The following program
presents principles designed
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to promote good health
and is not intended to take
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the place of
personalized professional care.
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The opinions and the ideas
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expressed are
those of the speaker.
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Viewers are encouraged to
draw their own conclusions
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about the information presented.
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There's a medical emergency
in which the very first symptom
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you experience is sudden death.
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You might want to stay tuned.
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I'm Dr. James
Marcum, are you interested
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in discovering the reason why?
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You want solutions to
your health care problems.
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Are you tired of
taking medications?
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Well, you're about to be
given the Ultimate Prescription.
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Today we begin our
series on what is killing us
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at the very top of
the list heart disease.
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You think we take really good
care of the one and only ticker
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that we have, but we don't.
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And we're paying a terrible
price for that oversight.
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Dr. Marcum is here
to help us to learn
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what to do and what not to do.
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As we attempt to keep our hearts
going and going and going.
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Dr. Marcum, heart
disease number one killer.
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What are we doing wrong?
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Yeah, well, one of the things
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we are not doing
well is the stress factor
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and we think about what
leads people to heart disease,
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we think about
these risk factors.
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Everyone knows about cigarettes,
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everyone knows
that diabetes increase
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the risk of heart attack,
high blood pressure increases
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the risk of heart
attack, high cholesterol.
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We now know that people
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that gain extra
weight are at increased
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risk of having a heart attack.
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But what I like to
tell people is stress,
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stress on a body
raises the chance of us
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having a heart attack
and when you think about it,
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what is the
definition of stress?
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If I scare you
Charles. That would be a--
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Yeah, your adrenaline goes up.
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Yes, thank you very much.
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Well, can you imagine
what would be the case
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if your adrenaline's
up day in and day out.
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The chemistry that it makes,
it makes adrenaline, cortisol,
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inflammatory markers damages
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the inside
lining of blood vessels,
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makes you more likely to
constrict the blood vessels,
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raises your blood pressure
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and then we're under extreme
stress, we had bad habits.
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Some people drink alcohol,
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some people sleep all day
long, some people watch T.V,
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some people smoke
cigarettes or take drugs,
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well, these aren't the
way to deal with stress.
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But stress day in and day out
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raises the risk of heart attack.
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Of course
cigarettes cause stress,
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diabetes cause stress
but there is many things
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that we don't even think
about that causes stress.
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So I define stress
as anything that we
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do that goes
against the owners manual.
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You know, God gave us
this template back at creation
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and we do things
that stray from that,
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these stress
chemistries turn on.
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Now unfortunately
our relatives did things
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and we had genetic stress
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and there are some
doctors out there that say,
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you can never
have a heart attack
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if you eat perfect
and exercise and do that.
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Well, I disagree with
that because one in five people
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can still have a genetic
stress that's passed out.
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I took care of a
gentleman not long ago,
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57-years-old he
comes in the office Charles
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and he had a heart
attack, and he says,
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how could I have a heart attack?
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You know, I'm a vegan I don't
eat anything from dairy meat.
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I exercise 45 minutes a day
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and I had a heart attack at 57.
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He was really bummed out
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because he had
done everything perfect.
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And then I asked
him how old was your dad
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when he had his heart attack?
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He said, how did you know?
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He was 40 years old when
your dad had his first one.
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So in his case he had
prevented a heart attack
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by 17 years old--17 years just
by taking good care of his body.
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So anyway he felt
bummed but he was glad
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we did have modern medicine
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because that stent
helped open up his artery
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and now we're
doing everything else
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we can to keep that stent happy,
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so stress on a
system, things that we do
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that we weren't designed to do.
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Remember we're originally
designed to rest one day a week.
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That's right. But
when we don't do that,
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stress on a body raises
the risk of heart attack.
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We're designed to drink water
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and not a lot
of other beverages,
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when we do that
stress on the body.
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We were designed to
be outside doing things,
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when we don't do
that, stress on the body.
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We were never designed to
sit at the desk all day long
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working with computer.
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Do you do that Charles?
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Absolutely and
unfortunately I try to find
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as much time during the days
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I possibly can to get out
there and stop doing that.
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You bring up and interesting
point this genetics here.
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So in other words even if
we do all the other things
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we can do right,
there's still this possibility,
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this one in five
that there is going
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to be an event in our lives
that has to do with our hearts.
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Is there anything we
can do about that event?
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Yes, and that's what I'm saying,
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there are certain things
that can trigger bad genetics.
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Stress can trigger bad genetics.
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And now that they
sequence the genome
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we know all about
these cells and proteins.
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We're now learning
about different triggers
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that raise the risk
of having a heart attack.
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We know that
there's cancer genes,
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we know things like cigarettes
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and certain
chemical turned on genome
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and predisposed us to cancer.
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Well, in the future our genetics
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we might be able to figure
out which people have genes
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and what are susceptible
things that cause it?
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But we know for sure
that stress on the body
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raises the risk of
having a heart attack.
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So when I talk about
what causes a heart attack,
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I say anything
that stresses the body
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can cause a heart attack.
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And now, I'm going to go
off the road a little bit,
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think about it
we're also originally
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designed to worship our God.
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When we don't do that,
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that could raise our
risk of having heart attack.
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We were originally
designed to love each other.
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When we don't do
that, we can raise
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the risk of having heart attack.
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We're originally
designed to serve each other.
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When we're
selfish, we could raise
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the chance of
having heart attack.
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Also we now are
finding out that our brain.
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Its important things
we eat that can raise
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the risk of having heart attack.
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And there some great books out
and there are some documentary,
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'forks Over Knives', let us know
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that the vegan
diet helps keep us
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at the lowest possible risk.
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Dr. Esselstyn's
did some great studies
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about diet lowing
the risk of heart attack.
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While I'm saying in the future,
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we're gonna find
out that the brain
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is just as
important as what we eat.
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Did you know that
people that watch violent T.V,
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people that watch pornography,
people that worry have guilt
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that raises their risk
of having a heart attack
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by increasing the
stress chemicals in the body.
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So it might be more dangerous
to watch a violent T.V,
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than to smoke a
pack of cigarettes,
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what it does chemically.
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And if you go back at creation,
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we were never
designed for these things.
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Again another stressor, now,
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we're learning all
the mind stressors.
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Guilt for instance, we
weren't designed to feel guilty.
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We were
designed to be un-guilty.
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Yes. We were
designed to have a loving God.
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Now when we see
God as a mean God
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that could create
stress on our body too.
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So all these things raise
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a chance of
having a heart attack.
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Now, let me tell you little bit
about what a heart attack is.
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Lot a people don't understand
what a heart attack is.
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But what a heart
attack is the blood
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doesn't get to the heart
muscle and then it malfunctions.
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It can cause dangerous rhythm.
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It can cause a
valve to malfunction.
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The heart wall could break open,
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but the most
common thing we have
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is a condition
called arrhythmia.
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Now, there's four
major causes of heart attack.
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Now you can have a heart attack
with a completely normal artery
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and I see you've got an
artery there. Yes, I do.
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I've a
representation for an artery,
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this is not a real
one. Our's are really small.
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You now, that would
be an elephant artery.
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No, I'm looking at this first
artery and it looks pretty good,
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there's lots of
room through here.
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Now, did you know, that
you can have a heart attack
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with completely normal artery,
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especially if it does
something called spasm.
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The artery can just
clamp down and then open up.
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Like a hose a garden of hose.
Yes, exactly. All right, okay.
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Now what might cause that?
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Well, there are certain
drugs that can cause that,
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one that causes
that it's called cocaine
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that can constrict an
artery. Even an open artery?
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Yes, that's completely normal.
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If people are high
up in altitude, hypoxia,
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low oxygen can
trigger that artery to spasm.
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We also know that cigarettes
sometime can trigger a spasm.
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But there is a condition called
the broken heart syndrome,
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were you have extreme emotion,
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extreme--like
someone dies quickly
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and all that adrenaline comes
a massive amount of adrenaline
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can cause that artery to
spasm and then it opens up.
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So when we see that the
person is having a heart attack,
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the symptoms of
the heart attack,
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chest pain, they can't
breathe, pain in the neck
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and then we go in and
take pictures of the arteries,
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and we find that the
arteries is crystal clear.
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Now, those don't
happen very much.
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Another type of heart attack is
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when you have a plaque in
your artery. Oh, oh, oh, oh.
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I think that's represented here,
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I'm beginning to see something
building up right here.
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That's a little plaque
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and it can actually
start in your youth now. Okay.
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Making those fatty
deposits that lipids,
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that's
cholesterol in the arteries
00:08:54.86\00:08:56.74
and through the
years it can get more
00:08:56.77\00:08:58.93
and then this plaque
can actually explode,
00:08:58.96\00:09:02.27
rupture suddenly.
00:09:02.30\00:09:03.67
Other words it's
like a little pimple--Yes.
00:09:03.70\00:09:06.07
With contents
that there is calcium
00:09:06.10\00:09:07.76
and there's
stuff in there, right?
00:09:07.79\00:09:09.16
Let me, show me the next one.
00:09:09.19\00:09:10.56
Okay, here's the
next one right here,
00:09:10.59\00:09:11.96
look at this, look at this.
00:09:11.99\00:09:13.36
Yeah, and that is a
little bit more lipid
00:09:13.39\00:09:14.97
or cholesterol in the arteries
00:09:15.00\00:09:16.48
and we can see it
building up on the wall
00:09:16.51\00:09:18.22
which is called endothelium.
00:09:18.25\00:09:20.20
There all these stresses
can cause plaque to rupture
00:09:20.23\00:09:23.84
and when it
ruptures it's like a pimple
00:09:23.87\00:09:25.50
and what happens if I cut you?
00:09:25.53\00:09:26.96
All of a sudden your body
00:09:26.99\00:09:28.36
would try to
repair by clotting it off.
00:09:28.39\00:09:30.59
So we can clot off this artery
and no blood goes to the heart.
00:09:30.62\00:09:34.16
Dangerous rhythms,
dangerous blood flow,
00:09:34.19\00:09:36.91
dangerous
malfunctions of the heart.
00:09:36.94\00:09:38.69
Half of all heart
attacks come without warning.
00:09:38.72\00:09:41.86
So heart attack is
really a hidden disease.
00:09:41.89\00:09:44.18
So people can be walking
around in the audience today
00:09:44.21\00:09:46.98
and have this type of
blockage and not even know it.
00:09:47.01\00:09:49.76
And the way we
prevent that is again,
00:09:49.79\00:09:52.43
get back to all the
things that stress our body
00:09:52.46\00:09:54.95
whether that be cholesterol
or blood pressure or smoking
00:09:54.98\00:09:58.04
or extra weight can stress
us, lack of sleep can stress us,
00:09:58.07\00:10:01.89
lack of water, we want
to lower those stresses
00:10:01.92\00:10:04.51
so that plaque doesn't rupture.
00:10:04.54\00:10:06.48
I would have imagined that
if you have a build up like this
00:10:06.51\00:10:08.86
in your body and then you have
the stress of loosing someone,
00:10:08.89\00:10:12.98
then you have the
stress of the tiger chasing you
00:10:13.01\00:10:15.20
and this--doesn't have
as much room to constrict.
00:10:15.23\00:10:17.71
It's that much worse.
Okay, got you, got you.
00:10:17.74\00:10:20.73
Now, the last
type of heart attack
00:10:20.76\00:10:22.60
is the heart attack that you
gradually build up cholesterol
00:10:22.63\00:10:25.63
and lipids in your body
year after year after year.
00:10:25.66\00:10:28.74
That's pretty bad.
You clog up the arteries,
00:10:28.77\00:10:30.44
and this is not only
happening in the heart, Charles.
00:10:30.47\00:10:33.06
But this can be
happening in the legs,
00:10:33.09\00:10:34.91
in the brain and
the kidney arteries
00:10:34.94\00:10:36.80
and then it gets so
filled up with plaque.
00:10:36.83\00:10:39.33
Usually a person
has a symptom first
00:10:39.36\00:10:41.24
when they have this
type of heart attack.
00:10:41.27\00:10:42.64
They'll notice
whenever they do too much
00:10:42.67\00:10:44.35
something doesn't feel right,
00:10:44.38\00:10:45.75
because you're not getting
enough blood out to the heart
00:10:45.78\00:10:48.39
and then it needs more
blood when you're exercising.
00:10:48.42\00:10:50.54
So let's say you're
walking up the hill,
00:10:50.57\00:10:52.30
or you know, grocery shopping
00:10:52.33\00:10:53.91
and you feel something
doesn't feel right here
00:10:53.94\00:10:56.16
'cause you need
more blood in your heart
00:10:56.19\00:10:57.56
and you stop and it goes away
00:10:57.59\00:10:59.71
and that's what we call angina.
00:10:59.74\00:11:02.24
And you start feeling that.
Well, this could be a sign that
00:11:02.27\00:11:04.57
this is going on in
the arteries of heart.
00:11:04.60\00:11:06.11
And if it's ignored, it
could lead to a heart attack
00:11:06.14\00:11:10.45
and a heart
attack is devastating
00:11:10.48\00:11:12.60
'cause even in America
people still die all the time
00:11:12.63\00:11:15.52
from having a heart attack
00:11:15.55\00:11:17.09
and that symptom that
might be anything like us.
00:11:17.12\00:11:19.57
Some people
think its indigestion,
00:11:19.60\00:11:21.64
some people think it's a pain
in the chest that won't go away,
00:11:21.67\00:11:24.27
to some women all they
feel is shortness of breath
00:11:24.30\00:11:26.65
or extremely fatigue.
00:11:26.68\00:11:28.16
But what I tell when it
comes to symptoms Charles
00:11:28.19\00:11:30.49
is anything above the
waist that doesn't feel right,
00:11:30.52\00:11:34.53
they won't go away or
even going up to the neck
00:11:34.56\00:11:36.95
or the back that
could be a heart symptom.
00:11:36.98\00:11:39.45
So if someone's
feeling a heart symptoms,
00:11:39.48\00:11:41.75
the best thing not
to do is sit at home.
00:11:41.78\00:11:44.16
You want to get
treatment right away
00:11:44.19\00:11:46.12
'cause we have some
great modern medicine
00:11:46.15\00:11:47.92
that can open up these arteries,
00:11:47.95\00:11:49.64
that can help avoid
this big heart attack
00:11:49.67\00:11:51.69
which could kill you
00:11:51.72\00:11:53.56
and then after we get over that.
00:11:53.59\00:11:55.83
Then we work at all the
'causes that might be causing.
00:11:55.86\00:11:58.60
We work on all the stress
00:11:58.63\00:12:00.00
so this might not ever
happen to a person again.
00:12:00.03\00:12:02.40
Of course this
brings us a question.
00:12:02.43\00:12:03.80
If by chance you
get to this point
00:12:03.83\00:12:06.73
where you have
this kind of build up.
00:12:06.76\00:12:08.79
Is there anything you can do
00:12:08.82\00:12:10.81
I mean medicine of
course will fill in the blood so
00:12:10.84\00:12:14.03
it goes through there easier.
00:12:14.06\00:12:15.43
Is there
something that you can do
00:12:15.46\00:12:17.01
that will help you
get rid of this stuff.
00:12:17.04\00:12:19.24
Yes, in fact, we have a
very famous president right now,
00:12:19.27\00:12:22.87
that's working on things.
He's doing a lot of exercise,
00:12:22.90\00:12:26.12
he's on a vegan diet.
00:12:26.15\00:12:27.80
We have shown people that
exercise, eat a good diet,
00:12:27.83\00:12:31.31
have fresh, fruits,
vegetables, nuts and grains.
00:12:31.34\00:12:34.12
Keep their cholesterol very low.
Sometimes even take a Statin,
00:12:34.15\00:12:37.63
that can actually
regress the artery. Wow.
00:12:37.66\00:12:40.04
And another thing
that we can do that means
00:12:40.07\00:12:41.69
the plaque gets
less over time.Right.
00:12:41.72\00:12:43.62
And it's really
up to your genetics
00:12:43.65\00:12:45.80
whether that's possible.
00:12:45.83\00:12:47.20
But another thing that we can do
00:12:47.23\00:12:48.60
when we exercise and do these
things is we help grow new,
00:12:48.63\00:12:51.03
new arteries around. Okay.
00:12:51.06\00:12:53.12
So we have a great blood
supply that goes through these.
00:12:53.15\00:12:55.64
So we can actually
bypass this somehow.
00:12:55.67\00:12:57.24
Yeah, we can send extra
blood to the areas of the heart.
00:12:57.27\00:12:59.62
But the point I want to make
00:12:59.65\00:13:01.02
is heart attacks
is a serious things.
00:13:01.05\00:13:02.68
So if your having
symptoms, you don't know
00:13:02.71\00:13:04.68
what is from above the waist up,
you need to get help right way.
00:13:04.71\00:13:07.93
You might be having one of these
four types of heart attacks.
00:13:07.96\00:13:10.51
This is when you need acute
modern medicine right away,
00:13:10.54\00:13:13.65
and after that's taken
care of then we can back up
00:13:13.68\00:13:15.89
and talk about
what cause it to happen.
00:13:15.92\00:13:17.90
Oh, that is perfect,
that is a good example
00:13:17.93\00:13:19.91
then of the modern
medicine and the lifestyle
00:13:19.94\00:13:22.94
both of them are important
and both of them have a place
00:13:22.97\00:13:25.30
and if you look like this
00:13:25.33\00:13:27.14
it might be time quickly
for a little bit of both.
00:13:27.17\00:13:29.81
You might want
to check that out.
00:13:29.84\00:13:31.25
We'll take a short
break and when we come back
00:13:31.28\00:13:32.65
we're going to
answer your questions
00:13:32.68\00:13:34.06
from the Heartwise
ministries web site,
00:13:34.09\00:13:35.91
so stay right where you are.
00:13:35.94\00:13:37.31
You won't want to miss this.
00:13:37.34\00:13:39.48