The following program presents
principles designed to promote
00:00:01.98\00:00:03.20
good health and is not
intended to take the place of
00:00:03.23\00:00:06.09
personalized professional care.
00:00:06.12\00:00:07.71
The opinions and ideas expressed
are those of the speaker.
00:00:07.75\00:00:11.32
Viewers are encouraged to
draw their own conclusions
00:00:12.45\00:00:14.27
about the information presented.
00:00:14.30\00:00:16.05
WONDERFULLY MADE
00:00:27.81\00:00:35.57
Psalm 139/14.It's a promise
you just wanna smile about.
00:00:35.61\00:00:40.98
It says: "I will praise him"
00:00:41.01\00:00:43.13
"for I am fearfully
and wonderfully made."
00:00:43.17\00:00:45.91
I wanna thank you this morning
for watching Wonderfully Made
00:00:45.95\00:00:50.27
and taking your time
this day to spend with us
00:00:50.30\00:00:53.48
as we talk about this important
topic of myocardial infarction.
00:00:53.52\00:00:57.58
My name is dr. James
Marcum and I'm a cardiologist
00:00:57.61\00:01:01.27
with the
Chattanooga Heart Institute.
00:01:01.30\00:01:02.98
Now for those of you
who might not be familiar
00:01:03.02\00:01:06.33
with medical jargon, a
cardiologist is a doctor
00:01:06.37\00:01:09.61
who specializes in internal
medicine and specifically
00:01:09.65\00:01:12.62
focuses on
treatment and prevention
00:01:12.65\00:01:15.04
of diseases of the
heart and blood vessels.
00:01:15.07\00:01:17.35
This morning I have chosen the
topic of myocardial infarction
00:01:17.39\00:01:21.57
to talk about, because it's
so prevalent in our society.
00:01:21.60\00:01:25.20
In fact,42% of all heart attacks
and cardiovascular disease
00:01:25.24\00:01:28.81
are the source
of death in America.
00:01:28.84\00:01:31.30
In talking about
this important topic
00:01:32.11\00:01:34.78
we have Shelley Quinn
joining us this morning.
00:01:34.82\00:01:37.27
And I'm so happy that
she's with us to help us
00:01:37.30\00:01:39.68
talk about this topic that
I think everyone is involved
00:01:39.72\00:01:43.33
with either loved
ones or they know someone
00:01:43.36\00:01:46.52
that's had a heart attack.
00:01:46.55\00:01:47.52
So Shelley, I wanna thank
you for joining us this morning.
00:01:47.62\00:01:50.01
Thank you. I'm just
so excited to be here.
00:01:50.04\00:01:52.81
And you know, every
one of us has a heart.
00:01:52.85\00:01:55.73
So we all know
someone or we have experienced
00:01:55.77\00:01:58.76
problems of
ourselves or we want to avoid
00:01:58.79\00:02:01.34
experiencing these
problems. That's right.
00:02:01.38\00:02:03.90
So, I say that again...
00:02:03.93\00:02:07.79
A myocardial
infarction or a heart attack.
00:02:07.83\00:02:10.00
That's what it
means, it's a heart attack.
00:02:10.03\00:02:12.13
That's what we're
talking about. So that's what
00:02:12.17\00:02:13.49
we're gonna be talking about.
00:02:13.60\00:02:14.76
In fact I've gathered
questions from allover the world
00:02:14.79\00:02:18.45
pertaining to hearts.
And we're gonna talk about
00:02:18.48\00:02:21.72
myocardial
people's own questions.
00:02:21.75\00:02:23.90
These are people that write in
with serious concerns, they want
00:02:23.94\00:02:26.60
their questions
answered. And in the course
00:02:26.63\00:02:28.58
of the conversation
today, I'm hoping we can learn
00:02:28.62\00:02:30.99
a lot of good things that are
practical about heart attacks.
00:02:31.03\00:02:34.04
I'm looking forward to it.
00:02:34.07\00:02:35.50
And because this is
such an important topic,
00:02:35.54\00:02:37.80
Jim, why don't we
pray before we begin.
00:02:37.83\00:02:40.66
Ok,would you like to. Yes.
00:02:40.69\00:02:42.18
Father in heaven we'd
like to invite Your Holy Spirit
00:02:42.22\00:02:45.54
to lead in this discussion.
For those of you at home
00:02:45.58\00:02:48.87
that want to learn
more about the heart,
00:02:48.90\00:02:50.61
we pray that the
Spirit be with you
00:02:50.64\00:02:52.42
to make changes and to
open your eyes to things
00:02:52.46\00:02:54.74
that need to be discovered.
00:02:54.77\00:02:56.32
This is our
prayer. Amen. Amen. Amen.
00:02:56.36\00:02:59.56
Well, Jim has a
lot of questions here,
00:02:59.59\00:03:02.11
that have come
from around the world.
00:03:02.15\00:03:05.17
And he has a
ministry called "Heart Wise"
00:03:05.20\00:03:08.19
in Chattanooga, Tennessee.
00:03:08.22\00:03:10.03
So you're out
there teaching people
00:03:10.07\00:03:11.97
how to be healthy and
to avoid these problems.
00:03:12.01\00:03:15.46
And our first question
comes from Carol in Michigan.
00:03:15.50\00:03:18.85
Carol says: I am a 44
year old healthy male.
00:03:18.88\00:03:22.32
A recent physical at
work turned out well.
00:03:22.35\00:03:25.74
However, I have a strong
family history of heart attack.
00:03:25.78\00:03:29.56
My dad died in his
early 50s of a heart attack
00:03:29.59\00:03:33.06
and my older brother
recently had a stent placed.
00:03:33.09\00:03:36.53
Could I also
have a heart attack?
00:03:36.56\00:03:39.52
First, could you
explain to us what a stent is?
00:03:39.56\00:03:42.59
Yeah. A stent is a device.
00:03:42.62\00:03:45.19
When a person has an
acute myocardial infarction
00:03:45.23\00:03:47.99
or a heart attack,
what that is, we don't have
00:03:48.04\00:03:50.42
enough blood reaching
the muscles of the heart.
00:03:50.46\00:03:52.81
When that
happens, the muscle dies.
00:03:52.84\00:03:55.45
And when the muscle dies,
lots of bad things happen.
00:03:55.49\00:03:58.25
Funny heart beats can develop
00:03:58.28\00:04:00.09
You see the defibrillators
that shock people.
00:04:00.12\00:04:02.77
That's cause of these
funny heart beats that develop.
00:04:02.81\00:04:04.98
The heart can go into
failure and you can't breathe
00:04:05.01\00:04:07.15
because of fluid in the lungs.
00:04:07.18\00:04:09.10
Lots of bad things
can happen quickly.
00:04:09.14\00:04:11.31
So in an acute heart attack
you need to get care right away.
00:04:11.34\00:04:15.27
Sometimes when a person
is having a heart attack,
00:04:15.30\00:04:18.11
right away we bring him
in, we go up into the heart,
00:04:18.15\00:04:20.83
we find out where that
blockage is and we open it up.
00:04:20.86\00:04:23.90
We put a metal device
that holds that artery open,
00:04:23.93\00:04:26.94
so blood can flow
out to that muscle
00:04:26.97\00:04:29.03
so that muscle
can work properly.
00:04:29.07\00:04:31.10
And if we can get a heart
attack within the first hours,
00:04:31.13\00:04:34.34
there's almost never residual
damage done to the heart.
00:04:34.38\00:04:37.08
It's when people sit at
home and they don't get help
00:04:37.12\00:04:39.79
"It's heart burn, I'm
not worried about it."
00:04:39.82\00:04:42.07
That's when we have a
lot of problems with this.
00:04:42.10\00:04:45.44
I don't even wanna ask
cause I've done the same.
00:04:45.47\00:04:48.74
So, since he had a good physical
but he's got this family history
00:04:48.78\00:04:54.44
Is he at risk
for a heart attack?
00:04:54.47\00:04:56.16
Yes, all of us in America
are at risk of a heart attack.
00:04:56.20\00:04:59.78
In fact,90% of the heart attacks
00:04:59.81\00:05:02.53
that we have in
America are acquired.
00:05:02.57\00:05:04.67
That means we
give them to ourselves,
00:05:04.71\00:05:06.78
what lifestyles we have.
00:05:06.81\00:05:08.37
So he has a family history,
so is definitely at risk.
00:05:08.40\00:05:11.91
So he could have a heart attack.
00:05:11.94\00:05:13.63
I wanna just
throw up a slide here
00:05:13.67\00:05:15.36
and sort of give
you the magnitude
00:05:15.39\00:05:17.05
for cardiovascular disease.
00:05:17.08\00:05:18.27
Myocardial
infarction in the United States.
00:05:18.31\00:05:21.46
For instance, people don't
realize this but it accounts
00:05:21.50\00:05:23.80
deaths annually.
00:05:23.83\00:05:26.81
That's almost
1,000,000 deaths every year.
00:05:26.85\00:05:30.82
That is a lot
of people that die.
00:05:30.85\00:05:32.98
One heart attack
happens every 34 seconds.
00:05:33.02\00:05:37.45
And every year
00:05:37.48\00:05:39.01
400,000 to 460,000 people never
make it to the Emergency Room.
00:05:39.05\00:05:43.41
They collapse,
they fall over dead
00:05:43.44\00:05:45.49
before they reach
the Emergency Room.
00:05:45.53\00:05:48.11
I think those are
staggering statistics.
00:05:48.15\00:05:50.66
And you have to really
be aware that a heart attack
00:05:50.70\00:05:53.57
is gonna be the thing
that you have to worry about
00:05:53.60\00:05:56.44
whenever you have
chest pain or discomfort.
00:05:56.47\00:05:58.72
So Jim, is there a
genetic predisposition to this
00:05:58.76\00:06:02.47
as well as our lifestyle?
00:06:02.50\00:06:04.72
Yes, we know that
some people have bad genes.
00:06:04.76\00:06:08.02
And if you have bad genetics and
you have bad lifestyle habits,
00:06:08.06\00:06:13.59
this accelerates the
development of this problem.
00:06:13.62\00:06:16.74
And this problem is
usually called arteriosclerosis.
00:06:16.77\00:06:19.83
A big name that says cholesterol
gets jumped up inside
00:06:19.86\00:06:22.89
the arteries of our heart.
00:06:22.92\00:06:24.80
Not only in our heart, this
is going on in the blood vessels
00:06:24.84\00:06:27.51
to our brain
which can cause strokes.
00:06:27.54\00:06:29.41
In the aorta which can
weaken it and cause aneurysms.
00:06:29.45\00:06:32.88
In the legs, in the kidneys.
00:06:32.91\00:06:34.43
All the blood
vessels can be affected
00:06:34.47\00:06:36.30
by this disease process.
00:06:36.33\00:06:37.90
If you have a family
history, this even puts you
00:06:37.94\00:06:40.18
at a higher risk of
having a heart attack.
00:06:40.21\00:06:42.36
I have to throw something
in here because I remember
00:06:42.40\00:06:45.52
for the longest time when
I'd hear the word cholesterol
00:06:45.56\00:06:48.65
and they'd say to
avoid cholesterol.
00:06:48.68\00:06:50.67
I think,ok,what's
got cholesterol in it?
00:06:50.70\00:06:53.52
What's got cholesterol in it?
00:06:53.55\00:06:54.86
And then when I finally
learned I was embarrassed.
00:06:54.90\00:06:57.52
But would you please
explain to our audience
00:06:57.55\00:07:00.36
what has cholesterol in it,
how do you avoid these things?
00:07:00.40\00:07:04.86
For instance, one egg has about
200 milligrams of cholesterol.
00:07:04.90\00:07:09.33
The recommended daily
requirement for cholesterol
00:07:09.36\00:07:12.26
is 300. But most
people do not even
00:07:12.29\00:07:15.49
realize the fact that you do
not need to eat any cholesterol
00:07:15.52\00:07:18.95
in your diet. Did you know that?
00:07:18.98\00:07:20.47
Your liver makes all the
cholesterol your body needs.
00:07:20.51\00:07:23.79
However, in westernized
societies through the years
00:07:23.82\00:07:26.86
we've developed this diet
that's high in cholesterol.
00:07:26.89\00:07:29.90
We have lots of
meat in our diet,
00:07:29.93\00:07:31.62
animal based products
which are high in cholesterol.
00:07:31.66\00:07:34.42
Of course, the organ that
has the most is the liver.
00:07:34.46\00:07:37.19
And I know some people
that love to eat liver.
00:07:37.22\00:07:40.28
But liver is packed,
packed with cholesterol.
00:07:40.31\00:07:43.75
So, the animal based
diets, the cheese, the eggs,
00:07:43.78\00:07:47.19
all of these are
packed with cholesterol.
00:07:47.22\00:07:49.96
This is the enemy
when we're dealing
00:07:49.99\00:07:52.51
with cardiovascular disease.
00:07:52.54\00:07:53.88
So, it's smarter to go more
towards the plant based diets.
00:07:53.92\00:07:58.05
Yes, that is the ideal goal.
A lot of people have problems.
00:07:58.09\00:08:02.19
This is sort of the ideal goal.
00:08:02.22\00:08:04.03
We wanna move
people towards that.
00:08:04.07\00:08:05.81
But I found people
that sometimes they just
00:08:05.85\00:08:07.60
can't give up
everything at once.
00:08:07.63\00:08:09.03
So we try to encourage
them, to make changes slowly.
00:08:09.07\00:08:11.78
First try this, maybe
substitute this, eat more fresh
00:08:11.81\00:08:14.79
fruits and vegetables,
then they're able to get it.
00:08:14.82\00:08:17.94
As they feel better and
more alive and more healthy
00:08:17.98\00:08:21.03
They're gonna say: "I don't
think I can eat this anymore,"
00:08:21.07\00:08:23.29
"cause I feel so much better."
00:08:23.32\00:08:24.54
I will attest to
that. I was one that made
00:08:24.58\00:08:26.82
the changes slowly and
continue to make the changes.
00:08:26.86\00:08:29.63
Here is a question
from Anne in Canada.
00:08:29.66\00:08:32.61
And Anne writes: "Is it
more likely for a woman"
00:08:32.65\00:08:36.67
"to develop cardiovascular
disease or breast cancer?"
00:08:36.71\00:08:39.89
Anne, that is a wonderful
question because cancer
00:08:39.92\00:08:43.29
gets so much
publicity in the United States.
00:08:43.32\00:08:46.66
Women are more scared of cancer
00:08:46.69\00:08:48.98
than they are of
cardiovascular disease.
00:08:49.02\00:08:51.18
But the chances of
having a cardiovascular disease
00:08:51.22\00:08:55.01
is much higher
than you would expect.
00:08:55.04\00:08:57.82
The next slide will attest to.
00:08:57.85\00:09:00.53
The prevalence of
myocardial infarction in women
00:09:00.57\00:09:03.91
is a lot higher
than most people think.
00:09:03.94\00:09:06.65
For instance, one
in every 2.5 women die
00:09:06.69\00:09:09.33
of cardiovascular disease.
I think that's staggering.
00:09:09.37\00:09:12.87
That's unbelievable.
00:09:12.90\00:09:13.90
One in 30 only,
die of breast cancer.
00:09:13.94\00:09:16.59
25% of women who actually
die of cardiovascular disease
00:09:16.63\00:09:21.70
are unaware of it.
00:09:21.73\00:09:23.29
That's unbelievable.
00:09:23.32\00:09:24.81
There's two things that
come to my mind right away.
00:09:24.85\00:09:27.38
Number 1: For
breast cancer, once you're
00:09:27.41\00:09:31.03
over the age of 50.Like I
get my mammogram annually.
00:09:31.07\00:09:34.53
Between that
and self examination
00:09:34.56\00:09:39.09
that's the way that I
can know I'm cancer free.
00:09:39.12\00:09:42.01
But you don't really hear a lot
about women and heart attacks.
00:09:42.04\00:09:46.09
I mean you don't hear doctors
talking to you much about it.
00:09:46.13\00:09:50.17
So, what should I do to be
00:09:50.20\00:09:53.65
tested or to make sure
that I'm not developing?
00:09:53.69\00:09:56.24
The first thing to do is
to be aware that it's such
00:09:56.28\00:10:00.09
a high
prevalence. Look for symptoms.
00:10:00.12\00:10:02.30
When you go and
get your routine exam
00:10:02.34\00:10:04.49
bring this up to your doctor.
00:10:04.52\00:10:05.85
"Listen, I think that I
might have to be screened"
00:10:05.89\00:10:09.78
"for cardiovascular disease."
00:10:09.81\00:10:11.01
There's things like
blood work that can do
00:10:11.05\00:10:12.74
to make sure that
your cholesterol is good
00:10:12.77\00:10:14.43
to lower your risk.
00:10:14.46\00:10:15.68
Check your blood pressure.
Sometimes if you have some
00:10:15.72\00:10:18.00
symptoms you're not sure
about, they can screen you
00:10:18.03\00:10:20.24
with a stress test or they walk
you to see if you have symptoms.
00:10:20.28\00:10:23.33
There are tests that
can measure your blood flow
00:10:23.36\00:10:26.14
and also look at risks
that you might develop.
00:10:26.17\00:10:28.94
Those figures, I
thought were amazing.
00:10:28.97\00:10:31.38
One in 2.5 vs. one
in 30. That's very high.
00:10:31.42\00:10:35.88
To answer to Anne's question,
Anne it's much more likely,
00:10:35.92\00:10:40.65
almost 10 times more likely that
00:10:40.68\00:10:42.39
you're gonna have a
cardiovascular disease
00:10:42.43\00:10:44.14
than you are gonna
have breast cancer.
00:10:44.17\00:10:45.81
And we hear so much
more about breast cancer
00:10:45.85\00:10:49.03
than of cardiovascular disease.
00:10:49.06\00:10:50.92
Our third question comes
from Raymond in Australia.
00:10:50.96\00:10:56.02
Raymond writes:
"My friend Charlie"
00:10:56.05\00:10:59.33
"has chest pain daily. We
work as guides in Australia."
00:10:59.37\00:11:03.83
"He says these
episodes are heart attacks."
00:11:03.86\00:11:06.65
"Is there a
difference between chest pain"
00:11:06.68\00:11:09.44
"and a heart attack?"
00:11:09.47\00:11:10.63
Yes.
00:11:10.66\00:11:11.63
That's the core of
sort of diagnosing.
00:11:11.64\00:11:14.08
Lots of things
can cause chest pain.
00:11:14.12\00:11:16.63
For instance, chest
pain when you touch,
00:11:16.66\00:11:19.14
that can be a muscle.
00:11:19.17\00:11:20.26
Chest pain when you breathe,
that could be related to your
00:11:20.30\00:11:23.08
lungs. Some of the hall-marks of
chest pain coming from the heart
00:11:23.11\00:11:25.95
is pain when you do something.
00:11:25.98\00:11:27.56
Like you run up a
hill, you do some exercise.
00:11:27.60\00:11:30.42
That's when the heart works.
00:11:30.45\00:11:31.76
And if the arteries are
blocked up, you're gonna have
00:11:31.80\00:11:34.41
a symptom when the
heart has to work hard.
00:11:34.44\00:11:36.40
And when you stop,
it usually goes away.
00:11:36.43\00:11:38.36
We call that symptom "angina".
00:11:38.39\00:11:40.50
We also have the other symptoms.
00:11:40.53\00:11:42.57
We have pain that
doesn't go away, or discomfort
00:11:42.61\00:11:44.72
that doesn't go away. We
call that a "heart attack".
00:11:44.76\00:11:48.08
Let me show you
the next slide here.
00:11:48.11\00:11:50.79
We're talking a little
bit about heart attack.
00:11:50.83\00:11:52.57
Now there's different types of
heart attacks that can happen.
00:11:52.60\00:11:54.83
Remember, heart attack
is when the heart muscle
00:11:54.86\00:11:57.70
does not get enough blood
and it starts to malfunction.
00:11:57.74\00:12:00.42
One way that can happen is the
gradual occlusion of a vessel.
00:12:00.46\00:12:04.33
The cholesterol
gradually piles up.
00:12:04.36\00:12:06.88
60%,70%,80%.This
could take years to develop.
00:12:06.92\00:12:10.87
That's one. And then it
gradually gets clogged up.
00:12:10.90\00:12:13.87
Usually these patients
have symptoms of chest pain
00:12:13.90\00:12:16.51
before they have
the heart attack.
00:12:16.54\00:12:17.90
The second one is a spasm.
00:12:17.93\00:12:20.67
That's when the
artery, for a certain reason
00:12:20.71\00:12:23.55
spasms down and closes.
00:12:23.58\00:12:25.30
When it spasms down, downstream
doesn't get enough blood.
00:12:25.34\00:12:28.47
Frequent causes of
that would be drug abuse,
00:12:28.50\00:12:30.91
we see people that have
cocaine, they have spasms.
00:12:30.95\00:12:33.99
People that smoke
sometimes get spasms.
00:12:34.02\00:12:35.94
People that go in high
altitudes can have spasms.
00:12:35.97\00:12:38.92
That don't get enough
oxygen can have spasms,
00:12:38.96\00:12:41.90
it could be very devastating.
00:12:41.93\00:12:43.53
A third type of heart attack
is actually the most common.
00:12:43.57\00:12:47.02
That's when we have a little
plaque inside that blows open,
00:12:47.05\00:12:50.83
it ruptures suddenly.
00:12:50.86\00:12:52.22
Nothing predicts it,
that plaque ruptures and then
00:12:52.26\00:12:55.30
the body sees that it's damaged.
Whenever you've had a cut
00:12:55.34\00:12:58.26
on your hand, you know
what happens when you get cut.
00:12:58.29\00:13:00.76
When there's damage,
the body clogs it all.
00:13:00.79\00:13:02.57
So suddenly you clog off
that artery and downstream
00:13:02.61\00:13:06.31
from that it
doesn't have any blood
00:13:06.34\00:13:08.24
and you have a
myocardial infarction.
00:13:08.27\00:13:10.12
The last one on the
slide is a very uncommon one.
00:13:10.16\00:13:13.44
That was an emboli or
some clot in your body
00:13:13.47\00:13:16.06
floating against the arteries.
00:13:16.09\00:13:17.38
That's very uncommon, we
usually see that in people with
00:13:17.42\00:13:19.81
heart valves or
clots in the heart.
00:13:19.84\00:13:21.74
We don't see that as often.
00:13:21.77\00:13:23.11
But as far as
getting back to Raymond here,
00:13:23.15\00:13:26.78
his episodes are
probably not heart attacks
00:13:26.82\00:13:30.42
if they're happening daily.
00:13:30.45\00:13:32.10
But if they're happening
when he does something,
00:13:32.14\00:13:34.18
that could be a
warning that the heart
00:13:34.21\00:13:35.50
is not getting enough
blood, that could be angina.
00:13:35.54\00:13:38.46
But also could be a
lot of other things.
00:13:38.49\00:13:40.86
In fact, I see people
every day that most of the time,
00:13:40.90\00:13:44.38
they have chest pain
that it's not the heart,
00:13:44.41\00:13:46.59
but you can't afford to
miss it if it is the heart.
00:13:46.63\00:13:48.92
Jim, that's the
problem because...
00:13:48.95\00:13:51.93
Recently my husband's
best friend had an episode
00:13:51.97\00:13:57.08
of chest pain and he
had his wife take him
00:13:57.11\00:14:00.43
to the emergency room and it
turned out he had a 90% blockage
00:14:00.47\00:14:04.56
and had he waited any
longer, he would have been dead.
00:14:04.59\00:14:08.07
It's what they told him.
He said it wasn't that severe
00:14:08.10\00:14:11.55
but if I'm one of these
people, I just nearly have to be
00:14:11.58\00:14:15.87
lying on my death
bed to go to a doctor.
00:14:15.90\00:14:18.29
Do you just say ok,
I'm gonna bite the bullet
00:14:18.33\00:14:22.79
and go and check this out
cause it's not worth the risk?
00:14:22.83\00:14:25.77
I would just look
at prevalences here,
00:14:25.80\00:14:28.55
I mean cardiovascular
disease is so common.
00:14:28.59\00:14:31.89
If I had chest pain in my chest
and I didn't know what it was,
00:14:31.93\00:14:35.74
for sure I would get it
checked out because look at
00:14:35.77\00:14:38.12
the consequences if you
don't. Look at the consequences.
00:14:38.16\00:14:42.29
Jim, I had microvalve prolapse.
00:14:42.32\00:14:45.27
So you probably
had pain quite a bit.
00:14:45.31\00:14:47.69
I had pain all the
time, I mean very often.
00:14:47.73\00:14:50.27
And I had a cardiologist
once tell me, I said:
00:14:50.30\00:14:52.81
"I feel like I'm
having a heart attack."
00:14:52.84\00:14:54.89
He said: "Don't
worry, you're not."
00:14:54.92\00:14:56.25
And I said: "When
will I know if I am?"
00:14:56.29\00:14:58.94
He said: "If you fall on
the floor, you don't get up."
00:14:58.98\00:15:01.32
"That was a heart attack."
00:15:01.35\00:15:03.11
I know. So you kind of weigh
00:15:03.15\00:15:04.86
these things but the older I
get the more I'm trying to be
00:15:04.90\00:15:08.84
serious about, if it
is something that seems to
00:15:08.88\00:15:12.68
continue. You know Shelley, it
might feel different from time
00:15:12.72\00:15:16.49
to time, you know, it might
feel different than that time.
00:15:16.52\00:15:18.66
Inherently, usually
when the heart's involved,
00:15:18.69\00:15:20.69
you also get
short of breath, too.
00:15:20.72\00:15:22.57
That might help you
distinguish between the two.
00:15:22.61\00:15:25.97
But microvalve prolapse is
very difficult because that's
00:15:26.01\00:15:28.61
sort of an ongoing
episode of chest pain.
00:15:28.64\00:15:31.32
And when you have that
situation you really have to
00:15:31.36\00:15:34.34
know your body and know
what's microvalve prolapse
00:15:34.37\00:15:37.32
and what might be different.
00:15:37.35\00:15:38.68
It's a scary feeling
when you have any type
00:15:38.72\00:15:41.34
of pain in your chest.
00:15:41.37\00:15:42.36
Absolutely, but for
those of you who are at home,
00:15:42.40\00:15:44.92
don't sit around and wait.
Had my husband's best friend
00:15:44.96\00:15:48.56
waited, he would
not be with us today.
00:15:48.59\00:15:50.61
Ok,here's a question
from John in California.
00:15:50.65\00:15:53.63
Ok. And John writes:
00:15:53.66\00:15:55.01
"My grandmother just fell
over dead and the doctors said"
00:15:55.04\00:15:58.35
"she had a heart attack."
00:15:58.38\00:15:59.64
"Is it possible to have a
heart attack without symptoms?"
00:15:59.68\00:16:02.69
That is an excellent
question and the answer
00:16:02.72\00:16:05.51
to that question is yes.
00:16:05.54\00:16:07.29
The groups that tend
to have heart attacks
00:16:07.33\00:16:10.22
that don't have symptoms are
the elderly and the diabetics.
00:16:10.26\00:16:14.84
Remember diabetics,
their nervous systems
00:16:14.87\00:16:17.09
don't feel quite
like everyone else's.
00:16:17.13\00:16:19.28
You've seen diabetics, they
don't feel the bottom of their
00:16:19.32\00:16:22.72
feet. Sometimes they don't
have sensations in their chest.
00:16:22.75\00:16:25.25
Also the elderly,
sometimes they just get fatigued
00:16:25.28\00:16:27.84
or short of breath.
00:16:27.87\00:16:29.08
That could be a
manifestation of a heart attack.
00:16:29.12\00:16:31.84
This is a good time, I think,
to talk about some of the more
00:16:31.88\00:16:35.15
common symptoms
of a heart attack.
00:16:35.18\00:16:36.35
So let's go ahead and
look at the next slide here.
00:16:36.39\00:16:39.25
Symptoms of
myocardial infarction.
00:16:39.28\00:16:42.33
One is chest
discomfort. It might be pain,
00:16:42.37\00:16:45.02
it might be a heavy
feeling on the chest.
00:16:45.06\00:16:47.64
It might be radiation of burning
up into the jaw, the back
00:16:47.68\00:16:51.23
or the left arm, the shoulders.
00:16:51.26\00:16:52.70
Another symptom of a
heart attack could be just
00:16:52.74\00:16:55.23
extreme shortness of breath.
00:16:55.26\00:16:56.89
I can't breathe, I
can't get my breath.
00:16:56.93\00:16:59.93
These symptoms are not fleeting
symptoms, these symptoms
00:16:59.96\00:17:02.36
are ones that stay with
you, they're not going away.
00:17:02.40\00:17:04.79
In elderly sometimes
we see the only symptom
00:17:04.82\00:17:07.70
being extreme fatigues.
00:17:07.73\00:17:09.54
So those are
some symptoms that...
00:17:09.58\00:17:11.38
Can we see the next slide?
00:17:11.41\00:17:12.81
Another one: palpitations.
00:17:12.84\00:17:14.17
Feeling your
heart beat too fast.
00:17:14.21\00:17:16.17
Feeling like you can't move on.
00:17:16.21\00:17:18.47
You can have
abnormal sensations.
00:17:18.51\00:17:20.74
I've seen through the years
almost anywhere in the body,
00:17:20.77\00:17:22.96
it can be in the jaw,
it can be in the shoulders.
00:17:22.99\00:17:25.49
Some people, for instance,
think they have heart burn.
00:17:25.52\00:17:27.95
And the heart burn is really
a heart attack and vice versa.
00:17:27.99\00:17:31.17
They say: "Oh,I'm just
having some heart burn."
00:17:31.20\00:17:33.86
And that is a heart attack.
00:17:33.89\00:17:35.71
So there's many different
sensations that you can get
00:17:35.75\00:17:38.27
from a heart attack but you just
really have to pay attention
00:17:38.31\00:17:41.08
to those and say
00:17:41.11\00:17:42.11
"Hey,I'm gonna get
some help right away!"
00:17:42.15\00:17:43.84
My own grandmother died
suddenly of a heart attack.
00:17:43.88\00:17:48.80
Just served the
meal and just sat down
00:17:48.83\00:17:51.13
and her face
fell into her plate.
00:17:51.16\00:17:53.27
But they said that hers
was caused from an upset
00:17:53.31\00:17:57.08
in the electrolytes
balance, that she was on a very
00:17:57.11\00:18:00.85
severe or strict diet.
That her doctor had restricted
00:18:00.88\00:18:05.84
her to like 7 or
800 calories a day.
00:18:05.87\00:18:07.96
So something that drastic
can cause a heart attack, right?
00:18:08.00\00:18:16.01
Yes, it could
contribute to a heart attack
00:18:16.04\00:18:17.97
but the cause, I'm not so sure
because we know lots of things.
00:18:18.01\00:18:22.02
In the vessels, usually it's
blockages that really cause it.
00:18:22.05\00:18:26.03
Things like the plaque
rupturing due to stress,
00:18:26.06\00:18:28.68
electrolyte abnormalities
like she might have had
00:18:28.71\00:18:31.30
which cause a
funny rhythm problem.
00:18:31.33\00:18:33.03
Those are all things
that could have contributed
00:18:33.07\00:18:35.89
to the heart attack all
of the sudden developing.
00:18:35.93\00:18:38.68
What she had happened is
called "sudden death syndrome"?
00:18:38.72\00:18:41.73
Yes, sudden death.
And most sudden deaths
00:18:41.76\00:18:43.55
are from not so
much a heart attack
00:18:43.58\00:18:45.35
but from a rhythm problem.
00:18:45.38\00:18:47.05
The heart rhythm
becomes suddenly abnormal.
00:18:47.09\00:18:49.88
When a heart rhythm becomes
abnormal, all of the sudden
00:18:49.92\00:18:53.35
it doesn't pump effectively so
you get no blood to the brain.
00:18:53.39\00:18:56.42
When no blood goes to the
brain, BOOM! You pass out.
00:18:56.45\00:18:59.88
That's why with people that
pass out we're always concerned
00:18:59.92\00:19:02.12
whether they have a funny heart
beat, which we call arrhythmia.
00:19:02.16\00:19:04.71
Some rhythm problems are
related to blockages while some
00:19:04.74\00:19:08.95
rhythm problems
come from other reasons,
00:19:08.98\00:19:10.81
like electrolyte abnormalities,
people that get dehydrated
00:19:10.84\00:19:13.85
can have these
electrical problems.
00:19:13.88\00:19:15.80
People that have a host of other
things outside the arteries
00:19:15.84\00:19:18.69
can also have this and
that can cause sudden death
00:19:18.72\00:19:21.36
outside of a
myocardial infarction.
00:19:21.39\00:19:23.36
My microvalve prolapse causes
arrhythmia too, doesn't it?
00:19:23.40\00:19:27.89
Yes, but usually that
one's not a dangerous one.
00:19:27.92\00:19:30.52
That's good news.
00:19:30.55\00:19:32.02
Here is a great
question from Lacey in New York.
00:19:32.06\00:19:35.97
And Lacey writes:
00:19:36.00\00:19:37.73
"Is there a test that
predicts a heart attack?"
00:19:37.77\00:19:41.52
Unfortunately there's no test
that predicts a heart attack.
00:19:41.56\00:19:45.54
Lacey, I wish we did have a test
that predicted a heart attack,
00:19:45.58\00:19:49.53
cause if we did, I could say
00:19:49.56\00:19:51.07
you're gonna have one,
you're not gonna have one.
00:19:51.11\00:19:53.62
I could tell people so they can
play in their lives accordingly.
00:19:53.66\00:19:57.16
However, we have some
people that walk on a treadmill,
00:19:57.19\00:20:01.05
they walk 9 or 10
minutes on a treadmill,
00:20:01.08\00:20:02.92
they all feel great, have
no symptoms at all and then
00:20:02.96\00:20:05.94
down the road they might have
one of these plaque ruptures
00:20:05.98\00:20:08.26
and then they
have a heart attack.
00:20:08.29\00:20:09.69
We also have people
that we do angiograms.
00:20:09.73\00:20:11.94
We take pictures of
the arteries of the heart
00:20:11.98\00:20:14.16
and we can
actually see these plaques.
00:20:14.19\00:20:16.09
We can still not
predict which of these plaques
00:20:16.13\00:20:19.41
are gonna rupture
and cause a heart attack.
00:20:19.45\00:20:22.58
That's why we wanna
focus on everything we can
00:20:22.62\00:20:25.72
to lower the risk of
having a heart attack.
00:20:25.75\00:20:27.61
On our next show we're really
gonna focus on ways that we can
00:20:27.65\00:20:31.36
tell people how to lower
the risk to the lowest possible
00:20:31.39\00:20:34.59
risk of having a
myocardial infarction.
00:20:34.62\00:20:36.19
So,Lacey,I think that
was an excellent question.
00:20:36.23\00:20:38.79
Yes. And too bad
that the answer isn't yes.
00:20:38.82\00:20:41.33
Ok,here's a
question that I think will
00:20:41.37\00:20:43.83
really help follow up for Lacey
because this is talking about
00:20:43.87\00:20:48.94
what can we do to change
our chances of having one.
00:20:48.97\00:20:53.57
This comes from
Steve in Saudi Arabia.
00:20:53.60\00:20:56.26
He says: "I live overseas"
00:20:56.29\00:20:57.95
"in Saudi Arabia. I have
had an increase of stress"
00:20:57.99\00:21:01.38
"in my life since
the war in Iraq started."
00:21:01.41\00:21:04.13
"My wife is concerned that this
might cause a heart attack."
00:21:04.17\00:21:08.28
"How can I lower my chance
of having a heart attack?"
00:21:08.31\00:21:11.85
That is an
excellent question, Steve.
00:21:11.88\00:21:14.06
That is a type of
question, Shelley, that makes
00:21:14.10\00:21:17.10
a heart attack doctor
just smile because we know that
00:21:17.14\00:21:20.49
this is a person that
wants to prevent heart attacks.
00:21:20.52\00:21:23.72
We've talked about over
the course of this program
00:21:23.76\00:21:26.93
that 90% of this
disease can be preventable.
00:21:26.96\00:21:29.50
And here we have
Steve in Saudi Arabia
00:21:29.53\00:21:32.78
wanting to lower his risk.
00:21:32.81\00:21:34.46
Unfortunately,
Steve can't come over here
00:21:34.49\00:21:37.22
and talk to me right
now but if Steve was sitting
00:21:37.26\00:21:39.65
right here with me
today like you, I'd say:
00:21:39.68\00:21:41.60
Steve, let's talk about
ways you can lower your risk.
00:21:41.64\00:21:44.38
Cause this is the most
important thing, probably
00:21:44.41\00:21:46.26
some of the most
important health decisions
00:21:46.29\00:21:48.30
he'll make ever in his
life to lower his risk,
00:21:48.34\00:21:50.32
since the prevalence of
this disease is so high.
00:21:50.35\00:21:52.38
The first thing is exercise.
00:21:52.41\00:21:54.41
Exercise helps
in a host of ways.
00:21:54.44\00:21:57.29
We'll talk more about
them in the next program.
00:21:57.33\00:21:59.47
Some of the things that
it does is that it lowers
00:21:59.51\00:22:02.20
the blood pressure, makes
the good cholesterol go up,
00:22:02.24\00:22:04.90
the bad cholesterol goes down,
00:22:04.93\00:22:07.05
it makes hormones
called endorphins which block
00:22:07.09\00:22:11.40
stress hormones
which can sometimes cause
00:22:11.43\00:22:13.91
these plaques to rupture.
00:22:13.94\00:22:15.11
Also exercise lowers
the chance of diabetes
00:22:15.15\00:22:18.17
and a host of other things.
00:22:18.20\00:22:19.89
So exercise! I
really tell people that
00:22:19.93\00:22:22.18
if you don't do anything
else, you have to exercise.
00:22:22.22\00:22:24.45
The second thing that we want
to do is lower blood pressure.
00:22:24.49\00:22:28.17
We know that the
higher the blood pressure,
00:22:28.20\00:22:30.41
the more likely to
have vascular damage.
00:22:30.44\00:22:32.62
And it only makes sense, Shelley
The blood just rushing around
00:22:32.65\00:22:35.42
through you. If
you have a plaque,
00:22:35.45\00:22:36.97
it's gonna
rupture or break open,
00:22:37.00\00:22:38.45
and all this blood
pressure will damage things.
00:22:38.49\00:22:41.12
Sort of like pipes,
sometimes they talk about
00:22:41.16\00:22:43.76
heart attacks it's
glorified plumbing.
00:22:43.79\00:22:45.84
If it's just rushing through,
you can have some damage.
00:22:45.88\00:22:49.56
So pay attention to
your blood pressure.
00:22:49.59\00:22:51.52
A lot of people don't even
know they have blood pressure
00:22:51.56\00:22:53.56
problems because
they never get it checked.
00:22:53.59\00:22:56.12
The third thing that
I wanna focus them to
00:22:56.16\00:22:58.66
is know what
your cholesterol is.
00:22:58.69\00:23:00.49
We talked about
cholesterol being a risk factor.
00:23:00.53\00:23:03.31
We know that the higher
the level of cholesterol
00:23:03.34\00:23:06.09
the greater the
cardiovascular risk.
00:23:06.12\00:23:08.63
And we divide the cholesterol
into bad and good cholesterol.
00:23:08.67\00:23:13.04
The good
cholesterol is called HDL.
00:23:13.07\00:23:15.38
We want that to be out the roof.
00:23:15.41\00:23:17.65
The bad
cholesterol is called the LDL.
00:23:17.69\00:23:20.36
And in just a normal person,
with no health problems at all,
00:23:20.40\00:23:23.51
we want the LDL to
be at least below 160.
00:23:23.54\00:23:26.90
If we have risk
factors, high blood pressure,
00:23:26.94\00:23:30.27
family history,
we want it below 130.
00:23:30.30\00:23:33.55
And if you have a known disease
we want it to be well below 100.
00:23:33.59\00:23:38.37
In fact, there's been some
recent studies done that say
00:23:38.40\00:23:41.10
if we can push the
LDL down low enough,
00:23:41.13\00:23:43.79
we can have disease regression.
00:23:43.82\00:23:46.30
That's disease that once was
in the body, leaves the body.
00:23:46.34\00:23:50.24
So it's actually
reversing the disease.
00:23:50.27\00:23:51.93
Yes, reversing the disease.
00:23:51.96\00:23:52.97
So cholesterol
is very important.
00:23:53.01\00:23:54.49
Also,Steve,if you're
in a high risk group,
00:23:54.53\00:23:57.34
mum and dad had heart
attacks or heart problems
00:23:57.37\00:24:01.04
at a younger age, we
recommend those people
00:24:01.08\00:24:04.74
to take aspirin every day.
00:24:04.77\00:24:06.78
Aspirin every day if
you're in a high risk group.
00:24:06.82\00:24:10.47
That's the 81 milligram,
the little baby aspirin.
00:24:10.51\00:24:14.13
Yes, that's the
minimum that you would need.
00:24:14.16\00:24:15.73
Steve, another thing is smoking.
00:24:15.76\00:24:18.42
You might say "I
don't smoke at all".
00:24:18.46\00:24:20.51
A lot of people don't
realize if you're around smokers
00:24:20.55\00:24:23.36
and if you're in the
military, as you might be
00:24:23.39\00:24:25.76
over in Saudi Arabia,
you can get half the risk
00:24:25.79\00:24:28.13
from being around
second hand smokers.
00:24:28.16\00:24:29.82
So, if someone smokes
two packs a day around you
00:24:29.86\00:24:32.88
you get one pack a day
and the harmful effects.
00:24:32.91\00:24:35.90
A lot of people
don't realize that.
00:24:35.93\00:24:37.64
So stay away from cigarettes!
00:24:37.67\00:24:39.45
And that's why it's been so
important in the last few years
00:24:39.49\00:24:41.95
in America that we quit smoking
00:24:41.98\00:24:43.96
in restaurants,
in public facilities.
00:24:44.00\00:24:45.67
Think about little children
whose parents are smoking
00:24:45.71\00:24:49.10
at home and these
children are trying to develop.
00:24:49.14\00:24:52.50
You said that. I
had no idea second hand
00:24:52.53\00:24:55.74
smoke was that dangerous.
00:24:55.77\00:24:57.48
It's a major
problem, second hand smoke.
00:24:57.52\00:24:59.50
But Steve, there
might be something else
00:24:59.53\00:25:01.48
you might wanna look at.
00:25:01.51\00:25:02.60
The last couple ones I think
are would getting more and more
00:25:02.64\00:25:05.96
information that these help
lower the risk of heart attack.
00:25:05.99\00:25:09.97
One is cutting back on the
stress and anxiety in the life.
00:25:10.01\00:25:13.50
We know that people that
are into high amounts of stress
00:25:13.54\00:25:16.94
have high levels of epinephrine
and these high hormones
00:25:16.97\00:25:20.30
which can cause high blood
pressure and plaques to rupture.
00:25:20.34\00:25:22.87
So look at your life and see
if there's things that you can
00:25:22.90\00:25:25.19
cut back on the stress. I
know if you're in the military
00:25:25.22\00:25:27.86
or if you're in the Saudi Arabia
around a lot of things that
00:25:27.89\00:25:30.50
going on in that
part of the world,
00:25:30.53\00:25:31.65
it's hard to get away from.
00:25:31.68\00:25:33.64
But look at the
stress in your life and see
00:25:33.67\00:25:36.37
what is you can lower that.
00:25:36.40\00:25:37.49
The last thing I
think is very important
00:25:37.53\00:25:39.98
in lowering your risk
is the proper nutrition.
00:25:40.02\00:25:42.65
You have to eat the right foods.
00:25:42.68\00:25:44.56
We know that people that
eat high animal based diets,
00:25:44.60\00:25:48.52
they don't eat a lot of
plants, we know that they have
00:25:48.55\00:25:52.44
a higher risk of
having a heart attack
00:25:52.47\00:25:54.33
than those who don't.
00:25:54.36\00:25:55.46
And part of it is the
cholesterol, the blood pressure
00:25:55.50\00:25:58.64
but also just changes the
insides in a bad type of way.
00:25:58.67\00:26:01.74
So those are some things, Steve
that you can...that's a start.
00:26:01.78\00:26:05.65
There's a couple of
others we didn't mention
00:26:05.68\00:26:07.60
but that would be
a good starting point
00:26:07.63\00:26:09.35
if you can get working on those.
00:26:09.38\00:26:10.62
Yes. And I just wanna say
00:26:10.65\00:26:12.21
to you Steve that if
you are in the military
00:26:12.25\00:26:14.41
and you can't change
your stressful circumstances,
00:26:14.45\00:26:17.14
you can change the way you
react to those circumstances.
00:26:17.18\00:26:20.72
I wanna give you the verse
Isaiah 26 verse 3 that says
00:26:20.76\00:26:24.12
"If you keep your mind
steadfastly fixed on the Lord"
00:26:24.15\00:26:27.48
"He promises to keep
you in perfect piece."
00:26:27.51\00:26:30.81
When I find myself in stressful
circumstances that cannot
00:26:30.85\00:26:34.86
be changed I just try to
put all my focus on the Lord
00:26:34.90\00:26:38.88
and that helps. Amen!
00:26:38.91\00:26:41.02
So you kind of recap for us
what we've learned here today?
00:26:41.06\00:26:45.97
Well, myocardial
infarction is such a huge topic.
00:26:46.00\00:26:50.39
The couple things we just
have to take home with us today,
00:26:50.43\00:26:53.80
that we just must remember if
we don't remember anything else.
00:26:53.84\00:26:57.18
So if you're sitting there
at home, sort of zoning in,
00:26:57.21\00:26:59.54
you went to the
cupboard and got some food
00:26:59.57\00:27:02.03
and you're just now coming back.
00:27:02.06\00:27:03.24
Let me throw up the three things
that I think you just have
00:27:03.28\00:27:06.01
to know no matter what.
00:27:06.04\00:27:07.25
Number 1. The most
common cause of death
00:27:07.29\00:27:11.10
in society now is
myocardial infarction.
00:27:11.14\00:27:14.92
This is a lot bigger
than most people even realize.
00:27:14.95\00:27:18.41
and we talked
earlier about 43% of deaths.
00:27:18.44\00:27:21.11
People that don't make it in
because of the heart attacks.
00:27:21.15\00:27:23.72
So that's the one
you have to realize.
00:27:23.75\00:27:25.23
It's more common
than breast cancer,
00:27:25.26\00:27:26.96
it's more common
than lung disease,
00:27:26.99\00:27:28.74
it's more
common than infections,
00:27:28.77\00:27:30.45
it's more common
than these Ebola viruses,
00:27:30.49\00:27:33.28
it's more common than
having a car accident,
00:27:33.32\00:27:35.74
and yet you just
don't hear enough about it.
00:27:35.77\00:27:38.52
And a lot of this is
some of the societal norms
00:27:38.56\00:27:41.28
that we're going through.
00:27:41.31\00:27:42.38
The second point is that
we cannot ignore the symptoms.
00:27:42.42\00:27:45.05
If you have anything
that you think that might be
00:27:45.08\00:27:47.29
related to your heart, you
have to get in to the doctor
00:27:47.33\00:27:50.01
and get help right away.
00:27:50.04\00:27:51.47
And the last point is
90% of cardiovascular disease
00:27:51.51\00:27:55.20
if dealt with
early could be prevented.
00:27:55.23\00:27:58.01
And getting back
to our opening text.
00:27:58.04\00:28:01.40
Psalm 139é14 says:
"I will praise Him"
00:28:01.43\00:28:04.72
"for I am fearfully
and wonderfully made."
00:28:04.76\00:28:06.62
And what a great chance we have
to have our bodies taken care of
00:28:06.66\00:28:11.93
by Lord and
Savior that loves us.
00:28:11.96\00:28:13.39
Amen!
00:28:13.42\00:28:15.77