for further discussion with his cardiologist. Thank you.
Wholeheartedly agree with you. My heart just went wooooosh with relief when Dr. Gupta clearly outlined that there are 3 ways of addressing ischemia. I’ve been feeling like a walking time bomb. None of the 4 cardiologists that I have seen so clearly outlined the ways my ischemia could be navigated. Now I understand that I’ve been placed on the medicine option, Repatha. I’m blessed with being asymptomatic, I think. I’m scheduling a virtual appointment with Dr. Gupta for next week. I have incredible confidence that it will be some of the best time I could ever invest in my new cardio arena!
Super vidio 👍👋🇪🇸 only people with an old soul, would say such wonderful words...[...], God bless you & keep up your outstanding work 🙏🙏🙏👍🇪🇸
Thank You so much for taking the time to make your informative vidio's. Really very helpfull. You are an exceptional Consultant cardiologist. Kind and generous person... you explainations so easy to understand..I hope you realise how special you are. How much we appreciate you. Thank You so much.
Oh thank you, thank you! You are what health care should be, truth and genuine interest in what is best for the patient. You are a mighty fine doctor, extremely capable and your videos are delivering a lot of understanding and relief to those of us with heart conditions.
Brilliantly communicated. Thank you for the clarity about treatment options and the study reference.
Had a bypass in 2017 after having an angio investigation which I know caused some damage. One of my arteries was found to be a different round way to 98% of people. I did have stable angina which got a bit worse after the angio procedure. I still suffer PTSD some 5 years later. Am 82 now, Asian, with other health issues and very petite. But I am still here and grateful. My surgeon did say to me after the surgery” l’ve given you another 10 years”
This is a wonderful presentation. I am a seventy-two-year-old Sri Lankan who was asked by my cardiologist to undergo an angiogram three years ago without any symptoms. After the angiogram, I was asked to go for an 'immediate' heart bypass surgery and even went as far as saying that she could not guarantee my life if I don't accede to her request. However, I consulted another cardiologist for a second opinion. I am still asymptomatic and continue with pills without any hindrance to my normal activities of life. You have stressed a very important point that, unless I have symptoms of angina, it really doesn't make any difference whether I continue with pills or go for a CABG. Thanks for your enlightening video, doctor.
You explain it with your usual patience and clarity. My first stent lasted 12 years, now replaced in urgence and I am fine, with a good Cardiologe who talks like you and I live a happy life and accept the side effects from the pils better and no additional stents, thanks to doctors who cares about the well-being of their patients. (76 years old) 🙏🇩🇰🤗
My father had a stable angina, he was 57 years old, he went to cardiologist specialist in India, he performed ECG said everything is fine in ECG, no blood work or angiography done or referred. Only pills were given for fifteen days. On next day (22 January 2023) he passed away with cardiac arrest.
Later we showed ECG to other doctors they said he had a MI. But I was shocked why doctor didn’t suggest or guide him, so I went to his clinic asked him if he had a problem in ECG why he was not referred for angioplasty and doctor replied stents or biopsy will not likely do anything and he didn't want to scare a patient by telling him that he is having a heart attacks already. I'm so sad because of doctor's malpractice. I lost my father. even if could save him for another 1 year, I would have spent my all money. but sudden loss has broken me and my family. he was a hardworking person, father of two daughters, non smoker non alcoholic for whole life.
we will miss him in our marriages, family functions, his grandchildren will never able to see how great thier grandfather was💔
You sure are informative. I wish there were more Doctors like you. We would live in a much safer world. Thank you for all that you do.
I wish I had seen this before my triple bypass surgery. I would have probably held off having this for a while, or maybe never have done it .But I WAS tiring more easily than usual; a deer in the headlights moment! Five months after the procedure, I am having chest discomfort due to the wires in my sternum. Maybe this will go away in time. Thanks for your insight! I'm 74 now, and plan to watch more of your videos to go for 84, at least! I appreciate your educated opinion and honesty!
I think you're better off with the bypass, as while the medical therapy can reduce symptoms it can't reverse a blockage. Beta blockers will slow down your heart, but will also slow down your activity.
Thank you for breaking the societal mis conception that cardiac surgery is a long term fix in all cases and extends life in all cases. Especially when ones vitals and symptoms are manageable on medication. Thank you for giving us case studies and your opinion as you see it truly honestly.
It can be stressful as a patient to get frustration from a personal support system (friends family etc.) that sometimes view heart surgery in a “fix it “manor as if it is like a car engine. Unfortunate that the human body does not work that way. But true 💯.
Brilliant! I am constantly informed and reassured by this wonderful Dr. Gupta.
Excellent discussion and perfectly illustrates "do no harm" in patient management. Always look forward to your insightful discussions.
Great video and an honest summary from an honest Doctor Well done
Beautifully said Dr. Gupta that’s why you rock
You are such a nice and caring doctor. Look forward to seeing you.
Do no harm is the rule - it us so scary to hear you telling us about these unscrupulous doctors in these countries. We are so fortunate here in the UK aren’t we? Thank you for this explanation, it is extremely interesting to hear about the ‘no advantage’ of stents or bypass if the symptoms are controlled with pills - what a surprise!
I watched this vid and was totally impressed your discussion how to work with your doctor. Which I had done. My result is a slightly different technique. I was judged high risk PCI and offered open heart traditional for my RM, LM, LAD. I declined since my wife had open heart for aerobic valve and judged mini-strokes which gave cognitive difficulties. 2nd opinion to include totally endoscopic CAB but that would not address my blockages. Subsequently went to original Dr for stentimg with Impella blood flow assist. Wonderful quality of life from the day after the procedure. It's now a year later. I am not complaining; just reinforcing your words from this video for others. Miss you on CNN. (Should note I avoided the typical 7-10 days recovery in hospital and 4-8 weeks recovery at home. I am 80 a widower and retired engineer. I love and appreciate the medical advances!)
They should clone you dear sir. I can tell you truly care and follow the "Do no harm". Thanks for all the time you take to put these together.
Thanks for the truth and compassion you convey.👍
Thank you so much Dr. Gupta. You are God sent to the mankind.
Stay safe! ❤️🙏
excellent video extremely well articulated and very easy to follow. i would have to say a true master piece ..........Thanks a billion Dr.
Thank you so much for all your advice and help. Much appreciated. You “ clear the mist” for us and help us to see what’s what much better.
Thanks so much Pamela
Id be so grateful if you'd consider sharing and subscribing:-)
Omg this has helped so much ! I was just told I have to see a vascular specialist because of build up of plague in one of my arteries… had a CABG 3 1/2 years ago . This will help with what they throw at me next . Thank you
What a great explanations ! Doctors should always empower patients after giving a good explanation. Wish you can be my doctor! ❤
I'm 47 and had triple bypass 3 weeks ago. I had 2 arteries 100% blocked and 1 90%, and the doctors said my angina had transitioned from stable to unstable. They said I had an intermediate risk of imminent heart attack without the surgery (stents were too dangerous and not an option). So now I'm recovering, and I hope I made the right decision. I've been in a lot of pain but am starting to recover a bit.
im 49 and was told i need a quad bypass hope you feel better im scared as hell
@@krisramjit3656 Is your surgery scheduled yet? And it is it certain you can't get by with stents? (I'm guessing they already considered that)
I have just got surgery with triple bypass a week ago and now am at home for recovery after 6 days in hospital.
Next day after getting home started walk every morning for about 1 hour.
I absolutely love your philosophy of what a doctor should be. My mother was a wonderful nurse and she had quite similar views about medical professionals. Bravo!
Very I formative, I have stable angina, i understand it much better Now, thank You, God bless and keep on putting out these information for people like us
Amazing information/advice from a Doctor...
And not coercion from the Government
I am 13 days out of the modified Bentall procedure with the konect bovine tissue valve. Was in great shape when I went in with minimal damage and classified as Stage C: A Symptomatic. I am 60 years old and made the decision to have surgery one year after the diagnosis of severe aorta valve stenosis. Took me that long to get my nerve up. I was working, and I felt great, what the heck? Third opinion I said let's do it because I didn't want the recovery to be ridiculously long and/or my heart to be irreversibly damaged by my own hand because of my cowardness. The first week out of general anesthesia is NO JOKE and it does hurt. I've been home for three days and begin warfarin tomorrow evening for three months. Feeling very good. Surgery is not the problem it is the solution. 02/28/24
How are you feeling now? Are you still happy with your decision?
@@laureldevine I’m February 15 2024 modified Bentall procedure and they say it is the best procedure for the future insertion of another valve. I feel very normal for my age 60 and I’m working full time as a delivery driver.
@@shoomapadoo1141 glad to hear that.
Great, thank you again.
I wish there were more doctors like you, here in the U.S.
Oh my gosh, I found this video exceptionally useful. Both my mom and dad had bypass surgeries and I often wondered what would happen if they didn’t go through all that. So, thank you, thank you, thank you as it may be my turn in the future to decide on this type of surgery.🙏
Always refreshing and honest.
Thank you Angie:-)
Id be so grateful if you'd consider sharing and subscribing:-)
@@YorkCardiology I have been subscribed for years. You are wonderful, don't misinterpret science but in the same time try not to scare people. I really appreciate your videos. I have shared a few also because I am a Psychologist (prof) with specialty in panic disorder. Thank you for all you do.
I feel vindicated after watching this video Dr. I was diagnosed with 3 very serious blocks in my right (100%), centre (99%) & left (80%) arteries in an angiogram in 2016. I was asymptomatic then until now. I went against Dr advice then to do a bypass. However, I still follow up with regular visits to my Dr. including the Cardiotorasic Dr. Bypass is a very major surgery and the chances is 50:50 especially with my past stroke in 2012. I do my morning walk daily and it includes walking up & down 3.5m high staircase 5 times each way. I do not pant. I’ve stopped excessive strenuous sports like golf since my stroke in 2012 where I lost control of my right limbs and blurry speech. However, through very discipline physiotherapy at home ( 10 hrs per day, 5 each on my hand and leg ) I regained control ( 85%) of my limbs within a month. I’m thankful that I’m independent and does not require any help in eating and mobility including driving. I accept that I’ll never be able to regain 100% thus have been adjusting the things I do.
Recently, I’ve learnt that our national heart institute can do a procedure like angioplasty where it drilled the plaques in the arteries before inserting the stents. I’ll be talking to my Dr in Feb appointment.
Sir, have you done bypass surgery now?
How are you now Sir?
Fantastic logical analysis! Wish I could get you here in Kolkata for one to one consultation!
Thank you, Dr. for taking the time to share needed information for we who are at the mercy of the medical system here in the USA. The information you offer is life-saving, thank you, thank you, thank you. You give so many of us hope, who otherwise would be hopeless.
Your final remark encapsulates exactly what is so important when we entrust our lives to a doctor.
DR Gupta Yes I found it very educational and very proud of you for standing up for the patient with being threatened by the doctor a patient should never be yelled at from a doctor they should remember moral integrity and oaths made by contract with the job patients stability treating patients with respect because of fears and lack of knowledge or be little people for their benefit doctors should have patients with the patient Thank you Dr Gupta for sharing this story with the world
Excellent explanations and thank you for sharing your expertise. As a health professional I am very grateful for your honesty.
My Uncle and my Landlord both had a heart bypass in the same month. The Doctors had to harvest vein from their legs. Both of them said that was much more painful than the heart site and they both wanted to die from the discomfort. After a few weeks they both felt better but it was an eye opener in that heart health should be on everyone's mind when they eat.
I think that's the usual place that they harvest veins for heart bypass surgery? The lower legs?🤔
Never knew it caused so much pain at the harvest site!😩#Yikes!
But yeah, I'm sure they both felt a lot better once they fully recovered!!😉
@@gloriamaryhaywood2217 They both were cut from upper crotch to ankle. both of them had several bypass sites and I was told that was done so they could match up the best section of vein for each area needed. They were both in their 70's at the time and both lived into their 90's
@@Swift-Prospecting Good to know!😉 Thanks for the speedy reply!
I had a triple bypass operation two years ago and experienced no pain whatsoever in any parts of my body. The saphenous vein removal does not create any pain as far as I can tell.
@@g.e.b.8159 That's what I thought! I have never heard where somebody has pain, much less a lot of lasting pain, where the vein was removed from the leg!? Hmmmm?🤔
You have the most caring nature. Love your videos.
There so informative👍
God bless you ❤You have answered my questions at the perfect time❣️💝👌
Thanks for being back to work.
Thanks. im 54 live in England and have been told to have a double bypass...soon...infact by taking the additional medication for blood thinners has made a significant improvement in my life.
genius!!! please continue your fabulous talks !!!
Love How You Educate Empower and Liberate Us 👑
I couldn't agree more regarding unscrupulous doctors. I am a diabetic and I was hospitalized for unstable blood sugar. A. Cardiologist came to visit and suggested that I have a blockage and needed to have an angioplasty done. I was rather surprised because I have never had any problems with my heart other than a murmur that was diagnosed 30 years prior, but had complaints about anything else in that regard. I was not buying it. I told him that I need to go home and secure my pets and my home, and he told me that it was urgent and I could die if I did not have it immediately. 1) He was not my PC, and I have no symptoms and never had. It's been nine years, I am now 65 and I have not had any problems with my heart. Now I do have some narrowing of vessel (s) but I have no symptoms of any kind.
Did you ever consult and have testing done with another cardiologist of your own choosing? I wonder WHY that cardio doctor decided that you needed emergency surgery bc of a blockage?🤔 (And are you also saying that you never had the surgery at all?)
OMG thank you so much for confirming my prevalent intuitions. My case is identical and I had my angiogram last Friday and have been weighing up wether to have a by pass performed or not - at present my echo gram showed an improvement and I was actually feeling very strong and accepting of the medicines which I eventually adjusted to. I feel I made the right decision yesterday pretty much on the same logic you tendered here. Thank you so much for uploading this video.
Excellent sharing, Dr Gupta..we need such expertly input so we can make better choice n live with less fear, uncertainty n more freedom
Dr Gupta provides thorough information that provides people the ability to ask the right questions and make decisions for their situations without fear or pressure. A service money cannot buy. Sending love and thankfulness.
Quack.
Great communicator!. Something rarely seen in the medical field nowdays
another great video Sanjay very helpful, thank you
Thank You for your excellent advice from a heart patient!
Another good presentation, thank you. Rationality and sympathetic understanding are necessary and essential parts of medical practice.
Thank you Dr. GUPTA for talking about it. I'm a Cardiologist trained in the U.S. and practiced there for more than four decades. I retired and permanently returned to India.
I don't practice here. I, now and then, some one coming to me for a second opinion regarding the very problem you discussed. I don't charge them any fees.
I see so many people being frightened by saying that if they didn't get the Stent or a bypass they will die or get a massive heart attack! They all have stable angina well controlled by medications alone. I advise them to stay away from such enethical doctors and continue with their medical therapy. They all are doing well. This is a wide spread problem in India and I feel sorry for some patients who have to sell everything they own or borrow to pay the doctors. Unethical practice is very wide-spread here.
Your integrity and compassion are characteristics of a good doctor and good person. May your God bless you eternally!
Superb comments Doctor. Can I contact you sometime? I live in Bangalore.
Your videos are very informative and easy to understand.Really very helpful because i did an angiogram and i have a few blockage .Have to go talk to my cardiologist and see what he recommends.Thanks for all the helpful information.❤❤
Thank you for such an educational and interesting video.
Such a problems run in my family and Im always interested in knowing more about it.
You are the best.
I think getting a second opinion might be a good idea as I had a heart murmur from my early years and it progressed more in my late 6ixties! Went to Mass General Hospital for second opinion and they were very thorough with my heart condition and after an angiogram found a 80 and 100 percent blockage.Also I needed to have a mitral valve repair as I was slowing down from exertion! That said I went through the surgery on April 3rd and I am glad I did because I feel strongly that if I hadn’t my life expectancy would be significantly lower! So I’m a strong believer in a second opinion with a top notch Medical Center and also doing your part to lower your risk from surgery by getting in shape to the best of your ability! I lost 13 lbs prior to surgery and I was trying to lose another 6lbs but they moved my surgery date up by a month! With that said I feel 20 years younger after surgery and am looking forward to seeing another 20 years added to my life thanks to Mass General Hospital!
Thank you!!
Hey Doctor Gupta, 😊 Thank you so VERY much for sharing this, and ALL you share 😊 You are the BEST!!!!! LOVE ❤ to you and your beautiful companion 🐕 ❤ 👍 👍 👍 👍 👍
Aww thanks Daniel
Id be so grateful if you'd consider sharing and subscribing:-)
@@YorkCardiology I am and have been Subscribed for a LONG time 👍 👍 👍 👍 👍 You are GREAT!!!!! 👍 👍 👍 👍 👍 😊
You are just amazing..you inspire educate and empower all who listen to you..therefore you are a brilliant Doctor..thank you again
You a very kind
doctor
Thank Q so much
Dr Gupta.
I had a heart attack and the cardiologist said, i don't know you got up off the floor. Had to have 4 bypasses, 12 yrs ago now, through narrowing of the arteries. I never had any angina at all. But people notice i was slower at doing things.
But 6 mths ago they found an old blood clot in the heart, that was laminated, and won't move. I think the clot is caused by the damage bit of the heart. One thing i will say, that fish oil has helped me in keeping blood pressure down and in general, just doing good things for the body. After bypasses i thought i would live maybe 2-5 yrs, but still kicking on and i think walking every day a Kilometre helps. Cheers.
Thank you, Dr. Gupta. I am an Australian former nurse. I have three stents LAD, Circumflex. I started to worry about chest pains after 8 years of pain-free. I wanted a change so consulted Dr. Omar Farouk, he ordered a medical stress test. positive, angiogram, stretched a thickening instead of stenting as the previous dr had done. The chest pains continued- Rx microvascular angina, so no unnecessary stenting. I love my new cardiologist.
Our bed luck that we don't have you here in India. Love and Respect from heart Dr Sanjay Gupta.
Doctor Sanjay you are a gift from Heaven especially for those who are confronted by Greedy Heart Surgeons
That is a very sensible n sound advice, salute to the doctor 🙏🙏🙏
Very reassuring and honest thank you so much.
A cardiolo doctor took an isotope examination of my heart in mars 2018. I sat on a cykle for five minutes with the isotope in my body, doctor and nurses checked my ECG all the time. Then I had to walk and wait 20 minutes before I layed in a machine that took pictures of my heart for 20-25 minutes. I could watch a monitor where my heart was "glowing" by the isotope.
It showed that I my heart, the vessels was clear, no blockages. I wonder if I have heart problems now. Chestpain every day. Heart rate 120-140, I take betablockers. Ultrasound of my heart in october 2021 showed nothing was wrong. I don't know what to think. Thank you for your videos. You really educate us so much.
I had a quadruple bypass in 2008. All 4 arteries were 90 per cent blocked.
I lead a completely normal life, I do aqua fit 3 times a week and walking football.
I take 4 tablets, statins, blood pressure etc.
Im 68 years old. I wouldn't be here without the bypass but I guess everyone is different
Leg vein use for your surgery
thank you im preparing for mine now
Well explained.Thank you so much . You are a great human resource
A big change in lifestyle ... what probably caused the problem must be addressed. I've had stable angina for over 8 years. Lost weight, started walking and later riding a bike. Nitrostat works well for me, when I need it. For me stress will bring on angina as fast or faster than physical exercise. I don't see much about collateral arteries as nature's by-pass, it would be interesting to hear your thoughts on the matter.
Very helpful. Wish I had seen the video before the bypass surgery. I had shortness of breath and still do after 4 months. Interesting.
Hats off to this Doctor ...God bless you doctor
I am surprised that you did not touch on the role of life style, diet, and exercise ( in conjunction with meditation of course) for stable angina patients.
I know of a cardiologist who stresses strongly on life style in addition to better sleep and optimism to reverse to a certain extent the narrowing of some coronary arteries of stable angina patients who of course also take a regimen of medication.
Thank you for opening our eyes to an extremely important input that anyone of us may face.
He talked about that for years. That is his first advice is lifestyle changes. He's just talking about this topic. Check out his numerous videos.
Thank you 😷. Doctor. You will be blessed. Clean and precis explanation. Tq
Thank you for Serving with Love. Great health tips awesome
My question is the degree to which a follow-up of only three years is definitiive. I have read, foor example, that the trial evaluating the closing of PFO's in patients who have had crytogenic strokes and/or TIAs, using the Amplatzer device, initially found no benefit at around two years. Yet, as the trial proceded to four of five years, clear benefit was shown.
I agree, 3 years isn’t a long time for someone like me that’s 43 years old
Dear Doctor,
Please know that I found this video extremely useful and I thank you very much for it. My mom, dad and sister had bypass and stents put in and I am assuming at some point I too will have to make some sort of decision regarding my heart. So again thank you so very much. I watch every one of your videos and feel more educated and empowered with each.🙏❤️
Well said. Just had a bypass that I didn't want and it I had to do it again, would not. Thanks.
Very reassuring doctor. Thank you very much. God bless you.
You r excellent Dr, loves from Curacao, stay blessed
Wonderful explanation and thank you doctor for such inputs... 👍
Hello Doc, Medicine is supposed to be a caring profession. You are an example. You are right about the profit-driven medical practice of some doctors in India and South East Asia. You are right about the crippling profit-driven medical practice of some doctors in India and South East Asia. 3 years ago, I took my father to a hospital in India, and they did everything to make money. My father died shortly afterwards, thank you for enlightening the public like the gentleman from India.[...] Thank you for educating the public.
Nice of you . You videos are so interesting &lifesaver for patient and their relatives as malintent is rampant in India and good advice is not readily available
Doctors should Educate, Empower and Liberate. Wouldn't it be wonderful if all doctor's took that approach!!