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Инфаркт миокарда: что это такое?

4:46

Дефибриллятор: зачем он нужен?

5:32

Сердечная недостаточность

6:16

Инфаркт миокарда: симптомы

13:53

Факторы риска сердечно-сосудистых катастроф

21:15

Инфаркт миокарда: причины

22:05

«Синдром разбитого сердца»

23:23

Как понять, что это инфаркт?

25:25

Профилактики инфаркта миокарда

32:40

Первая помощь при инфаркте

34:06

Инфаркт миокарда лечение

37:14

Ответы на вопросы

Ямочки на щёчках ( В память о Юре Шатунове ) Премьера 2022

Ямочки на щёчках ( В память о Юре Шатунове ) Премьера 2022

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Про ИНОПЛАНЕТЯН. Последний Боевой Маг Империи Андрей ШАЛЫГИН

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Channel: MARINA MALINI 8

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Channel: Исцеляйся сам!

Школа здоровья Михаила СОВЕТОВА ВЫПУСК 56

Школа здоровья Михаила СОВЕТОВА ВЫПУСК 56

Channel: Школа Здоровья Михаила СОВЕТОВА

инфаркт миокарда

инсульт

скорая помощь

внезапная смерть

доктор Утин

Smartcheckup

кардиочекап

диспансеризация

доказательная медицина

остановка сердца

боли в сердце

профилактика

Алексей Утин

Утин

Кардиопоэт

Кардиолог

Смартчекап

SmartCheckUp

здоровый образ жизни

Обширный инфаркт миокарда

юра шатунов

юрий шатунов

смерть

Доказательная медицина

Медицина

Здоровье

ЗОЖ

Доктор

обширный инфаркт миокарда шансы выжить

острый инфаркт миокарда

инфаркт миокарда лечение

инфаркт

доктор_утин

смартчекап

doctor_utin

кардиопоэт

инфарктмиокарда

инфарктсердца

дожитдоальцгеймера

00:00:05

flies

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are like

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friends hello write how you can see me

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can be heard

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write there in the comments today

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we will talk to you about

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myocardial infarction

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my name is Putin Alexey Cordial

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cardiovascular surgeon co-founder of the

00:00:44

boys project if anyone doesn’t know well and the

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author and host of the channel to the doctor then

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today we with you we will analyze the topic of

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myocardial infarction, we will analyze it, we

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will try to disassemble it and it is as simple as possible

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and

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so what is myocardial infarction,

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myocardial infarction, by definition, is a

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life-threatening condition

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associated with the fact that the artery that

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supplies blood to a piece of the heart muscle

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stops supplying the wing or the croup does not

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supply enough and a piece of the heart

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muscle the heart begins to die, the

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main mechanism

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that is connected with this is like this, that

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is, in the heart it

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exists

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so now for a second

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no,

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in general, the mechanism is connected with the fact that

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in the heart

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in the coronary artery in the arteries that

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supply blood to the heart there

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already exists from a coloring

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plaque this plaque lived there for years and

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decades, and at some

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point this plaque ruptures and the liquid

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contents of the plaque

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pour into the lumen of the artery and

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activate the process of thrombus formation

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on the surface of the ruptured plaque, as you

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can see, that is, the plaque ruptures

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inside the plaque, it is important to accept this

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catastrophic plaque, probably if you are

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already watching me you know that a plaque is a

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pimple in the lumen of a vessel, this pimple

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has a shell and there is a liquid

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content inside that is so terrible, up to 3 tons,

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consists of cholesterol,

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low-density lipoproteins, usually oxidized

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and dead immune cells, that is, when

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in the process of our life as Christians,

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oxidized listerine penetrates the artery wall

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arouses interest in our

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immune cells,

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macrophages begin to devour this

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cholesterol, and at some point

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the mechanism that tells it to stop

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eating is removed from them, they overeat with this cholesterol and

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die, and then such a cemetery of

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dead macrophages appears, cholesterol crystals float around them,

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so if the plaque

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is opened and liquid the contents

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are poured out into the lumen of the vessel, then the

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mechanism of blood clotting is started on the

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surface of the ruptured plaque, these

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substances that are caused by

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blood clotting, they are evolutionary in principle, we

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need this substance that

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we would need if, for example, someone bites us,

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then these substances from the tissue interact

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with the blood and

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stop external bleeding this

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war tissue on top of the tube plates is such a

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substance in a major case with a heart attack, this

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mechanism is a protective mechanism

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to play such a bad joke on us and

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what happens when a

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myocardial infarction occurs, a

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piece of the heart begins to die, the heart is a

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pump and the heart begins to perform

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its own function worse there is

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several outcomes one of the options is

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death before from myocardial infarction,

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up to 30 percent of people died now in

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developed countries due to the development

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with the development of medicine, mortality from

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myocardial infarction is somewhere on the order of

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ten percent every tenth

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person dies immediately, as a rule, dies from

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rhythm disturbances from the so-called

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ventricular fibrillation

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is no coincidence that in many developed countries in

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public places there are devices

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such as defibrillators at the moment when

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our myocardium experiences a

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lack of blood supply, it becomes

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susceptible to such influences as the fact

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that it can break, this is the

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rhythm of atrial fibrillation and if

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not the use of fibrillation a person

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dies within 10 minutes, or if you don’t

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provide him with

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cardiopulmonary resuscitation benefits, don’t

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pump blood to his brain and his heart

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and don’t wait for the ambulance to arrive,

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which has the

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same damn thing, this is the

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first cause of ventricular fibrillation, the

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second thing that can happen the

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oncoming muscle dies,

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heart failure occurs, first acute

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heart failure

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and then chronic heart

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failure, the heart is not capable of

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pumping blood and the meeting does not hear and

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perform its pumping function, first of all, the

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blood is what the heart does not

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pump, it stagnates in the lungs,

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blood plasma floods our lungs a

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person develops a more pronounced

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shortness of breath

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against the background against the background then this is what

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myocardial infarction is

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what are the symptoms of myocardial infarction

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symptoms signs of myocardial infarction this is pressing

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squeezing thickening current pain

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here behind the sternum the pain is

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very it is very characteristic it is

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here and people I’m directly showing that there is

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such a sign as Lewin’s symptom when a

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person shows pain in the chest, it’s

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not by chance that I chose this

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picture to show what

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pain is during a myocardial infarction

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because the

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picture determines exactly the type of

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people to which they are susceptible, this is still

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a man over 40 years old who

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may have bad habits, may have

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bad heredity, high

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blood pressure, high

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cholesterol, he is circling, he has high

00:07:08

blood sugar, it is

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important when determining symptoms during

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diagnosis, it is important to understand the

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probability of the test how

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much pain in the chest there will be a

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myocardial infarction, that is, it’s one

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thing if a 19-year-old girl has bad

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habits that only really eat

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nails while watching some kind of

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garage films,

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this is 1 1 probability each that in a 19-

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year-old girl, but she is unlikely to have a card,

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as if she has a strong one, this is how she

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will tell it, it pierces there in the

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left half, under the left breast, to the

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other side, even the most

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non-indicative symptoms that

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occur with a man over 40 years old

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who smokes stress in working with

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excess weight with high blood pressure

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cholesterol and with bad heredity we

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will always be alarmed about

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myocardial infarction, which means we have already talked with you

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that this is pain, here a

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person will show it, but

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usually in the center of the chest because

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many believe that the heart is

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on the left, the heart is in the center and

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that’s why it hurts, she lived in the center, it’s a

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pressing, living, current pain in the center of the

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chest, it’s not very typical for her, it’s not very

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typical for her to have a piercing

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kit like that, and it’s not very typical

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to shoot through the cheeks, it’s understandable that they press, it’s pressing, it’s

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baking, it’s quite intense pain or something

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as if boiling water was poured or as if

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someone was talking as if a baby elephant sat on the

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chest, this feeling of pressure on the

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chest occurs, a characteristic characteristic

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sign occurs again when a person

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shows like this,

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squeezes, squeezes his fingers, it means this is pain, it

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can radiate,

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it can radiate to the shoulder in one

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shoulder into the other shoulder the right left shoulder is

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not necessarily to the left and to the right

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side it can also be poured into the teeth that often arrive

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in the jaw,

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more often there are pains in the epigastrium, that is,

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here in the upper half of the abdomen

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there are pains, for example, Voisin Hauer and

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when he had heart attack in the city, all the

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doctors thought that he had me for this and

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to treat the ulcer, but it turned out that it was

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such a pain during a myocardial infarction,

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here I will now show you the most

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typical

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typical localizations of pain,

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all these are the signs, that is, in the first

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case, our typical pain retrosternal

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living in heaps giving in the second case

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this is a pain that in the center of the chest

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is behind the sternum but it radiates

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in the neck to the jaw in another case in the center of the

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chest and radiates to the pandas in the right shoulder and

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in the other case it is pain in the

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epigastric region, that is, at the top the

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abdomen can imitate a

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stomach ulcer here is a soccer ball

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which in the center gives both the

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stomach and in the USA gives and maybe in the

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inner surface of the inner

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surface of the arms causes discomfort

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they ache in the arms large classic yes

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sometimes it just hurts from pain pain through

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the forehead some complain the fact that the

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tooth hurts, the

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shoulder sometimes hurts between the shoulder blade, such a

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tearing pain and between the shoulder blades, these are

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the symptoms, what other symptoms

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additionally leave us to suspect

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myocardial infarction,

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this is

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profuse, that is, a very strong

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person sweats,

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this is

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nausea,

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nausea, vomiting and

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such complaints as

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optical complaints

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chest pain sudden shortness of breath sudden

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palpitations may be an episode of loss of

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consciousness it is interesting

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that in women

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the symptoms of myocardial infarction are slightly different and up to 30

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percent of women do not experience such

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characteristic chest pain, while

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their symptoms range from dizziness to

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large pain in the jaw, like pain

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in the hands, sometimes indigestion disorders occur, sometimes there is

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insomnia, but for women there are

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some specific symptoms

00:11:48

that we can talk about;

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women, which is very typical for

00:12:06

older people, that is, for people over

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75 years of age, it is very often without

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pain when the cash register perpetual

00:12:13

muscle dies of which a person does not have

00:12:16

pronounced complaints, or there are either

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none at all, or they are not very

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pronounced in people with diabetes

00:12:25

mellitus

00:12:26

apparently long-term diabetes

00:12:29

mellitus leads to the fact that in the heart,

00:12:31

due to neuropathy due to almost 10 0,

00:12:36

all the nerve endings in the goat die and

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pain occurs

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without being your fans to say that he

00:12:43

actually has diabetes mellitus, this is a

00:12:46

very

00:12:47

very serious risk factor the development of

00:12:50

cardiovascular diseases

00:12:52

because I have a high level of glucose in

00:12:55

the blood almost and maybe also maybe

00:12:58

even more strongly affects

00:13:00

human blood vessels, like smoking this kind and

00:13:04

glucose is toxic, it waits for the vessels

00:13:06

much faster, the process of

00:13:08

ator roses occurs and

00:13:10

smaller arteries are affected and

00:13:13

Ultimately, the mortality rate among people with

00:13:16

diabetes is 4 times higher

00:13:18

than in the general population, so the first thing

00:13:20

people need to do when they have been

00:13:23

diagnosed with diabetes is to take care of

00:13:25

their vascular risks, that is, to

00:13:28

lower

00:13:31

cholesterol levels, lower

00:13:33

blood pressure levels, and lead a healthy

00:13:35

lifestyle. life as much as possible because the

00:13:37

diagnosis of diabetes in itself is already

00:13:39

quite a serious problem, but

00:13:42

let’s talk further,

00:13:45

it means we’ve talked about the fact that the

00:13:48

symptoms are different in women, let’s

00:13:51

look at the risk factors, as I already

00:13:53

started saying,

00:13:54

diabetes is one of the main risk factors

00:13:58

hour beings disease heart attack here

00:14:01

overwhelmingly writes about cases this will hit

00:14:03

36 percent of all people

00:14:07

who develop myocardial infarction

00:14:10

who develop chemical pain

00:14:12

the heart is

00:14:13

connected scientists associate this with smoking

00:14:17

smoking the main risk factor is the

00:14:19

products of burning cigarettes they get from the

00:14:24

lungs immediately teach the herb into the bloodstream

00:14:26

these are active molecules that chemically

00:14:29

injure the artery wall and

00:14:32

because of these damage to the artery wall,

00:14:35

high cholesterol

00:14:37

or maybe not high, maybe

00:14:39

average, maybe even low

00:14:40

cholesterol, it begins to penetrate faster

00:14:43

into the artery wall and is

00:14:44

deposited there in the form of a plaque, that is,

00:14:46

the plaque forms much faster, I must

00:14:49

say that an atherosclerotic

00:14:50

plaque begins to form at a

00:14:52

young age, in all of us,

00:14:55

this cholesterol is gradually deposited in the

00:14:57

walls of the arteries, another thing is that our

00:15:00

body tries to fence off these

00:15:01

plaques from where to

00:15:04

protect them with the help of a fibrous capsule,

00:15:08

and in people with no risk factors these

00:15:11

processes some people with a

00:15:13

risk factor occur, these processes occur

00:15:15

earlier and the

00:15:17

fibrous capsule of the plaque itself is thin,

00:15:20

it can rupture and, in general,

00:15:22

cause

00:15:24

6 causes of myocardial infarction. Smoking

00:15:27

constantly maintains such inflammation

00:15:29

and makes this plaque unstable in

00:15:31

terms of times the more active the inflammation

00:15:34

in the artery walls. the more likely it is

00:15:36

that

00:15:37

the plaque will rupture. Well, high

00:15:39

blood pressure, on the one

00:15:41

hand, mechanically injures the

00:15:43

artery wall, although a change in the artery wall is

00:15:46

much different,

00:15:48

smoking causes local deposits of

00:15:51

cholesterol plaques in the artery wall,

00:15:54

but high pressure causes a general

00:15:56

thickening of the arteries, but in general, these

00:15:59

two factors contribute to the rapid

00:16:02

formation of practical plaques in a

00:16:05

person who is overweight, also

00:16:08

overweight, what is the mechanism here, not

00:16:11

overweight leads to the fact that

00:16:15

especially visceral obesity is such a

00:16:18

hormone-producing tumor that

00:16:20

releases a large number of cytokines

00:16:22

molecules which

00:16:25

are such molecules you already know after

00:16:28

the epidemic to see what attacks are these are

00:16:29

the molecules with the help of which cells

00:16:31

communicate with each other, and here are

00:16:32

the construction articles on they just

00:16:34

damage the cells with the arteries and

00:16:38

also accelerate the process of development of ator

00:16:41

growth that living cells emit on the

00:16:44

ear all these inflammatory molecules we

00:16:46

will fly to them 6 and so on tumor necrosis factor

00:16:48

familial history of about 27

00:16:52

genes

00:16:54

associated with the development of myocardial infarction

00:16:57

those are different, well, that is, a lot can be

00:17:01

said that we all have one way or

00:17:02

another king associated with a high

00:17:06

risk of myocardial infarction they

00:17:08

are present in

00:17:10

general family history what it is

00:17:13

we must always remember what

00:17:16

if a person in the family

00:17:20

had a

00:17:22

heart attack and stroke and sudden cardiac

00:17:25

death? What is sudden cardiac

00:17:27

death from when a Russian

00:17:28

took a rock and died?

00:17:37

and in the female

00:17:41

line, up to

00:17:43

65 years of age, it doesn’t matter what other factors there are,

00:17:46

hard life, smoking, and so on, there is

00:17:48

such heredity, then it is

00:17:50

imperative, of course, at a fairly

00:17:53

young age to understand your

00:17:54

risk factors, see what’s wrong with your

00:17:56

cholesterol, what’s with your blood

00:17:58

pressure what about other factors such

00:18:00

as the clip about you this is a small thing in inflammation

00:18:03

well and in general in general go go

00:18:07

check the condition of your body

00:18:10

how we evaluate we

00:18:14

evaluate that is to say vascular risks before

00:18:17

this there was such a score table

00:18:20

the table soon it showed

00:18:24

showed us only four

00:18:26

parameters that the difference in

00:18:28

life expectancy between people and the

00:18:30

probability of dying from a heart attack and

00:18:32

stroke can be a

00:18:35

25-year-old widow with

00:18:38

what is it if you

00:18:40

look here here is the same

00:18:43

probability of dying from a heart attack and

00:18:45

stroke in a

00:18:48

40-year-old person with high cholesterol levels with

00:18:51

high level of blood pressure and a

00:18:55

smoking man, here he is, the probability

00:18:58

of dying at 40 is the same ten-year

00:19:01

probability as a 65-year-old man

00:19:04

who has low cholesterol,

00:19:07

normal blood pressure and

00:19:09

who does not smoke, see there are only

00:19:12

4 indicators,

00:19:15

such a big difference in

00:19:16

life expectancy

00:19:18

we are always for risk stratification,

00:19:22

use this table

00:19:24

to determine what the 10-year 10-year

00:19:27

probability that a person will

00:19:30

have a heart attack or stroke

00:19:32

and fatal forts appeared

00:19:36

last year

00:19:38

table appeared soon 2 this is Sergei’s table

00:19:42

with regional flavor it turned out that

00:19:45

there are countries with high you take the risk of a

00:19:48

heart attack and countries with a low risk

00:19:52

of heart attacks and strokes from strawberries countries,

00:19:55

respectively, countries with a low risk little

00:19:57

red countries this is strange with a

00:19:59

high risk of myocardial infarction and very

00:20:02

high here is our country the country turned out to be a

00:20:04

country with a very high risk of dying

00:20:07

from a myocardial infarction this is what it looks like

00:20:10

cardiovascular risks

00:20:13

depending on

00:20:15

gender and age and weight

00:20:17

will return depending on the level of

00:20:20

cholesterol blood pressure gender

00:20:23

and the smoking column this is in European

00:20:26

countries such as Norway and this is

00:20:29

what the situation looks like in Russia here

00:20:33

show it here age indicators

00:20:37

present cholesterol level level

00:20:39

blood pressure and

00:20:42

smoking status, it turns out that if a

00:20:44

man who smokes after 40 years is already in the

00:20:46

red zone, that is, it turns out that

00:20:48

he is already generally

00:20:50

in a high-risk zone, and we

00:20:53

say that for 40 years a man who smokes in

00:20:55

our country is generally removed with a guarantee and

00:20:58

of course we need to check his state

00:21:00

of health

00:21:03

for the reasons started I talked about the

00:21:06

main cause of myocardial infarction is a

00:21:09

rupture from 1 classic plaque in the

00:21:12

coronary artery pawn ruptures the

00:21:15

blood coagulates on the plaque for

00:21:16

will prevent a piece of the heart muscle begins to die

00:21:19

but there are more rare

00:21:21

reasons that we should talk about

00:21:23

this for example

00:21:27

you reasons are connected with spasm of the coronary

00:21:30

arteries, for the great, this is typical for

00:21:33

myocardial infarction in young people

00:21:36

who have not yet had time to form

00:21:38

plaques in their vessels, but at the same time they may be fiddling

00:21:40

with the groove, it is typical for young people

00:21:43

who abuse certain

00:21:44

narcotic substances feasting on what kind of

00:21:47

myocardial infarction are you all trying to check under 40 years old

00:21:50

in America there is another story about the

00:21:53

abuse of this narcotic

00:21:55

substance when a

00:21:58

coronary artery can form,

00:22:00

this is the so-called syndrome, a rather

00:22:03

interesting syndrome, so hence the

00:22:07

broken heart syndrome when a

00:22:10

person is very worried and 80

00:22:13

percent of the people with whom it happens

00:22:15

as in whom the syndrome causes such a syndrome

00:22:18

would be the people

00:22:21

you are in a very very

00:22:25

strong way, they experienced some kind of

00:22:27

grief, loss, mostly 80 percent are

00:22:30

women; they experience a spasm of the arteries

00:22:33

giving red blood to the heart and the heart stops

00:22:37

performing its own function,

00:22:38

while part of the myocardium does not die; it

00:22:41

is in hibernation, that is, it as if they are

00:22:44

sleeping and the card does not fulfill

00:22:47

its function, but it does not die completely,

00:22:49

so this is a potential reversible

00:22:51

condition, why is it called

00:22:54

Takayasu syndrome, hence this octopus trap

00:22:56

and here is the shape of the heart

00:23:00

and on the ultrasound it is very similar to this trick

00:23:03

for the media new ones that I will show here,

00:23:05

show and

00:23:07

when when he sees such a shape of the heart to

00:23:11

say that it is a rather rare

00:23:13

condition, although now it is being diagnosed more and more often,

00:23:18

let’s talk to you about how to make a

00:23:22

diagnosis of myocardial infarction in general, we

00:23:25

we started talking,

00:23:27

this very characteristic

00:23:30

idea arose cold sticky sweat a person from a

00:23:33

person with risk factors

00:23:35

assessed before the test you have a

00:23:38

high probability of myocardial infarction the

00:23:41

first thing you need to do is of course

00:23:43

call an ambulance the ambulance

00:23:44

arrives takes a cardiogram if you

00:23:47

heard my previous lecture then you

00:23:50

know what is the general way to predict

00:23:54

some vascular event and kg a

00:23:57

regular cardiogram in general is not a very

00:24:00

good method because two hours before a heart

00:24:02

attack,

00:24:04

when a person is perfectly fine,

00:24:07

you can take a completely

00:24:08

normal cardiogram, it’s a completely different

00:24:10

matter when a

00:24:11

person is at the peak of the pain

00:24:14

syndrome when he dies of a

00:24:16

myocardial infarction during pain when we take a

00:24:18

cardiogram, then in general this is one of the

00:24:21

most reliable and basic methods of

00:24:23

diagnosing myocardial infarction; there are

00:24:25

situations when a heart

00:24:26

attack is not visible, it is on the cardiogram,

00:24:29

but most often if there is very severe pain in the

00:24:31

chest and changes appear on the cardiogram,

00:24:34

plus we do

00:24:38

some more biochemical tests

00:24:40

in our heart there are enzymes and when the

00:24:44

heart muscle is destroyed, these

00:24:45

enzymes enter the blood of Petrovich

00:24:47

troponin, we focus on it if

00:24:51

we settle that it can be destroyed, the level of

00:24:52

troponin in the blood increases, you can

00:24:54

do a test for

00:24:57

3 and creatine kinase m in the fraction, it also

00:25:01

increases increases in blood and in this

00:25:04

case, you should immediately

00:25:08

start doing something about this, we

00:25:10

will talk a little bit later,

00:25:13

which means that with regard to prevention

00:25:18

during myocardial infarction surgery, we have a

00:25:21

fairly standard prevention, this prevention is

00:25:23

primarily related

00:25:25

to the fact that

00:25:30

we give up smoking,

00:25:33

I understand that giving up smoking is

00:25:35

easier to say than to do with,

00:25:38

however, we know that neither nicotine itself

00:25:41

is a problem, the problems are

00:25:43

combustion products because the task and

00:25:45

tasks in general are not to give up nicotine,

00:25:48

but the tasks are first of all to give up

00:25:51

combustion products, so for adult

00:25:54

smokers we can propose an

00:25:55

alternative program from the point of view of the

00:25:57

concept of harm reduction, we can

00:25:59

offer him, for example, to switch to

00:26:02

nicotine replacement therapy,

00:26:04

patches and chewing gum, I will reinforce chewing gum in

00:26:07

some cases, inhalers with nicotine and

00:26:10

or maybe even now we are talking about

00:26:14

[music]

00:26:16

consider the use of electronic

00:26:18

cigarettes with negative as such a

00:26:22

temporary transitional measure in order to

00:26:24

completely quit smoking

00:26:26

if a person has high

00:26:28

cholesterol levels if a person has plaques

00:26:31

in the arteries then of course we should

00:26:33

lower cholesterol levels with the help of

00:26:36

drugs such as statins the point of

00:26:40

using the article is

00:26:43

primarily that they

00:26:46

stabilize this liquid and drop

00:26:48

that we were

00:26:49

talking about, that is, they essentially dry out the

00:26:52

pimple, dry out the atherosclerotic

00:26:55

plaque, reduce the likelihood of something

00:26:56

rupturing and retracting, we’re not just

00:26:59

reducing it, we’re reducing the level of cholesterol in

00:27:01

the blood, but we’re doing this, these are

00:27:03

the stories, well reduce blood pressure

00:27:05

pressure should be less than 130 to

00:27:08

80 regular physical activity

00:27:10

I recently missed a video in which I

00:27:13

talked in detail about the level of

00:27:14

physical activity and physical

00:27:17

activity should be somewhere around 150

00:27:19

more than 150 minutes a week of moderate

00:27:23

physical activity, that is, physical

00:27:25

activity with which we experience

00:27:29

mild shortness of breath or

00:27:34

75 minutes a week of

00:27:36

high-intensity exercise when we

00:27:38

experience severe severe

00:27:40

shortness of breath every day we need to walk for

00:27:42

at least an hour

00:27:44

try not to use the elevator in general

00:27:49

integrates chemical activity into our

00:27:52

daily life in every possible way what is moderate

00:27:54

physical activity? This is

00:27:56

fast walking, cross-country skiing,

00:27:59

cardio equipment,

00:28:02

swimming,

00:28:05

some dancing classes, boxing, and so

00:28:09

on,

00:28:10

as for the

00:28:12

prophylactic dose of aspirin,

00:28:15

large studies have been carried out

00:28:18

that have shown that just

00:28:20

taking aspirin for prophylaxis may

00:28:22

not be a good idea. because

00:28:25

the number of myocardial infarctions prevented is

00:28:28

aspirin, I will remind you of this and that

00:28:30

on the one hand it affects the

00:28:34

process of formation of the

00:28:36

process of formation of blood clots in kings

00:28:39

because it blocks the reception

00:28:41

receptors but on platelets but on the other

00:28:44

hand aspirin is one of the most

00:28:46

toxic drugs regardless

00:28:48

of the form its use volumes in all sorts of

00:28:51

shells evening than we do not mix it

00:28:54

anyway aspiring waits for the

00:28:56

stomach wall because it blocks the synthesis of

00:28:59

protective mucus in the stomach and for taking

00:29:02

aspirin this protective mucus and it is not

00:29:05

produced does not protect the stomach and so

00:29:06

hydrochloric acid begins to actually form the

00:29:09

walls of the stomach wall corrode and

00:29:12

because of this they can get ulcers and

00:29:15

ulcerative bleeding, so you always

00:29:17

need to

00:29:20

compare the field with the benefit of the risk from this

00:29:23

intervention just like that for any

00:29:26

person who was previously

00:29:27

recommended after 40 years everyone should

00:29:29

take aspirin no now there is no such

00:29:31

recommendation such a recommendation

00:29:34

is used after a if what

00:29:37

happened to the check is no longer a myocardial infarction,

00:29:39

then maybe it makes sense to take

00:29:40

this, or rather, then it definitely makes sense to

00:29:42

take aspirin for secondary

00:29:45

prevention, and for primary

00:29:46

prevention only in rare cases

00:29:48

when we detect plaques of more than

00:29:51

50 percent when we teach juices to the risk of a

00:29:53

person, then we we can set an hour to

00:29:56

hand over the one under the protection of drugs

00:29:59

[music]

00:30:01

proton pump inhibitors well, in general, we

00:30:04

need to check what and make sure

00:30:07

that he will not have problems in the

00:30:08

gastrointestinal tract

00:30:10

control

00:30:12

control weight

00:30:15

use a diet even like what kind of diets

00:30:17

what about nutrition in all the recommendations

00:30:21

say that we should

00:30:24

eat right, it should be a diet

00:30:26

from a male-type raid, here

00:30:28

they are done with you, they talked about how we

00:30:30

should be

00:30:33

what nutrition should be in order to

00:30:39

prevent

00:30:41

cardiovascular diseases, we should

00:30:43

limit the amount of salt to 3 three five

00:30:46

grams replace saturated fats are

00:30:50

polyunsaturated fats, that is,

00:30:52

what saturated fats are, these are solid fats

00:30:54

that are solid at room

00:30:55

temperature,

00:30:56

this is palm oil, olive oil,

00:31:03

know this.

00:31:04

Lord, saturated fats are butter,

00:31:08

coconut oil, fat, palm

00:31:11

oil, so you should replace it with olive

00:31:14

oil and other liquid varieties, that is,

00:31:19

how can you observe as

00:31:21

much fiber as possible here because fiber

00:31:25

reduces the absorption of cholesterol, it

00:31:27

will be removed from the body, although here are

00:31:30

recommendations to directly limit

00:31:32

consumption Christ don’t count how much you

00:31:35

ate, Christina, ate with food in general,

00:31:38

the fact is that cholesterol is

00:31:40

a molecule that is produced in our

00:31:42

body, and even if you lead a

00:31:45

herbivorous lifestyle, it

00:31:47

will still be formed from your broccoli and avocados,

00:31:51

so there is such a strict

00:31:54

limitation to count the amount eggs

00:31:56

that have been eaten in a week may

00:31:58

not be necessary at all, but you probably saw in the

00:32:01

previous video what a chic Canadian plate looks like,

00:32:04

there are recommendations for the purpose of grains,

00:32:08

cereals and legumes, it

00:32:11

is recommended to eat 20-30 grams of nuts per

00:32:15

day, eat fish at least 2 times a week

00:32:18

and

00:32:19

limit the consumption of red meat is

00:32:21

especially limited and

00:32:23

processed meats red meat should be

00:32:24

limited to

00:32:26

350,500 IU grams per week, that is,

00:32:32

these are

00:32:33

these restrictions, which means as for

00:32:38

first aid what usually happens

00:32:42

myocardial infarction occurs in the first

00:32:44

half of the day 6 a.m. to 12 there is

00:32:47

even this dangerous time

00:32:51

when a person experiences this

00:32:53

characteristically and pain the first thing you should

00:32:54

do if you suspect a

00:32:56

myocardial infarction you should call an ambulance

00:33:00

because the more the 3 brials and the ambulance the

00:33:03

larger piece of heart muscle we

00:33:06

will save that when it arrives soon it will

00:33:09

take you to the

00:33:10

operation or something will do to the arteries

00:33:13

in place so that we can cope with

00:33:16

this situation, so the first thing we

00:33:18

suspect is to immediately call an ambulance, then

00:33:20

sit down in a comfortable position,

00:33:23

bend your legs,

00:33:25

open the window there, help

00:33:28

unbutton his shirt to improve the

00:33:31

access of oxygen, give it an

00:33:34

aspirin tablet or 300

00:33:36

milligrams of aspirin, chew it if not, it is recommended

00:33:40

any contraindications such as allergies

00:33:42

and

00:33:43

help the person take his medications

00:33:46

and if he is taking them and if he is

00:33:49

taking nitroglycerin, drink

00:33:52

not 3 facial medications such as

00:33:54

nitrates

00:33:55

they can reduce symptoms although they do not

00:33:58

affect life expectancy

00:34:02

so treatment what kind of treatment

00:34:06

if earlier you tried to treat

00:34:09

myocardial infarction with the help of

00:34:12

lying on a bed, drag now a person

00:34:16

with a myocardial infarction must be taken to the

00:34:18

hospital in he must get as

00:34:21

quickly as possible into the X-ray to the operating room, they

00:34:26

make a puncture through the femoral artery or through the radial artery, they will pass

00:34:30

this guide as they guide his heart a contrast

00:34:33

agent and specially in such a device,

00:34:36

renting an x-ray from the height will illuminate his

00:34:39

arteries and they will see the area and narrowing as

00:34:42

soon as the area of narrowing comes out or they teach

00:34:44

how to generally just block a blocked

00:34:46

artery, then they will guide an

00:34:49

armored car through the conductor which, with a

00:34:52

balloon at the end of which, will inflate this

00:34:54

artery will restore the blood flow and then

00:34:57

put another stand so that the artery does

00:35:00

not sleep further and the stand is such a spring with

00:35:03

shape memory that opens and

00:35:05

keeps the artery in an open state,

00:35:07

after that for six months or

00:35:11

a year the person takes double antiplatelet

00:35:13

therapy aspirin, another antiplatelet

00:35:17

drug he takes for giving birth to blood

00:35:21

Don statins are not

00:35:24

necessarily a story, but there are also a number of

00:35:25

medications such as where the

00:35:28

hips are about them in some cases, with

00:35:30

contraindications sartans, they also

00:35:32

reduce

00:35:34

reduce

00:35:35

[music]

00:35:37

improves the prognosis of a person then in the

00:35:41

addition of

00:35:42

beta blockers, although in appearance in the first

00:35:45

stages beta blockers there may be a slight

00:35:47

taste of the state of speech insufficiency, but in

00:35:50

any case they should be prescribed; the fact is

00:35:51

that in the future they have a better prognosis and

00:35:53

maybe after myocardial infarction in the

00:35:58

near future it will be necessary to add more

00:36:00

drugs like spironolactone,

00:36:03

but I briefly

00:36:06

described this condition, let me

00:36:09

answer yours now questions and maybe I’ll

00:36:17

explain it more clearly so and so

00:36:55

why, I’m

00:36:58

reading yours, I’m reading your

00:37:01

questions, but so far and I do

00:37:03

n’t see it yet, let’s give

00:37:06

them again now, give them to me again

00:37:12

Maxim asks if it’s possible to somehow

00:37:15

find out what a person had

00:37:17

myocardial infarction, for example, a year ago, but indirectly

00:37:22

the cardiogram on the cardiogram can tell about this,

00:37:25

there is such a qum wave,

00:37:27

you can look at it, but sometimes these

00:37:29

q waves are in such a position, it is better

00:37:32

to do an ultrasound of the heart,

00:37:34

there it can be seen more accurately, that is, an

00:37:37

ultrasound examination of the heart in

00:37:39

some cases, and others

00:37:42

studies need to be connected when it was not

00:37:44

entirely clear whether there was a myocardial infarction

00:37:46

or not, but if there was a large

00:37:49

myocardial infarction, if there was a large scar on the

00:37:51

heart, then this can be seen on an ultrasound and this can be seen

00:37:53

on the ejection fraction to get out because the

00:37:56

outcome of a myocardial infarction

00:37:58

leads to the fact that the heart is like the pump

00:38:02

does not work quite correctly and this

00:38:05

muscle cone has a zone that does not

00:38:08

contract, something is there, the muscle tissue

00:38:10

is engaged in scar tissue, it is

00:38:12

not capable of contracting, this is usually

00:38:16

visible on an ultrasound

00:38:26

about the sinus arrhythmia, Sergei Shapovalov was sleeping, asks

00:38:31

Sentsova and arrhythmia,

00:38:34

let's be so right about arrhythmias we will make a

00:38:37

separate video, it is important to understand that

00:38:40

the term arrhythmia is a term that is

00:38:44

devoid of any meaning when we

00:38:46

say it’s just that I have an arrhythmia, there are

00:38:49

different types of arrhythmias, there are completely

00:38:51

safe types of arrhythmias, apparently the Ministry of Defense,

00:38:53

which we call variants of the norm, these are

00:38:56

exactly the same

00:38:58

sinus arrhythmia there is an outline of sinus

00:39:00

arrhythmia, he is healthy, this is not a diagnosis, this is a

00:39:03

variant of the norm and there are other types of rules,

00:39:06

not for example, becoming an arrhythmia in which in

00:39:08

some cases you need to go into

00:39:10

intensive care,

00:39:13

so

00:39:15

reluctant, can it be determined, it would be important to determine a

00:39:18

possible heart attack,

00:39:22

halter

00:39:25

is not a way to specifically

00:39:27

determine ischemic changes there

00:39:30

can be indirectly, but look if the

00:39:32

filling is to hang a halter and give him

00:39:34

physical activity, you see a chemical

00:39:36

change, it’s better to do a stress

00:39:38

test, in fact, first of all,

00:39:40

you need to treat a person when testing I

00:39:43

probability, that is, look at the level of

00:39:45

cholesterol pressure in the blood

00:39:47

his age his gender his heredity

00:39:50

and

00:39:53

look at the vessels of the neck on an

00:39:55

ultrasound, if there are plaques there, then

00:39:58

he definitely already has a

00:40:01

predisposition to myocardial infarction,

00:40:06

let’s say so no, probably for a farm

00:40:10

there is no such specificity, you must

00:40:11

definitely talk to a cardiologist and

00:40:13

assess the complex’s state of health,

00:40:15

which means Anatoly Kelsky doctor, my mother

00:40:17

had a heart attack in the night from Monday

00:40:19

to Tuesday a week passed,

00:40:23

which means

00:40:25

they only got to the hospital on Thursday

00:40:28

evening, the gear was confused and a stent was installed,

00:40:32

but Natalie, of course, a lot of time passed,

00:40:36

first of a heart attack,

00:40:39

this stand won’t help much, that

00:40:43

is, well, that is, it will probably help

00:40:45

in some cases but

00:40:50

it’s better to put it up as early as possible, of course,

00:40:52

this is this stand and there are

00:40:56

golden two hours in which you need to

00:40:57

try to catch up from the beginning more

00:41:06

so

00:41:18

if every day there are two or three

00:41:21

sandwiches with butter, it’s very

00:41:22

harmful, it’s

00:41:25

difficult to determine, it all depends on

00:41:27

how much it is will affect your

00:41:31

weight these sandwiches

00:41:34

are hard to say

00:41:46

sometimes the heart is fluttering like that I would

00:41:48

describe it as fibrillation but maybe it’s

00:41:50

arrhythmias of course of course that same Sergey

00:41:54

the heart is fluttering there are different

00:41:57

reasons for fluttering in the heart sometimes if

00:42:01

the heart seems to freeze in the throat where

00:42:03

once it can be the so-called

00:42:06

extrasystoles extrasystoles are another

00:42:10

type of non-dangerous heart

00:42:13

rhythm disturbances that very often

00:42:15

trigger a panic attack in people but in

00:42:17

fact they do not affect there rare

00:42:19

extrasystoles up to 200 extrasystoles per day

00:42:23

do not affect the prognosis that is, a person is not

00:42:26

dishonest will not happen however we are these

00:42:30

extrasystoles we feel quite

00:42:32

strongly this may be such a

00:42:35

reason to see a doctor,

00:42:36

but

00:42:38

can one carefully notice heart attacks

00:42:41

to live for several E100 I don’t know that he

00:42:42

had a heart attack Arthur asks yes of course of

00:42:45

course it can especially up as I

00:42:47

said it concerns older people for

00:42:49

whom this can happen myocardial infarction

00:42:51

can be asymptomatic people with

00:42:53

diabetes mellitus people who have

00:42:56

had a heart transplant they don’t have

00:42:59

this combat innervation left

00:43:02

but in general, of course,

00:43:05

many people

00:43:08

speculate regarding

00:43:10

their

00:43:14

rate and myocardial infarction, it needs to be

00:43:18

confirmed, of course now I’ll open it

00:43:22

wider

00:43:41

Larisa asks

00:43:45

so they are now just a second

00:43:54

height 170 weight 96 body of a weightlifter the risk is the

00:43:59

same as that of an ordinary fat man but you need to

00:44:02

look at the ratio to percentage

00:44:10

percentage of fat in the body,

00:44:12

what’s another simple way to assess speech

00:44:15

vascular risks in such a situation

00:44:18

when there is a lot of very much muscle you can

00:44:20

look at the waist size, here in men

00:44:23

the volume is further, anything

00:44:25

more than one hundred and two centimeters is associated with

00:44:28

increased cardiovascular risks

00:44:32

Anatoly Kievsky, now in the hospital there are

00:44:34

two vessels left with stenosis and the doctor

00:44:37

talks about the number of affected vessels,

00:44:39

but they

00:44:41

said that they will give a referral from the

00:44:42

federal center, this is normal

00:44:44

practice. as a rule, as a rule,

00:44:46

if during

00:44:49

during an emergency hospitalization the

00:44:51

entire comfort then becomes a heart attack

00:44:53

associated with the artery that was completely

00:44:57

closed all everything that they see will not become

00:45:00

for a reason but for various reasons I

00:45:03

will say so and the most important thing here and in

00:45:06

nature is It’s already a lifestyle, let what

00:45:10

happened, there’s probably nothing that can be

00:45:14

changed, but the main task is

00:45:16

to turn recurrent myocardial infarctions,

00:45:18

so a change in lifestyle into

00:45:21

feasting must happen,

00:45:23

drink all medications, don’t

00:45:26

skip any medications, first of all, these are

00:45:29

antiplatelet agents, this dual

00:45:30

antiplatelet therapy, primarily

00:45:33

statins, which for stabilizing all these

00:45:35

plaques, it is taking statins that will be

00:45:37

associated with a reduction in the risk of repeated

00:45:40

heart attacks and strokes in general 50

00:45:42

prescribed medications and

00:45:45

take medications so that

00:45:48

things do not develop insufficiency

00:45:50

because myocardial infarction itself,

00:45:52

especially if it was an extensive myocardial infarction

00:45:55

this is only this is only the beginning of a long

00:45:59

long journey associated with the development of

00:46:02

heart failure with the development of

00:46:04

speech, insufficiency of long

00:46:06

life is approximately the same as with

00:46:08

cancer,

00:46:09

this is a very serious condition that

00:46:12

needs to be dealt with, that is, a heart

00:46:14

attack has occurred and that means

00:46:16

therapy should be maximum and to

00:46:19

prevent all problems associated with

00:46:22

that that the pumping function of the

00:46:24

heart is poor and it is still prone

00:46:27

to worsen and that life is

00:46:31

changing very very much

00:46:34

if there is any correlation between the

00:46:36

intensity of pain during

00:46:38

myocardial infarction and the prognosis,

00:46:42

I probably wouldn’t do such a

00:46:44

correlation, but there is no need to carry out such a correlation because

00:46:49

because in white people it does

00:46:51

n’t hurt us much, but nevertheless they

00:46:54

die,

00:46:56

how can a

00:46:59

defibrillator help if the blood does not flow to the

00:47:01

heart and it does not have the strength to work

00:47:05

without it, there is a reason for deflation, the heart

00:47:08

may have the strength to work, the

00:47:11

reason for ventricular fibrillation is

00:47:15

not due to the fact that the blood has completely stopped

00:47:17

proceed to the heart, but simply because the

00:47:21

electrical properties of the heart muscle have changed and

00:47:24

this has led to the fact that any impulse

00:47:26

can cause this

00:47:29

ventricular fibrillation.

00:47:30

What is fibrillation? This is when

00:47:32

the ventricle, instead of

00:47:34

contracting like this and throwing out blood on its

00:47:37

surface, individual fibers flicker and

00:47:40

no there is no

00:47:42

synchronized cardiac output,

00:47:44

that is, the blood ceases to support

00:47:48

dobby, here the blood is put to 1 for

00:47:50

power, the brain begins,

00:47:52

brain death begins, death including the

00:47:54

heart muscle, therefore, the

00:47:57

task is simply to restore the electrical

00:47:59

ability of my cards to contract, and then

00:48:01

this can be done and then the doctors

00:48:04

will figure it out,

00:48:05

open the arteries and then take care of the

00:48:08

heart condition of my

00:48:09

friends, and when the aunt said that there

00:48:12

was a heart attack,

00:48:15

Alexander Alexandrov very often, according to the

00:48:18

card, a cardiogram, these are the diagnoses

00:48:21

on the cardiogram, I would always be quite skeptical about them,

00:48:24

often they are especially there, as you

00:48:27

say clearly laboratory assistant, let's go with the

00:48:31

Russian investment to the workers,

00:48:36

before the cardiogram is not the most reliable

00:48:39

way of diagnosis, so I’ll say,

00:48:42

please tell me

00:48:43

about the blockade of the right bundle

00:48:45

branch,

00:48:47

the blockade of the right bundle branch, if there is

00:48:50

none, yes, okay, and let’s do that, and

00:48:52

not even without reservations, this is an option

00:48:54

normal normal

00:48:58

normal cardiogram don’t be alarmed by the

00:49:01

blockade of the right bundle branch here is

00:49:02

the blockade of the left bundle branch that suddenly

00:49:04

appeared if it wasn’t there before

00:49:07

it could be a sign of

00:49:12

myocardial infarction the right leg is

00:49:13

generally normal doctor with high

00:49:16

cholesterol

00:49:17

it’s better to be different and among on a male

00:49:20

diet or both in parallel, but you

00:49:22

yourself answered the question with high

00:49:25

cholesterol, especially

00:49:27

if you checked the vessels there are the vessels of the neck

00:49:30

and femoral artery, if you saw that

00:49:33

there is a plaque in the absence of options, taking

00:49:37

statins, well, of course, among on a male

00:49:39

diet, all together

00:49:42

means good evening how to treat river

00:49:45

insufficiency there is swelling of the legs in the arms in a

00:49:48

sitting position that does not go away completely

00:49:50

overnight if the diagnosis of river

00:49:54

insufficiency is made, this is a serious

00:49:56

condition

00:50:00

if you just have swelling in the legs, you have never

00:50:03

had a heart attack or it just seems to you that your

00:50:05

arms and legs are swollen there, this is not

00:50:08

means speech insufficiency, well, in general,

00:50:11

Larisa, write if you had a

00:50:14

myocardial infarction and then we will discuss if it’s

00:50:17

really serious for you, this is

00:50:19

taken separately from

00:50:23

this, the

00:50:30

extrasystole appeared, it was already five

00:50:33

drinks of beer and the doctors did the department when the

00:50:37

ultrasound did not find anything appears after the

00:50:40

morning of alcohol

00:50:42

self-awareness appears at rest during

00:50:44

physical activity, disappears, well, as we

00:50:47

said, there is

00:50:49

not a harmless rhythm disturbance, you don’t often,

00:50:52

extrasystole refers to just

00:50:54

such a condition, if no

00:50:57

diseases are found that can

00:51:00

lead to extrasystole, such as

00:51:02

myocarditis, there is myocardial ischemia, problems with the

00:51:06

thyroid gland then you should not

00:51:09

worry at all about the extrasystoles and you do

00:51:11

n’t even need any treatment.

00:51:17

Could this be a symptom of a heart attack, the

00:51:20

feeling of loss of consciousness, stupid breathing, a

00:51:22

sharp throwing into the under, lasted about 1 2

00:51:25

minutes, then let go, it’s better to lay it in,

00:51:27

thank you, Maxim, well, let’s do it like that, me and I, I

00:51:31

just didn’t see you and I don’t know your

00:51:34

protest probability, because on the one

00:51:36

hand, if

00:51:38

you are 60 years old, you are a smoking man with diabetes,

00:51:43

then

00:51:44

this may be

00:51:47

there in the symptoms of some kind of

00:51:49

myocardial infarction, but if you are a young man, you are about

00:51:52

20 years old and don’t particularly smoke, and so on, then it

00:51:57

is possible It would also be possible to suspect a

00:52:00

panic attack in this case, but

00:52:01

let’s say this is not

00:52:05

for our stream, this is not a way of

00:52:07

diagnosis and treatment, so it’s better, as

00:52:09

always in Russia, since the specialist here,

00:52:11

by correspondence, we will never be able to

00:52:16

give you any correct diagnosis,

00:52:17

so that

00:52:19

means

00:52:31

Gennady Marchenko asks the right

00:52:33

question, how does it work in the first two hours

00:52:36

of cardiac surgery with stands, they sit and wait for

00:52:38

heart attacks, not Reiner, and they can actually

00:52:41

manage in the first two hours what is really

00:52:43

quite difficult; in the first two hours,

00:52:45

many do not have time to do it, so you need to

00:52:48

try in Moscow, he will arrive soon

00:52:50

enough to eat dedicated lanes

00:52:52

if,

00:52:54

well, in Moscow everything is fine with the availability of

00:52:58

this help, there are already ready-

00:53:00

made centers where surgeons sit,

00:53:03

they just came there, they think

00:53:06

we will have a heart attack, they won’t, they are waiting for

00:53:09

just such people because the number of

00:53:12

people who die from heart attacks is

00:53:14

huge most people in our

00:53:16

country choose it for a heart attack,

00:53:18

so there are special vascular

00:53:20

centers to which ambulances

00:53:22

route chicks of

00:53:24

myocardial infarction and there they really sit and

00:53:26

wait for the heart attack stage, this is really

00:53:28

another matter in general, you don’t have to endure it, you don’t have to wait

00:53:31

yet, you don’t have to wait, what are you

00:53:33

this day I'll take this such a case

00:53:35

pro power something else I have a chest infection

00:53:38

you are there you have a high

00:53:41

probability of

00:53:42

two mouths of myocardium call an ambulance they will

00:53:45

sort it out

00:53:49

my heart is fluttering with a reaction to the

00:53:51

cold Maxim grandson as I already said there

00:53:54

we need to figure it out means

00:53:59

Alexey Zhukov

00:54:01

asks, tell us about the villa of

00:54:03

lack of sleep on the heart, thank you, it doesn’t have enough

00:54:06

effect on the heart, moreover,

00:54:10

working

00:54:12

on the night shift worsens

00:54:15

eating in a state of dos and eats in a

00:54:17

state of chronic lack of sleep, he is looking for the

00:54:19

likelihood of developing

00:54:21

hypertension, so it is necessary to

00:54:25

fix sleep, fix it,

00:54:29

so Gennady Marchenko talks

00:54:33

about it is worth it Should I live at 42 years old,

00:54:36

normal weight, did not smoke, the initial

00:54:38

signs are from the red ultrasound of the arteries, the

00:54:40

increased cholesterol coefficient is equal

00:54:42

to 41

00:54:44

Elena, if you are still too early

00:54:49

to take medications, if you have

00:54:51

consulted with specialists with a

00:54:53

cardiologist, then

00:54:56

you can simply lead a super

00:54:59

healthy lifestyle. when you

00:55:00

are in such a

00:55:02

balanced state, it’s festive so that

00:55:04

if you sit together with the cardiologist and

00:55:07

look at it, you evaluate the

00:55:08

vascular risks, but there are still some

00:55:10

doubts, there are also such clarifying

00:55:13

studies, for example, you can look at the

00:55:15

coronary calcium bones in the coronary

00:55:17

arteries policy ring Yandex and

00:55:19

if there there is a

00:55:21

low probability

00:55:22

that you have plaques in the arteries of the

00:55:26

heart, then you can calm down and lead a

00:55:28

healthy life, eat an

00:55:31

overseas diet, regular

00:55:34

cardio exercise, weight control, and from time to

00:55:37

time there for 1 year, once in the body,

00:55:40

recheck the condition of the vessels,

00:55:42

look at the vessels of the neck, look at the femoral

00:55:45

artery, to evaluate it means further,

00:55:55

so Anatoly question to myself in the

00:55:59

eighteenth year a

00:56:01

heart attack was accidentally discovered as a result of mamarr coronary

00:56:04

bypass blood clots who is the mail and

00:56:06

resection of the aneurysm

00:56:08

Anatoly I didn’t see the question so a

00:56:12

month ago they put an end to such Brody

00:56:19

Farm show 23 the road at night and the

00:56:22

simpleton of men the main thing is more dizzy

00:56:25

ultrasound of the

00:56:27

neck is normal vessels clean where to think

00:56:30

I don’t know where I honestly don’t

00:56:33

quite understand the question inside I’m sorry

00:56:36

Arthur and cardio training somehow

00:56:38

reduces the risk of a heart attack what is the difference between the

00:56:41

heart of an athlete and the heart of an ordinary

00:56:43

person change the river muscles

00:56:45

comes from training

00:56:51

regular exercise is good for the heart

00:56:55

but excess load is good

00:56:58

for heart is not very useful if we

00:57:02

look at the research of the Copenhagen

00:57:04

city traces of the heart, but show that an

00:57:06

excessive amount of cardio training

00:57:08

can lead to, in general, reduce the

00:57:10

impact negatively, well, what do we know for sure?

00:57:14

There we can find fault with this study. There

00:57:16

is a reflection of this

00:57:18

study because we know for sure

00:57:20

that if a person runs a lot, if a

00:57:24

person runs at a high level, then his

00:57:28

left atrium probably enlarges, the divider of the kings of the left

00:57:30

atrium leads to the development of

00:57:34

atrial fibrillation, atrial

00:57:35

fibrillation tests are not about which we will

00:57:37

talk and will release a video in the near

00:57:39

future and conditions that lead to

00:57:41

the formation of blood clots in the ears of the left

00:57:44

atrium, a blood clot at some point can

00:57:45

fly out and get into the brain

00:57:49

causing a massive ischemic stroke like

00:57:52

this, so regular cardio exercises are

00:57:55

useful to some extent, but

00:57:59

going too hard with sports there

00:58:01

may not be necessary, although this not exactly

00:58:05

Larisa before asks continuation just

00:58:10

sit down and the creature from if you haven’t had a

00:58:13

myocardial infarction then

00:58:15

you’re better off with such serious diagnoses as

00:58:17

heart failure, no

00:58:19

matter how you pin them on yourself, it’s really a

00:58:21

very serious condition, it’s not just

00:58:23

some kind of discomfort or swelling swelling

00:58:26

legs ankles swelling of the legs can be for

00:58:30

very different reasons, that is,

00:58:32

insufficiency, this is in google what the

00:58:34

diagnosis means

00:58:37

[music]

00:58:41

my ambulance arrived in

00:58:44

eleven minutes Moscow yes I agree 12

00:58:48

12 minutes standard succeeds soon in Moscow

00:58:50

with myocardial infarction

00:58:53

pause liver enlargement has stopped

00:58:56

typing it yet but I had a myocardial infarction,

00:58:58

liver enlargement, but this is a

00:59:01

typical situation with Russians

00:59:04

for whom the liver is the most

00:59:06

important organ, you know, firstly,

00:59:10

statins do not affect the liver, secondly,

00:59:12

liver enlargement is simply associated with

00:59:13

excess weight and the best thing to

00:59:15

do to reduce it is to reduce

00:59:18

this weight that's all that's all that's it,

00:59:21

but to

00:59:23

stop taking statins after a myocardial infarction is

00:59:25

simply criminal for

00:59:27

one's health, that's my personal opinion, but

00:59:30

please clarify it here and here it is

00:59:33

liver centric

00:59:35

liver eccentric relations of

00:59:38

one's own health of course at night of the

00:59:39

country especially since everything what is good for the

00:59:41

blood vessels is good for the liver because the

00:59:43

liver also has vessels

00:59:47

doji sky janym they say that when

00:59:50

extrasystoles appear it becomes very

00:59:52

scary and fears become a very vivid

00:59:54

sensation as if the heart is freezing and as

00:59:56

if tumbling in the chest and it very

00:59:59

often

01:00:00

triggers panic attacks and you

01:00:04

just need to work through this with a

01:00:05

psychotherapist, this behavioral

01:00:07

therapist, and

01:00:09

agree that extrasystoles are not

01:00:12

scary because each of us

01:00:14

still has extrasystoles in this life,

01:00:16

sometimes the heart stops there,

01:00:18

we’ll drink coffee because we’re nervous, this

01:00:20

happens, and if every time there is a

01:00:22

panic attack, then in general, there are no

01:00:25

medications to wash in this case,

01:00:27

so it’s probably better

01:00:29

to work it out within yourself and together with the

01:00:31

therapist

01:00:36

Alexander doesn’t forge asks no hello

01:00:39

incorrect question how much arrangement

01:00:41

in cardiology to give I don’t know

01:00:44

no I don’t know what to say so I don’t

01:00:47

face

01:00:51

how to treat a heart attack from a panic attack,

01:00:56

well, as they say, if

01:01:01

you have a couple, but that doesn’t mean you’re

01:01:04

not being monitored if you’re diagnosed with,

01:01:07

but on the other hand, if you have an 11th

01:01:09

panic attack, once again an anxiety

01:01:11

disorder, but most often it means it’s an

01:01:15

anxiety disorder, yes if first of all,

01:01:18

fear arises first and then

01:01:21

all the other symptoms, after all, it’s a

01:01:23

myocardial infarction,

01:01:24

well, judging by the photo, you’re a fairly

01:01:27

young man, so

01:01:30

the obstacle, the probability of a heart attack is not

01:01:32

very high, but in order to

01:01:34

calm down, you need to tell a cardiologist

01:01:36

to check the condition of the

01:01:39

cholesterol pressure vessels if everything is fine okay,

01:01:42

then during a panic attack you will

01:01:45

remember what the cardiologist told you,

01:01:48

we honor what

01:01:49

the psychotherapist said about

01:01:52

rationalizing the switching of attention,

01:01:55

etc., and in general, work on these conditions

01:02:02

on credit, I’ll look later,

01:02:05

please answer, at what age does it make sense

01:02:06

to start monitoring heart and blood vessels if there are

01:02:09

no complaints, but look, if it’s

01:02:12

good, there are different ages and

01:02:16

different different conditions,

01:02:18

let’s check the blood pressure level

01:02:23

at 18 years old, you can check cholesterol in

01:02:26

childhood, especially if you have bad

01:02:28

heredity,

01:02:29

I said about bad heredity, my dad had

01:02:32

a heart attack and stroke and sudden death and

01:02:35

before 55 years old mother sister heart attack and stroke

01:02:39

and sudden death and before 65 years old there is

01:02:42

bad heredity then

01:02:44

we look early at 30 years old we look at the vessels

01:02:47

there sushi nor tari hip of the femoral

01:02:51

artery along with cholesterol blindness and

01:02:53

tamao small cholesterol expanded

01:02:55

libido gram we look so let’s

01:02:59

evaluate the blood vessels, but let’s say after

01:03:03

40 years, forty years, check now, but the essence of

01:03:06

this system is that every person should

01:03:08

go through this one to check the condition of the

01:03:10

heart of the blood vessels,

01:03:13

so now further thanks, doc, no 28 no,

01:03:17

non-smokers, no problem after the second

01:03:20

vaccination of the companion, well, that’s

01:03:23

all there

01:03:26

I don’t know what to say every morning the

01:03:29

pulsator jumps sharply feeling a lack of

01:03:31

oxygen for 2 years I took eutyrox quit

01:03:34

after a month the symptom

01:03:37

has weakened now the furnaces how to drink and leave

01:03:39

Rox

01:03:42

25 dosage of Ute Roxana I don’t know what to

01:03:46

tell you it seems to me that this is not a

01:03:48

therapeutic dosage of Ute Rox the usual

01:03:51

dosage of Eutirox if you

01:03:54

really have hypothyroidism, it’s 1

01:03:57

in 4

01:03:59

in 5 more scary rocks 25, this is at least

01:04:04

strange, I should, but maybe I went to

01:04:07

see the TTG

01:04:10

what it was like if you because of

01:04:14

if you drank

01:04:16

eutyrox and for subclinical

01:04:18

hypothyroidism just like that, just in

01:04:20

case, well it’s better to ask him then, no,

01:04:22

these are questions, it’s better to ask this question

01:04:24

to an endocrinologist,

01:04:27

which means

01:04:33

she’s only in Kiev, you clarify about the

01:04:36

question an hour now you were surrounded and had

01:04:38

headaches, I tried surrounded by the

01:04:41

main pain, I would have found out from a

01:04:44

neurologist, especially since there’s nothing like

01:04:50

frequent dizziness, headaches

01:04:52

Anatoly

01:04:53

dizziness is one reason in the

01:04:56

environment can be very different from the

01:04:59

good quality positional

01:05:01

environment associated there with certain

01:05:03

processes that occur in the middle

01:05:05

ear in the middle cochlea where

01:05:08

such crystals precipitate there they

01:05:10

irritate special receptors

01:05:12

responsible for the sense of balance this

01:05:14

benign positional

01:05:15

vertigo

01:05:17

is all sorts Ménière's diseases and there are also

01:05:22

so-called ppg, this is from the goal of

01:05:27

spinning, which is associated there, maybe

01:05:29

even with anxiety, the main ones are

01:05:31

also a separate story:

01:05:33

headaches, primary headaches,

01:05:36

or most importantly, tension was associated with

01:05:37

stress and migraine, which has a

01:05:40

specific

01:05:42

specific symptom such as aura

01:05:44

nausea, vomiting during you, after all,

01:05:46

headaches in general should be

01:05:48

dealt with by a neurologist, and in order for him to

01:05:50

thoroughly understand you, you need to

01:05:53

keep a diary of headaches, it

01:05:55

seems to me that ultrasound of blood vessels will not really

01:05:58

help here; here you need exactly not

01:06:01

headaches to record how is this

01:06:03

headache provoked,

01:06:06

how long does it last, what are the

01:06:09

symptoms and accompanying

01:06:13

means Yulia Su asks hello,

01:06:16

myocardial infarction is a

01:06:18

predictable point in the case of regular assessments of

01:06:20

counter risks, well, of course not in there

01:06:25

medicine, it’s just a little over 5 exact

01:06:29

science is in second place after theology,

01:06:32

so

01:06:33

definitely no one won’t say, but nevertheless,

01:06:36

it probably needs to be done because we

01:06:39

can really cope well with

01:06:41

cardiovascular risks, if there are

01:06:43

other risks that are

01:06:46

much more difficult to cope with, then

01:06:50

reducing the risk of strokes and heart attacks at the

01:06:52

current level of development of medical

01:06:54

science is

01:06:57

quite possible, which

01:07:00

means legal Dodonov I want to note from the

01:07:03

broadcast of the supervision I started in the

01:07:07

risk tables when nothing is visible, well, let me also ask

01:07:10

about the Dodon redirect,

01:07:14

forgive me for the familiarity, I have a

01:07:17

video about how to predict it

01:07:20

is called how to predict a heart attack,

01:07:23

everything is visible in this video there are tables there are

01:07:26

links there links to several ways to

01:07:29

calculate meetings, implement risks on the

01:07:32

escort table on the score 2 table on the

01:07:35

Russian calculator, the essence of this

01:07:37

risk is from 1 top, which takes into account

01:07:39

heredity and cholesterol levels,

01:07:41

you can calculate all this on an English

01:07:43

calculator, how is the risk, you can just go through the

01:07:46

video, you can watch

01:07:49

this video itself, you can simply use

01:07:50

these tables and calculate your

01:07:53

amount to reduce the risks, the same applies to

01:07:55

Yulia, the

01:07:56

doctor treats or or static

01:07:59

tachycardia but it is treated but

01:08:03

but it is treated mainly with a healthy

01:08:06

lifestyle and here in order to

01:08:13

train your nervous system there

01:08:16

which may not react quite correctly

01:08:19

to the state when you

01:08:21

lift, your heart begins to beat sharply because

01:08:24

of the redistribution of blood flow

01:08:26

there, the blood flows to the legs for the heart, the

01:08:30

return of blood decreases, the heart

01:08:34

begins to beat faster, and so that the

01:08:35

nerves are better, the faster the

01:08:38

process of redistribution of blood flow occurs,

01:08:40

it makes sense to give yourself of each load,

01:08:43

but in less what are proven such I know

01:08:46

stories

01:08:47

up to 2 there are all sorts of hardenings,

01:08:52

maybe all of them are also worth trying, but

01:08:54

also give up bad habits, first of all,

01:08:56

smoking pages smoking and

01:08:58

alcohol and smoking nicotine itself

01:09:02

is vascular I will give alcohol

01:09:05

degradation products alcohol can

01:09:06

affect vascular tone, so giving up

01:09:08

bad habits can help, which

01:09:12

means

01:09:16

starting with pain in the chest,

01:09:18

I think that the heart will drink a glass of water,

01:09:22

everything goes away, a spasm of some kind daur 1

01:09:25

cell, in fact, besides the heart, with

01:09:26

the help of other organs, this is the esophagus and

01:09:28

sometimes the chest fills

01:09:31

the stomach is already about another hole, the

01:09:32

diaphragm, the so-called beneficial cells,

01:09:35

can also hurt all sorts of pleura, lungs,

01:09:40

most often the cause will be important

01:09:43

cells are

01:09:44

muscle mice over the skeletal so-

01:09:47

called pain, so in order to reduce

01:09:52

the degree of fear, what should I say that the

01:09:55

research will soon release a video like

01:09:57

since maybe tomorrow it may be too late the

01:09:59

authors of the works of the occult cell and so

01:10:02

the study shows that only

01:10:04

six percent of

01:10:06

calls to the ambulance service

01:10:10

about chest pain were

01:10:12

associated with myocardial infarctions, this is an

01:10:15

American statistics, that is, six

01:10:16

percent of people had conditions not even

01:10:19

just a heart attack myocardium and those threatening

01:10:21

the condition, all other reasons were

01:10:23

different cells, these were the recommendations they were

01:10:26

given there, like drinking painkillers and

01:10:28

doing gymnastics, gymnastics for the back

01:10:31

and doing exercises, these are the

01:10:33

recommendations, most of the pain in the chest is, after

01:10:35

all, this is the kind of pain, which means

01:10:58

Viktor Dmitriev writes, it was checked like in the

01:11:01

heart is in order now already 52 years old

01:11:04

Victor 52 years old I would very much with a

01:11:08

passion right your heart

01:11:12

because 50 52 years old I know how

01:11:15

the heart is checked

01:11:20

so let’s say 52 years old if

01:11:23

you look with passion you can always find some

01:11:26

surprises so let’s say all two years is for

01:11:29

men, this is the age when we are in general with the

01:11:31

dough, the probability of all sorts of bad

01:11:33

stories with the heart is quite high, so I

01:11:36

advise you to take a closer look, you will have to

01:11:39

do strength and ultrasound of the vessels if there are

01:11:41

bags there, especially if you have not done this before,

01:11:43

or maybe even do

01:11:45

coronary calcium look or even

01:11:48

us to that coronary arteries if there is

01:11:50

more clarification,

01:11:56

so Alexander, thank you, well, let’s

01:11:59

just say nitrogen a little later,

01:12:12

Igor, regarding

01:12:14

aortic valve replacement, but

01:12:16

aortic valve replacement, 36 years old, in general, there will be

01:12:19

handles tartar bow club such a threshold

01:12:21

that

01:12:24

many people

01:12:26

live with it and they live exactly as long

01:12:31

as all other people, so if

01:12:34

there isn’t some kind of strong teaching put on the

01:12:36

left ventricle against the background of you there

01:12:39

106 artel defect, maybe I don’t know,

01:12:42

get a second opinion again about

01:12:44

whether you need this operation, so

01:12:55

you can try to do it if

01:12:57

you feel a heart attack you are alone maxim it

01:13:00

seems to me that you are young but just in

01:13:02

case we said there that if

01:13:05

you feel a heart attack you are alone the first

01:13:07

thing you need to do is call an ambulance take an

01:13:10

aspirin tablet and open the door and

01:13:12

sit sit wait but just in case

01:13:15

but still necessary find out

01:13:18

if it's a panic attack you're having, if it's a

01:13:19

panic attack, sort it out with a

01:13:21

psychotherapist,

01:13:23

so

01:13:29

hello questions, I'm 33 years old, I often have a

01:13:32

lack of air,

01:13:34

and when I walk, I feel bloated, but for some reason I think there's

01:13:36

anxiety in my heart, speaking often

01:13:42

here, I can only advise you to go to a

01:13:45

specialist because it’s

01:13:47

difficult to say something from correspondence with here

01:13:50

how much booze is not harmful useful

01:13:53

Alexander asks Alexander but in

01:13:55

general 100 grams of pure alcohol in

01:13:58

terms of any alcohol per week

01:14:03

the conversion formula is so

01:14:06

that we get

01:14:10

100 grams multiplied by one hundred percent

01:14:18

and divided on the percentage of

01:14:22

alcohol in your drink and you will get

01:14:25

the number of grams, well, grams can be

01:14:28

roughly converted into milliliters of what you

01:14:31

can kill for a week

01:14:32

so

01:14:36

thanks for the answer you see congenital

01:14:38

pathologies hereditary

01:14:41

heredity special opportunities are not

01:14:43

enough yet the child needs twisty

01:14:45

cardiologist

01:14:49

Yulia if the child does not have

01:14:53

congenital heart pathology and you

01:14:56

checked him there in the maternity hospital, everything is fine with him,

01:14:59

then there is no need to take the child to a cardiologist,

01:15:02

because usually there are physiological

01:15:06

problems and there are heart attacks and there are all these

01:15:10

problems they arise, seeing after all,

01:15:12

over 40

01:15:14

[music]

01:15:16

blood donors have myocardial infarction

01:15:19

less often I know, I would understand what to say,

01:15:22

that this is like a way to renew coffee,

01:15:24

liquefy it, and so on, but it seems to me that

01:15:27

this is rather a speculative story, or

01:15:30

rather, it’s not sporting, just

01:15:32

in general,

01:15:34

people should be donors not because

01:15:37

it somehow helps with health

01:15:39

because this is your character kai

01:15:40

the opposition doesn’t seem if you dunder

01:15:42

the blood then you’re great, that

01:15:45

means gastric dyskinesia

01:15:51

so

01:15:53

rays of health thank you thank you

01:15:56

Maxim

01:16:01

but Anton yes if there is a head and first of all

01:16:05

at low density already if at

01:16:09

low density more than 49 this is an

01:16:11

indication for the meaning of statins for

01:16:12

their constant use for life if

01:16:15

in a dream artek life head, this is also in

01:16:18

general in general then such a story

01:16:21

about the fact that they need to be taken if

01:16:24

there is familial hypercholesterolemia,

01:16:26

then well, rather more likely yes than no, you can

01:16:29

still get a second opinion I owe a

01:16:32

debt to go to the video to discuss with him, but

01:16:35

sooner or later I’ll probably have to, but

01:16:38

again, I wouldn’t want to be

01:16:42

perceived as such

01:16:44

as this way, why is

01:16:48

this not consultation, this method is not a

01:16:53

guide to diagnosis and treatment,

01:16:55

self-medication, you still need to tell the doctor, doctors,

01:17:03

I’m going to die anyway

01:17:05

one way or another,

01:17:17

yes, and

01:17:19

Ushanov also smoked for 6 years, well, well, it looks

01:17:22

like we’re done, we’re done with all

01:17:25

the questions, we’ll probably

01:17:27

end our

01:17:30

stream little by little,

01:17:37

yes, of course, about whether it’s possible to protect yourself

01:17:41

so that nothing happens, you

01:17:44

need to lead a healthy lifestyle,

01:17:46

visit a doctor and then everything will work out

01:17:50

thanks

01:17:51

friends for causing the stones sorry for the

01:17:54

confusion maybe some kind of this is my

01:17:56

first

01:17:57

first experience of such a stream 11

01:18:01

all the best goodbye

Description:

Поговорим о причинах инфаркта миокарда, симптомах, о профилактике и лечении. Сайт клиники ЧЕКАПов - https://smartcheckup.ru/ Подпишись на канал доктора Утина - https://www.youtube.com/c/DoctorUtin?sub_confirmation=1 Соцсети доктора Утина: Telegram - https://t.me/doctorutin Яндекс Дзен - https://dzen.ru/doctorutin VK - https://vk.com/utinonline 🦆 Поддержать канал на Boosty - https://boosty.to/doctorutin Таймкоды: 00:00 - Инфаркт миокарда: что это такое? 04:46 - Дефибриллятор: зачем он нужен? 05:32 - Сердечная недостаточность 06:16 - Инфаркт миокарда: симптомы 13:53 - Факторы риска сердечно-сосудистых катастроф 21:15 - Инфаркт миокарда: причины 22:05 - «Синдром разбитого сердца» 23:23 - Как понять, что это инфаркт? 25:25 - Профилактики инфаркта миокарда 32:40 - Первая помощь при инфаркте 34:06 - Инфаркт миокарда лечение 37:14 - Ответы на вопросы Другие ролики доктора Утина: Все что нужно знать про короновирус вызывающий COVID-19 - https://www.youtube.com/playlist?list=PLNlVKSW_ViCZauLswqWoUt6Haxb86QkXU Об оказании ПЕРВОЙ ПОМОЩИ, инфарктах, инсультах, внезапной смерти - https://www.youtube.com/playlist?list=PLNlVKSW_ViCbO9aC1rwq-8rYibmjwqKRU О правильном питании, ДИЕТАХ, витаминаз, БАДах, спортпите и детоксе - https://www.youtube.com/playlist?list=PLNlVKSW_ViCaNklZ1blmVOkF4XojJQ-qk О необходимости обследований, о ЧЕКАПАХ и диспансеризациях - https://www.youtube.com/playlist?list=PLNlVKSW_ViCaB57VPDr5YXfgSYpE1Mzp9 ИНТЕРВЬЮ с ВРАЧАМИ разных специальностей - https://www.youtube.com/playlist?list=PLNlVKSW_ViCaTZLNnF5mQ-kokrqVS7tKN Про ВРЕДНЫЕ ПРИВЫЧКИ - https://www.youtube.com/playlist?list=PLNlVKSW_ViCbqEXoRV5M6Ml8wipvouZfe ЛЕКЦИИ доктора Утина - https://www.youtube.com/playlist?list=PLNlVKSW_ViCYeieZMSHnAaodm7OpqrdSo Про ИММУНИТЕТ, аллергии и ПРИВИВКИ - https://www.youtube.com/playlist?list=PLNlVKSW_ViCZG3s9wkjCVvlzUi98nLqGd Про физические НАГРУЗКИ, тренажерный ЗАЛ гимнастики для ШЕЯ и позвоночника, кардиотренировки, САУНА и восстановление - https://www.youtube.com/playlist?list=PLNlVKSW_ViCbUXiMq5cF8TqM6ZNNG5ntT Про заболевания СЕРДЦА и сосудов - https://www.youtube.com/playlist?list=PLNlVKSW_ViCa25R0KpFrOF2rYVmQbEEgv ЖАЛОБЫ на БОЛИ в сердце, ДАВЛЕНИЕ, одышку - https://www.youtube.com/playlist?list=PLNlVKSW_ViCbW3tOdCUx_WOMO2F_Kamw7 ЭНДОКРИНОЛОГ - https://www.youtube.com/playlist?list=PLNlVKSW_ViCbo2a_aL1MiAHz05PYr8Quv Доктор Утин на ДРУГИХ YouTube-каналах - https://www.youtube.com/playlist?list=PLNlVKSW_ViCY2fUoIephRtdCLChyrvfBm

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