Cardiologist Answers Heart Questions From Twitter | Tech Support | WIRED

[@jopo7996]

Dr. Rao just kept the information flowing. He didn't skip a beat. It's like he knows this stuff by heart.

[@C2-J0]

staaaaahhhppppp

[@Katie_Jo_21]

Hahaha 😝 😂

[@NancySwass-jv4kp]

Funny

[@beepgoesbonk]

Always a pleasure to see these puns 😂

[@AllenJohn]

You beat me to it by a pulse.

[@tonictechz]

we're slowly completing the interviews for all of the organs in the human body

[@LeastTresCharLargo]

Spleen Support

[@LzaM-fp3ww]

COVID weakin the heart? What does the vape illness do?

[@Icewallowcome012]

skin support when? Oh wait is that just a dermatologist

[@PonyBoy1776]

Just wanna give a shoutout to all our hearts for keeping us alive throughout the years

[@AtomizerX]

Truly the goat of all organs

[@LzaM-fp3ww]

They wanted me on blood pressure pills, I took 3 -4 cloves of garlic a day, A shot of apple cider vinegar, Blood pressure, lower than it ever have been:;) not everyone can have garlic& vinegar, depending on their medication....:)

[@ourcorrectopinions6824]

haha. nice one, pony boy.

[@Dasyati]

i shouted out to my heart once and it stopped to look back and wave. big mistake

[@mattice9083]

Thanks for literally always exercising every second of my life heart

[@Zerbey]

High blood pressure truly is a silent killer. I thought I was having migraines due to my IT job and too much screen time. Then one day I had the most blinding headache of my life and chest pains, I just knew something was off so went to the ER. By BP was 220/140! The doctor said it was a miracle I hadn't had a stroke already. With medication, back to the normal 120/80, and I can't remember the last time I had a migraine. Check your blood pressure often.

[@jakeaurod]

Same. My neighbor, who was studying to become a Physicians Assistant, wanted to practice on his neighbors. He was shocked at my BP, which was also 220/140. He told me to go see a doctor as soon as possible. I asked if he thought I should be in the hospital. He said he thought I should be dead. The following week I saw a doctor and started hypertension meds... at 26 years old.

[@senri329]

Had a somewhat similar experience. Was working and had the most excruciating headache in my life so far that lasted for about 10 minutes IIRC. It was then that I started taking my medication regularly and never had headaches since.

[@Icewallowcome012]

Glad it went smoothly for you or smooth enough.

[@RBzee112]

Check your fasting glucose and A1c. High blood sugar causes your blood vessels to stiffen, which makes your BP rise.

[@Zerbey]

@@RBzee112 My blood sugars are fine, just had my annual physical and they checked all that, but thanks for the suggestion!

[@Oxibase]

This presenter did such a great job of keeping the medical jargon to a minimum to keep all of the content very accessible to those not versed in the language of medicine. Well done!

[@FcoEnriquePerez]

What I'm so glad is that he did mention there's good and bad cholesterol. Is infuriating when people think that all cholesterol is bad and are scared of food that do nothing but good.

[@lmo7724]

I had a heart attack a year ago and went into ventricular fibrillation in the ER. The doctors did CPR and then used the defibrillator to shock me back to life. Shout out to electricity and the interventional cardiologist ❤ for saving my life.

[@justayoutuber1906]

Do Amish allow the use of defibrillators?

[@VNavale]

You are really lucky to be alive. Ventricular fibrillation is fatal without immediate medical attention and defibrillator.

[@coltenwhite7494]

@lmo7724 I have a question what did you see in that time span?

[@lmo7724]

@@coltenwhite7494 I had a dream that I was surrounded by clowns. I believe that I was just starting to wake up and it was actually the uniformed staff that were surrounding me when they took out the breathing tube.

[@JillKnapp]

I'm really happy they fixed you up and that you're ok. ♥️

[@12thDecember]

I wish someone had asked about panic attacks and why it feels like you're having a heart attack, because I would love to hear his explanation for it. Other than that, the questions were great and his answers were thorough but easy to understand. Dr. Rao seems to be a super nice guy, and his patients and colleagues are lucky to have him.

[@rjrnj1]

Think of the "Flight, Fight, or Freeze response." Your heart beats like a heart attack because during an anxiety attack, the primordial part of your brain senses danger (real or not) and releases adrenalin to prepare you to flee, right, or freeze. A quick release of adrenalin will cause your heart to beat so fast, we (yes, I, too, have anxiety) we feel like our heart will beat out of our chests. Hope this helps.

[@12thDecember]

@@rjrnj1 Thank you ♥

[@nirbhay_raghav]

So true. I wanted to ask him about me worrying constantly about something wrong with my heart. Eventhough all my reports csme back normal and I am only about 30. These random chest pains and sensation really make me worried and somedays I feel like I might get a clogged artery just due to stressing about it too much.

[@alhypo]

The thing is, panic/anxiety attacks likely have nothing to do with your heart. It's more likely a feedback loop that can occur between your brain and gut/stomach. But these symptoms can trick you into thinking they are heart-related. Acid reflux related to anxiety can cause severe chest pain which is easily mistaken for a heart attack. The chest pain can get so bad that it will radiate to your neck and jaw. It can even cause the sphincter at the end of your esophagus to spasm. Being that it is right next to your heart, it feels like your heart is fluttering or skipping beats. And of course, if you think you are having a heart attack, your heart rate is going to increase considerably. But that is more secondary to the other things going on. Though it certainly contributes to the feedback loop. My symptoms got very bad before I had a strategy to manage them. I made multiple visits to the ER. I had to get my buddy to take my guns away because the pain and fear was so acute I started having very unsettling intrusive thoughts. Eventually, my doctors were able to convince me my issues were more psychological than physical. Though this was not an easy path. A doctor can perform an EKG and show the readout to you explaining that it is a textbook perfect result. But it doesn't mean much in the moment when you think you are dying. The medical system in the US is not well-equipped to do deal with patients like me. But I also share the blame because I know searching symptoms on Google just super-charged my anxiety. And I was very often not upfront with my doctors in telling them what I thought was wrong with me. If I had done so, they would have been able to address my concerns in a more targeted manner. In the end, I got CBT counseling. And I started taking amitriptyline which has the effect of quieting nerve activity in my chest. It basically short-circuits that brain/gut feedback loop. And I avoid googling symptoms as much as possible.

[@jeffrey1312]

I was diagnosed with panic attacks until they found that it was Atrial Fib. For some people the symptoms are similar.

[@Seanmmvi]

Did anyone else feel like their heart was going to explode while watching this?

[@Jmvars]

I was eating pizza and felt like throwing up, like I really should not be eating this pizza.

[@Art.and.Hamsters]

I hate watching hearts beat for some reason

[@crispieebacon7855]

No

[@user-rw1ti1vm5i]

Yes. I shouldn't have watched this lol

[@VNavale]

No, But I'm a doctor!

[@AthleticEducation]

13:46 my grandma had a pacemaker in her 70s. Lived into her late 80s. Only died a few years ago. Miss you grandma

[@chiragnk602]

Smooth af. Very good delivery

[@nijego]

Idk thinking about my heart kinda freaks me out. There's something creepy about this beating machine that can just randomly stop working and end your life. It makes you remember how extremely fragile your body is actually. Whenever I think about it I feel like I'll have a heart attack now

[@michete]

True but also remember how resilient the body is and practically self-healing in a lot of ways!

[@KMBence]

Sooo real😭😭😭

[@Jmvars]

What freaks me out is your heart needs to keep going non-stop for 70+ years (in developed countries). When you eat, sleep, exercise, your heart needs to keep going or you die. To me it's become so absurd that I just no longer think about it. It just keeps on beating and I'm cheering it on.

[@she-hulkSMASHES]

Huh, I was actually marveling at how intricate and complex our bodies are, and how everything is connected to keep us alive.

[@KristenRowenPliske]

@@she-hulkSMASHES I’m an RN & I am still amazed at all the mysterious, marvelous, interesting & gross things our bodies can do!

[@Azuryna]

He reminds me of my childhood doctor. I hope everybody has at least one person in their real life like this.

[@missmina1]

That was great. I loved watching him answer all these questions. Please have him back.

[@Doctors_TARDIS]

People do die of a broken heart. The husband of one of the Uvalde teachers died of a broken heart a few days after the school shooting.

[@harjitkumar917]

that's true. i've heard a lot of stories about old couples who die just weeks or months apart. even if the one who was left behind (initially) didn't have any disease.

[@lgao]

This is so sad. 😢 RIP

[@LaurenJohnston-wc7vn]

I had broken heart syndrome (Takotsubo cardiomyopathy) after something traumatic. I was in the cardiac ICU for a few weeks. Just over one year later thankfully I'm back to normal

[@brandothecatmeow]

There was an episode of Scrubs about broken heart syndrome. It was a Japanese doctor who discovered it.

[@cjtzioumis686]

Excellent. Very clear and concise, really nice delivery.

[@cobracommander4378]

This doctor is very good

[@tateschell4761]

I love how cardiologists always refer to pacemaker batteries being so small. I’m NOT a small person- 200lbs and 6’1, I got my pacemaker at 19 (I’m 21 now) and that thing feels massive inside your body. The one I have is even considered a new and small model (Medtronic Azure). I’m an avid rock climber, and I frequently have to skip routes because my pacemaker literally limits the way I can move. It slips around under my skin when I change clothes. You can see it through my skin. It might feel small outside of your body in your hand, but when it’s under your skin, it makes a huge impact on day-to-day function, especially for an active, younger person. Think of having a tiny shard of glass in your foot. Metrically, it’s a small item, but it causes MASSIVE pain and discomfort, and SEVERELY limits your bodily function. That’s just the tip of the iceberg. With pacemakers come leads, which are thick, long metal wires that extend deep into your thoracic cavity. They are literally screwed into the tissue of your heart. They shock you. You can feel it. In some people, the leads sit on nerves that stimulate your diagram and cause non-stop hiccuping, coughing, and abdominal twitching. It’s uncomfortable and high risk. There’s so much more to it than just a battery.

[@connermcintosh4322]

This was a really informative comment, thank you. And sorry you have to deal with this

[@theheartpharmacist]

Pacemakers can be a pain for sure, especially immediately post implant with all the swelling and inflammation (and occasionally pocket hematomas). Most of the time people should be able to go back to most of their usual activities after about a couple months of recovery and enough time has lapsed for the lead to seed into the heart tissue permanently. It's unfortunate to hear that there's some physical limitation - but I'm glad to hear it seems like you have a great sense of what your limits are and that you're not overdoing it to possibly cause problems by yanking that wire out accidentally (definitely not a pretty picture as I've seen a few of those cases).

[@Jvaldes609]

[Incoming Dad joke] Glad the doctor had this heart-to-heart with us.

[@clavate]

Even though speaks super fast and all new information, he is extremely eloquent and easy to understand 😮

[@Junaidmohsin1]

This was so much fun, didn’t want this guy to stop talking! Loved it ♥️✨

[@kykybabyk]

Future PharmD Student here, would love it if @WIRED did a Pharmacy support with a Pharmacist answering questions.

[@diannep3395]

Just excellent ! Dr. Rao is great as a teacher !

[@thehomeschoolinglibrarian]

My mom was diagnosed with a broken heart twice and the second time she died. Now she had also nearly died of the flu the year before and was a smoker starting when she was a teen,probably had anxiety and recently had dental implants put in due to gum disease. So don't smoke and take care of your mental health and your teeth. My mom was not that old being only a few months shy of 67.

[@SoulPhoenixFire]

@14:35 Just had a SCAD (spontaneous coronary artery dissection) happen last December. I’ve been recovering ever since and going to cardiac physical therapy. It was sudden, unexplained, and the cardiologists at my hospital were baffled and fascinated by my case. 29 female with extremely high troponin, presenting symptoms of myocarditis (heart inflammation-but found only on one side of my heart),and no ekg problems really tripped them up. I did have HBP (controlled with meds) before, and now am on a massive dose of other BP meds + blood thinners. What a strange life! Keep your heart healthy all ❤️

[@Joshua-dx7zn]

I had one in my cerebellum 2 years ago. My neurologist thought it was whiplash. It appears it was due to the effects of COVID on my cardiovascular system. Even though I'm very fit, that one artery failed and caused a clot in my brain.

[@craigcrawford6749]

How did you have hbp at 29?

[@SoulPhoenixFire]

@@craigcrawford6749 I was diagnosed with it at 23 while in the military. After many tests it turned out to be hereditary. My grandma was diagnosed at 26. Just runs in my family I guess.

[@SoulPhoenixFire]

@@Joshua-dx7zn that’s so crazy! Yeah it’s completely unexpected and I heard Covid could cause some problems with the heart. I hope you’re doing well now.

[@craigcrawford6749]

@SoulPhoenixFire what were the numbers?

[@mgooding8]

Ugh. My partner passed away in December at 39 of an aortic dissection. In front of me. I had to watch this even though I really really didn’t want to.

[@VNavale]

Aortic dissection has a 50% mortality. Sorry for your loss. In the UK, where I live, now there is a screening program for aortic aneurysm.

[@whiskeywolfgang]

I'm so sorry for your loss. I wish you all the best in your healing 💕

[@Scents4em]

Oh heavens, I am so very sorry for your loss. Sending you warm thoughts ❤

[@mgooding8]

@@VNavale yeah, I’m in the US and he didn’t have insurance for a long time and apparently had high blood pressure

[@otakuhunter4817]

you're a strong person.Goodluck and wish u well

[@exdejesus]

Wow! This was terrific! Thank you, Dr. Rao! Because I have a heart condition, and an excellent cardiologist, I'm familiar with most of this, but I learned some things too.

[@chaychabee]

Yeeeeeah I think this is one of those instances where being blissfully unaware of what’s going on inside my heart is probably for the best because now I’m super aware of my heart and that’s got me really anxious.

[@nirbhay_raghav]

Trust me, I keep thinking about my heartrate and heart in general for about 60% of the day. I have probably gone mental with it. Evne running up a flight of stairs makes me nervous😂

[@Jadiexox]

Love these videos ! Learning so much 🙌🏼

[@ebishrimpy9366]

Its amazing how he demonstrated that stent! This content is high value

[@alitzzy]

This actually had mostly great questions, I'm impressed. Great answers, as well. Thank you!

[@GigaChadow]

Love this kind of content! If you need a PT to do this kinda thing I would love to get involved! Regardless, keep up the great content!

[@loveforeignaccents]

Appreciate all the info; thanks so much!!

[@garrettshelton5788]

This guy was the best at breaking down complex topics I’ve seen on here

[@bbvieiralove]

Very grateful for my cardiologist and my pacemaker. Got my first one when I was 18 and another when I was 32 ❤

[@NewHellraiser]

Hope to see him again. I want to send in a question to see what is done today when someone is born with my heart condition

[@TheSektor13]

Great lecture, very clean and understandable

[@steubenbreunden]

Please get an expert on the Mitochondria I'd really like to better understand how the Mitochrondia works.

[@RUBBER_BULLET]

Forget it, you're not a Jedi.

[@xaniella4859]

its the powerhouse of the cell

[@marktyler3381]

Foreign invaders

[@MrAminalCrackers]

Google it

[@tehRealPRM420]

The mitochondria is the the part house of the cell.

[@danijames4708]

I would want him as my doctor. His delivery was easy to understand and engaging.

[@JillKnapp]

You definitely picked the right guy for this video. Thanks Dr. Rao! Really great questions and super-helpful, clear answers. He seems like a really solid dude. 👍

[@maar5929]

My resting heartbeat used to be in the 90's. Due to migraines, I started a low tyramine diet, and now my resting heartbeat is in the upper 60's.

[@dragon_deeeez8158]

I had my second aortic valve replacement and a pacemaker installed recently 😂 the algorithm is getting serious!

[@Scents4em]

Sending you wishes for improved health! ❤

[@cakeisavegatable]

We need to be taught more about psychology the fact that my psyche could cause heart issues is frightening

[@frankiefavero1666]

Absolutely! There's neural networks in the heart that communicate with the brain! Also in the stomach...

[@cakeisavegatable]

@@frankiefavero1666 right?! it's crazy. there's a book about gut fauna and how it relates to inflammation in the body AND mental health. if i'd been taught this instead of the crap my public school taught i might not be such an anxious mess lol

[@k0pe1177]

This guys a good teacher

[@Beth-l5c]

He's an excellent teacher.

[@jugglingbeast]

This warmed my heart.

[@jakeaurod]

Cockles?

[@KMBence]

Great job to the Dr! Would’ve loved to hear about low blood pressure !

[@anat01]

I got familial hypercholesterolemia! this video is the first time I've heard anyone in social media mentioning it!

[@adzizi]

I love how he answers the questions in the best comprehensible way as possible.

[@saleena9820]

thank u wired for ur educational videos❤

[@Katiedora122]

As someone with multiple stents in my heart, this is the first time actually seeing how it works😅 I was born with Tetralogy of Fallot and needed open heart surgery to repair a hole and a blockage immediately, but when they were putting in a stent a year later, the balloon didn't inflate and I wound up needing another open surgery. I had successful stents put in when I was 3 and then 14 when I basically finished growing, and that thing has been hanging in there for about 20 years now. I got a killer heart murmur, though!!

[@Scents4em]

You are one tough person! I hope that heart keeps beating strongly for decades and decades more ❤️

[@yuucreations8569]

I feel like I am in a lecturing class for medical ! So informative !! Thank you

[@JordanJVarghese]

2:47 Hearing your heartbeat (AKA pulsatile tinnitus) can be due to a number of underlying conditions, some of which can be life-threatening. If you are experiencing this symptom, please get evaluated by an otologist (ear doctor) before writing it off.

[@epicdiamonds5]

I don’t know who this is but he would make an excellent Crash Course teacher. The cadence is perfect.

[@KuboF]

Very important episode of Tech Support! Thank you WIRED and Dr. Rao 🙏

[@blackfrost273industries4]

The nicotine to blood vessels thing is helpful

[@marinanjer4293]

Heart : (murmurs). Lung (who though the fight was over): TF you said??!

[@LS-zv7rx]

“I just treated someone with a broken heart syndrome this morning…” true that, Doc is still wearing his scrubs

[@austin65432]

This guy’s fantastic!

[@mainly_marvel]

brooo the ep of grey's with broken heart syndrome was so good

[@phs125]

One important thing about cholesterol that most people don't understand. There's 3 different meanings to the word cholesterol. 1. The actual molecule called cholesterol. It's not harmful. It's a molecule produced by your body. And it has some functions. So any food item that says "zero cholesterol" means absolutely nothing. Your body will produce it anyway 2. HDL, LDL, and VLDL. There are lipoproteins. They are a complex thing which has one component in them being the actual cholesterol molecule. But that has nothing to do with them. HDL is good for your body, LDL Is bad for your body, and VLDL is very bad for your body. All made in your body in response to your diet. But for some reason, they're also called cholesterols. 3. The actual food items. There are some molecules in your body which will increase your blood levels of LDL and VLDL. Mainly, saturated fat, and trans fat. Most oily things have some saturated fat. Synthetic things like margerine have a lot of trans fat. These things will increase your LDL. and VLDL. and are harmful for your body. They are not at all cholesterols. But will cause issues in body...

[@craigcrawford6749]

None of it is bad for your body. It's all there for a reason.

[@lalaland746]

My grandma died during a stent catheterization. Apparently the balloon holding the stent popped, and it blew out her artery. I miss her so much 😢

[@JJNurs]

I like him. I wish everybody taught like him.

[@isaacjamesbaker]

If my heart needs serious help, I want this guy!

[@djlondon7956]

Absolutely great video, he's such a good explainer. 🎉

[@MagneticTurtl]

2:21 Not the EKG being upside down 😭

[@Scents4em]

I’m here today because of a group of superhero cardiologists who patched me up after myocarditis almost took me out (thank you COVID 🙄). The heart is an amazing organ! I do everything I can to care for mine now.

[@hopelessly.hopeful]

How wonderfully informative 👏🏼

[@TheNorwoodCat]

Ironman triathlete and marathoner..... Was always peeved that my heart beat was lowest at 72. Now I understand that. Back then I was mad! LOL

[@justayoutuber1906]

I never run or go to a gym and mine is 62

[@swarnavasaha4718]

U feel happiest when u already know what he is talking about bcoz u r first yr medico🥰🥰🥰

[@lalaland746]

This video made me appreciate my heart. I love you heart ❤️

[@frankiefavero1666]

I love my heart too!!! ❤

[@coinbot174]

That's the first time he's ever worn that jacket.

[@asiamies9153]

?

[@B.H.56]

I took my BP while watching this - 100/60. Way less than it is in the doctor's office, which is why I am on meds.

[@beverlydavidson6749]

I had a triple bypass . Stents were an options but surgery was better because I am immunocompromised due to transplant.

[@MikeSchinlaub]

My dad has a complete blockage somewhere around his heart. His heart actually grew a bypass around it, possibly when he was still very young.

[@wolfheart5408]

Humans are incredible too

[@keshavnarain6606]

Well communicated Dr. Rao. One point that you could have been more emphatic on was that the ONLY intervention that can reverse coronary artery disease is a whole food plant based diet as detailed by Dr. Dean Ornish many years ago at UCSF. I think it is selling the consumer short to say that it is very difficult. The former president of the American College of Cardiology said it quite eloquently: "there are two types of cardiologists, vegans and those who haven't read the literature".

[@MurseSamson]

Great takeaways as an RN. Answered a few outstanding questions and deeper meanings behind certain folk tales I've heard. Thanks for the discussion Doc 🫀

[@TURDFERGUSON135]

Obviously the cardio knows more than me so I’m not correcting just clarifying. Regarding defibrillation, it doesn’t restart the heart per se. Like he said you can’t shock a flat line. Only when it’s fibrillating. When it’s quivering like he said and we shock it. It’s not restarting it. It’s essentially stopping it and hoping the hearts regular pacemaker kicks in. Does not always happen.

[@BAHO2d]

I can't be the only one, who started to feel their heart beat while watching the video, right?

[@StrongMed]

Dr. Rao, in general this was great. But why perpetuate the myth that the normal heart rate is 60-100 bpm??? There is no more pervasive myth in medicine which is so thoroughly contradicted by the available evidence! (If one needs to pick a single range for a normal resting heart rate in all adults, 50-90 bpm would be much more accurate.)

[@Velmakinz]

Whoever is in charge of recruiting these experts is just truly fabulous at their job

[@sarahfolger5232]

Thanks, doc! Vtach patient here. We don't get as much attention as the afibbers. 😂

[@brandonbrooks898]

When he said " @Bettyphuck9 asks.." That was kinda funny

[@uchihaavenger2068]

Can we have medication support with a pharmacist?

[@dx243_]

1:31 him talking about heartbeats me: "rhythm doctor moment"

[@ldr08eldaradome50]

"if you notice heart is skipping beats A LOT..." A LOT here means "many time" or "looong time"?

[@uschilou]

Many times.

[@ldr08eldaradome50]

@@uschilou often, right?

[@uschilou]

@@ldr08eldaradome50 yes :)

[@Jay_0605]

​@@ldr08eldaradome50 yeah

[@xyz6106]

@@ldr08eldaradome50yes. If your heart skips beat for a very long time, its practically stopped

[@elijah.j3288]

This dermatologist is outrageous with this information

[@SonnyDarvish]

Max HR BPM formula of 220 minus age is obsolete. Mine is 10 higher, my colleague has 25 higher than what that formula shows. It misses a few other factors, such as body size.

[@RobertEskew]

Excellent Q&A. Thanks. Dr. Rao is a keeper!

[@shetlandsheep3081]

When I had ovarian cancer it caused DVT and then pul embolism in the lungs, and then a blood clot reached my eye causing temporary partial blindness in one eye - and since that should be physically impossible it was only then that I learned that the hole in the heart babies have before birth didnt close up completely in my case - apparently thats not uncommon but it took 50 years to find out - I’m doubly lucky to be here 4 years later I reckon

[@Lennybird91]

His answer on HRV glossed over so much.

[@SeeNightingale]

I so agree with your heart rate recovery improving. My heart rate recovers now within 1.5 to 2 mins it's really amazing because I go VERY LONG periods without working out. The body is amazing and it remembers everything even if the brain doesn't bring it to thought.

[@kelsey_0516]

May I put in a request to get Dr. Mike on this show please and thank you!

[@1AverageGamer]

Dude so casually said "I treated someone with a broken heart syndrome this morning and now i am here on Wired doing this"

[@eric_ovie]

I didn't expect him to sound like that 💀

[@JBKLEIN]

*Hey! Guy born with aorticstenosis here, wish you were my heart doctor man. Seem like a cool dude! Very informative too 😊*

[@Lily-ed2sc]

Yay! We are getting more experts on this show 😁

[@quickSilverXMen]

Thanks man

[@mykolakozak]

Please slow down the pace, these videos give me sttess

[@qendresashillova]

This was refreshing.