I once saw a video of a
man who hooked up a sound
00:00:16.78\00:00:20.08
system that amplified
the beating of his heart.
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Then, he danced to the rhythm.
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That's something we all can
do as long as there's rhythm.
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Stay tuned...
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I'm Dr. James Marcum,
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are you interested in
discovering the reason why?
00:00:33.19\00:00:36.63
Do you want solutions
to your healthcare problem?
00:00:36.67\00:00:39.53
Are you tired of
taking medications?
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Well, you're about to be given
the "Ultimate Prescription"
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Arrhythmia, atrial fibrillation,
supraventricular tachycardia...
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If your doctor has been tossing
these words around with you,
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you might want to pay particular
attention to today's program.
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We're talking rhythm
and your ability to dance
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the dance of life.
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Dr. Marcum, we're addressing
questions sent into the
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heartwiseministries.org
website today,
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and the first one was
simply, "What is arrhythmia?"
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What do we need to know?
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Well Charles, an arrhythmia
means an abnormal heart beat.
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So any time I want to
classify something as abnormal,
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I can call it an arrhythmia.
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That would account the abnormal
rhythms that comes from the
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top part of the heart,
that would come from the
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abnormal rhythms
that come from the
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bottom part of the heart
that would include a heart
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that's going too slow.
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That would even
include a heart that skips.
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All of those we could
classify as an arrhythmia.
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What as a normal
rhythm of the heart,
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we call that
"normal sinus rhythm."
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So I found in your introduction
very interesting how
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a person could
hear his own heart.
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And, you know, I
brought this, a lot of people...
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we used to use
these a lot, Charles.
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I'm going to let you
hold this for a second.
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Do you know what that is?
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Don't you use that for
tuning the piano or something.
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Yes, well not tuning the piano
but what we'd use is this sound
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that's exactly
what we'd use it for...
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We use it to test
people's hearing. Okay
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For we would put it here
and put it up next to your ear.
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Now you have to sit back,
sit back and relax Charles.
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So I'd hit it here. I
hear that. No, no, I know it.
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Do you still hear it? Yep, yep.
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Does it seem to
sound about the same here?
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Yes it does... We
can do that and we can
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also put it up behind your ear.
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Do you feel that
vibrating there? I do, I do
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And then I put it
behind the other ear,
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and if you felt that
vibrating, then you would know
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that your neurology part
of that part of the body,
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the hearing part, is in
pretty good shape. Okay?
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Now what does that
have to do with rhythms?
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Can you hear your rhythm?
Can you feel your rhythm?
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Well, you know, a lot of
songs have rhythms to it.
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Hearing, sounds,
rhythms, rhythms of the heart,
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I think it all
sort of goes together.
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The heart singing a
song when it's in rhythm,
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and when it's in rhythm
everything works together.
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When it's out of
rhythm, things don't work good.
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When the top is going too
fast, it beats like that...
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When the bottom
is going too fast,
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it can't
generate a blood pressure.
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So the rhythms of life
just like we want to hear these
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good rhythms coming from our
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heart, because it
affects everything...
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So just like a tuning
fork, you want to hear
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the things coming from that
to know you have good hearing.
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So the rhythm of your heart
is basically a heart in tune,
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a heart that is okay, gotcha.
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It's running good,
everything is working good,
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and it comes from -
just like this is part of our
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neurologic system;
the rhythms of the heart
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has some neurological
properties as well to that,
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and the signals move
down these little wires.
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It's very interesting how
God made it; depends on how
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sodium and potassium and
magnesium move in and out of
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cells - it can have
genetic abnormalities;
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it could have abnormalities that
we cause it to have as well.
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So understanding rhythms
of the heart is something
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very important because
almost all people at some point
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has felt their heart
not do what's right. Yes
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They felt it skip
or go too fast or...
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how do I know
what to worry about?
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When is it dangerous?
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When should I
seek medical attention?
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These are all things
that we want to talk about.
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I've noticed that sometimes
when I'm taking a medication
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my heart will do that.
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It's kind of scary because
you realize you have one heart,
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and you are depending on
that one heart to get you
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through life and if that
one heart starts acting up,
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it kind of frightens you
and I guess probably the fear
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of that is not
good for the heart,
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and so there becomes a cycle
that begins to develop there.
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There is this arrhythmia
and that scares me which causes
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more arrhythmia which
scares me... there you go!
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Right, it can self-perpetuate
so you feel a skipped
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heartbeat and then you
get more scared and your body
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makes more adrenalin
and the adrenalin stimulates
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another heartbeat to skip.
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And sometimes the heart
rhythms are in there genetically
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and, I like to
say, they're asleep.
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You know, they're
just sleeping there.
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Even though your
genes for that rhythm might
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be there, they're asleep.
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They have lots of
blankets on that rhythm,
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they're sleeping nice and
then sometimes, in our lives,
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we do things that take
the cover off and we actually
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wake those rhythms up.
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What are things that
wake up abnormal rhythms?
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Low on potassium, lots
of fear can cause skips,
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having thyroid abnormalities,
having lots of pain in the body.
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Basically anything that causes
stress that we've talked about
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can stimulate the heart to
skip - to mess up the rhythms,
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these naturally rhythms of
our heart that we want to have,
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it can cause the stress
and it can cause it to skip
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and it can wake up genetically
abnormal rhythms as well.
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Is there any
time that arrhythmia
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is actually a good thing?
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Well, there's a normal rhythm,
like I say, if you have an
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infection and the heart
needs to pump more blood,
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it can speed up naturally and
that's a natural speeding up.
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Because if you're
sitting there quietly,
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but you have an infection,
your heart rate may go up... Yes
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because of xxxxx xxxxxxx
infection... Pump more blood...
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uh huh If you're
scared and need to run,
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you know, you're
fighting a battle,
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you know, let's say me
and you have little tussle
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later on in the show... Never!
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And we start and you know,
then your heart would speed up
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so you could defend yourself.
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You're gonna hit
me? No, no I'm not...
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But that's a
normal stress response,
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and a normal
stress response is good.
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An abnormal stress
response is not good. Oh okay
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So an arrhythmia is any
slow heartbeat, fast heartbeat,
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skip heartbeat that's
not normal, we can lump that
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into this term
called, "an arrhythmia."
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All right, very good,
we're looking at questions
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from heartwiseministries.org
on the rhythm of the heart
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and here is another one...
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What are some of the symptoms
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of an abnormal
electrical system.
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We have an
electrical system... Yes
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And that
electrical system really is
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where the
rhythm comes from. Okay
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And on the top we have a battery
called the "sinoatrial node,"
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and then it travels down
to wires called the "AV node,"
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and then there's a delay
and it goes out through wires
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to the ventricle and then
when the signal gets there
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the heart squeezes.
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This is in the
heart - all in the heart,
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all these electrical signals.
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So that's really what we
call the "electrical system."
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It's how the
signals pass that generates
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the squeezing of the heart.
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We can measure that on EKGs,
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we can measure it on
monitors, there's lots of ways
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we could measure it,
but this person asked about
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symptoms. Yes
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Well, let's be logical about it.
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If a heart is pumping too
slow, we're not getting enough
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blood to the body and if
we're not getting enough blood
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to the body, we
might feel tired;
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we might feel fatigued.
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If we don't get
enough blood to the brain,
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we might pass out or get dizzy.
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When we do
something, our heart might not
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speed up fast enough, so
we might get short of breath.
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Those are all very common
symptoms of slow heart rhythms.
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The heart is going too
slow and it won't speed up.
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Fast heart rhythms -
okay, if it's going fast,
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usually people can
feel it going fast.
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They get short of breath because
the heart can't pump blood
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as efficiently.
00:08:08.58\00:08:09.92
Sometimes their
blood pressure goes down,
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they get tired and dizzy.
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Sometimes they even feel like
their heart is jumping out of
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them and they have chest
pain when it's going so fast.
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It can feel like
a normal thumping.
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So, those are all some feelings
that the electrical system
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might not be well...
a feeling of going fast,
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getting dizzy,
passing out, unusually tired,
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unusually short of
breath... all of these could be
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signs that the electrical
system is malfunctioning.
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Can you fix the
electrical system?
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Well you can help
the electrical system,
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and it's like anything
that we've talked about
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over and over... if
you can find out what's
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causing the problem,
then you're going to be
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successful in treating it.
00:08:47.59\00:08:49.02
For instance, if a stimulant is
causing the heart to go out of
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rhythm or go too fast...
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Like coffee, caffeine... Yeah!
00:08:54.33\00:08:55.96
... then let's get
rid of that. Okay, okay
00:08:56.00\00:08:57.83
You know, if a
thyroid is underactive,
00:08:57.87\00:08:59.83
sometimes the
heart can go too slow.
00:08:59.87\00:09:02.67
Sometimes medicines can
make the heart go too slow.
00:09:02.70\00:09:06.57
But most of the time,
when the heart is going
00:09:06.61\00:09:08.94
too slow, it's
because the conduction system,
00:09:08.98\00:09:11.21
these wires have
gradually gotten old,
00:09:11.25\00:09:13.78
they're sort of worn out
or the batters are worn out,
00:09:13.82\00:09:16.79
and there's not
much we can do about that
00:09:16.82\00:09:18.92
except give them a device
called a "pacemaker." Yeah
00:09:18.95\00:09:22.12
Now, when the heart goes
too fast, there could be things
00:09:22.16\00:09:25.69
that wake that rhythm
up, but then sometimes
00:09:25.73\00:09:28.20
these rhythms are
genetically there.
00:09:28.23\00:09:30.43
We can destroy those.
00:09:30.47\00:09:32.23
The most frequent
rhythms that I see in the office
00:09:32.27\00:09:34.94
includes "atrial fibrillation."
00:09:34.97\00:09:36.84
That's where the top part goes
faster than the bottom part.
00:09:36.87\00:09:40.04
We see that on many
different types of conditions.
00:09:40.08\00:09:42.81
And the other one we see
frequently is "skipped beats."
00:09:42.84\00:09:46.18
People say, "My heart is
skipping, I feel a thump,
00:09:46.21\00:09:49.12
and then nothing happens."
00:09:49.15\00:09:50.55
And for that type of
rhythm, we try to find out,
00:09:50.59\00:09:52.75
"Well, what is
stimulating that extra beat,
00:09:52.79\00:09:54.99
what is the stressor
that's causing that to happen?"
00:09:55.02\00:09:57.73
And frequently, it might
be something as simple as
00:09:57.76\00:09:59.89
caffeine.
00:09:59.93\00:10:01.26
I see it a lot in people
that don't get enough rest.
00:10:01.30\00:10:03.20
They get sleep
apnea, that happens!
00:10:03.23\00:10:05.03
That's another
cause of arrhythmia.
00:10:05.07\00:10:06.43
You don't get enough blood,
it puts stress of the system,
00:10:06.47\00:10:08.80
the heart can
start beating abnormally.
00:10:08.84\00:10:10.81
So these are
sort of our approach,
00:10:10.84\00:10:12.64
but those are sort of
the symptoms that comes
00:10:12.67\00:10:15.01
when you have an abnormal
00:10:15.04\00:10:16.54
electrical system.
All right, very good.
00:10:16.58\00:10:18.51
Another question from
heartwiseministries.org
00:10:18.55\00:10:21.82
Is atrial fibrillation the same
as supraventricular tachycardia?
00:10:21.85\00:10:27.22
Yeah, and that is a very
important question, Charles,
00:10:27.26\00:10:30.36
and it's a great question
because they can almost feel
00:10:30.39\00:10:34.00
the same, but the
treatments are vastly different.
00:10:34.03\00:10:37.27
Atrial fibrillation,
remember we talked about that's
00:10:37.30\00:10:40.00
where the heart, the
top, is just beating randomly,
00:10:40.04\00:10:42.40
it can't get the blood
to the bottom very good,
00:10:42.44\00:10:45.17
it feels about the same
as this other one called,
00:10:45.21\00:10:47.61
"supraventricular tachycardia."
00:10:47.64\00:10:49.71
Supraventricular tachycardia
is a rhythm that usually
00:10:49.74\00:10:52.48
comes from one spot
where the heartbeats regular,
00:10:52.51\00:10:55.08
but it goes very, very
fast, so it feels the same.
00:10:55.12\00:10:58.39
Now how would we tell
what rhythm it is - usually is
00:10:58.42\00:11:01.26
with the monitor or an
EKG, then we could see the beats
00:11:01.29\00:11:04.89
on the heart and say, "Well
that's atrial fibrillation,
00:11:04.93\00:11:07.26
or that's
supraventricular tachycardia."
00:11:07.30\00:11:09.90
Supraventricular tachycardia
we can get that sometimes
00:11:09.93\00:11:13.84
to go away just by
doing maneuvers that stimulate
00:11:13.87\00:11:16.71
the part of our body called,
"the vagal nervous system."
00:11:16.74\00:11:19.97
If you had SVT and
rubbed your neck real slowly,
00:11:20.01\00:11:22.78
that could break that
rhythm, or if you bared down
00:11:22.81\00:11:25.85
like you had to go to
the bathroom, that could turn
00:11:25.88\00:11:27.68
off that arrhythmia.
00:11:27.72\00:11:29.42
And if we can't turn it off,
that's one rhythm that seems
00:11:29.45\00:11:32.22
to be a genetic rhythm
that we can actually go up
00:11:32.25\00:11:34.92
and we can see where that
small pathway is and we can
00:11:34.96\00:11:37.73
destroy that so
that person doesn't have
00:11:37.76\00:11:39.93
to have that ever again.
00:11:39.96\00:11:41.36
Whereas atrial fibrillation,
we have to look at all
00:11:41.40\00:11:44.27
the different causes
of atrial fibrillation
00:11:44.30\00:11:46.60
including high blood pressure,
sleep apnea, thyroid disease,
00:11:46.63\00:11:50.61
heart disease, valve disease,
many things can cause it,
00:11:50.64\00:11:53.81
and treatment would be to
try to get it back in rhythm
00:11:53.84\00:11:56.71
or at least to slow it down
and consider a blood thinner,
00:11:56.75\00:11:59.85
because if it's out
of rhythm all the time,
00:11:59.88\00:12:01.98
there's a chance that
it could form a stroke.
00:12:02.02\00:12:04.15
In fact, it's estimated that
1 in every 3 strokes is from
00:12:04.19\00:12:07.96
atrial fibrillation where they
are not taking a blood thinner.
00:12:07.99\00:12:11.59
So it's scary - did that
answer that question? It did
00:12:11.63\00:12:13.29
I think so and...
It's not the same,
00:12:13.33\00:12:15.00
these aren't the same rhythms,
we have to differentiate
00:12:15.03\00:12:17.00
because the
treatments are so different.
00:12:17.03\00:12:18.73
How do you know...
this person wants to know,
00:12:18.77\00:12:21.24
"How do I know if
I need a pacemaker?"
00:12:21.27\00:12:22.80
I mean, if these
things are happening,
00:12:22.84\00:12:24.17
the rhythms are being weird,
00:12:24.21\00:12:25.54
is it time for a
pacemaker automatically?
00:12:25.57\00:12:27.51
Well let me answer that
question by you about a patient
00:12:27.54\00:12:30.15
of mine... I had a patient
that came in the other day,
00:12:30.18\00:12:32.68
and he said, "You know
what, I'm tired a lot."
00:12:32.71\00:12:35.35
"Okay, I'm just tired."
00:12:35.38\00:12:36.92
And the first thing I
said, "Well, are you dizzy?"
00:12:36.95\00:12:39.62
He said, "Yeah sometimes I get
a little dizzy when I'm doing
00:12:39.65\00:12:42.36
things and when I do
things, I get short of breath
00:12:42.39\00:12:44.46
real quickly."
00:12:44.49\00:12:45.83
So I said, "Well
there are quite a few
00:12:45.86\00:12:47.20
heart things that can do
that," and I looked at his EKG
00:12:47.23\00:12:49.83
and it was going
38 beats per minute.
00:12:49.86\00:12:52.40
Okay, well that's okay if it's
speeds up when you're doing it.
00:12:52.43\00:12:55.50
I said, "Well let's
send you home on a monitor."
00:12:55.54\00:12:58.11
So he wore that monitor
and I noticed that he was
00:12:58.14\00:13:01.41
having slow heart rate all the
time, even when he did things,
00:13:01.44\00:13:04.65
and sometimes in the
middle of the night...
00:13:04.68\00:13:06.05
No wonder he was tired. Yeah
00:13:06.08\00:13:07.42
Sometimes in the middle of
the night, it went down to 20.
00:13:07.45\00:13:10.09
So his heart wasn't
going fast enough to supply the
00:13:10.12\00:13:12.72
blood supply and the
oxygen that every tissue needed.
00:13:12.75\00:13:16.16
So, in this
gentleman, his conduction system
00:13:16.19\00:13:19.39
had gradually gotten
older, things just don't
00:13:19.43\00:13:21.53
work as well and he was a
candidate for a pacemaker.
00:13:21.56\00:13:25.23
So he received a
pacemaker and guess what?
00:13:25.27\00:13:27.54
His symptoms have now
improved dramatically.
00:13:27.57\00:13:29.80
So now he can do things
and he doesn't get tired.
00:13:29.84\00:13:32.17
His blood pressure
is not quite as perfect
00:13:32.21\00:13:34.64
as your normal
rhythm, but it's a dramatic
00:13:34.68\00:13:36.71
improvement - you know, he
went from about a 35 to 70,
00:13:36.75\00:13:40.12
so increased his
cardiac output by 100%.
00:13:40.15\00:13:43.25
So you get more blood
around to all your organs,
00:13:43.28\00:13:46.25
you're going to feel a
lot better than if it's
00:13:46.29\00:13:47.76
going slow all the time.
00:13:47.79\00:13:49.12
And nothing he could
eat or no amount of exercise
00:13:49.16\00:13:51.59
or type of exercise
would have altered that at all.
00:13:51.63\00:13:53.80
Not for him, no. In
fact, sometimes the parts
00:13:53.83\00:13:58.00
wear out and
need to be replaced,
00:13:58.03\00:13:59.77
and that was the case with
him. We live in a world of sin.
00:13:59.80\00:14:02.44
The part just got old,
but luckily, this is something
00:14:02.47\00:14:04.71
that we could do for him
because if we couldn't do it,
00:14:04.74\00:14:06.88
eventually he'd fall
down and hurt himself,
00:14:06.91\00:14:08.84
or eventually his
heart would just stop
00:14:08.88\00:14:10.55
and he would pass away.
00:14:10.58\00:14:12.11
You know, what's hard
though Charles, is occasionally
00:14:12.15\00:14:14.72
people get very old and
we have to put a pacemaker.
00:14:14.75\00:14:18.35
That's a much harder
decision. All right, very good.
00:14:18.39\00:14:20.59
We'll have more good questions
00:14:20.66\00:14:21.99
from heartwiseministries.org
and a Bible text for you,
00:14:22.02\00:14:25.96
so stay right where you are.
00:14:25.99\00:14:27.33