Health and Wellness: Having Healthy Heart

My name is Ngozi Ibe and welcome to Leadership, Health and Change. We apologize for any inconvenience. We've returned to duty and are returning to you for important information about our health. Because we've decided that our health is our first priority So we're here with these movies to help you keep looking for a way to live earlier and better So, today we'll talk about health living living And we have a friend with us, Dr. Shidalee Vincent. This is a cardiologist. From the central hospital to the central hospital This is a doctor specializing in research, specializing in research of smart hospitals. So, welcome to the Leadership Thank you. So, as I said before We'll be back to tell you about the easy issues. It is related to health and early life So, in today's film, there's a live-live friend We want your doctor to tell you, help us know more about what you need And know about the hospitals that are completely alive alive Or health problems And we also want to talk about how to live a good life Knowing your health will help you stay healthier. And keep your health better than ever So, Doctor, as here, what is there, what is there, in a normal way Help us know how to live a good life If a doctor can ask for a hospital, a Nigerian citizen, How to live well Health is one of the important issues And it's very important to operate in all facilities We often say that everyone's health is their health. And as we know, health is a soft form Especially the health side. And health is a very active issue Health to all on day Usually, the health of each person is about 200-220 times Every day, 24 hours And anything that makes this health issue a very important one So health is a problem that is almost in contact with all the systemic problems Because health is connected to all the problem systems Through some channels we refer to as blood vessels And so, when the heart beats, it acts as a pump Actually, it's a muscle pump. And when it pumps blood, this blood follows these channels And it goes around the body through what we call arteries. And then when this blood, which is all parts of the body The blood returns to the heart again. When all the essential nutrients, oxygen and everything that the body needs Has been extracted from the blood The blood, we like to call it the empty blood now The blood that has been depleted of all its nutrients and whatever Now it returns to the heart through what we call the veins And by the time it gets to the heart The heart sends this blood to the lungs. To go and get a fresh supply of oxygen And then this oxygen goes back to the heart again. And then the heart returns it to the body So there are two basic pathways in the blood circulation One pathway is from the heart to the lungs To get oxygen from the lungs And then the blood comes back to the heart Then from the heart to the rest of the body And back to the heart again That's one complete cycle. So basically that's how the heart works. And anything that tramples with this continuous beating and circulation of the blood It stops the body's functioning. And that's what's indexed So that tells you why it's very important for the heart to stay healthy Remain functional and never stop Because once it stops, life is indexed Okay, so the doctor mentioned heartbeat And he said 120,000 times 120,000 times So for how many minutes or seconds can the heart stop beating? And that can result in? Yeah, for any length of time the heart stops beating It's a real disservice to the body organs. Especially the brain. And other vital organs like the kidneys. So usually the body can rarely tolerate the heart from not beating For more than 2-3 minutes Very loosely So there's no place for the heart to stop beating. That's why when people have what we call cardiac arrest Cardiac arrest means the heart has stopped working. Has stopped delivering blood to the body That is why there is a need to immediately institute what we call basic life support Which starts with what? Chest compression and delivery of breaths This is to ensure that the body organs do not suffer from that lack of blood supply So that continues until the heart picks up Because if the body remains like that Before the heart picks up Even if the person survives significant damage The person may remain alive But the brain won't function in a particular way. So we don't allow the heart to remain without functioning Yes, I think that's what I wanted to say Okay, so I want to know At what age do people start having heart complications? Or is there a particular age to have heart problems? There is no particular age Because some people are unfortunate to be born with heart disease So right from the moment you step into the world You have heart disease But as a common man I'm sure you've heard of a hole in the heart. Yes, hole in the heart That's what we call VSE or OAC. When the heart's partitions are not complete That's one of the very common things that happens So there are many other things that can happen to the blood vessels. As I said, right from birth So it tells you that someone can be born with heart disease But beyond that Other types of heart problems that we call acquired heart disease Which a person is not born with Can also be brought in even right from childhood So there are various diseases that affect the heart That's more common in childhood. And there are others that are more common in adulthood So there is no particular age At any time, one can get acquired heart disease As some people are actually born with heart disease Okay, so doctor I'd like to know specifically For people with a family history of heart disease Maybe age 45, say age 45 Their father died. Or one of the parents died of a heart disease What are the things they can do To start living a healthy life Like what healthy choices they can make To start living a lifestyle that can help them Probably when they get to that age. Not to have the same - I'm not. I guess you're asking about Acquired heart disease Which most of the time are multifactorial We call it multifactorial because Genetics is not solely responsible for the expression Of that heart disease There are other inherited types of heart disease Where other factors play less of an internal role In the expression of the disease Now for those There's nothing you can do. In terms of lifestyle and all that That may prevent the expression of such a disease Rather, treatment interventions may help in such cases But in acquired heart disease Where there is a genetic contribution component To the expression of such diseases Then As a person When you know This tends to happen in my family. Or a member of my family has had this Or my parents. You can leverage other factors That contributes to those heart diseases Working on those other factors To prevent the genetic component from having an expression I don't know if that's clear. So that does happen And what we advise people in such cases Early life You know, You have to start taking some measures In other words, You have to start addressing the risk factors That contributes to heart disease Now those risk factors The ones you can do things about Are the modifiable ones There are non-modifiable risk factors such as You are a black man. You can't change it. You're grey, older You can't change your age. Maybe you're a female. You can't change your gender. There's nothing you can do about it. So what other things like Smoking and You avoid smoking Because it's a key risk factor when it comes to heart disease. Salt intake Salt is a major problem Especially in In people developing hypertension And hypertension is a very strong risk factor for heart disease. So we encourage people to take less salt For salt and tissue To make people prone to developing heart disease Other aspects of diets We encourage people to eat a lot of vegetables A lot of fruit. A lot of fruits that are rich in fiber In potassium And less fat Particularly saturated fats And when you say saturated fats Those are fats that come mainly from animals You know, cow meat. Or other meat They have a lot of fat. So diets that are low in fat And then also less in polyunsaturated fatty acids Now when you adopt this lifestyle Including things like regular exercise Because the heart is an organ that You can build its capacity By getting involved in exercise Usually we encourage people to exercise That will be between 30 minutes to 1 hour 3 to 4 times a week That's heart training. It can be in the form of peace walking Cycling Running Swimming and other things like that. So exercise is also very important Avoid this sedentary lifestyle That also poses risks to heart disease And then people who are obese Obesity is a risk factor for heart disease Those who have diabetes Diabetes is also a very strong risk factor And lifestyle also plays a very important role in diabetes I talked about hypertension. It's also very central Rejection of alcohol Also a very high risk of heart disease So these are common things That one can walk When you walk at a distance And then you reduce your risk Of developing heart disease When there is such a history in the family I also want to know How does high blood pressure affect your heart? What is the connection between high blood pressure and the heart? High blood pressure is The single most important voice factor That causes heart disease In sub-Saharan Africa Studies that have been done Looking at heart disease Has put hypertension As the most common risk And when you understand What hypertension means It means the pressure At which blood is being delivered Is being conveyed around the body Is higher than normal That's what hypertension means. Because when the heart Pushes the blood around the body It has to do that at the pressure There must be a pressure difference. Between the heart Where the blood will go to start And the organ. That's going to receive the blood It's that pressure difference. That ensures that the blood travels from the heart To get to the organ Now when the pressure at which This event is happening. That's what we call hypertension. And then you'll agree with me that When that happens It means that The pressure at which the blood reaches the organ Is higher than it should be And so that impact On the organ is unnecessary Because God designed the body To operate at a particular pressure Even the flow of blood Through the blood vessels When it does that at the higher pressure It damages the walls. And the lining of those vessels That are carrying the blood Because it's moving at a higher speed than normal And so is the heart That has to pump that blood At a higher pressure He's doing extra work. That it's not supposed to do It's supposed to deliver this blood At a regulated pressure Systolic between 90 and 140 That's how it's designed. Once the heart is delivering blood At a systolic pressure of 180 The heart has to do extra work. To do that In the process of the heart doing extra work The heart is stretched Once the heart is stretched The muscles of the heart Will want to meet that demand So the heart muscles will start growing bigger And then the heart will start to become muscular That's the first thing that happens. And that's what we discover Most of the time. When people do x-rays They tell them their hearts are enlarged That's where it starts. Because... The heart muscle is building up It's like someone who does Weight lifting every day The muscle starts to grow So that's what happens to the heart Once it's functioning at high pressure It's starting to get big. And when you allow The muscles to continue to grow It will get to a point Where the heart It's a very large size. But it doesn't have the energy Like the law of the machine Initially the heart will cook And then do the job better At high pressure But as time goes on The heart will now become very large It doesn't have the energy As before. And so The pressure now To deliver it to the organs Will now fall There's no movement. That's where you now start having Complaints From the patient Sometimes. They may increase in size Of the heart Start bringing discomfort in the chest And then... As the muscle has grown The blood supply to the heart Becomes insufficient For the new size Of the muscles So, what? The patient begins to experience Chest pain And that sheer increase In the size of the heart It distorts the architecture. There are other things in the heart Apart from the muscle The heart also has A power system That Delivers the impulse The impulse. That dictates the pace At which the heart should beat So when the heart is enlarged, It distorts That structural That normal structure It now opens the gates For all the symptoms The patient may start to have irregular heartbeats Start becoming aware of heartbeats Or sometimes the heartbeat is not regular Start having chest pain You start to get tired easily. All these are features to show that The heart is now tired It has done this work Where it can no longer cope And... At the extreme end of this The heart will now begin to become Dilated It will start ballooning That big muscle. Will now start thinning out And the heart will now become Globular like a ball And very weak. At that point We start to see the heart is failing That's the spectrum. Of what can happen to the heart When you expose it to high blood pressure Most of People with heart disease With heart failure In Sub-Saharan Africa Among the blood Hypertension is the single most common Oh, I'm not. Thank you for breaking this down. We'll take a very short break. But we will come back We want to find out. If really heartbreak has anything to do with The heart actually breaking So stay with us while we come back. Leadership TV For God Country and So welcome back. Sir, I'm sorry. Do we have any Is there any relationship with People going through a heartbreak Or an emotional The situation And they're telling you that My heart is broken I can't. I can't. You know, sometimes they're Holding on to their hearts And they're like, I can 't take it. I'm losing Like, What relationship does Our hearts It has to do with The emotions First of all, I think The seat of emotion One. It's not in the heart But... There is A direct relationship With Between such events And the function of the heart - Yes, I did. Um, I'm not. Although I forgot to mention Initially One of the risks We also talked about Stress is Stress is also a risk And when you say stress Stress can be emotional So what you call heartbreak Can be categorized As emotional stress Understand what I mean. And when there is emotional stress The body responds And release Some hormones To respond To that shock Key among them Are what we call The catecholamines They're counterproductive. They put the heart On the edge They tend to Increase the rate Of the heartbeats They tend to increase The The force at which The heart is beating And these two factors Are key In raising blood pressure So when people Have a broken heart They have risk. Of developing High blood pressure Because their heart rate Tends to increase The force of contractility The heart increases And therefore the blood pressure Increases Now, now. If this is a momentary event It is possible The person will get over it. And turn back to someone If it was someone Who is on the verge Of developing hypertension before This event Will the person tip In hypertension And sometimes Like I said. It increases the heart rate. For some people It makes the heart beat To become irregular It compromises The supply of blood To the heart And that's why Sometimes people have that. And then suddenly They develop a heart attack. Why? Why? Because it compromises Once there is no supply Of blood to the heart That's what we call Heart attack or stroke So people are also prone To developing a heart attack Even beyond the heart People are also prone To developing stroke Because when blood pressure It goes up. The brain. To the brain Can be compromised And if someone Can develop a stroke Just with that event Of heartbreak Like I said earlier on There is a direct relationship And this can be worked out It's easy. Just like a swim We have to be careful. Out there. Who we are serving Breakfast is served Because the emotions There is a connection. With the heart Just like the doctor said. So doctor What are the ways We can deal with Stress To help us To the better Take care of our heart You know that. This is a stressful thing. I'm doing it This is a stressful situation. Or sometimes You just work. And you know that. The environment around work Can be stressed up What can you do? It's better. To manage stress The first thing I would say We have to come To recognize The fact that It's part of normal life. Especially Urban life One has to face One form of stress Or the other one. Being aware of that In your mind The mind. In which you are Put some stress on. Is also a problem If you take it Too much. You make it to I bother you so much. That alone Becomes An emotional stress In its own The stress You go through it every day. You settle and you know This is what I know. I have to go through I don't need to So bothered So worried about That's the first thing Secondly, You can. Try to work out ways How can I Make this thing Lighter for myself. Find the Periods of Of break Moments of break And relaxation Even in the middle Of the stress What are you doing? Simpler ways I can get things done. To reduce the stress Other Extra Curriculum Activities You can engage in After the whole A stressful day. And whatever. That will help you To water The effect of that stress These are some of the things You may have to consider In order to Go through the stress But the truth is There is no Modern life One can live That you can - I'm totally fine. Excluding Stress events Try to achieve Anything in life There is a measure Of stress And that will Help you. So thank you. I also wanted To find out Is there A particular The check-up That can be done. For a heart I can just walk. In the hospital. And say I want my heart Checked - I know. - I certainly do. Even based on What we have I just said If you know You are exposed. Too much stress Then you must Also check yourself You have. The problem before Maybe you are. It's expensive. Or diabetic Or have you? A heart condition You need to be Consistent In your medication And check yourself Regularly For people who I have not Any problems It doesn't. Excluding you. From checking Because as Adults We have It is. The current On every person To make Our time As adults To check They themselves. There are Basic things To do That doesn't I need so much And that We flag Any major The problem That you have In your system At least. Before you. Go further. Some other Advanced things. You do. The simplest They will. Flag it If there is Something significant. Something major. Speaking in terms of Your heart health Cardiovascular health Those little ones. The following are the baseline values: Will you flag it? Which will now Open the window. For doing Higher tests And stuff. Turn around Your blood pressure It doesn't cost Almost nothing. And it is. Advisable You can buy A BP machine But if you don't have that You can always walk. To a Blue Cycle Or a Pharmacy Clinic and clinic This time Check your blood pressure Every 3 months Or every 6 months It's not a problem. That is if you are not That's the best thing. That you do Almost at no cost Then two. You check your blood sugar. Diabetes is also A very serious Risk of heart disease Regular check of blood sugar Or fasting blood sugar Testing in the morning To check your blood sugar That is also very important. You can check your urine. Or we call it a urinalysis. These are very simple things. Do a urinalysis Cost more than The amount of the loan is: You have to pay for it. These are the basics. Other things you can do ECG It is also Basic So much. That looks Deeper Into the heart If you have Heart problems Or you have hypertension That's affecting Your heart. A simple EKG It will show some abnormality. That will now Indicate whether You have something. More than that. Something like Lipid profile That's checking Your cholesterol is It's important. It's becoming It's a common thing. In this part of the world And one of the The greatest risk The development Has high cholesterol These things. Can be checked In the clubs Something one can do Maybe once a year. Or once every six months. Then you can also check Your kidney function All these Are basic things You can access Without much difficulty. Every adult It is recommended Or... Maybe things like Renal function Once in two years. You can do these things. And you're sure that Nothing serious. Will be happening And you know You have to do it. Precautions Usually Prevention is actually better Than cure Just like the doctor. He told us But before we come to His speech. I wanted to Ask you like Three basic questions Number one is What are the things They don't really tell us About the heart. That you think We should know. And then number two is Are there any Things. We're so used to Hearing But it's not true Okay first. The basic information We need to know We have been discussing The heart. It's a very important organ. Can get sick And when the heart He gets sick. It's usually A very risky thing. Is it an emergency? You may not get Attention, please. As quickly as As you should. If you allow. Things to go back to It's very important. To take care of Of our hearts And the other things We've already discussed this. But talking about Some things. That people Hold on. That's not true. People used to think That high blood pressure It's about thinking It's a very very Falsely reported When you Maybe I did. You check your blood pressure. Discover it is high They ask you What are you thinking about? Or maybe you're not married. You're not married. And your blood pressure is high. You don't have a family. Is a disease And needs to be treated. It's very important to know that It's not about thinking That needs to be treated. Two. I'm focusing on high blood pressure. Because it's the Communist thing around Among all adults In Nigeria Every three to four adults Have high blood pressure And less than 30% Of these people are aware So most people Having high blood pressure They're walking on the streets They don't know That's why people sleep. They don't wake up. That's why people Taking a presentation And you fall down And die. And people have heart attacks And all sorts of things happen Because of High prevalence of high blood pressure It's a disease That anyone can develop Any time In his life And it is earlier Among the blacks It occurs earlier It's without thinking And when you develop It has no cure. There are a lot of them out there. Who are suffering Because of a condition They can't cure For high blood pressure There is no cure. What we do For people with high blood pressure Are we treating it? And medication Is for life Once you have Your medication You are gone. When you go off Your blood pressure goes up So there are Misconceptions about the What causes About the The treatment That can cure Low blood pressure You can live Your whole life Stop taking The implications of that Is this If I have Once I start Taking drugs My blood pressure It comes down to Way up. So there is no Difference between The two of us. The only difference is that I swallow drugs. To get the same pressure With you. So that's what People need to understand That it can be Effectively managed And don't be fooled When you are told That it can be cured Or treatment Can be cured Is timed When you take it For two weeks. Take it for two months. - No, not at all. Treatment I think these are All of them. Emotions that people Have you To express better I have. I have been Scolded by By Dr. Shidari, I'm not sure. This is so It's so Amazing that To find out that He said something. Very important. He said When the heart It's an emergency. And I think We don't all need To get to the point. Where our hearts are sick To become So the reason why We need to Check ourselves out. On a daily basis You can easily Walk with me. Like he said. Walk into a Or anywhere else. And ask them to do a Blood pressure check So that way We are conscious. Health and safety On the second notion Where he talked about Not being treatable Please. Let's take It is important If there are like Three people out there. And they don't even Have an idea. They don't even know That they have That's a serious Emergency So we should all Check ourselves. And make sure We continue to live Our healthiest life For coming Thank you for Honoring We are glad To have you It's a pleasure. To be here I appreciate it. This opportunity On the The event Of the World Day of the Heart That took place On the 29th Of the month of September I think that He gave me Zeal for the Kingdom And the push To really come Because we Take advantage of it. Of this period To enlighten The masses. To have The Commission shall: See also information It's powerful. So that people Will seek Reliable Health care And know about And take the necessary So thank you very much. For giving me The opportunity Of this platform To reach out to us So keep on staying. With us on health And wellness. Bye. Thank you for watching. 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