Examining Heart Failure: How to Recognize and Treat the Weak Heart

  Рет қаралды 190,798

University of California Television (UCTV)

University of California Television (UCTV)

Күн бұрын

Dr. Munir Janmohamed discuss what is heart failure including signs and symptoms; different types of heart failure; when to go to the doctor; and various diagnostic tests. Dr. Van Selby follows with a discussion on heart failure including how to treat and stay out of the hospital as well as diet, exercise, pharmacologic management, and EP device management. Dr. Liviu Klein will discuss late stage heart failure and the options. Recorded on 06/17/2015. [9/2015] [Show ID: 29724]
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Getting to the Heart of the Matter - Advances in Cardiology
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00:00 Introduction
2:10 Objectives
4:37 What is Heart Failure
5:18 Types of Left Heart Failure
7:06 Risk Factors / Causes for Heart Failure
9:49 Epidemiology of Heart Failure in the US
16:28 How Heart Failure is Diagnosed
19:34 ECHO: The Gold Standard
20:26 A Key Indicator for Diagnosing Heart Failure
21:00 CAD Evaluation
22:53 Overview
26:33 Causes of Hospitalization for HF
28:48 Lifestyle Modification: Diet
31:34 Lifestyle Modification: Exercise
37:51 Medical Therapy: ACE Inhibitors
45:08 Device Therapy: ICD
46:54 Cardiac Resynchronization Therapy (CRT)
47:32 Current Evidence-Based Treatment of Chronic Systolic Heart Failure
50:07 Advanced Heart Failure
51:41 End Stage Heart Failure in the US
52:57 Adult Heart Transplant Survival
53:17 Heart Transplant Survival at UCSF
54:11 Functional Status after Heart Transplant
57:29 Living with a Heart Transplant
59:20 Heart Transplants: Not Enough

Пікірлер: 100
@abrideforchrist4247
@abrideforchrist4247 5 ай бұрын
I'm two years after a heart attack and I'm showing all the signs and symptoms of heart failure...And I'm 55... And this has slowed me down... And my doctors have done a great job at keeping me out of the emergency room but my symptoms are still there... Thanks for the heads up....
@Sushi2735
@Sushi2735 4 ай бұрын
Yup, me too. Diagnosed last month. No heart attack. Just aifib, the silent kind 🫣🫣🫣🫣🫠🫠🫠
@Sushi2735
@Sushi2735 4 ай бұрын
Thank you Janmohamed. We are blessed to have your brilliant mind in cardiology ❤
@juancollantescollantes2394
@juancollantescollantes2394 2 жыл бұрын
Thanks for THE info& postíng THIS VIDEO
@davidwilson3434
@davidwilson3434 2 жыл бұрын
Good luck Mr Daniel porras may you over come this battle in front of you ....
@yilianhernandez8314
@yilianhernandez8314 5 жыл бұрын
Teacher you are brilliant. Good explanation.
@jimcameron9848
@jimcameron9848 4 жыл бұрын
I think you are most brilliant without any doubt and strikingly beautiful.
@Itsme-jv4cd
@Itsme-jv4cd 6 ай бұрын
Wow! You docs are great ! I don't think we have any docs like you guys in Oregon.
@oldbiker9739
@oldbiker9739 2 жыл бұрын
don't forget your vitamin B1 and Selenium
@ramonalouise7039
@ramonalouise7039 3 жыл бұрын
Thanks this is very helpful
@shashimoghe3920
@shashimoghe3920 2 жыл бұрын
Dr sir this very exhaustive and explained in very easy to understand words thanks 19/11/2021 india
@kaulawteebachan1847
@kaulawteebachan1847 2 жыл бұрын
Thanks doctor for explain ING I am aheart patient also when I wake up on mornings my body feels cold and weak. You speak fluent I understand everything thank you so much.
@ladyadarathecrone7494
@ladyadarathecrone7494 Жыл бұрын
I am so thankful for doctors. I have heart issues that may evolve into CHF and this gives me a little bit of hope. In fact, I have an appt in 2 days with my cardiologist to run tests to, specifically, check for it.
@beatricesiaw8776
@beatricesiaw8776 6 ай бұрын
Where do you live? You're lucky
@FrightF
@FrightF Жыл бұрын
Well this is blown out of the water because its now undeniable that the Heart is not a pump.
@moonmagnolia7
@moonmagnolia7 5 ай бұрын
I was wondering if this lecture contained out dated information. I had not heard thought that the heart was not a pump. Yes I can search for that topic but if you already have a reliable source, I would sincerely appreciate you sharing it.
@sandilobianco6734
@sandilobianco6734 5 ай бұрын
@@moonmagnolia7You might be right. if the heart is not a pump, what is it?
@josephdillon7420
@josephdillon7420 4 ай бұрын
Great video and great info. Thanks for sharing.
@renetatayo2260
@renetatayo2260 3 ай бұрын
Great presentation 👏 Thank you all
@erwinrogers9470
@erwinrogers9470 5 ай бұрын
Great information👍
@erwinrogers9470
@erwinrogers9470 5 ай бұрын
Love it🔥👏
@yosvelmartinez9800
@yosvelmartinez9800 16 күн бұрын
Excellent video !
@lindabeeman3301
@lindabeeman3301 2 жыл бұрын
Thank you so much for this video. l found it very helpful, but I need to hear and watch it again. I hope can access it many more times.
@lindacyoung1789
@lindacyoung1789 2 жыл бұрын
Linda C Young My mother had heart failure after she was burned with radiation As burned up with
@sandilobianco6734
@sandilobianco6734 5 ай бұрын
@@lindacyoung1789so sorry to hear this. Can you explain how this happened?
@juancollantescollantes2394
@juancollantescollantes2394 2 жыл бұрын
too bad,I didn' have THIS info when i was younger,so I woud it taken care of it but now at 68, IT'S kinda TOO LATE JAJAJAJA.
@guronateDM
@guronateDM 5 жыл бұрын
Very good information on heart attsck and recent info on the subject.
@cartestgroupoy2441
@cartestgroupoy2441 Жыл бұрын
Every hangover usually causes blood pressure to raise and stretches heart and weakens heart muscle until sudden death or heart muscle collapse and everyone is considering it as natural death or business?
@MedSurvival
@MedSurvival 3 жыл бұрын
Drugs with Mortality benefit in Heart Failure with reduced Ejection fraction are 1. ARNIs/ACEI/ARBs 2. Beta blockers 3. Spironolactone 4. Hydralazine/Nitrate 5. Ivabradine 6. SGLT2 Inhibitors
@lindacyoung1789
@lindacyoung1789 2 жыл бұрын
Linda C Young. Very interesting
@gailhickman5843
@gailhickman5843 5 жыл бұрын
Sheri. I feel same as you. What's the point?? I had heart attack then 4 cardiac arrests while I was actually in the hospital. (Last April) Led to open heart surgery.I was sorta ok, until 8-10 weeks ago. Breathless n difficulty doing stuff? Please try to feel a bit better.... Love from England. X
@boostedkidproductions9719
@boostedkidproductions9719 Жыл бұрын
How are you doing since then my mom has chf her symptoms were shortness of breath dry cough and phlegm
@rbond4633
@rbond4633 2 жыл бұрын
Only the first had useful and correct information.
@loudasison3014
@loudasison3014 2 жыл бұрын
Can you explain what is cardiomegaly anteromathos aorta
@randyrowe3097
@randyrowe3097 4 жыл бұрын
Wow the guy was even HIV positive and healed up ,and doing well.
@kdlee3316
@kdlee3316 2 жыл бұрын
People with hiv live normal life span as long as tget take their meds and their immune system is normally too if tgey take their hiv meds so I don't know why that's surprising
@godsonkudalor1946
@godsonkudalor1946 6 жыл бұрын
this has really help me with my patient care study. where is your school so i can apply for your medical school
@ResidualSelfImage
@ResidualSelfImage 3 жыл бұрын
29:00 Sodium is necessary electrolyte but is needed but must be balanced with Potassium, Calcium, and Magnesium and most of the time people eat too much salt and carbohydrates/sugar.. Increase urination can be a sign of Type 2 diabetes. 37:00 -40:00 A common side effect of ACE inhibitors is constant coughing - when that happens the doctor will replace in ARB...which are are more expensive.
@rosemarywatson2907
@rosemarywatson2907 2 жыл бұрын
No constant coughing yet. Thank you for the summary. Very important.
@Sushi2735
@Sushi2735 4 ай бұрын
PLEASE GO IF YOU HAVE THE TINEST HINT, Don’t be me! Please ❤
@Idont12.
@Idont12. 3 жыл бұрын
I appreciate where we are technology wise, but we need to focus more on modifiable life style changes such as exercise, limiting salt and sugar avoid smoking, stress management...
@darlenemason563
@darlenemason563 Жыл бұрын
YESS!!
@beatricesiaw8776
@beatricesiaw8776 6 ай бұрын
Some of these issues are genetic so as you can have changes in lifestyle, but you need interventions
@sandilobianco6734
@sandilobianco6734 5 ай бұрын
My heart issues were caused by severe sepsis.
@not_today_satan_7
@not_today_satan_7 2 жыл бұрын
How long can I live with rshf?
@ashnanisha51
@ashnanisha51 3 жыл бұрын
I hope the person is fine doctor can u tell some cure for heart weakness and short breath.
@ChrisB-cx6td
@ChrisB-cx6td 2 жыл бұрын
Barostim neo new medical device
@Unknown-hu4gf
@Unknown-hu4gf Жыл бұрын
Did you watch the video...
@ricoray758
@ricoray758 2 жыл бұрын
DR. I NEED YOUR HELP I NEED TO TALK TO YOU PERSONALLY ABOUT MY CHF , IVE ALSO HEARD THAT SOME MEDS Don't WORK AS WELL FOR BLACK AMERICANS, LIKE CAUCASIAN AMERICANS.. IS THIS TRUE ? IM HAVING TROUBLE BREATHING EVERY DAY AND I TAKE MY PILLS EVERY DAY
@darlenemason563
@darlenemason563 Жыл бұрын
I am Praying for you! Make sure you find physicians who will LISTEN TO YOU, properly examine you, and run test to get your health well!
@e.kevinsteinhauser2421
@e.kevinsteinhauser2421 2 жыл бұрын
Need to work on lighting, the shadows behind the heads are obnoxious and are raising my blood pressure.
@davidwilson3434
@davidwilson3434 2 жыл бұрын
Danny Porras
@juancollantescollantes2394
@juancollantescollantes2394 2 жыл бұрын
rhe bad thing is THAT every THING IT'S loaded WITH salt Or sugar,at least here in usa , IN México IT'S a must.
@sheriskousen4863
@sheriskousen4863 5 жыл бұрын
This is why I no longer take meds. Pointless to survive with no quality of life.
@gailhickman5843
@gailhickman5843 5 жыл бұрын
Sheri, I sometimes wonder why I'm taking so much meds too? What's the point? I'm so sorry for you. I understand the fright and fear you have, cos I'm feeling same. Bless you darling. Gail, from England.XXX
@madyjules
@madyjules 5 жыл бұрын
sheri skousen I truly understand how you feel ( I often feel like I am trapped at the bottom of 50 foot well that is so ancient it’s no longer used, with walls are covered in algae and I cannot climb out no matter how hard I try). if I stop taking all the medications that I must to keep my organs growing I fall into an incense eight a dangerously deep and painful sleep this is happened to me a couple of times over the last decade when I have become very sick with a bug that’s going around or some other cause. it’s frightening especially if you have a TIA illness one of those where everything is coming up and you can’t keep your medicine down that’s the most dangerous situation of all and I need to switch at that pointto injections for the most critical of the medicines they are is out of the 25 medications I take to keep my body going there are about six that without them there would be no life. Without the other 19 my symptoms would be out of control and life would be a terrible nightmare of suffering. but I do agree with you in a way what I mean is if I took all the medications that have been diagnosed that have been recommended and prescribed for me over the last 15 years I would be on twice the number of medications and I would be a hell of a lot sicker. Once I finally got enough of my Mental faculties back I began to make sure that the meds I was taking were either of absolute necessity orNecessary to giving my life at least some quality and some semblance of normalcy even though I’m completely homebound and my disablement more than 10 years ago was due to the callus actions of an obstetrician. before that I was leaving the life that I had worked for decades in school to finally achieve and I was so happy I was doing exactly what my dreams once were and still are if I could have anything it would be to return to full health and I wouldn’t go right back to my profession. I just wanted to let you know that there’s someone else out there who understands completely the depths of your feelings I wish I could hug you... please take care of yourself
@willgaukler8979
@willgaukler8979 3 жыл бұрын
... been doing the pills here too since 2015 ... I know understand my heart situation ... thanks to You Tube and Cell Phone ...looking like a pay to live scam any more ... adjusted diet and living choices ... loose the Salt and alcohol ...
@rightdecisionhere
@rightdecisionhere Жыл бұрын
Sugar and too many carbs creates plaque in the arteries. But, what is really killing people now from heart failure are the covid vaccines because your blood thickens and massive blood clots develop. There are videos on the internet that show vaccinated people with massive blood clots. See all the people dropping dead around the world and they are covering up the facts.
@sandilobianco6734
@sandilobianco6734 5 ай бұрын
@@madyjulesHow are you doing now?
@rosemarywatson2907
@rosemarywatson2907 2 жыл бұрын
Thank you for sharing because I have congestive heart failure due to perhaps diabetes or the hypertension and I have been told that I have the pumping issue where my heart has thickened from overworking I guess because I have also an overactive thyroid so I'm trying to learn thank you again
@ChrisB-cx6td
@ChrisB-cx6td 2 жыл бұрын
Look into Barostim Neo, Its a device that is implanted and helps relieve heart failure. ! Coq10 is a also a great supplement
@rosemarywatson2907
@rosemarywatson2907 2 жыл бұрын
@@ChrisB-cx6td Thank you. Really appreciate this.
@giancarlogonzalesdelvalle5150
@giancarlogonzalesdelvalle5150 2 жыл бұрын
2001
@PradeepSharma-pr3wk
@PradeepSharma-pr3wk 5 жыл бұрын
i m 32 year male. 5 months ago my ecco is 22% n presently my ecco is 40%.. i m from india..
@biswajit5884
@biswajit5884 5 жыл бұрын
Pradeep Sharma any medication
@avneetsingh5727
@avneetsingh5727 5 жыл бұрын
How
@raziyag6192
@raziyag6192 4 жыл бұрын
Pls let me knw sir same problem facing my father pls
@andrebryant516
@andrebryant516 4 жыл бұрын
Raziya G check out dr Baxter Montgomery
@user-qm8fb4cp7m
@user-qm8fb4cp7m 3 ай бұрын
What did you do ?
@ricoray758
@ricoray758 2 жыл бұрын
Oh and I have a none stop cough and edema issues soon as I get in to relax but I do urine constantly on meds
@not_today_satan_7
@not_today_satan_7 2 жыл бұрын
I'm in rshf
@manojchandwani9411
@manojchandwani9411 2 жыл бұрын
:'(
@terrieanndiehl58
@terrieanndiehl58 2 жыл бұрын
No captions on the video is negligent in my opinion ... at the most important info to help the patient~ ie; NUTRITIONAL, MEDICATIONS, LIFE ACTIVITY & BEHAVIOR, & WHEN to SEEK PROFESSIONAL CARE?? 1) Why no captioning??? Many of us need the written text! 2) Why is there some captioning @beginning of video and then the just as IMPORTANT INFO !! IF NOT MORE IMPORTANT FOR THE CARDIAC (PATIENT) to help y(our)self & help your doctor to help you, The How we can effect OUR OWN REHABILITATION & TREATMENT of CARDIAC ISSUES is POSSIBLE !! (Specific Information & Medications etc) I've had cardiac issues from long term infection in my body that effected my Cardiac valvular health at early age of 35 yrs old female with ~ Para Supra Ventricular Tachycardia ~or~(PSVT, OR SVT,)~ Stress which is chronic & extreme in nature~ One of which is common in this life now as ever before Ie; C.P.T.S.D. PTSD was once only connected to "Shell Shock" from experiencing Actual Violence in War ... So .... most all humans who are directly effected by war ... This specific outcome is directly connected to CHRONIC HIGH STRESS LIVING ENVIROMENTAL EXPERIENCE. No matter what the high stress is originating from .... This is now obvious and accepted by the best cardiologist(s) as a cause of illness produced from long term effects stress upon cardiac health ... not the good stress which motivates human behavior for the better, but the bad long term, undiagnosed & poorly treated stress. NONE of THIS INFO CAPTIONED !!!!
@SouthernTea-dh4tl
@SouthernTea-dh4tl 5 ай бұрын
😅😅ikii
@elliotbigland4300
@elliotbigland4300 4 жыл бұрын
How many hypochondriacs watch this all way through ❤ I did 🤣 I will be a qualified youtube medical practitioner.
@johngregreid1
@johngregreid1 5 ай бұрын
How many people have doctors that explain the process? I asked my cardiologist, what I should have done different to avoid my attack. He said, “Nothing different”. He gave me a low class answer saying “sh-t happens”. How unprofessional. I wish I could get a doctor like one of these professionals. Im in Canada with government provided healthcare. I pay much higher income tax to get this ‘free’ care. There is no alternative to go around this terrible system except to go the USA and pay cash.
@sandilobianco6734
@sandilobianco6734 5 ай бұрын
@@johngregreid1I’m in the States and I don’t think the care here is that great. It probable depends where you go + your insurance. I hope you get good care here. Give an update if you find a good Cardiologist.
@johngregreid1
@johngregreid1 5 ай бұрын
@@sandilobianco6734 Thanks for replying. I’ll let you know if I fine someone. Regards, John
@gailhetrick8134
@gailhetrick8134 4 ай бұрын
​@@johngregreid1Jo 9
@dennisluz6453
@dennisluz6453 4 ай бұрын
Another form of HF, described as ATTL (Amyloid cardiomyopathy) was not discussed. Can there be some discussion on the amyloid protein buildup in the heart ("hard heart" syndrome) and the latest drug available?
@TheSmiaf
@TheSmiaf 5 жыл бұрын
Salt has never been proven to be a problem .... so old school BS
@madyjules
@madyjules 5 жыл бұрын
natasja van limburg stirum Ma’am, the pendulum of human knowledge swings back-and-forth as new information is replaced by the antiquated. We see this in every branch of human investigation, medicine is no exception. However unlike more sterile endeavors of human knowledge and subsequent findings; the direction and speed of that pendulum can quite literally knock off the lives of those we love. For a long time sodium was known or at least fiercely believed to be a confounding factor in hypertension and other cardiovascular complications. Then the pendulum began to swing in the opposite direction and sodium was pooh-poohed as being a possible etiologic factor. The thinking went as follows: just because we see a high sodium diet in so many of these patients with hypertension, congestive heart failure, Pulmonary edema, Generalized edema (Gosh I could go on and on but they would be no point). This doesn’t mean that that’s its a cause behind the resultant diseases. And as a physician myself I was fine with this conclusion. Great one less thing to worry about. Please allow me to disabuse you of something that many physicians still believe: that sodium has no part to play in diseases of the cardiovascular system. This is most definitely false. Precisely because of the renin- angiotensin-aldosterone system. (RAAS) If you just watch the early part of the presentation the first position discusses the RAAS system. Many patients, due to a wide variety of Etiologies (causes Of medical diagnoses or diseases) Experience an elevation in any one of the components of the RAAS system. The second A: aldosterone -Is the cause behind many a patient’s hypertension. They have no idea that they have elevated aldosterone and neither do their physicians. What comes along with an elevation of aldosterone is a craving for salt. Many physicians will tell patients “go ahead have the salt your body is craving it maybe you need it” And often if blood tests are done these patients are found to be hyponatremic But not all. However, one of the earliest signs on the cascade of remodeling that leads to the worsening of heart failure is left ventricular hypertrophy or in large meant of the major pump of the heart. Well done research studies have shown that sodium in the presence of aldosterone floating around in the patient’s bloodstream have an attraction like a magnet to myocardial tissue that is the special muscle tissue that is only found in the heart and Larger blood vessels ( it is unique and quiteunlike the smooth muscle or striated muscle in the rest of our body.) And what these research studies have found and they’ve been repeated multiple times is that sodium plus aldosterone leads to to an in large meant of the left ventricle this is true from the work course of medical laboratories the rat all the way to the human beings that we love. So sodium does most definitely make a difference and I will admit I was one of those physicians who for more than 20 years believed that it was old-school BS. It’s not I really hope this helps you and anyone else who happens to read it As a physician who has had to retire in my early 40s because of severe hemorrhage during childbirth and delivery. In the years since I have had one organ after another fail ...As it has now reached my heart my kidneys I am under no illusions that I will see my precious children grow into the beautiful adults I know they will be nor will I ever have the pleasure of holding my grandchildren. I know I will not live to see my children grow up nor will I see my grandchildren. I would not dare proffer this information unless it came from a place of knowledge and experience.
@sheilatuano9633
@sheilatuano9633 5 жыл бұрын
madyjules, I hope a miracle will happen that your body will become normal again. Losing so much blood during child-delivery must have messed-up your body's natural ability to recover but I hope you fight-back, be more laid-back with life, allow your body to heal which could take years, and perhaps, you may still reach the ripe old age beyond 65 years old. God be with you, madyjules.
@madyjules
@madyjules 5 жыл бұрын
Sheila Rosario Tuaño You are an angel, Your reply, for it to arriving at this time is like a miracle I‘ve been so sick recently and reading your beautiful words it’s truly most precious gift of kindness compassion and hope. I thank you from the bottom of my heart for your prayers💗 I believe in prayer... Prayer is so powerful and it makes such a tremendous difference in helping us regain health. I cannot thank you enough… all these feelings come from the bottom of my soul My gratitude to you is infinite 🙏 thank you thank you thank you I beg that God bless you and keep you and all your loved ones healthy and happy 💕 😊maddie
@quacker998
@quacker998 5 ай бұрын
This is a great (still current) synopsis for people diagnosed with heart failure. No salt, no added sugar Diet, 4 Pilars meds and regular 30-45 min exercise is a good place to maintain acceptable health and energy level - eat a lot of salt, you’ll pay for it; stop your drugs your heart will grow your bp will go up and you’ll start to gain water weight. No exercise? Your energy will disappear and be replaced by constant debilitating fatigue. A good and full life with HF is possible if you work at it and don’t give up ♥️ Entresto! Farxiga Eplerenone Carvedilol Digoxin Torsemide Aspirin Plavix Rosuvastatin
@sandilobianco6734
@sandilobianco6734 5 ай бұрын
Thank you for the gist of the video. But the topic of getting less salt, is false.
@quacker998
@quacker998 5 ай бұрын
@@sandilobianco6734 do you have HF? If you do you’ll know how excess sodium raises bp and puts extra pressure on cardiac output making you gain water weight and feel fatigued, this is why cardiologists check for ankle edema and fluid on the lungs with HFrEF or you could just be a unique human
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