Collateral Circulation

  Рет қаралды 13,281

Nursing School Explained

Nursing School Explained

Күн бұрын

This video explains the contributing factors and mechanism of the development of collateral circulation as it applies in coronary artery disease.
You may also find these other videos in my CARDIAC DISORDERS PLAYLIST helpful:
Myocardial Infarction (Heart Attack):
• Myocardial Infarction ...
Nursing considerations and Medications for Myocardial Infarction:
• Nursing Considerations...
Coronary Artery Disease (CAD) & Acute Coronary Syndrome (ACS):
• Coronary Artery Diseas...
Cardiac Medications:
• Cardiac medications (N...
Collateral Circulation:
• Collateral Circulation
Cardiac Enzymes:
• Cardiac Enzymes (Cardi...
Percutaneous Coronary Intervention (PCI) aka Angiogram:
• Coronary Angiogram/Cat...
Coronary Artery Bypass Graft (CABG):
• Coronary Artery Bypass...
Heart Failure:
• Heart Failure (Left an...
Cardiogenic Shock:
• Cardiogenic Shock

Пікірлер: 61
@ayecreepn6126
@ayecreepn6126 9 ай бұрын
I think this saved my life when i was 34. Found 100% blockage in LAD. No heart attack. Doc said my heart basically did its own bypass. I guess this is what he was talking about.
@davidsoulsby8789
@davidsoulsby8789 8 ай бұрын
I'm 72 years old, when I was 54 I had a mild heart attack. Over the years I had 6 stents put in my RCA for 3 blockages, 4 stents are stacked due to failures. Recently I failed a stress test. Doctor did a catherization and said the RCA is closed and that collateral arteries are supplying enough blood to the heart. The stents bought me enough time for them to form.
@NursingSchoolExplained
@NursingSchoolExplained 8 ай бұрын
Amazing! Thanks for sharing!
@AutoProSoftware
@AutoProSoftware 3 ай бұрын
Nice clear explanation. My cardiologist mentioned this and your video makes it easy to understand. I had an attack when I was 50 and this was a wake-up call for me. Since then Ive been going to the gym regularly 2-3 times per week for 1 hour on the days (I'm now 67) and I am told this has helped my body to build the collateral circulation. Thanks for making this clear!
@NursingSchoolExplained
@NursingSchoolExplained 3 ай бұрын
Thank you for sharing your story and keep up the great work!
@meherkhan5187
@meherkhan5187 Жыл бұрын
reviewing before my patho exam tomorrow, thank you!
@NursingSchoolExplained
@NursingSchoolExplained Жыл бұрын
Thanks for watching & good luck on the exam! You got this! :)
@biybimaryamjoldasbaeva506
@biybimaryamjoldasbaeva506 Жыл бұрын
Thank you so much!
@NursingSchoolExplained
@NursingSchoolExplained Жыл бұрын
You're welcome!
@frankmucci214
@frankmucci214 Жыл бұрын
Very good presentation. Thank You
@NursingSchoolExplained
@NursingSchoolExplained Жыл бұрын
Glad it was helpful! Thanks for watching!
@siyanibillinumberone4054
@siyanibillinumberone4054 Жыл бұрын
thank yiu for making this video .
@NursingSchoolExplained
@NursingSchoolExplained Жыл бұрын
Thanks for watching!
@ryanp1111
@ryanp1111 Жыл бұрын
I just had a major heart attack at 42. Collateral circulation saved my life. Doctors attempted 2 angioplasties and were unsuccessful. No stents and no operations. My heart took no damage. I am researching what happened to me. Thanks for the education 👍
@NursingSchoolExplained
@NursingSchoolExplained Жыл бұрын
Glad you are doing ok. Thanks for watching!
@Khe247
@Khe247 5 ай бұрын
Same here with me at age 50, I'm trying to research what saved my life also...
@Liahezz
@Liahezz 8 ай бұрын
Thanks this helped me to understand
@NursingSchoolExplained
@NursingSchoolExplained 8 ай бұрын
Glad you found the video helpful! Thanks for watching! :)
@sharadakhati6515
@sharadakhati6515 Жыл бұрын
Thank you ma’am
@NursingSchoolExplained
@NursingSchoolExplained Жыл бұрын
Most welcome 😊
@sarahhoffman8283
@sarahhoffman8283 2 жыл бұрын
You have such a gift. I have watched so many of your videos and the way you explain concepts is perfect for my learning. I have been a nurse for about 2 years and make sure I brush up on concepts. You are my go-to content creator for this! Thank you!
@NursingSchoolExplained
@NursingSchoolExplained 2 жыл бұрын
Hi Sarah, thank you so much for your feedback; it means a lot! And I am so glad to hear that my videos also help experienced nurses like you! 😃
@anishjoshi2777
@anishjoshi2777 Жыл бұрын
​@@NursingSchoolExplained want to ask should we do high intensity cardio to improve collateral circulation. Coz more the heart pump higher blood circulation will improve specially collaterals will it help?. Waiting for your response.thanks great explanation
@NursingSchoolExplained
@NursingSchoolExplained Жыл бұрын
@@anishjoshi2777 I would caution anyone with atherosclerosis to do vigorous physical activity and get cleared by their healthcare provider before doing any type of exercise.
@anishjoshi2777
@anishjoshi2777 Жыл бұрын
@@NursingSchoolExplained but if person doesn't have any heart issues yet, then can he train his heart to be stronger
@NursingSchoolExplained
@NursingSchoolExplained Жыл бұрын
@ANISH JOSHI This channel is for educational purposes only and we can't give medical advice. Check out this article from Harvard Medical School regarding this topic: www.health.harvard.edu/exercise-and-fitness/high-intensity-exercise-and-your-heart Always check with your healthcare provider first!
@josefmountain3254
@josefmountain3254 Жыл бұрын
Awesome 😊
@NursingSchoolExplained
@NursingSchoolExplained Жыл бұрын
Thanks 🤗
@davidthomas3258
@davidthomas3258 27 күн бұрын
Thank you for the explanation :) Like many responses I've read, I'm vertical due to collaterals. I wish all of you the very best in your health and recovery - I have a damn good idea of what you may have gone through. I am 100% occluded, RCA CTO, LAD to RCA collaterals (8), LCX was same in 2 spots and collateralized as well. Its been a year and I have reduced the two LCX occlusions from 100% occluded to 90%+/- occluded and have had those stented. General health has been for the better since the 2x stenting of LCX. No more Angina and color changing fingers, hands, forearms and biceps (oh what fun that was - NOT), but still have SVT and Bradycardia, which has lessened a tiny bit. 1 more to go in RCA and we are getting close - maybe another year, or two, and RCA will be stented. Much worse in RCA vs. LCX. What to do after stenting since all this extra "pipe" (collaterals) are in use, but not necessarily any extra blood? Collateral Ablation? Leave it alone and let the body "work out the details"? Cardiology team is suggesting the later at this point as they are highly suggesting that once RCA is opened, we are likely going to have "different" issues to resolve. They are still shaking their heads that I was able to reduce the occlusion through lifestyle changes. Whatever I was doing, I turned an immediate 180 degrees and adopted the good changes immediately. How did I reduce the occlusions and how will I finally reduce RCA? I did what every doctor, school teacher, etc. has told us since we were toddlers. Exercise (need to have cardio in there) (walk to music that is 120bpm/130bpm/140bpm, and 150bpm), eat the right foods, control stress, control BP, HR, sleep, and the list goes on. 14 different "tasks" with the 15th task being time. I am just biding my time now. I have been a science project. I can see the light at the end of the tunnel and it is not a heart attack. And to circle back, timing was perfect. Had double hip replacement about 2 years before my heart attack and the surgeon said he wanted 10K steps a day out of me, so i started doing that. I book 10K steps a day before 6am now. Little did I know I was slowing getting occluded at the same time. What happened? Collaterals happened! I'm vertical. I win (for now).
@NursingSchoolExplained
@NursingSchoolExplained 18 күн бұрын
Thank you for sharing your story! Keep up those good habits!
@ninabella9300
@ninabella9300 2 жыл бұрын
Could you make a video on how to study ? I will be attending San Diego city college nursing program next year. Thank you 😊 Also , if you would make a video on fluid and electrolytes. Appreciate you 😘
@NursingSchoolExplained
@NursingSchoolExplained 2 жыл бұрын
Hi Nina, thanks for watching! Great news - I already have all these videos available! :) Feel free to browse through all my playlists to see what you find interesting. Check out my Nursing Fundamentals Playlist. It includes many basic skills and nurisng concepts:) Here are the links to your requests: How to be successful in nursing school: kzfaq.info/get/bejne/h7B_mMSQkqfadKM.html How to prepare for nursing clinicals: kzfaq.info/get/bejne/bLVyhNKdvczYl4U.html Fluid & Electrolyte playlist: kzfaq.info/sun/PLGq925lbJaox3yqmKGkyi6xgi_LzpU4VF Good luck in your studies!
@j.dnworavor9989
@j.dnworavor9989 Жыл бұрын
She must be a professor......the explanation is mind-blowing!
@NursingSchoolExplained
@NursingSchoolExplained Жыл бұрын
Hi J.D., thank you for your feedback! I actually was a professor and am hoping that this KZfaq platform will reach more people who may find my explanations helpful! Thanks for watching!
@j.dnworavor9989
@j.dnworavor9989 Жыл бұрын
@@NursingSchoolExplained Jah bless you
@hikgerguy1234
@hikgerguy1234 Жыл бұрын
Thanks for this video. I read there is some evidence you can improve coronary collateral circulation through moderate exercise. Do you have any info on other ways to increase the collateral circulation?
@NursingSchoolExplained
@NursingSchoolExplained Жыл бұрын
Thanks for your comment. According to the American Heart Association, "Collaterals are present at birth in all species and form an integral element of myocardial perfusion, yet the importance of their precise contribution may vary. In humans in whom CAD is compromising myocardial perfusion, collaterals have always been viewed as a mechanism to relieve symptoms and to limit myocardial necrosis in acute coronary occlusion. Because the originally available cross section of collateral channels is not sufficient to meet these goals, various interventions have been suggested to increase collateral capacity. Regular physical exercise may not only correct endothelial dysfunction, retard progression of CAD, but also may increase the functionality of collateral channels." (www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.115.016442) There is also an interesting article and study from the NIH: www.ncbi.nlm.nih.gov/pmc/articles/PMC7536817/ (I particularly like the graph in section 3.2) So, in short, yes, exercise helps to develop collaterals and make them more functional. However, please exercise (no pun intended!) caution when selecting an exercise program and always check with your provider first about the amount, intensity and frequency of exercise.
@samerfarouk4168
@samerfarouk4168 Жыл бұрын
exceptional explanation , that's simplify the object too much
@NursingSchoolExplained
@NursingSchoolExplained Жыл бұрын
Glad it was helpful!
@rmarquez2400
@rmarquez2400 Жыл бұрын
A great video, but I have questions can you live a long life with these bypass vessels if you change lifestyle, or do they only last for a few years? The collateral vessels or can they grow more
@NursingSchoolExplained
@NursingSchoolExplained Жыл бұрын
Hi & thanks for watching! This is a great question. This channel is for educational purposes only and I recommend that the patient check with their health care provider and cardiologist to determine the best course of action for their particular case scenario. Here is an interesting article from the American Heart Association (AHA) pertaining to collateral circulation: www.ahajournals.org/doi/10.1161/01.CIR.0000065118.99409.5F
@chidinmalexie6663
@chidinmalexie6663 11 ай бұрын
Pls bulk of collateral blood suppy when is gotten ,is it during systole or dystole?
@NursingSchoolExplained
@NursingSchoolExplained 10 ай бұрын
Just like coronary arteries, they fill during diastole, when the myocardium is relaxed.
@sr9253
@sr9253 8 ай бұрын
Can collaterals form in the legs and calves too? I have a failed saphenous vein graft in my knee and I hope collaterals will grow.
@NursingSchoolExplained
@NursingSchoolExplained 8 ай бұрын
Collaterals can form anywhere in the body! For specifics regarding your own health and condition, please contact your healthcare provider. Thanks for watching! 😀
@RunnerThin
@RunnerThin 8 ай бұрын
How long does it take to "grow the bypass?"
@NursingSchoolExplained
@NursingSchoolExplained 8 ай бұрын
Great question! While there is no clear evidence because there is not a test that can assess collateral circulation and it depends on the location of the occlusion, there has been evidence that collaterals form from hours to months or even years after an occlusion takes place. Check out this interesting article: www.openaccessjournals.com/articles/timing-of-coronary-collateral-appearance-during-stelevation-myocardial-infarction.html
@ktmdays
@ktmdays Жыл бұрын
My arterie is cloged but I have collateral arteries how long can someone live with the maine artery cloged I'm 50yr
@NursingSchoolExplained
@NursingSchoolExplained Жыл бұрын
Dear ktm500, This video is for educational purposes only. Please consult with your health care provider about your specific situation.
@jimmyg3855
@jimmyg3855 Жыл бұрын
Did you find an answer?
@ktmdays
@ktmdays Жыл бұрын
@@jimmyg3855 idk I'm fkd doc said decades but who knows I stop drinking eating shit just watch the obituaries lol
@jimmyg3855
@jimmyg3855 Жыл бұрын
I’m on my second heart attack 4 stents after my first I ate like junk now I’m on a health kick lost a lot of weight exercise 3x week intense heart rate up to 167 don’t give up you can change a lot of factors.
@ktmdays
@ktmdays Жыл бұрын
@@jimmyg3855 I'm 5ft 9in 200lbs my work is verry physical I walk got a stress test in a month or so it's been 3yrs since
@valaksimulations4503
@valaksimulations4503 Жыл бұрын
i'm 36 and today i left the hospital after 12 days and it turned out that i had this exact thing happen to me. the doctors said that i more than likely i had a heart attack 8 months ago. I guess my LAD is fully closed.
@NursingSchoolExplained
@NursingSchoolExplained Жыл бұрын
I hope you feel better soon!
@valaksimulations4503
@valaksimulations4503 Жыл бұрын
@@NursingSchoolExplained I don’t I was released and still deal with chest pain from walking around and doing things. They decided not to fix it. I wish they would have……
@buckleysangel7019
@buckleysangel7019 Жыл бұрын
@@valaksimulations4503 would you like a link to a document to use tapping to get rid of your pain?
@valaksimulations4503
@valaksimulations4503 Жыл бұрын
@@buckleysangel7019 I got admitted back to the hospital from excessive bruising from the heart cath and because the chest pain still happening. They found a blood clot in my leg and tomorrow I’m having open heart for a bypass installation. Looks like I may finally get fixed!
@buckleysangel7019
@buckleysangel7019 Жыл бұрын
@@valaksimulations4503 oh sweet! That’s so good for you. I’ll pray for you.
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