Shortness of breath,
fatigue, swelling in your legs,
00:00:14.64\00:00:18.38
ankles and feet,
00:00:18.41\00:00:19.78
and a rapid or
irregular heartbeat
00:00:19.81\00:00:21.85
are just a few of the
symptoms that might indicate
00:00:21.88\00:00:24.52
an issue with your heart.
00:00:24.55\00:00:26.12
Stay with us,
and learn more about
00:00:26.15\00:00:27.79
how doctors
diagnose a weak heart today
00:00:27.82\00:00:30.43
on the Ultimate Prescription.
00:00:30.46\00:00:31.79
Welcome to the
Ultimate Prescription.
00:00:53.28\00:00:54.68
I'm your host Nick Evenson,
here with Dr. James Marcum,
00:00:54.72\00:00:57.69
Speaker and Director
of Heartwise Ministries
00:00:57.72\00:01:00.02
and practicing physician,
00:01:00.06\00:01:01.99
Cardiologist with
Chattanooga Heart.
00:01:02.02\00:01:03.36
Yes.
00:01:03.39\00:01:04.73
Dr. Marcum,
welcome to the program.
00:01:04.76\00:01:06.09
Well, thank you, Nick.
00:01:06.13\00:01:07.46
And we have a very interesting
and important topic today.
00:01:07.50\00:01:11.27
We're gonna be
talking about weak hearts.
00:01:11.30\00:01:14.34
But before we explore
that, in general, you know,
00:01:14.37\00:01:17.77
in a short period of time,
00:01:17.81\00:01:19.31
it's hard to get
anything into in depth.
00:01:19.34\00:01:22.38
But we just wanna
give broad brushstroke
00:01:22.41\00:01:25.55
so people can understand
their health is important
00:01:25.58\00:01:28.65
little things that we can
do to get more information.
00:01:28.68\00:01:31.55
And if nothing else,
00:01:31.59\00:01:32.92
we can always go to the website,
00:01:32.95\00:01:34.72
HeartWiseMinistries.org
00:01:34.76\00:01:37.09
and ask our specific questions.
00:01:37.13\00:01:38.56
That's right.
00:01:38.59\00:01:39.93
We have a number
of resources there,
00:01:39.96\00:01:41.36
health articles, radio
program, television programs.
00:01:41.40\00:01:44.83
We also have an app
that there's information
00:01:44.87\00:01:46.77
on the website that
you can find out about
00:01:46.80\00:01:48.14
to find daily worship routines
that you can take part in,
00:01:48.17\00:01:51.31
and we just
wanna help people learn
00:01:51.34\00:01:53.64
where they can find good advice,
00:01:53.68\00:01:55.54
where they can
get more connected
00:01:55.58\00:01:56.91
with our Creator
and live more in harmony
00:01:56.95\00:01:58.78
with God's design for our lives.
00:01:58.81\00:02:00.28
Yeah, and
unfortunately, every day,
00:02:00.32\00:02:02.98
all of us get a
little bit older,
00:02:03.02\00:02:05.42
more chance that our
parts might malfunction,
00:02:05.45\00:02:08.19
develop a symptom
like you talked about.
00:02:08.22\00:02:10.93
And then we need help.
00:02:10.96\00:02:12.33
But I wanna focus a little
bit on it's very important
00:02:12.36\00:02:15.06
that as we go through life,
we understand the reason why.
00:02:15.10\00:02:19.70
Right.
00:02:19.73\00:02:21.07
Do you ever ask
yourself that question, why?
00:02:21.10\00:02:22.60
Yeah, yeah, sure do.
00:02:22.64\00:02:23.97
Now people like
scientists, explorers, doctors,
00:02:24.01\00:02:26.91
theologians, everyone,
00:02:26.94\00:02:29.31
that's a key question
00:02:29.34\00:02:30.68
'cause if you
understand the reason why,
00:02:30.71\00:02:33.38
you're more likely to
have a successful solution.
00:02:33.42\00:02:36.55
So if a person comes in
with high blood pressure
00:02:36.58\00:02:39.42
or high blood
pressure is a number.
00:02:39.45\00:02:41.42
I wanna know why the
blood pressure is high.
00:02:41.46\00:02:43.83
Right. Is it 'cause of stress?
00:02:43.86\00:02:46.13
Is it too much salt in the diet?
00:02:46.16\00:02:48.76
Is it because of
lack of exercise?
00:02:48.80\00:02:51.17
Is there a problem
with stress on the body
00:02:51.20\00:02:53.50
causing to be
high like sleep apnea,
00:02:53.54\00:02:56.10
problems with the kidney,
problems with the thyroid?
00:02:56.14\00:02:58.61
Why is important?
00:02:58.64\00:03:01.08
Someone carries
extra weight, okay?
00:03:01.11\00:03:03.28
And they wanna lose weight.
00:03:03.31\00:03:04.65
Well, I wanna say that,
00:03:04.68\00:03:06.01
"Well, why do they
carry extra weight?"
00:03:06.05\00:03:07.48
Is it a metabolic problem?
00:03:07.52\00:03:09.62
Is a problem of
too much calories?
00:03:09.65\00:03:11.35
Understanding the
reason why is very important.
00:03:11.39\00:03:13.89
Right, right.
00:03:13.92\00:03:15.26
So when it comes to weak hearts,
00:03:15.29\00:03:16.69
you're saying,
00:03:16.73\00:03:18.06
we need to not
just treat the symptoms,
00:03:18.09\00:03:19.69
not just take a
pill, but really figure out
00:03:19.73\00:03:21.73
what's going on
00:03:21.76\00:03:23.10
and treat the
underlying cause of the problem?
00:03:23.13\00:03:25.17
And that goes with
really every problem in life,
00:03:25.20\00:03:27.67
you know, you have a
relationship problem.
00:03:27.70\00:03:29.40
Well, you wanna know
00:03:29.44\00:03:30.77
why you have a
relationship problem,
00:03:30.81\00:03:32.71
whether that be with a friend,
a spouse, a loved one, a doc...
00:03:32.74\00:03:36.04
Well, why do we
have the problem?
00:03:36.08\00:03:38.21
'Cause if we can understand why,
00:03:38.25\00:03:40.12
we can get at the
core of existence.
00:03:40.15\00:03:41.55
Right.
00:03:41.58\00:03:42.92
So if you think
about that for a second,
00:03:42.95\00:03:45.12
you know, we've
talked a lot about...
00:03:45.15\00:03:47.09
And I'm very
interested in genetics.
00:03:47.12\00:03:49.29
Okay, we call
that genomic medicine.
00:03:49.32\00:03:51.59
Why does our DNA get
old? Why does it mutate?
00:03:51.63\00:03:54.73
Why do we have disease in
the first place, you know?
00:03:54.76\00:03:58.50
Because we have bad genes, okay?
00:03:58.53\00:04:00.64
Well, why do we have bad genes?
00:04:00.67\00:04:03.07
You know, why do
we have bad genes?
00:04:03.10\00:04:04.87
Because we've reproduced
00:04:04.91\00:04:06.24
from parents that had bad genes.
00:04:06.27\00:04:07.61
So it goes back far enough.
00:04:07.64\00:04:08.98
And it ultimately
it gets back to well,
00:04:09.01\00:04:11.41
who had perfect genetics?
00:04:11.45\00:04:13.68
Adam and Eve, right?
God's original creation.
00:04:13.72\00:04:15.98
Until they put
stress on those genes
00:04:16.02\00:04:18.32
by turning away from God,
then the mutation started,
00:04:18.35\00:04:22.16
and then eventually,
00:04:22.19\00:04:23.53
we started to have more
and more problems, right?
00:04:23.56\00:04:24.89
Right.
00:04:24.93\00:04:26.26
So understanding the
reason why it's very important.
00:04:26.29\00:04:28.03
Yeah, not
something we can undervalue.
00:04:28.06\00:04:30.10
You know, too often, we
just want the easy route.
00:04:30.13\00:04:33.10
As patients, we
want the easy route.
00:04:33.13\00:04:34.60
We don't wanna necessarily
do the hard work sometimes,
00:04:34.64\00:04:37.24
but sometimes the
hard work is necessary.
00:04:37.27\00:04:39.07
Now what's difficult is my
son, Jake, was Jake and Kelly.
00:04:39.11\00:04:43.91
And they always
ask why? Why? Why?
00:04:43.95\00:04:46.78
Oh, yeah. Why?
00:04:46.82\00:04:48.15
It's like the first
thing out of their mouth.
00:04:48.18\00:04:49.52
Why? Why? Yeah.
00:04:49.55\00:04:50.89
But as we get older,
00:04:50.92\00:04:52.25
I don't think we
asked that question as much.
00:04:52.29\00:04:54.32
We accept things.
This is the way things are.
00:04:54.36\00:04:57.13
I'm not gonna ask why.
Why is that world broken?
00:04:57.16\00:05:01.00
You know, why is this going on?
00:05:01.03\00:05:02.63
Because, you
know, it's tough to ask,
00:05:02.66\00:05:04.97
to answer those questions.
00:05:05.00\00:05:06.57
So we're gonna
understand the reason why,
00:05:06.60\00:05:08.70
why heart is weak.
00:05:08.74\00:05:10.07
Yeah.
00:05:10.11\00:05:11.44
So let's start
with heart failure.
00:05:11.47\00:05:12.81
Yeah. What does
heart failure mean?
00:05:12.84\00:05:14.38
Well, heart failure
just means just what it says.
00:05:14.41\00:05:17.61
The heart is not doing
its job. It's failing, okay?
00:05:17.65\00:05:21.65
Just like if you
were sitting there, Nick,
00:05:21.68\00:05:23.85
and all of a
sudden you quit talking.
00:05:23.89\00:05:25.65
And, you know,
didn't do anything.
00:05:25.69\00:05:27.29
I'd say this is Nick
failure. Nick failure.
00:05:27.32\00:05:29.26
Yeah. Let's not do that.
00:05:29.29\00:05:30.79
We don't want Nick failure.
00:05:30.83\00:05:32.36
If the people that are operating
00:05:32.39\00:05:33.73
the sound and the cameras,
00:05:33.76\00:05:35.10
if all of a sudden
everything went black,
00:05:35.13\00:05:36.46
I would say, "This
is production failure."
00:05:36.50\00:05:38.40
Right. Right.
00:05:38.43\00:05:39.77
So all it means
is the heart failure.
00:05:39.80\00:05:41.97
Does this tell us why?
Tells me nothing about why?
00:05:42.00\00:05:45.01
Got it.
00:05:45.04\00:05:46.37
But the heart is
not doing its job, okay?
00:05:46.41\00:05:48.78
Just like if you
quit doing your job,
00:05:48.81\00:05:51.25
I would say, "Well, you
quit doing it, but why?"
00:05:51.28\00:05:53.05
You know, is he
sick in his stomach,
00:05:53.08\00:05:54.78
you know, does
the mind go blank?
00:05:54.82\00:05:56.15
Did he eat too much for
lunch? Does he feeling bad?
00:05:56.18\00:05:58.55
Is he having pain?
Why? Well, that's what I...
00:05:58.59\00:06:00.62
The approach we
take with the heart.
00:06:00.66\00:06:02.39
So what heart failure
00:06:02.42\00:06:03.76
is the heart's
not doing its job.
00:06:03.79\00:06:06.33
When it doesn't do its job,
the organs malfunction, right?
00:06:06.36\00:06:09.40
'Cause the heart is in
charge of getting oxygen,
00:06:09.43\00:06:11.73
nutrients of blood,
00:06:11.77\00:06:13.10
and different
organs might malfunction.
00:06:13.13\00:06:14.70
So we might
have a symptom first,
00:06:14.74\00:06:16.71
like shortness of
breath, swelling, palpitations,
00:06:16.74\00:06:20.38
kidneys not working as well,
00:06:20.41\00:06:21.98
fatigue that just means
the heart's not doing its job.
00:06:22.01\00:06:25.61
Sometimes, when we say
the word heart failure,
00:06:25.65\00:06:28.18
because it's not
pumping enough blood,
00:06:28.22\00:06:30.45
that's the
strength of the heart,
00:06:30.49\00:06:32.25
the strength of heart goes down,
00:06:32.29\00:06:33.66
it malfunctions
'cause it's not as strong
00:06:33.69\00:06:35.79
as it should be, right?
00:06:35.82\00:06:37.49
The other time is
sometimes it's perfectly strong,
00:06:37.53\00:06:40.30
but it doesn't
know how to relax, okay?
00:06:40.33\00:06:43.60
It's a stiff heart. Right.
00:06:43.63\00:06:45.47
You know, everything
gets stiff if it's not used.
00:06:45.50\00:06:48.20
So sometimes hearts even though
they're strong, they get stiff,
00:06:48.24\00:06:51.97
they lose efficiency,
and pressure backs up
00:06:52.01\00:06:54.88
and you can have a completely
normal strength of the heart,
00:06:54.91\00:06:57.75
but it malfunctions
because it's too stiff
00:06:57.78\00:07:00.22
or it's going too fast.
00:07:00.25\00:07:01.58
If you have a fast heart
rhythm 300 beats a minute,
00:07:01.62\00:07:03.89
200 beats a minute, right?
00:07:03.92\00:07:05.52
The heart's strong
enough, but it's not efficient.
00:07:05.55\00:07:08.02
Right.
00:07:08.06\00:07:09.39
And then it so it
can't pump blood the way
00:07:09.42\00:07:11.19
even though it's
perfectly strong.
00:07:11.23\00:07:12.76
So that makes sense to you?
00:07:12.79\00:07:14.13
Yeah. So we got that.
00:07:14.16\00:07:15.50
We understand why
something's occurring.
00:07:15.53\00:07:17.77
And heart failure...
00:07:17.80\00:07:19.13
This means the
heart's not doing its job.
00:07:19.17\00:07:20.60
Yeah.
00:07:20.64\00:07:21.97
So once a person
comes with those symptoms,
00:07:22.00\00:07:24.21
and I say, "Wow,
they have heart failure."
00:07:24.24\00:07:26.01
Then we start understanding why.
00:07:26.04\00:07:28.08
And that takes
us to testing. Yeah.
00:07:28.11\00:07:30.15
Now a couple of years ago,
00:07:30.18\00:07:31.51
I had the opportunity
to come to your office,
00:07:31.55\00:07:33.18
and we discussed a little bit
00:07:33.21\00:07:34.72
about how you
diagnose heart failure.
00:07:34.75\00:07:36.85
Let's take a look at
the clip from that visit,
00:07:36.89\00:07:38.95
and you can talk
through some of the visits
00:07:38.99\00:07:40.32
that you diagnose.
00:07:40.36\00:07:41.69
Most of these tests that we use,
00:07:41.72\00:07:43.06
this is an echocardiogram,
00:07:43.09\00:07:44.43
it shows the heart
beating, and the valves opening,
00:07:44.46\00:07:46.49
and that would tell
us if the heart's weak,
00:07:46.53\00:07:48.56
if the valves might be clogged.
00:07:48.60\00:07:49.96
This is an electrocardiogram.
00:07:50.00\00:07:51.93
It looks at the
electrical system of the heart
00:07:51.97\00:07:54.24
that might give us clues
00:07:54.27\00:07:55.77
to if the hearts
going slow or fast.
00:07:55.80\00:07:59.21
There's others
tests that we can use,
00:07:59.24\00:08:01.11
we can look and see
if the hearts enlarged
00:08:01.14\00:08:03.38
or if there's
fluid in the lungs,
00:08:03.41\00:08:05.25
that would give us a clue.
00:08:05.28\00:08:06.61
And here I am
looking at a pacemaker
00:08:06.65\00:08:08.68
seeing whether the
pacemaker might not be working.
00:08:08.72\00:08:10.49
Right.
00:08:10.52\00:08:11.85
There's the
heart's going too slow,
00:08:11.89\00:08:13.22
it can't pump well,
00:08:13.25\00:08:14.69
that's a reason
that the heart might fail
00:08:14.72\00:08:16.79
and the rhythm's too slow.
00:08:16.83\00:08:18.49
This is a nuclear
stress test it looks to see
00:08:18.53\00:08:21.10
if the arteries
might be causing it.
00:08:21.13\00:08:23.06
This is probably the most
common cause of heart failure
00:08:23.10\00:08:25.80
is the arteries become blocked,
00:08:25.83\00:08:27.90
they don't work well,
00:08:27.94\00:08:29.37
we don't get
enough oxygen through it.
00:08:29.40\00:08:31.71
So we want to know if that's
the reason for heart failure.
00:08:31.74\00:08:34.94
We have fancy nuclear test,
00:08:34.98\00:08:36.81
we actually can see
how much the heart squeezes
00:08:36.85\00:08:39.78
in every segment of the
heart so we can diagnose exactly
00:08:39.81\00:08:42.98
which artery might
be causing the problem
00:08:43.02\00:08:45.82
or which artery might be
contributed to heart failure.
00:08:45.85\00:08:48.22
So there are many
different reasons.
00:08:48.26\00:08:49.72
these are just a few of them.
00:08:49.76\00:08:51.33
We have more besides
that, we got angiograms.
00:08:51.36\00:08:54.16
We have CAT
scans, we've PET scans,
00:08:54.20\00:08:57.07
we've MRIs.
00:08:57.10\00:08:58.83
Sometimes we can actually
do a biopsy of the heart
00:08:58.87\00:09:01.80
to see if the heart might have
00:09:01.84\00:09:03.17
some type of
disease in the heart.
00:09:03.20\00:09:05.17
And there are certain conditions
00:09:05.21\00:09:06.54
like amyloid,
00:09:06.57\00:09:07.91
sarcoidosis that these diseases
00:09:07.94\00:09:10.41
have infiltrated the heart
00:09:10.45\00:09:12.01
and made the heart not function
leading to heart failure.
00:09:12.05\00:09:15.25
So there's many
different diagnostic tools
00:09:15.28\00:09:18.09
to look why a
heart might be weak
00:09:18.12\00:09:20.86
and leading to heart failure.
00:09:20.89\00:09:23.29
Now you've already covered some
of what causes a weak heart.
00:09:23.32\00:09:26.03
You mentioned rabbit
heartbeats and things like that.
00:09:26.06\00:09:28.56
But what are some
of the common things
00:09:28.60\00:09:29.93
we need to know about
causation for a weak heart?
00:09:29.96\00:09:32.83
So if a person comes in,
and they've had heart failure.
00:09:32.87\00:09:36.20
Let's say
they're in the hospital.
00:09:36.24\00:09:37.57
And they had a symptom.
00:09:37.61\00:09:38.94
And we say, "Well, the
heart wasn't working well."
00:09:38.97\00:09:40.88
And one of the most
common ways we measure
00:09:40.91\00:09:42.88
it is fluid in the lungs, okay?
00:09:42.91\00:09:45.38
Fluid backup, we
have a measurement
00:09:45.41\00:09:46.92
we can do called a proBNP
00:09:46.95\00:09:49.55
which is a hormone that goes up
00:09:49.58\00:09:51.35
when the heart's malfunctioning.
00:09:51.39\00:09:53.09
So we had that diagnosis that,
00:09:53.12\00:09:54.89
yes, you indeed
have heart failure.
00:09:54.92\00:09:56.56
So the heart condition
actually causes this BND...
00:09:56.59\00:10:00.26
proBNP, it's a hormone
to go up in the bloodstream.
00:10:00.30\00:10:03.77
And that causes fluid
in the lungs because...
00:10:03.80\00:10:05.37
No, it's a
marker of heart failure.
00:10:05.40\00:10:07.17
Okay. Okay.
00:10:07.20\00:10:08.54
Now when fluid gets in the lung,
00:10:08.57\00:10:09.90
that's a marker that the
heart's not doing its job
00:10:09.94\00:10:11.81
'cause normally fluid
should not get in the lung.
00:10:11.84\00:10:13.24
Right. Fluid should be
pumped out of the body. Right.
00:10:13.27\00:10:14.61
But when fluid backs up
in the lungs, in the legs,
00:10:14.64\00:10:19.58
you know that could be a sign
00:10:19.61\00:10:21.18
that you're
developing heart failure.
00:10:21.22\00:10:22.85
Just basically a sign
of the circular system,
00:10:22.88\00:10:24.82
just not doing the job.
00:10:24.85\00:10:26.19
Malfunctioning,
right? Malfunctioning.
00:10:26.22\00:10:27.82
If we have
kidneys that are failing,
00:10:27.86\00:10:29.52
if we have no
energy, those are all signs
00:10:29.56\00:10:31.73
that the hearts getting weaker,
00:10:31.76\00:10:33.09
and sometimes it
can lead to failure.
00:10:33.13\00:10:34.76
One of the markers
that go up sort of clue us,
00:10:34.80\00:10:38.17
when a heart failure
makes one of these pro BNP.
00:10:38.20\00:10:41.07
So these are all clues.
00:10:41.10\00:10:42.44
It tells me, "Yes, you
do have heart failure."
00:10:42.47\00:10:44.44
'Cause sometimes
people have symptoms,
00:10:44.47\00:10:46.27
shortness of breath, tired
00:10:46.31\00:10:47.64
that are
unrelated to heart failure.
00:10:47.68\00:10:49.01
Right.
00:10:49.04\00:10:50.38
And we wanna check that
one off the list, right?
00:10:50.41\00:10:52.38
So once you have it,
00:10:52.41\00:10:54.05
then we do these
diagnostic tests,
00:10:54.08\00:10:55.98
and then we say,
"Well, I go through the list.
00:10:56.02\00:10:57.69
Well, we
determined it's the heart.
00:10:57.72\00:10:59.82
What are the many causes of it?
00:10:59.85\00:11:01.92
And we talked
about these before."
00:11:01.96\00:11:04.03
Probably the most
common cause of a weak heart
00:11:04.06\00:11:07.20
are blockages in the arteries.
00:11:07.23\00:11:09.06
Fat gets in the
arteries. They get clogged up.
00:11:09.10\00:11:11.93
If that's the case, we
wanna help the arteries
00:11:11.97\00:11:14.27
as much as we could, if
possible a bypass surgery,
00:11:14.30\00:11:17.61
if possible stents,
00:11:17.64\00:11:19.31
medicines that make the
heart not have to work as hard,
00:11:19.34\00:11:22.81
different things that would help
00:11:22.84\00:11:24.18
if they had
blockages in the arteries.
00:11:24.21\00:11:25.95
We've talked about
rhythms going too slow,
00:11:25.98\00:11:28.08
that could lead
to heart failure.
00:11:28.12\00:11:29.88
Rhythms going too fast
00:11:29.92\00:11:31.52
the electrical system
could cause heart failure.
00:11:31.55\00:11:34.16
Remember, the
heart muscles fine,
00:11:34.19\00:11:35.86
but the electrical
system is messed up.
00:11:35.89\00:11:38.06
The valves of
the heart malfunction
00:11:38.09\00:11:41.03
that could lead
to heart failure.
00:11:41.06\00:11:42.73
The echocardiogram
usually tells us that.
00:11:42.76\00:11:45.50
Sometimes it can be
just stress in general,
00:11:45.53\00:11:48.20
we have too much
stress in our life.
00:11:48.24\00:11:49.80
We call that the
broken heart syndrome,
00:11:49.84\00:11:52.71
you know that can cause it.
00:11:52.74\00:11:54.31
And we just...
00:11:54.34\00:11:55.68
We would measure that
by looking at everything
00:11:55.71\00:11:57.48
and we see that
frequently in females
00:11:57.51\00:12:00.35
that have sudden stress
usually, the loss of life,
00:12:00.38\00:12:04.22
you know, the grief sometimes.
00:12:04.25\00:12:06.22
Sometimes it could be
hormones that cause it.
00:12:06.25\00:12:08.69
Sometimes the
thyroid can be too low,
00:12:08.72\00:12:11.13
that can lead to heart failure.
00:12:11.16\00:12:13.13
Sometimes infections
can cause inflammation.
00:12:13.16\00:12:16.03
You know, how
sometimes when you get the flu,
00:12:16.06\00:12:18.13
your muscles get weak?
00:12:18.17\00:12:19.83
Well, sometimes in
genetically predisposed heart,
00:12:19.87\00:12:22.94
the heart can get weak as well.
00:12:22.97\00:12:25.37
Sometimes other diseases
can also affect the heart.
00:12:25.41\00:12:28.18
Sometimes it can be
medicines like chemotherapy
00:12:28.21\00:12:30.88
or certain medications
can make a heart weak.
00:12:30.91\00:12:33.58
So once we
diagnose heart failure,
00:12:33.62\00:12:36.15
we start looking at the tests
00:12:36.18\00:12:37.52
because we want to
understand the reason why?
00:12:37.55\00:12:41.12
And these are just a
few of the many different
00:12:41.16\00:12:43.36
causes that can look
nutritional deficiencies,
00:12:43.39\00:12:47.53
lots of things can make
and we base it on a history
00:12:47.56\00:12:50.37
physical in our
initial diagnostic test
00:12:50.40\00:12:52.87
to determine what
might be the cause
00:12:52.90\00:12:55.37
if we can get cause
00:12:55.40\00:12:56.84
treatment's going to
be much more successful.
00:12:56.87\00:12:59.07
Now sometimes we never
find out the reason why.
00:12:59.11\00:13:01.84
And that's usually a
genetics remote infection.
00:13:01.88\00:13:04.85
And we call that a weak heart.
00:13:04.88\00:13:07.38
We don't know why. Yeah.
00:13:07.42\00:13:08.98
So it sounds like a
lot of times the quick fix
00:13:09.02\00:13:12.39
for emergency care
will be a procedure,
00:13:12.42\00:13:14.66
but then you really
get down to the reason why.
00:13:14.69\00:13:16.52
And that often comes down
00:13:16.56\00:13:17.89
to either genes
or lifestyle choices.
00:13:17.93\00:13:20.16
Is that way?
Well, not necessarily.
00:13:20.20\00:13:22.03
It could be a
genetic problem. Right.
00:13:22.06\00:13:24.27
It could be a part just
wearing out of the body.
00:13:24.30\00:13:27.57
It could be an
infection of the heart.
00:13:27.60\00:13:29.27
It could be
someone was experimenting
00:13:29.30\00:13:31.11
with medications
they shouldn't be.
00:13:31.14\00:13:33.07
It could be a
nutritional deficiency.
00:13:33.11\00:13:35.74
It could be lots
of different things,
00:13:35.78\00:13:37.58
including what you said.
00:13:37.61\00:13:38.95
So everything, it's sort of like
00:13:38.98\00:13:40.35
when you look at weak hearts,
00:13:40.38\00:13:41.88
you almost like an investigator,
00:13:41.92\00:13:44.19
you wanna understand the reason
00:13:44.22\00:13:45.72
why so you got to get looking
00:13:45.75\00:13:47.09
'cause if you
understand why treatment
00:13:47.12\00:13:49.09
becomes much more successful.
00:13:49.12\00:13:51.23
All right,
we're gonna talk about
00:13:51.26\00:13:52.79
more about
treatments in just a moment.
00:13:52.83\00:13:54.33
So stay with us here on
the Ultimate Prescription.
00:13:54.36\00:13:56.30
We will be back
right after the break.
00:13:56.33\00:13:57.83