Heart failure - Enter the Emperor

Heart failure is a clinical syndrome where the heart fails to pump out enough blood to meet the body’s requirements and in particular when the body’s requirements are heightened. This may then manifest with symptoms of breathlessness, tiredness, and exercise intolerance. Virtually all forms of heart disease if left unchecked will eventually lead to heart failure. So if you have high blood pressure for a prolonged period of time and it remains unchecked, then eventually the patient will develop heart failure. Similarly heart attacks damage the heart and therefore affect the ability of the heart to pump blood put and this leads to heart failure.
Patients with heart failure will not have as good a quality of life as patients without heart failure and in general not live as long as patients with strong hearts.
SGLT-2 inhibitors are anti-diabetic drugs which have only over the past 5-10 years gained prominence because they were shown to reduce the development of heart failure in patients with Diabetes. Subsequently, further studies suggested that they reduced progression and improved prognosis in patients with heart failure (HEFREF) irrespective of whether the patient even had diabetes or not. 2 such agents (Dapagliflozin and Empaglifloxin) are now routinely given to all HEFREF patients as standard therapy because of the prognostic benefits that have been documented. So anyone watching this who has heart failure with a reduced ejection fraction who is not on an SGLT-2 inhibitor then I would very much recommend seeing your doctor and asking why you are not on it.
Given the benefits seen in HEFREF, the next step was to see whether these agents could help patients with HEFPEF and this led to the EMPEROR-Preserved study the results of which were published in the New England Journal of Medicine last year. In this double blind placebo controlled study, the investigators randomly assigned 5988 patients with symptomatic heart failure and patients with ejection fraction of more than 40% to receive wither placebo or an SGLT-2 inhibitor called Empagliflozin at a dose of 10 mg once daily in addition to usual therapy and they wanted to study whether there was a reduction in hospitalisations for heart failure or death to cardiovascular causes.
Over a median period of 26.2 months, an outcome vent occurred in 415 of 2997 patients on Empa and 511 of 2991 patients on placebo. 13.8 percent of the Empa population had to be hospitalised or died due to cardiovascular causes in comparison with 17.1% in patients on placebo. The NNT was 31. Much of the benefit was driven by reduced hospitalisations rather than mortality but even reduced hospitalisations is benefit very much worth considering.
The study was published in NEJM on the 14th October 2021 and the lead author is prof Stefan Anker.
So the main points that I wanted to make are:
1. The diagnosis of heart failure is a clinical diagnosis. ECHO can tell you if you have a significantly reduced ejection fraction but even if your EF is preserved, you can still have heart failure
2. SGLT-2 inhibitors are an exceptionally interesting new class of agent which may help in terms of improving prognosis in patients with heart failure regardless of ejection fraction.

Пікірлер: 268

  • @NunalSaPaa
    @NunalSaPaa Жыл бұрын

    Dr. Gupta, I'm now well and have gotten back to cycling because I followed your advice of increased salt intake for Long COVID. I was bedridden for almost 9 months and I really felt I was close to dying. You gave me my life back. You gave my children their mother back. Thank you so much.

  • @vandanakerur9318

    @vandanakerur9318

    Жыл бұрын

    @Nunal Sa Paa, can you please explain what is Long COVID? I have not heard of it. How did increased salt intake help? Why were you bedridden for 9 months? Sorry for asking such personal questions, I totally understand if you don't want to answer. But your comment makes me want to know more, and hopefully your answer will help those who are maybe having the same health issues. Thank you.

  • @jameskantor0459

    @jameskantor0459

    Жыл бұрын

    @@vandanakerur9318 Long Covid , long term infliction of COVID 19 that does not get better even after months.

  • @MarkKislich

    @MarkKislich

    Жыл бұрын

    Increased salt intake? Could you elaborate?

  • @vandanakerur9318

    @vandanakerur9318

    Жыл бұрын

    @@jameskantor0459 Thank you

  • @MiteshDamania

    @MiteshDamania

    Жыл бұрын

    Take the spike protein neutralizer from the wellness company. Long covid is due to spike protein presence

  • @dennisfrank1756
    @dennisfrank17563 ай бұрын

    Excellent presentation and presenter. My first cardiologist diagnosed ischemia and unstable angina. Started medications but got progressively weaker. Saw a second cardiologist. He diagnosed heart failure. Lungs were filled with fluid and EF 17%. I never knew there was such disparity in cardiologist quality.

  • @K.R.O1875
    @K.R.O1875 Жыл бұрын

    I went to my doctor with leg swelling, dizziness, a ridiculous amount of palpitations/ectopic beats and they told me it's anxiety. They pressed on my legs and saw the indentations it left and said and did nothing, except blame desk sitting. These are the same doctors who told my girlfriend her bloating was caused by "too much bread", the "too much bread" turned out to be too much tumour which caused her to have a haemorrhage that almost killed her. But I can't change doctors. So, I'm sat here watching your videos wishing I had a doctor this competent and caring.

  • @evaandrianos7805

    @evaandrianos7805

    Жыл бұрын

    I’m in sane situation as you! 😢

  • @K.R.O1875

    @K.R.O1875

    Жыл бұрын

    ​@@evaandrianos7805 I nagged doctors continuously. Must've seen 10 in the last year. Saw 3 more since I posted my original comment and I've since finally found a cause for my symptoms. - I have *very* low testosterone which turns out can cause all of the symptoms I have. It's very abnormal for my age, so I have to see a specialist to determine the cause of the low testosterone, get a diagnosis and begin treatment. If your doctors have told you your symptoms are caused by anxiety and you disagree, be firm with them and insist they test you for everything. It took me 5 years to finally get them to check my hormones and thyroid function.

  • @bettyausten9533

    @bettyausten9533

    Жыл бұрын

    How are you now ?

  • @K.R.O1875

    @K.R.O1875

    Жыл бұрын

    @@bettyausten9533 I'm waiting to start hormone replacement therapy. Should be very soon. All symptoms remain. But they're not as concerning now I know the cause.

  • @theredfaceofficial

    @theredfaceofficial

    Жыл бұрын

    Same here. Both my lower legs (front shins) have swelling for past 2 months with pitting when pressed. My ankles and feet don’t have pitting. I was sitting around a lot in January and February, with no physical exercise. Been to the doctors a couple of times but they keep sending me away.

  • @suecondon1685
    @suecondon16857 ай бұрын

    I've been suffering with breathlessness, fatigue, A fib, swelling of legs and stomach for years. I had rheumatic fever as a child, was diagnosed with mild atrial stenosis and mild mitral valve regurgitation over 20 years ago. I've seen a cardiologist for echo's every few years but they always said I was symptomless despite being so puffed out i now have to keep stopping in the street to get my breath. My quality of life is awful. I was just hospitalised over night with a bad episode of A Fib and the echo showed severe tricuspid regurgitation, and my heart is not contracting fully. I'm terrified and so upset that they ignored me for so long. My ejection fraction is 50% which they say is okay but it doesn't feel like it. I'm 65 and very scared. I have a cardiology appointment this week so will see what they say. Thank you so much for your wonderful videos.

  • @kathryngannon485
    @kathryngannon485 Жыл бұрын

    Dr Gupta I have watched many of your videos from years ago and I am quite astonished that you haven't changed at all. You obviously are a great example to us all. Thank you for your work.

  • @gingerslush6301
    @gingerslush6301 Жыл бұрын

    I love this doctor cardiologist.❤ He gives soothing information, light of hope to the hopeless.❤

  • @michellewelch6013
    @michellewelch6013 Жыл бұрын

    So interesting, I’m determined to speak with my cardiologist intelligently rather than being brushed off as unable to comprehend what’s happening to my own body. Thank you!

  • @anibabikian
    @anibabikian Жыл бұрын

    I have been a Pediatric ICU nurse in the US all my life and most of the info is not new to me, BUT, love watching you as as I learn to make it easier for me to explain things to family and friends in words they understand . ( I have them follow you but some need me to interpret). Thank you

  • @onerider808

    @onerider808

    Жыл бұрын

    Thanks for what you do, Ani. My ex has been an ICU (high level) nurse for years. What a tough job. I hope you are caring for yourself and get some pampering now and then. Caregivers often give so much of themselves, but ignore their own care, or are so busy caring they forget/don’t have time to perform that critical self-care.

  • @anibabikian

    @anibabikian

    Жыл бұрын

    @@onerider808 I am not proud to say I never took care of myself… I exercised to cope but pampering? No! Just retired but I miss work tremendously! Thank you for the advice!

  • @Sun_Flower1
    @Sun_Flower1 Жыл бұрын

    Finding your channel has been a godsend. You provide the information and reassurance that my cardiologist is too busy to address. Thank you so much for taking the time to make these videos.

  • @rover790

    @rover790

    Жыл бұрын

    I agree, a very big heartfelt thank you Doctor.

  • @andrewhawkins8616

    @andrewhawkins8616

    Жыл бұрын

    More likely too insensitive and greedy. Cardiologists tend to make stupid amounts of money, which they can't do if you're not sick.

  • @graemelindsay7328
    @graemelindsay7328 Жыл бұрын

    This video is very interesting Dr Sanjay and is serendipitous. I've been hospitalised 3 times in the past 8 weeks with unstable angina since having a stent placement 12 weeks ago. Each time I have been prescribed an increased dosage of nitrate. I'm not eligible for further stenosis as I have diffuse disease (calcification and >50% blockage) of LAD, D1, LCx and RCA. The ED doctor mentioned two nights ago that SGLT-2 drugs, particularly Dapagliflozin may benefit me. While SGLT-2 drugs are currently unfunded in NZ I will bring this information forward to me cardiologist, who I am seeing in 3 weeks. Serendipitous, yes, seriously worth investigating for me, yes! Thanks for sharing and caring Sanjay.

  • @pamelamorley6145
    @pamelamorley6145 Жыл бұрын

    Very interesting. I will be asking about the SGL 2 inhibitors. Thank you for all the time that you spend educating us all. Please don’t leave….we rely on you so much to keep us all posted! Happy Christmas to you and yours.

  • @franceshemery5095
    @franceshemery5095 Жыл бұрын

    Thank you fir more up to date info.wishing you a good wknd also.it really is helpful to see through the obvious confusions and opinions.thank you.

  • @im1dc
    @im1dc Жыл бұрын

    I so look forward to Dr Gupta's Tutorials, they are routinely superbly done and highly informative as well as helpful.

  • @kenbad8271
    @kenbad8271 Жыл бұрын

    Hello I have just come across your video on Slow heart rate or Bradycardia that you made 5 years ago and just wanted to say thank you very much for posting that video as I have a slow heart rate of 50 when I am sleeping or just relaxing and when I went for my sleep apnea test the specialist said she was concerned about it but did not suggest I do anything about it not even talk to my primary care doctor but now I am relieved to hear it's not a problem as long as I am not experiencing fainting or dizziness which I don't so thank you for this information I have just subscribed to your channel please keep the videos coming they are vital and necessary.

  • @ja6368
    @ja6368 Жыл бұрын

    Thank you for giving your time and such valuable information.

  • @DRMICHELLEROSALIEELAUNO
    @DRMICHELLEROSALIEELAUNO Жыл бұрын

    Thank you Dr. Gupta.. upload more videos...continue to be a blessing to many especially to patients. May GOD bless you always.

  • @saratkumar2484
    @saratkumar2484 Жыл бұрын

    Dr.Gupta, you have explained beautifully, even a layman can understand the topic. Thank You

  • @chrisb1682
    @chrisb1682 Жыл бұрын

    Thank you Dr Gupta and the best cardiology department! 🌿💕

  • @jacobgnanapragasam929
    @jacobgnanapragasam929 Жыл бұрын

    Dr. Thank you for this video on such an important topic.

  • @triciawilliamson2081
    @triciawilliamson2081 Жыл бұрын

    Thank you so much Dr. Gupta for your clear and detailed explanations.

  • @BruceNewhouse
    @BruceNewhouse Жыл бұрын

    Excellent video even among your standard excellent videos. Very informative, interesting and even exciting. Thank you.

  • @chanelv5373
    @chanelv5373 Жыл бұрын

    Wow, this video just popped up in my feed today and today I was diagnosed with heart failure with an EF of 58% per recent echo. So timely for me. Thank you 😊

  • @wilternbackstage

    @wilternbackstage

    11 ай бұрын

    58% EF is a good number…

  • @DilanDilray123

    @DilanDilray123

    19 күн бұрын

    Not bad number

  • @hedgehoghogtel1694
    @hedgehoghogtel1694 Жыл бұрын

    Thank you for your videos, they're very helpful. My father was diagnosed with ischaemic heart failure in his early 70s a few years ago (no signs at all until he had a 'faint' and was investigated with various tests). However, he had high cholesterol and hypertension in his 40s, going on to have TIAs and strokes in his 50s, as well as having silent heart attacks somewhere in his life (leading to severe scarring of his left ventricle). To my knowledge, no echo was ever performed until his recent HF diagnosis. My sister in her early 30s was diagnosed with hypertension, and on a recent echo at the age of 40, she has a reduced ejection fraction for her age and hypokinesia of the septal wall. I too developed an atrial tachycardia in my early twenties (ongoing), and have mitral annular disjunction on a recent echo and grade 1 diastolic dysfunction of left ventricle). My question is, how can one differentiate between heart disease/failure that are familial/genetic and those that are purely ischaemic (especially in situations like my father where he was a late diagnosis)?

  • @jeffreybaier5312

    @jeffreybaier5312

    Жыл бұрын

    You can sent up a zoom appointment with him. Just contact York Cardiology, I don't know the cost.

  • @hedgehoghogtel1694

    @hedgehoghogtel1694

    Жыл бұрын

    @@jeffreybaier5312 Thank you.

  • @JMJ3339
    @JMJ3339 Жыл бұрын

    Thank you Dr. Gupta! Your videos are very educational and useful!

  • @omargdottin
    @omargdottin Жыл бұрын

    Great content; We appreciate your efforts of education and information 👍

  • @jamesblevins7115
    @jamesblevins7115 Жыл бұрын

    Thank you Sanjay always a pleasure hearing your lectures

  • @jeangriggs201
    @jeangriggs201 Жыл бұрын

    Thank you so much for your good information and hard work.

  • @BarbaraEllis-si2rs
    @BarbaraEllis-si2rs6 ай бұрын

    Thank you Dr Gupta for your info on heart failure. It is good to be informed of new develpments.Happy Christmas to you.

  • @dr.sundar5013
    @dr.sundar5013 Жыл бұрын

    An extremely informative video !! Are there ways to increase EF without medications ? I mean by certain exercises or lifestyle modifications ?

  • @vickielewis3848
    @vickielewis3848 Жыл бұрын

    Highly informative and thought provoking. Thank you for these ongoing videos. Subscribed and listening. Greetings👋 from Sunnyvale California USA .👱‍♀️🐈🐈🐈‍⬛💕💜🇺🇲

  • @ranjanarawat8285
    @ranjanarawat8285 Жыл бұрын

    You explain so well.Really informative.

  • @sdjohnston67
    @sdjohnston67 Жыл бұрын

    "Failure" seems like an inappropriate term. In ordinary experience, if a dynamic mechanical thing fails, it doesn't work anymore at all. (E.g. a failed bridge doesn't still partially work). Why is this called "failure" when in fact it actually indicates reduced function below a certain level? The psychological effect on a person who is told their heart has "failed" can itself be very damaging and badly impact their activity compared to what they should be doing for the best possible outcome. So often, it seems to me, medical conditions are misnomered, inducing a degree of catastrophising in people. (The term becomes a self-fulfilling prophecy). The psychological impact of what things are called and how they are medically described is taken too lightly by many medical professionals. Just making a general observation, not saying you are doing this, Dr. Gupta. [I love your channel and you have been very helpful to me.] An older member of my family hangs on every utterance of her GP and the slightest remark can make a significant long term impact on her entire mental perspective of her own status and capabilities. (And this can be, at times, disproportionately negative compared to the true reality of the situation, because of how a term is perceived. )

  • @meaganreilly5819

    @meaganreilly5819

    Жыл бұрын

    Thank you so much for this comment. My father (65 non smoker/drinker- obese builder- pre diabetic And hasn’t been in hospital since he was a teenager) has just been through the most traumatic 2 months of his life. We were under the assumption that he was just having a stent and then it progressed to a quadruple bypass. Thankfully he made it through but was discharged too early and he had a lot of breathing problems/ coughing up phlegm and swelling. After multiple calls to the hospital to see if this was normal, we took him to his GP to get the stitches out and a general consult. The GP took a look at my dad while he was out of breath and flippantly said “I think you have heart failure.” And moved on to the stitches. We lost our damn minds, I’ve never been through something so traumatic in my life and it has brought on panic attacks I haven’t had in years. My father is doing as well now as he can be at home but we will never be the same. To all Doctors…..THINK BEFORE YOU SPEAK!!!!!

  • @sarita3337

    @sarita3337

    Жыл бұрын

    I agree. It’s a term that causes people to give up.

  • @darwinhughey3861

    @darwinhughey3861

    5 ай бұрын

    Yes!

  • @christinelaker
    @christinelaker Жыл бұрын

    discovered you just day in 2022. So much wonderful information for the lay-person. Really love your videos. Yorkshire girl now in Australia.

  • @taneiap4962
    @taneiap4962 Жыл бұрын

    🥰🥰😍Dr. Gupta I love your videos you are just wonderful, thank you so much for your very helpful information to those of us who have heart related medical issues. Your videos always seem to calm me down when I have health anxiety🙏🙏🙏

  • @susanforbes6129
    @susanforbes61294 ай бұрын

    Thank you for video 🙏💜

  • @richt6353
    @richt6353 Жыл бұрын

    Thank You for this Info!!

  • @nodice8312
    @nodice8312 Жыл бұрын

    ❤always informative ...thank you for doing good

  • @lisanielsenviolin6475
    @lisanielsenviolin6475 Жыл бұрын

    Thank you for the information. I am trying to learn as much as I can to help my husband and his doctors.

  • @bignorthernbear
    @bignorthernbear Жыл бұрын

    Thanks for this !

  • @lisacaroline76
    @lisacaroline76 Жыл бұрын

    Love your videos!

  • @OregonCrow
    @OregonCrow Жыл бұрын

    I love your videos Dr Sanjay Gupta! I first came across your channel when looking around KZread about Afib, which I've been having some out of control episodes the last few months. Hearing your advice on Vitamin C and trying it out, I have been episode free for almost a week now. So yea, THANK YOU! Quick question for you Dr Sanjay Gupta. What does a heart specialist do for his own heart after knowing so much information? Wondering if you have a video or can make one up about what a specialist does to take care of his own heart. When not taking care of others? Thank you Thank you Thank you! Cheers Take Care -Nick

  • @kimberlyarjune6854
    @kimberlyarjune6854 Жыл бұрын

    good morning sir I love watching your videos thank you for your time I'm watching from guyana

  • @erikdog2430
    @erikdog2430 Жыл бұрын

    Will watch later...sounds spectacular...Emporer??.. saw that on Tony!...I agree

  • @steveone9375
    @steveone9375 Жыл бұрын

    thanks again for a very informative talk

  • @bill6872
    @bill6872 Жыл бұрын

    Thanks Doctor! I wish you were my cardiologist.

  • @sapphiresoul9547
    @sapphiresoul9547 Жыл бұрын

    Thank you for your time. Could you please do a video on Entresto. Partner is triple heart bypass of 24 years ago. Hospitalised after Covid vaccine and reduced EF to 20-25%. Came out in Ramipril and transferred to Entresto, hailed as a miracle support and possibility of increasing EF. No such result has been paired with Dapagliflozin again no improvement. His tiredness is becoming more. His consultant has said that as his EF has not improved in this time it is unlikely to. I am also researching CoQ10 but it’s taking time as my degree isn’t in Medicine. But would be great to hear more in the Entresto please.

  • @toni4729
    @toni4729 Жыл бұрын

    Very interesting. Thank you very much.

  • @JimWeaverFeb11
    @JimWeaverFeb11 Жыл бұрын

    Thank you so much.

  • @sharonhill349
    @sharonhill349 Жыл бұрын

    Thank you so much for your videos Dr Gupta 🙏 I would be interested to hear your views on Franks crease, a crease on the earlobe that could indicate heart disease, there is not much info about but apparently it’s a very good indicator for heart attack , many thanks and God bless you for all you do 🙏

  • @mollylindell6009
    @mollylindell6009 Жыл бұрын

    Thank you!

  • @buster9106
    @buster9106 Жыл бұрын

    Thank you so much for this information! I'm in heart failure with reduced ejection fraction and I feel so bad for those people who haven't got a proper diagnosis because they have preserved ejection fraction. Heart failure is already a terrible thing to have to live with, but not even getting a proper diagnosis and treatment is horrible. I always thought the echocardiogram was the definitive diagnosis. But I think there is an overreliance on technology in a number of diagnostic tools. So now finally these people can start to get some help. I personally stopped the traditional cocktail of beta blockers, ace inhibitors, and diuretics because of the side effects. My biventricular pacemaker seems to be the only thing that has elevated my injection fraction from 20 to 45. But now I can have a different conversation with my cardiologist to see if these drugs for people with preserved ejection fraction might work for me.

  • @thefuzzfactor2989

    @thefuzzfactor2989

    Жыл бұрын

    I hope you get good news re the posdible help of this drug. I've only very recently been prescribed it (haven't begun yet). I hope this is good news for us all.

  • @paulawagstaff686

    @paulawagstaff686

    Жыл бұрын

    Thank you for your information. I had a pacemaker/defibrillator 8mths ago. EF 20 - 25% LV. I didn't know the EF could be increased, I just assumed it slowly deteriated. I am amazed you went off your drugs, didn't even know that was possible. I am currently gathering info on K2 MK7/D3, & Hawthorne, to take with my drugs, plus I just stopped stations to replace with Berberine, oats/ceylon cinnamon. Not sure if I just go with staying in my drugs, or if Hawthorne would do any harm, or ease off the dose to replace with Hawthorn. I am monitored on small machine at home, seem to be OK.

  • @Jacobs_Travail

    @Jacobs_Travail

    10 ай бұрын

    Can you lay flat? Do you get symptoms when you do?

  • @buster9106

    @buster9106

    10 ай бұрын

    @@Jacobs_Travail I can lie flat and I don't get more symptoms.

  • @krishisonar8931
    @krishisonar8931 Жыл бұрын

    Love uuu sir big fan I am also an heart patients and i have a leaky heart valve and now i am 19 I love to see your video

  • @kathyh857
    @kathyh857 Жыл бұрын

    Amazing video such good news!

  • @nickywilks7928
    @nickywilks7928 Жыл бұрын

    Thank you Dr Gupta. My dad has hf and this really helped.

  • @kitwilton2938
    @kitwilton2938 Жыл бұрын

    Dr Gupta, love your videos! I wonder my ejection fraction has improved from 20% to 33% in 6 months taking jardience and entresto. My question is odd. Can I go into a pool to “ splash about” or will that put added stress on my heart at this stage. I’d love your input as I’d love to be able to holiday and go into water.

  • @ranjanarawat8285
    @ranjanarawat8285 Жыл бұрын

    Dr Gupta , I have been watching your videos regularly they are very informative.Could you do a video on Hypertrophic Obstructive Cardio Myopathy and the research and treatment for it. Thank you .

  • @gaylecheung3087
    @gaylecheung3087 Жыл бұрын

    Yesterday I felt like I was going to die, I was carrying my groceries home, knew I shouldn’t have. Carrying 10ish lbs on my left shoulder my 2, 15ish per bags of chicken, 3 flights of stairs and singing opera home… took me 20 minutes to cool down and catch my wind, yes chest kind of hurt, angina… should I call ambulance, no… finally I cooled down… had to make a dinner… burping like an idiot… I had my heart attack back in 2019, 70% blockage RCA stent… thank you for sharing ♥️🇨🇦🌏🎄

  • @SoapinTrucker
    @SoapinTrucker4 ай бұрын

    Thanks doctor! 👍

  • @saundragray1945
    @saundragray1945 Жыл бұрын

    Thank you Dr. Gupta.

  • @dodgycat476
    @dodgycat4769 ай бұрын

    Hello Dr Gupta, I have been diagnosed with severe AS with preserved ejection fraction, no history of heart issues, a murmur was detected randomly during a hospital visit for rheumatology. Now being told valve surgery is the only option. Listening to your session has been very helpful as I understand some of what is happening with my heart function, so thank you.

  • @dhandaisaminath3403
    @dhandaisaminath3403 Жыл бұрын

    Thank God fir you sir. Dr. Hope ur dad is back to perfect health.

  • @andriesstofberg8434
    @andriesstofberg8434 Жыл бұрын

    Extremely informative and well explained. Thankyou so much. Great weekend for you too.!!

  • @davidg2573
    @davidg2573 Жыл бұрын

    Dr. Gupta i really enjoy watching your videos. I want to know are ectopics an hour or two after exercise dangerous?

  • @paulfasse8032
    @paulfasse8032 Жыл бұрын

    Dr. Gupta you are a very kind gifted gentleman sharing vital information in a way we can all understand. Thank you sir and may God be with us all. ❤️

  • @christinelaker
    @christinelaker Жыл бұрын

    My husband has just had an aortic valve replacement. He also needs to have dental work. Can you do a video on the implications of dental work on patients with artificial heart valves.

  • @sandy1234853
    @sandy1234853 Жыл бұрын

    hello DR Gupta would you be willing to make a video on brugada syndrom? it would be extremely helpful

  • @freekfaro5606
    @freekfaro5606 Жыл бұрын

    Dr Gupta I'd appreciate your advice, even if it is from a distance. I am 70 years old, 1.82, 80 kgs, normal blood pressure. I was diagnosed with LVH during a regular check up for insurance purposes. I have a background in bicycle racing from 1980 to 1995. I had VO2max from 60 to 75. Rest heart rate in the early 80s 40 to 45. For the last couple of years i feel chest pains when exercising, 9 months ago the LVH was pointed out to me during that check up. A simple question, what to do? I'm a bit worried. Thanks in advance, and Happy New Year.

  • @brooksrogers1975
    @brooksrogers1975 Жыл бұрын

    Will be interesting to see if 102 ¾ year old mother will be a candidate with 60-65% EF, no periph edema, no fluid in lungs heard. Concerned about UTI and fungi though. UTI for her is debilitating. Was listening to you a long while back b/f Mom's diagnosis last spring. Very grateful that your many insightful and clear explanations helped us both understand the diagnosis and treatment.

  • @soilsurvivor
    @soilsurvivor4 ай бұрын

    Another excellent video. I do have a qustion. In your discussion of patient outcomes in the Emperor study, you said the placebo group had a 17% hospitalization (or death) rate compared with 13% for the medicated group. That's a difference of 4%, which would infer 1 out of 25 patients given the drug would benefit. Yet, you said 1 out of 31. How did you (or the study?) arrive at that number?

  • @angela1981
    @angela1981 Жыл бұрын

    Hi do you have any videos on Pre-eclampsia? I searched and couldn't find any by you

  • @sigibomba
    @sigibomba Жыл бұрын

    Thank you Dr. Gupta. can you please make a video about Mural Thrombus for people who has heart flier after heart attack, is it a risky situation?

  • @mballer
    @mballer Жыл бұрын

    Have you done any video on methylene blue? So many things I wish I had known a decade before. Do you cook or have any recipes for healthy hearts? What about exercise routines? Have any suggestions for a daily routine? Should everyone buy a dog to have an excuse to keep the dog healthy by taking it for a walk? Are there any worthwhile wrist band heart rate monitor blood pressure calculators?

  • @ronbonora7872
    @ronbonora78729 ай бұрын

    can you please do a video on Frank's Sign (diagonal earlobe crease) is this actually a marker for future heart attacks.

  • @weldon7828
    @weldon7828 Жыл бұрын

    Great video, very informative. But could you address those of us who have a low EF but no hospitalization, no swelling, and able to walk 2 or more miles without being out of breath. I’ve been taking medication for seven years but reduced over the past year.

  • @LemonLimes99

    @LemonLimes99

    8 ай бұрын

    it just means you are well compensated. how are you doing now?

  • @joycewilcox2549
    @joycewilcox2549 Жыл бұрын

    I use carb restriction and fasting to manage my T2D so I would be concerned about hypoglycemia with an SGLT2 inhibitor. Has this been studied?

  • @DF-ju4cw
    @DF-ju4cw Жыл бұрын

    In which of the shows are the injections discussed? Thank you ❤

  • @nellycastillo633
    @nellycastillo633 Жыл бұрын

    Good evening. How I rely on your video re dizziness, low blood pressure 113/69?, I'm turning 61 yrs. old. It's good to hear your explanations and recommendations. Take care ❤

  • @motomono
    @motomono Жыл бұрын

    Hello. Thank you for great videos. I have a question- what is your opinion about creatine monohydrate and afíb? Everybody around say taking it can be beneficial for the heart. What do you think about it?

  • @moisesibrahim4078
    @moisesibrahim4078 Жыл бұрын

    May the Lord bless you , I've been watching you since pandemic & I got covid last 2021,

  • @dianelipson5420
    @dianelipson5420 Жыл бұрын

    Is there any way to bring back the condition of the heart with exercise if the ejection fraction is preserved?

  • @joprincevi2702
    @joprincevi2702 Жыл бұрын

    Good day good doctor, i just want to ask that is it ok to do cardio exercise if have PVCS?

  • @x7SiNz--
    @x7SiNz-- Жыл бұрын

    I've been to the A&E twice and have had my bloods, lungs, checked with Xray and ECG. My blood pressure was high, but I think it was me being anxious amd the ECG showed an ectopic heart beat. I had an incident recently while exercising (standing band fly). I felt an odd feeling not much pain very low, took a deep breath out, at the end of the breath I had a crushing sharp stab pain across chest and lungs. It didn't go away but if I had some air in my lungs the pain wasn't there. I woke up the next day fine but noticed I was getting a bit more tired walking. Now I feel a little lightheaded/dizzy throughout the day when moving around as well as palpitations, It's really affecting my work and what I do day to day. My weight is fine, I eat healthy, and I used to prior to this event work out 3 or 4 times a week. They said lungs, heart were fine nothing was concerning. Just don't understand why I feel like this.

  • @Thefroggang101
    @Thefroggang101 Жыл бұрын

    What do you recommend for someone that suspects they have viral myocarditis, but their cardiologist won't order a cardiac mri

  • @jankorthorst89
    @jankorthorst89 Жыл бұрын

    I have a question thats off topic. Ca you with a ct scan and/or an echo of the heart see scar tissue in the heart?

  • @lowhombre
    @lowhombre Жыл бұрын

    Hello Dr. What do you think of red wine consumption (in moderation) and how it affects the heart and body?

  • @shaardarasul790
    @shaardarasul790 Жыл бұрын

    Can you please do a video explaining what a left anterior fasicular block of the heart is. The doctors in my country just say its nothing to worry about but I do have circulation issues and my right ankle is now swollen

  • @machomalli
    @machomalli10 ай бұрын

    Dear Dr. Gupta, I've had heart attack six months ago and my Left Ventricular ejection fraction (LVEF )reduced from 60%( normal) to 45%. I'm wondering can I restore my ejection fraction back to normal (60%) by life style changes such as diet and exercise without taking medicines. Awaiting your reply.

  • @sandrasubeeksingh7792
    @sandrasubeeksingh7792 Жыл бұрын

    Season greetings you are a God send Dr

  • @grooviechickie
    @grooviechickie10 ай бұрын

    I have a question: What do you advise for wild type cardiac amyloidosis? ❤ Thank you.

  • @wendydee3007
    @wendydee3007 Жыл бұрын

    Would this medication be prescribed for someone like me with permanent fast AFib and heart failure? Thank you.

  • @garymallin1920
    @garymallin1920 Жыл бұрын

    Hello from Australia!

  • @janaemitzner3483
    @janaemitzner3483 Жыл бұрын

    Dr Gupta, can you tell me if taking Magnesium Glycinate at bedtime is ok while on beta blockers? I'm worried of lowering my hr/BP too much but I'm struggling to sleep.

  • @gogogardener
    @gogogardener Жыл бұрын

    I just saw one of your videos under Ethical Nutrition. It was about magnesium. Thought you'd like to know.

  • @tabascocat5102
    @tabascocat5102 Жыл бұрын

    Is diastole/relaxation passive? Or does that require energy too?

  • @shantishanti1949
    @shantishanti1949 Жыл бұрын

    Where does a zero CAC SCAN come in Dr verses a reduced ejection fraction ?? If you have a zero CAC does it mean that you won’t have a reduced ejection or must you be tested for that specifically aside from the heart calcium scan/atherosclerosis???

  • @newbeginnings6747
    @newbeginnings6747 Жыл бұрын

    Mom has severe stenosis aortic. She is 97. She can’t take blood thinners because she had an ICH left side. Her heart is still strong. No signs of heart failure yet. Would a TAVR procedure help? Any suggestions. God bless you.

  • @sparkys2711
    @sparkys2711 Жыл бұрын

    Thank you Dr Gupta for all you do🙏 Question: I live with a lot of pain. My blood pressure is up and down constantly. Can you tell me, can pain cause high blood pressure? Also, I have too many side effects to take meds and wonder if I really need?Thank you very much❤

  • @mballer

    @mballer

    Жыл бұрын

    Pain can do that but nobody knows about your pain. Even just thinking about things can raise blood pressure. What kind of pain do you have?

  • @christylovetimmy5429
    @christylovetimmy5429 Жыл бұрын

    Dr Gupta,,I've had every test diagnosed w pvcs,2 days ago admitted for ablation,taken to operating room ,got in there tried to force pvcs,couldn't says I don't have pvcs,I have afib left side.im so confused on what to do next.where to turn..any help would be thankful

  • @dilwich
    @dilwich Жыл бұрын

    I was diagnosed with heart failure,DCM and AF after i had two strokes . . . .that was 13 years ago and still waiting for symptoms when i walk 5 miles a day and cycle 1 hour a day.

  • @susibul5320
    @susibul5320 Жыл бұрын

    So would magnesium glycinate relax the heart enough to improve the ejection rate?