I think this saved my life when i was 34. Found 100% blockage in LAD. No heart attack. Doc said my heart basically did its own bypass. I guess this is what he was talking about.
I'm 72 years old, when I was 54 I had a mild heart attack. Over the years I had 6 stents put in my RCA for 3 blockages, 4 stents are stacked due to failures. Recently I failed a stress test. Doctor did a catherization and said the RCA is closed and that collateral arteries are supplying enough blood to the heart. The stents bought me enough time for them to form.
Nice clear explanation. My cardiologist mentioned this and your video makes it easy to understand. I had an attack when I was 50 and this was a wake-up call for me. Since then Ive been going to the gym regularly 2-3 times per week for 1 hour on the days (I'm now 67) and I am told this has helped my body to build the collateral circulation. Thanks for making this clear!
I just had a major heart attack at 42. Collateral circulation saved my life. Doctors attempted 2 angioplasties and were unsuccessful. No stents and no operations. My heart took no damage. I am researching what happened to me. Thanks for the education 👍
You have such a gift. I have watched so many of your videos and the way you explain concepts is perfect for my learning. I have been a nurse for about 2 years and make sure I brush up on concepts. You are my go-to content creator for this! Thank you!
@@NursingSchoolExplained want to ask should we do high intensity cardio to improve collateral circulation. Coz more the heart pump higher blood circulation will improve specially collaterals will it help?. Waiting for your response.thanks great explanation
@@anishjoshi2777 I would caution anyone with atherosclerosis to do vigorous physical activity and get cleared by their healthcare provider before doing any type of exercise.
@ANISH JOSHI This channel is for educational purposes only and we can't give medical advice. Check out this article from Harvard Medical School regarding this topic: www.health.harvard.edu/exercise-and-fitness/high-intensity-exercise-and-your-heart Always check with your healthcare provider first!
Thank you for the explanation :) Like many responses I've read, I'm vertical due to collaterals. I wish all of you the very best in your health and recovery - I have a damn good idea of what you may have gone through. I am 100% occluded, RCA CTO, LAD to RCA collaterals (8), LCX was same in 2 spots and collateralized as well. Its been a year and I have reduced the two LCX occlusions from 100% occluded to 90%+/- occluded and have had those stented. General health has been for the better since the 2x stenting of LCX. No more Angina and color changing fingers, hands, forearms and biceps (oh what fun that was - NOT), but still have SVT and Bradycardia, which has lessened a tiny bit. 1 more to go in RCA and we are getting close - maybe another year, or two, and RCA will be stented. Much worse in RCA vs. LCX. What to do after stenting since all this extra "pipe" (collaterals) are in use, but not necessarily any extra blood? Collateral Ablation? Leave it alone and let the body "work out the details"? Cardiology team is suggesting the later at this point as they are highly suggesting that once RCA is opened, we are likely going to have "different" issues to resolve. They are still shaking their heads that I was able to reduce the occlusion through lifestyle changes. Whatever I was doing, I turned an immediate 180 degrees and adopted the good changes immediately. How did I reduce the occlusions and how will I finally reduce RCA? I did what every doctor, school teacher, etc. has told us since we were toddlers. Exercise (need to have cardio in there) (walk to music that is 120bpm/130bpm/140bpm, and 150bpm), eat the right foods, control stress, control BP, HR, sleep, and the list goes on. 14 different "tasks" with the 15th task being time. I am just biding my time now. I have been a science project. I can see the light at the end of the tunnel and it is not a heart attack. And to circle back, timing was perfect. Had double hip replacement about 2 years before my heart attack and the surgeon said he wanted 10K steps a day out of me, so i started doing that. I book 10K steps a day before 6am now. Little did I know I was slowing getting occluded at the same time. What happened? Collaterals happened! I'm vertical. I win (for now).
Hi J.D., thank you for your feedback! I actually was a professor and am hoping that this CZcams platform will reach more people who may find my explanations helpful! Thanks for watching!
Could you make a video on how to study ? I will be attending San Diego city college nursing program next year. Thank you 😊 Also , if you would make a video on fluid and electrolytes. Appreciate you 😘
Hi Nina, thanks for watching! Great news - I already have all these videos available! :) Feel free to browse through all my playlists to see what you find interesting. Check out my Nursing Fundamentals Playlist. It includes many basic skills and nurisng concepts:) Here are the links to your requests: How to be successful in nursing school: czcams.com/video/QJOea_-AvDo/video.html How to prepare for nursing clinicals: czcams.com/video/6OBQolXftgQ/video.html Fluid & Electrolyte playlist: czcams.com/play/PLGq925lbJaox3yqmKGkyi6xgi_LzpU4VF.html Good luck in your studies!
Thanks for this video. I read there is some evidence you can improve coronary collateral circulation through moderate exercise. Do you have any info on other ways to increase the collateral circulation?
Thanks for your comment. According to the American Heart Association, "Collaterals are present at birth in all species and form an integral element of myocardial perfusion, yet the importance of their precise contribution may vary. In humans in whom CAD is compromising myocardial perfusion, collaterals have always been viewed as a mechanism to relieve symptoms and to limit myocardial necrosis in acute coronary occlusion. Because the originally available cross section of collateral channels is not sufficient to meet these goals, various interventions have been suggested to increase collateral capacity. Regular physical exercise may not only correct endothelial dysfunction, retard progression of CAD, but also may increase the functionality of collateral channels." (www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.115.016442) There is also an interesting article and study from the NIH: www.ncbi.nlm.nih.gov/pmc/articles/PMC7536817/ (I particularly like the graph in section 3.2) So, in short, yes, exercise helps to develop collaterals and make them more functional. However, please exercise (no pun intended!) caution when selecting an exercise program and always check with your provider first about the amount, intensity and frequency of exercise.
i'm 36 and today i left the hospital after 12 days and it turned out that i had this exact thing happen to me. the doctors said that i more than likely i had a heart attack 8 months ago. I guess my LAD is fully closed.
@@NursingSchoolExplained I don’t I was released and still deal with chest pain from walking around and doing things. They decided not to fix it. I wish they would have……
@@buckleysangel7019 I got admitted back to the hospital from excessive bruising from the heart cath and because the chest pain still happening. They found a blood clot in my leg and tomorrow I’m having open heart for a bypass installation. Looks like I may finally get fixed!
Great question! While there is no clear evidence because there is not a test that can assess collateral circulation and it depends on the location of the occlusion, there has been evidence that collaterals form from hours to months or even years after an occlusion takes place. Check out this interesting article: www.openaccessjournals.com/articles/timing-of-coronary-collateral-appearance-during-stelevation-myocardial-infarction.html
Collaterals can form anywhere in the body! For specifics regarding your own health and condition, please contact your healthcare provider. Thanks for watching! 😀
A great video, but I have questions can you live a long life with these bypass vessels if you change lifestyle, or do they only last for a few years? The collateral vessels or can they grow more
Hi & thanks for watching! This is a great question. This channel is for educational purposes only and I recommend that the patient check with their health care provider and cardiologist to determine the best course of action for their particular case scenario. Here is an interesting article from the American Heart Association (AHA) pertaining to collateral circulation: www.ahajournals.org/doi/10.1161/01.CIR.0000065118.99409.5F
I’m on my second heart attack 4 stents after my first I ate like junk now I’m on a health kick lost a lot of weight exercise 3x week intense heart rate up to 167 don’t give up you can change a lot of factors.
I think this saved my life when i was 34. Found 100% blockage in LAD. No heart attack. Doc said my heart basically did its own bypass. I guess this is what he was talking about.
I'm 72 years old, when I was 54 I had a mild heart attack. Over the years I had 6 stents put in my RCA for 3 blockages, 4 stents are stacked due to failures. Recently I failed a stress test. Doctor did a catherization and said the RCA is closed and that collateral arteries are supplying enough blood to the heart. The stents bought me enough time for them to form.
Amazing! Thanks for sharing!
Nice clear explanation. My cardiologist mentioned this and your video makes it easy to understand. I had an attack when I was 50 and this was a wake-up call for me. Since then Ive been going to the gym regularly 2-3 times per week for 1 hour on the days (I'm now 67) and I am told this has helped my body to build the collateral circulation. Thanks for making this clear!
Thank you for sharing your story and keep up the great work!
I just had a major heart attack at 42. Collateral circulation saved my life. Doctors attempted 2 angioplasties and were unsuccessful. No stents and no operations. My heart took no damage. I am researching what happened to me. Thanks for the education 👍
Glad you are doing ok. Thanks for watching!
Same here with me at age 50, I'm trying to research what saved my life also...
Thank you so much for sharing this information. I am exactly where you described!
You are so welcome!
You have such a gift. I have watched so many of your videos and the way you explain concepts is perfect for my learning. I have been a nurse for about 2 years and make sure I brush up on concepts. You are my go-to content creator for this! Thank you!
Hi Sarah, thank you so much for your feedback; it means a lot! And I am so glad to hear that my videos also help experienced nurses like you! 😃
@@NursingSchoolExplained want to ask should we do high intensity cardio to improve collateral circulation. Coz more the heart pump higher blood circulation will improve specially collaterals will it help?.
Waiting for your response.thanks great explanation
@@anishjoshi2777 I would caution anyone with atherosclerosis to do vigorous physical activity and get cleared by their healthcare provider before doing any type of exercise.
@@NursingSchoolExplained but if person doesn't have any heart issues yet, then can he train his heart to be stronger
@ANISH JOSHI This channel is for educational purposes only and we can't give medical advice. Check out this article from Harvard Medical School regarding this topic: www.health.harvard.edu/exercise-and-fitness/high-intensity-exercise-and-your-heart
Always check with your healthcare provider first!
Thank you for the explanation :)
Like many responses I've read, I'm vertical due to collaterals. I wish all of you the very best in your health and recovery - I have a damn good idea of what you may have gone through. I am 100% occluded, RCA CTO, LAD to RCA collaterals (8), LCX was same in 2 spots and collateralized as well. Its been a year and I have reduced the two LCX occlusions from 100% occluded to 90%+/- occluded and have had those stented. General health has been for the better since the 2x stenting of LCX. No more Angina and color changing fingers, hands, forearms and biceps (oh what fun that was - NOT), but still have SVT and Bradycardia, which has lessened a tiny bit. 1 more to go in RCA and we are getting close - maybe another year, or two, and RCA will be stented. Much worse in RCA vs. LCX.
What to do after stenting since all this extra "pipe" (collaterals) are in use, but not necessarily any extra blood? Collateral Ablation? Leave it alone and let the body "work out the details"? Cardiology team is suggesting the later at this point as they are highly suggesting that once RCA is opened, we are likely going to have "different" issues to resolve. They are still shaking their heads that I was able to reduce the occlusion through lifestyle changes. Whatever I was doing, I turned an immediate 180 degrees and adopted the good changes immediately.
How did I reduce the occlusions and how will I finally reduce RCA? I did what every doctor, school teacher, etc. has told us since we were toddlers. Exercise (need to have cardio in there) (walk to music that is 120bpm/130bpm/140bpm, and 150bpm), eat the right foods, control stress, control BP, HR, sleep, and the list goes on. 14 different "tasks" with the 15th task being time. I am just biding my time now. I have been a science project. I can see the light at the end of the tunnel and it is not a heart attack.
And to circle back, timing was perfect. Had double hip replacement about 2 years before my heart attack and the surgeon said he wanted 10K steps a day out of me, so i started doing that. I book 10K steps a day before 6am now. Little did I know I was slowing getting occluded at the same time. What happened? Collaterals happened! I'm vertical. I win (for now).
Thank you for sharing your story! Keep up those good habits!
reviewing before my patho exam tomorrow, thank you!
Thanks for watching & good luck on the exam! You got this! :)
She must be a professor......the explanation is mind-blowing!
Hi J.D., thank you for your feedback! I actually was a professor and am hoping that this CZcams platform will reach more people who may find my explanations helpful! Thanks for watching!
@@NursingSchoolExplained Jah bless you
Could you make a video on how to study ? I will be attending San Diego city college nursing program next year. Thank you 😊 Also , if you would make a video on fluid and electrolytes. Appreciate you 😘
Hi Nina, thanks for watching!
Great news - I already have all these videos available! :) Feel free to browse through all my playlists to see what you find interesting. Check out my Nursing Fundamentals Playlist. It includes many basic skills and nurisng concepts:)
Here are the links to your requests:
How to be successful in nursing school: czcams.com/video/QJOea_-AvDo/video.html
How to prepare for nursing clinicals: czcams.com/video/6OBQolXftgQ/video.html
Fluid & Electrolyte playlist: czcams.com/play/PLGq925lbJaox3yqmKGkyi6xgi_LzpU4VF.html
Good luck in your studies!
Very good presentation. Thank You
Glad it was helpful! Thanks for watching!
exceptional explanation , that's simplify the object too much
Glad it was helpful!
Thanks this helped me to understand
Glad you found the video helpful! Thanks for watching! :)
Thank you ma’am
Most welcome 😊
Thank you so much!
You're welcome!
Thanks for this video. I read there is some evidence you can improve coronary collateral circulation through moderate exercise. Do you have any info on other ways to increase the collateral circulation?
Thanks for your comment.
According to the American Heart Association, "Collaterals are present at birth in all species and form an integral element of myocardial perfusion, yet the importance of their precise contribution may vary. In humans in whom CAD is compromising myocardial perfusion, collaterals have always been viewed as a mechanism to relieve symptoms and to limit myocardial necrosis in acute coronary occlusion. Because the originally available cross section of collateral channels is not sufficient to meet these goals, various interventions have been suggested to increase collateral capacity. Regular physical exercise may not only correct endothelial dysfunction, retard progression of CAD, but also may increase the functionality of collateral channels." (www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.115.016442)
There is also an interesting article and study from the NIH: www.ncbi.nlm.nih.gov/pmc/articles/PMC7536817/ (I particularly like the graph in section 3.2)
So, in short, yes, exercise helps to develop collaterals and make them more functional. However, please exercise (no pun intended!) caution when selecting an exercise program and always check with your provider first about the amount, intensity and frequency of exercise.
thank yiu for making this video .
Thanks for watching!
i'm 36 and today i left the hospital after 12 days and it turned out that i had this exact thing happen to me. the doctors said that i more than likely i had a heart attack 8 months ago. I guess my LAD is fully closed.
I hope you feel better soon!
@@NursingSchoolExplained I don’t I was released and still deal with chest pain from walking around and doing things. They decided not to fix it. I wish they would have……
@@valaksimulations4503 would you like a link to a document to use tapping to get rid of your pain?
@@buckleysangel7019 I got admitted back to the hospital from excessive bruising from the heart cath and because the chest pain still happening. They found a blood clot in my leg and tomorrow I’m having open heart for a bypass installation. Looks like I may finally get fixed!
@@valaksimulations4503 oh sweet! That’s so good for you. I’ll pray for you.
How long does it take to "grow the bypass?"
Great question! While there is no clear evidence because there is not a test that can assess collateral circulation and it depends on the location of the occlusion, there has been evidence that collaterals form from hours to months or even years after an occlusion takes place. Check out this interesting article: www.openaccessjournals.com/articles/timing-of-coronary-collateral-appearance-during-stelevation-myocardial-infarction.html
Can collaterals form in the legs and calves too? I have a failed saphenous vein graft in my knee and I hope collaterals will grow.
Collaterals can form anywhere in the body! For specifics regarding your own health and condition, please contact your healthcare provider.
Thanks for watching! 😀
A great video, but I have questions can you live a long life with these bypass vessels if you change lifestyle, or do they only last for a few years? The collateral vessels or can they grow more
Hi & thanks for watching! This is a great question. This channel is for educational purposes only and I recommend that the patient check with their health care provider and cardiologist to determine the best course of action for their particular case scenario. Here is an interesting article from the American Heart Association (AHA) pertaining to collateral circulation: www.ahajournals.org/doi/10.1161/01.CIR.0000065118.99409.5F
Pls bulk of collateral blood suppy when is gotten ,is it during systole or dystole?
Just like coronary arteries, they fill during diastole, when the myocardium is relaxed.
Awesome 😊
Thanks 🤗
My arterie is cloged but I have collateral arteries how long can someone live with the maine artery cloged I'm 50yr
Dear ktm500, This video is for educational purposes only. Please consult with your health care provider about your specific situation.
Did you find an answer?
@@jimmyg3855 idk I'm fkd doc said decades but who knows I stop drinking eating shit just watch the obituaries lol
I’m on my second heart attack 4 stents after my first I ate like junk now I’m on a health kick lost a lot of weight exercise 3x week intense heart rate up to 167 don’t give up you can change a lot of factors.
@@jimmyg3855 I'm 5ft 9in 200lbs my work is verry physical I walk got a stress test in a month or so it's been 3yrs since