Heart stents
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- čas přidán 1. 01. 2022
- Today’s video is on the subject of intracoronary stents. In this video, I will talk about what stents are, why they are used and what benefits and risks are associated with their implantation.
The first thing to understand is that for most of us, as we get older, the major risk to our health will be progressive ‘wear and tear’ in our heart arteries (coronary arteries). There are 2 problems with this process. The first is that as the ‘wear and tear’ progresses, there will be progressive narrowing of parts of the heart arteries which then means that it becomes more difficult for the blood to get to where it is needed especially at times of increased demand and therefore the muscle cells which need the increased amount of blood would suffocate and thereby manifest with symptoms of chest discomfort or breathlessness. This is called stable angina.
The second problem with ‘wear and tear’ is that the vessel becomes more prone to blood clots forming acutely within the blood vessel and very suddenly a blood clot can block the vessel causing acute suffocation of the heart muscle. This is called unstable angina or a heart attack.
In the old days, the only way to treat angina was either using medications or open heart surgery. Whilst medications were able to reduce the demand of the heart or transiently open these blood vessels thereby relieving symptoms they did not really fix the narrowing.
Surgery on the other hand was a major undertaking with the need to cut the chest open under a general anaesthetic. The surgeon would then have to take another blood vessel from the leg to attach onto either side of the narrowed blood vessel to bypass the narrowing. Not every patient was fit enough to undergo surgery and there was a limitation in that the narrowing had to be in a vessel big enough for the surgeon to be able to stitch the bypass onto.
GIven these limitations, scientists became increasingly interested in seeing if there was a way of accessing the narrowed blood vessels without the need for open heart surgery. The breakthrough came in 1953 when a Swedish radiologist, Dr Sven Ivar Seldinger developed the Seldinger technique which made it possible to access internal blood vessels by puncturing a blood vessel which was externally visible. The idea was that if one could puncture an artery in the wrist or the groin then you could introduce a thin wire through the needle and then use x-ray guidance to move it all the way up to the heart and then cannulate the coronary arteries. If you could then slide a tube up the wire and remove the wire, you could inject radiopaque dye into the blood vessels and take x-rays and identify the location of the narrowings. That procedure was called angiography.
Almost 3 years ago, three clogged arteries. Angina at first, then angiogram. Put in 3 medicated stents into 2 arteries, 3rd blockage was self bypassing. Meds for 30 months, now just aspirin and blood pressure meds. So far, so good. No issues.
bet you wish you laid off that bean dip and burrito supreme life style now pepe
how old are you?
@@marklee331 who me? Im 13, why?
What did you mean by self-bypassing?🤔
How long on beta blockers
Brilliant explanation. I have both a bare metal and drug eluting stent fitted. Bad genetics unfortunately, heart disease runs in my family. However 10 years down the line , I'm still here and long may it continue. Best wishes.
Hi, I also have similar stenting, one drug eluting & two bare metal, it's now 10 yrs but off late finding breathless increasing with mild physical effort, what's your experience.
I am in the same bout! 10 years and I feel good (70 years old).
Yes our family same -very worrying at times
@@19mani20 yep same here . I still try and exercise, but like you it's getting tougher, get more breathless. I do as much walking as I can and occasionally get on an excersise bike, but can't do what I used to. Getting old doesn't help either.lol. Best wishes.
@@selimawad2375 keep on going. Best wishes.
what a fantastic doctor, I learnt so much more than from this man than any other cardiologist!!! Thank you!!!
My husband has had 3 stents and this is the first time I have completely understood just what that entails. You are so good at explaining these things to all of us you are a born teacher. Happy New Year 🎉🎉
Very informative. Thank you. I had two stents inserted 5 years ago. All well. I am 72. I do my 10,000 steps obsessively every day, eat well and feel positive.
Thank you Sanjay. Very well explained. Such an incredible procedure that we can often take for granted. I had a stent inserted just over 5 years ago after developing angina with mild exertion. The difference it has made to my life is incredible.
Teaching laymen at its best. Thank you for the useful information.
Hey Dr. Gupta. Thank you so much for your videos. I went through an extreme hypochondria period from Feb 2021 to July 2021, on and off, where i was convinced something was wrong with my heart. It was doing all these weird things, slowing down, extra beats. Went to the hopsital 2 times during panic attacks due to these, found absolutely nothing. But it didnt satistfy the feeling that i knew at the time something was wrong. But from watching your videos, it literally put my HEART at ease ( see what i did there ? ) and I was able to convince myself that nothing was wrong and this was all in my brain. Which it was cuz I've has little to no weird heart experiences since. Thank you again
Thanks Sanjay! What a brilliant medical communicator you are. You have the gift of describing something so invasive in such a warm and reassuring manner. Your patients are blessed to have you to care for them.
I just ran across this video by this incredible and honest cardiologist. I even trust the sound of his voice. thank you, Dr. Gupta of York cardiology. You have no idea how many people you are helping. Stay well and live for a very long time we need you.❤️
I do hope this year is happier than 2021 for you and your family whom you were apart from whilst caring for your Father... Thank You for all the advice and information you have given us in 2021... You are a very Beautiful and Special person Dr Sanjay...
Totally agree. Thank u.
He fell for it, Blondie!
my partner had a stent put in more than 24 years ago, so far so good, I am surpised that he never gets it checked though.
Is his stent Still work?
@@fhgg7644 Yes no problems so far
@@MoreChannelNoiselucky guy.
Well in the end his heart was not the problem, he died of old age and dementia last September@@vvk594
Thank you so much. I have had stents for several years and now I understand them.
I had 3 stents placed in my coronary arteries. I had high cholesterol(inherited) and was on statins for over 25 years and have run 4 times a week for over 35 years(including 14 marathons).
Still I got blocked arteries. Luckily the exercise created collateral arteries and the statins turned the soft plaque into calcified plaque which is a good thing. I had zero symptoms but got a calcium CT scan score and it showed the issue. Now after quick recovery I am still on the statins, Clopidogrel(plavix) and an aspirin. I have improved my diet removing ALL junk food and lost even more weight. My BP was always normal.
Diet will help but if you had hereditary factors that typical means that your liver is making most 80% of the cholesterol so hence need for
statin and reducing simple sugars reduces inflammation which is now seen as just as important or even more important than just the cholesterol number.
Hope this helps.
When you put your first stent?
Is your stent Still work
Had three stents over a year ago. Your videos are very informative and easy to understand. Thanks soooo much!
Doc , just had two stents fitted after a heart attack , had not been to the doctors for thirty years , thank you for a fantastic easy to understand video , great explanation totally understand
Cogently delivered; comprehensively pedagogic; sincerely appreciated information. Thank you!
Appreciate the very clear explanation including the historical review. Thank you for taking the time to do so!
another great video Sanjay, what a professional gentleman you are, Thank you
Very short and clear briefing of stents. Thanks a lot, god bless you.🌹
You never cease to amaze me with your clarity of information. I love watching your videos as a layman, I can follow so easily and gain great knowledge from you and your presentations. Thank you for all that you do to inform those that are willing to take a few moments to seek self education offerings from wonderful experts like you. ❤
Expert explanation in an understandable way for patients. I love all your talks. Thank you!!
That was very comprehensive information. Thank you
I loved the history of dilating blocked arteries, from balloon to the modern stent, combined with a mild tone of voice makes the viewer remember the story telling for years to come. I envy your patients, Dr Gupta, and wish you a healthy and happy life.
Very useful information. A member of my family has just had a stent fitted at the age of 42.
Thanks a lot for your video. You are not only a great presenter but you also seem to be such a nice person. I had three stents fitted almost a year ago during a heart attack where my main artery was blocked. I was lucky and my ejection fraction is back to 55% ! No particular risk factor except excess LDL cholesterol which is now well controlled by medication. I am about to stop taking Ticagrelor when I reach the year after the stents we’re fitted. It is encouraging to read comments from other patients who’ve lived with stents for a number of years.
I am next week having stents and found your comment most informative and helpful thank you so much
All the best for 2022
🎉 I just love your videos and educational information.
Always a pleasure to learn more of the effects offer a heart attack.
So little is explained to us as patients.
Blessings to
You.
Thank you for all your help to help me through.. HAPPY NEW YEAR 🤗
Brilliant explanation. I have 2 stents in my heart. Had an attack 6 weeks ago. I am 42!
Happy New Years ! And thank you for helping so many people,. Including me !!
These videos are the best thing you ever did, Sanjay. They will educate and comfort many who come here seeking answers. Your knowledge and communication skills are excellent and truly a gift. Thank you for sharing them with us. 💖
Brilliant! So well mapped & your sense of easy dialogue for the layman is notable - Cheers
Very informative. Thank you for posting!
Congratulations on your excellent, extremely educational video. You are an example to me. Frederico (Brazil).
You rested my anxious heart about stents and the blood thinner treatments. Thank you. 🙏❤️
This was very insightful, you are the best!
This was very very useful!
Thank you sir.
Best wishes for 2022.
After undergoing angioplasty procedure and having 2 stents in me 10 months ago, it is only now that I understood clearly what all this thing about stents mean to me and to my heart health. Thank you Dr. Sanjay Gupta. More power to you!
Thanks for the explanation on stents. I had angina in 2004 and was given at the age of 60 the first of my 5 stents. I had a return of my symptoms in 2013 and was given 2 more stents. In 2015 I again had slight system’s and again given 2 more stent’s. I have had no further problems and regularly put myself under the walking stress that I used to see if I had any further problems without any discomfort. This is the first time I have been given the understanding of what had happened to me for this I thank you.
Diet mate,
@@Known-unknowns Hi. I don’t think diet is the answer. I am 78years old and have not been more than 12 stone all my life. I have been on the normal medication since 2004 for Angina and have kept to a healthy diet. What I sent a message to York Cardiology was to thank him for his information
Feel that he should be given a better platform for his information maybe on TV.
@@RR-ks3vk is your first stent Still work?
Is your stent Still work?
Is your stent Still work!?
i was beyond shocked when i had an nstmi last year. it took an hour for the doctor to convince me to come in when i described by stomach ache. luckily i was near the cleveland clinich and was lucky enough to be taken in for a stent early next morning. am still in disbelief. am grateful to hear you are describing exactly what my cardiologist is prescribing. i took the right supplements, ate the right diet, but had a problem with keeping up with exercize due to an injury in my back and then got lazy with autonomic fatigue. listening to reminds me how important it is to get back to as much exercize as i can tolerate again. blessings to you doctore..
I wish you were my husbands cardiologist as I’m constantly learning from you. He is on plavix and aspirin amongst other hearts meds. Paul’s grandfather passed at 60 of sudden heart attack. His father (94) had open heart at 85 years old with no prior heart issues. My husband was playing his weekly ice hockey with the 35 and over players. Paul was 39…fully dressed in the heavy hockey attire…said he felt a little off but kept on playing. When he got home that night he told me he felt odd…yet he had no pain. For some reason I told him to chew an aspirin (my sister had a stroke and suggested I chew an aspirin if I have a bad headache). This was on the day after the Attack on America which, unfortunately, resulted in a no fly zone and the hospital we went to did not have a lab to be invasive with where his blockage was. Paul was feeling cold in
His legs and that’s when I went into crisis mode. Never will I forget Paul smiling at me after the cardiologist said he is in the midst of a major heart attack. He felt nothing…suddenly they were losing him….drew the curtains yelling “get the life Copter!” as another dr yelled back “it’s a no fly zone!” I know a nurse was having me breathe in and out of a paper-bag. Called my Dad screaming to hurry hurry… Paul’s having a heart attack! The nurse took over the conversation for me. This was around 12:30;am on 9/12/01. Paul was taken to a hospital around 3 in the afternoon as he was unstable and the cardiologist saved his life. We learned he had a 100 percent blockage in his right coronary artery as well as no blood flow in bottom of heart. Was in icu for 5 days. He had another blockage in 2004, 2006, 2010, 2019, and June 2021 which this repeated blockage they tried to fit a stent but was too dangerous. They did the balloon cath 3 times. Paul, for me, told his cardiologist I that his neck would get red off and on which prompted the 2019 and 2021 angiogram. Well, he had nuclear stress too. We Both felt that the balloon calf was simply a Band-Aid… I am trying to get him to call and say his neck is turning red dress so they will do a stress test. In August he had a cardio mri which revealed narrowing of the June artery already. He has lpla our boys do not carry the gene. After reading the Timmy 54 study I wonder if he would qualify. I worry constantly because I know somethings wrong before he does. His neck turning red was new and I told him to act on it. I know he is frightened as he doesn’t want to talk about pushing a stress test given tests done in August did show narrowing as well as in June when they were doing a stress the nurse saw multiple pvcs and asked if he felt which he didn’t. The scan showed large scar tissue and other tests revealed the pvcs are coming from the scar tissue which is causing his heart to pump harder thus decreasing is EF which is at 41.
We’ve gone for 2nd opinions but their is no magical pill. I despise our new Boston dr telling us to “wait and see” after she reviewed alll the tests. Not putting her down But when she said if you feel anything…Any chest pain which Paul has never ever felt I Get so angry inside because we just told her he doesn’t feel anything extremely asymptomatic and he is not happy with me right now because I want him to push for a stress test for scans to find out what’s going on with the artery that has been stentedv once before the June balloon cath. I certainly did write a lot it’s just that your videos always teach me something new… I know about stents and unfortunately I am about balloon cath narrowing faster. I truly appreciate the way you explain all that you know. I wish I could show you all the results of his testing he had because of course it’s on medical Termanology but I google and learn As I want to have the right questions when we have follow ups.
Thank you very much!
By my me
L
Thank you for this thorough explanation
Thank you and Happy New Yer, that was easy to understand.
Hi Dr Sanjay , Well done. You have mastered the technique of explaining complex issues so clearly. Keep up with the good work. 🙏
Very valuable. Thank you, Doctor.
I appreciate your commentary on these issues, since I recently (within a year and a half) had a quad bypass and a stent put in about 6 months ago. I had a pretty good idea of how these work, but you helped clarify some things. Thank you.
Very informative. Thank you.
An extremely informative video
Nice succinct explanation!
I wish I had come across this a lot earlier, I have had a heart attack just 6 weeks ago and have had 1 stent on all the required medication, how you explained everything made so much sense and gives us the patients a better understanding of what a stent is and how it works. Your videos help with people like myself who suffers from anxiety because you understand more about the condition and the procedure and the risks. Thank you
It’s been 4 months since I had a heart attack still not had follow up and not been feeling great over the past few months in chronic pain and generally feel run down, I turn to gp they do phone consultations, or tell u to go into A&E when I go there they say everything is fine ask the gp to investigate further been going round circles, I’ve given up now.. but there videos are very helpful in terms of detail and information.
How are you now
Thank you for such valuable information on stents.
Thank you Dr. Gupta. Very clear explanation! It allays some anxiety I have had about a loved one’s recent stent 🙏🏻
What a delight.Thanks,Thanks,Thanks
Big Thanks to you for posting and for your knowledge and expertrise in the subject ! Best regards Keith xxx
What a great presentation and i thank you so much for this doctor. In May 2022 i was diagnosed with having angina. I might stress that i did not have a heart attack thankfully. Fast foward to October and i had an angiogram and it was found i had narrowing of the arteries. I had 3 stents fitted the same day and was back home the same night. 14 weeks on from the procedure it has to be said i feel so much better. No more breathlessness which is a Godsend in itself. I go walking every day and touch wood i have not had any issues whatsoever. Yes i am on medication which includes statins for cholesterol and thankfully no issues with that either. I do worry though long term will i carry on feeling ok or could there be some issues further ahead in my recovery, obviously i hope not. I do know this, i am so grateful to the doctor who fitted those 3 stents that day, to me it has been a life changer. Early days i know but hopefully onwards and upwards from here on in.
Thank you for the detailed information
Best in the business. Thank you.
Thank u Dr Sa njay for the lucid presentation on stenting and angioplasty. As a layman I stand immensely benifitted.
Thanks a lot, very well explained.
Fantastic explanation as always. 💯
Well explained and easy to understand! Thank you, Dr. Gupta.
happy new and thank you for your videos they have made me feel alot better with the problems ive been having.
Thank you! Wonderful video!
I've started Richard Simmons 'sweatin to the oldies' starting slow and making a noticable difference. I thank you Doctor.
I had a stent put in my LAD artery and a TAVR done in December 2020 and took aspirin and clopidigrel for 13 months afterwards. I don’t want to say it was a piece of cake but I had an almost deadly open heart surgery 8 years ago and how the procedures are done today is miraculous! Great explanation doctor.
The open heart failed and then they stented at that point?
This is Very informative . . . Many thanks to our best Doctor 🌷😍👍🏼🙏
Thanks Dr G, Happy New Year
Thank you Doctor! Awesome information!
Thank you Dr. Sanjay, happy new year!!!
i just listen to dr sanjay gupta and after the topic, i really learned so much bec he explained so simple and precise. thanks, doctor!
You are an excellent doctor. Be active on social media regarding cardio and other health issues....Regards from india.....👍👍👍👍🙏🙏🙏🙏
Best explanation. Dr. Gupta put my mind at ease. Thank you.
Thank you Dr Sanjay for that information, it is very useful 😊
You are brilliant.
I have Coronary Artery Disease and four heart stents since 2013/14, metal and drug eluting. I take Clopidogrel / Aspirin in combination, and Ibersartan the whole time. I walk regularly for up to an hour. I see my Cardiologist every six months. I feel very lucky. Cheers from NSW, Australia. ❤
Very informative, thank you doctor. Unrelated, but you’re extremely charming!
Thank you so much for this information.
I am 62 and had 3 stents installed last may, been working good so far, they have me on colesteral, thinner, blood pressure and aspirin medication,
Wonderful And Clear Explanation of This Important Life Precedure. Many Thanks. Doctor, You are A Blessing to The Medical Field. E.K. Harlem NY
thank you for this clear explanation
Excellent Dr Sanjay Ji.
My mother had a Stent put in her and I'm not too sure but she had it for 5 ½ years in her but to what I heard she was supposed to have it removed before the 5 year's and one day she fell in the hospital and 9 day's later she came out in a bodybay . I wanted a autopsy done but my oldest brother who was the proxy didn't, he says to me let her RIP and I said she can RIP while their doing a autopsy . It was never done . For some reason I didn't believe the story that the doctor gave us . It's been 11½ years since my mother passed and everyday since she died I've missed her. I wish she were still here. RIP MOM I'll always miss and love you . You are my queen 👸 ♥ 💖
I know how you feel after kissing my mother's forehead in a coffin. There are no guarantees in medicine and doctors will protect themselves. I had a doctor almost kill me five years ago and still dealing with the financial and psychological of that mess. I think your brother wanted the best for your mother. An autopsy is really a violation of the person. I think you wanted the best for your mother too. It would take years and a lot of money to fight and in the end it would tear you down. Talk to your brother. God be with you.
Stents are permanent once they are put in. They are not removed.
Brilliant Cardiologist! Straight forward communication.
Wish uou were my Cardiologist as I would feel safe and secure ❤😊
Great heart doctor!
Thank you so much sanjay, beautifully explained, very informative.
Thank you so much for making this informative video on Stents. My partner had a Stent procedure done 3 days ago. No prior symptoms or Cardiac problems. It’s a difficult situation to take in and we are very grateful for this life extension treatment . Just wondering if you could speak to being on Statins for a year? He has received conflicting information at the hospital.
Thank you for your efforts
Always enjoy your videos, Dr. Sanjay, could you share information on Aortic dissection? That's what I have been dealing with, so it would be nice to have some info.
Thank you very much for taking the trouble to explain in detail, it is rare a lay person can listen to such information. Would you be kind enough to explain heart bypass surgery and consequence need for statins, aspirin and length of time needed
Happy New Year Sanjay to you and your family. 26 months ago I had this done - 90% blockage in one artery. I was on an anti-platelet for 1 year with baby aspirin, and continued with baby aspirin to this day. I couldn't walk more than 100 feet without resting - 2 hrs after the stent I was released and went grocery shopping and I felt like I was 40 again. 2 stress tests (2 yrs) later all is well thus far. Vancouver General Hospital Canada.
Thanks for sharing. Do you have any risk factors for heart diseases like family history, cholesterol…? Could you share your total cholesterol, LDL, HDL numbers when you had stent? Thanks
Yes please tell us if you have/ had cholesterol. Thank you
Thank you, really informative , husband has had stent procedure today ….
🌟✨HAPPY AND HEALTHY 2022 DR SANJAY AND ALL YOU LOVELY PEOPLE ✨🌟
Thank you for explaining so clearly. If I may ask. What happens after 3 years? (No medication required?)
Happy New Year Dr,Sanjay Thankyou
Thanks!!
Thank you.
Happy New Year Dr. Sanjay Gupta I’m going in for an examination and possible application of stents. Thank you very much for this very informative video.
Glad you're back at work. I watch to keep myself healthy. These other doctors just keep pushing drugs.
Thank you for your detailed explanation which clarifies the procedure I am now scheduled to endure. I do wish the dissolving style stent was more developed as I do not like the ideal of parking a metal stent inside my heart. Since all stents have risks, I’m very hesitant to have this done and wonder if I can get same results using medications.