Heart Failure Awareness Week

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Transcript

00:00In the first instance, the Philippine Heart Association officially announced the Heart Failure Awareness Week.

00:09Its purpose is to raise awareness about heart failure and the effect of early detection and its management.

00:18And aside from that, Audrey, we will now be joined by the immediate past president of the Philippine Heart Association, Dr. Ronald E. Cuyco.

00:28Good morning, Doc, and welcome to RSP.

00:31Good morning, Doc.

00:32Good morning. Thank you for inviting us. Of course, thank you, Noel and Audrey.

00:37And of course, to our viewers of this program.

00:42And of course, we will talk about important heart diseases.

00:47Well, this is one of the reasons why Filipinos are dying.

00:54But Doc, for our viewers to understand, as a beginner, what is heart failure?

01:01So, this heart failure is actually a condition of the heart, a heart disease,

01:07where the ability of the heart to supply blood to different parts of the body, such as the brain, kidney,

01:17is limited or compromised because of this problem, such as a heart attack.

01:23So, there are different reasons for this.

01:25In other words, this heart failure is at the end of different types of heart diseases.

01:30For example, there is a blood clot in the heart.

01:32This is what we call ischemia.

01:34If there is an attack in the heart, this causes a weak heart attack.

01:42Another reason for this problem is the valve.

01:45In the Philippines, this is what we call as rheumatic heart disease.

01:49And another one is the muscle itself.

01:52The muscle of the heart sometimes weakens suddenly because of an infection.

01:57This is common during COVID.

01:59This is common when a patient dies because the muscle weakens and there is an infection.

02:05We call it myocarditis.

02:07Because of this disease, what are the symptoms of heart failure

02:12and how can you differentiate the symptoms of heart failure compared to other heart diseases?

02:19So, it is very important that we mention the symptoms one by one.

02:24What does a patient feel when he has a heart failure?

02:28First of all, of course, it is easy to get tired.

02:31If you used to walk a long distance or you can climb three flights of stairs,

02:38now, you can only do it up to the first floor.

02:40This means that something is happening.

02:42The oxygen in your whole body is running out.

02:46The other thing is towards the late stage of heart failure,

02:50you can see that the heart is getting bigger.

02:54And sometimes, it is hard for them to sleep.

02:56It is different, right?

02:58It means that if it grows because of heart failure, it is because there is water.

03:03So, the heart can't pump and it can't circulate well.

03:08So, other patients have water in their lungs.

03:14So, when they lie down, they can't lie down flat.

03:17So, they would prefer to stand up.

03:19And the other thing that is dangerous is that they can only sit when they sleep.

03:23So, most of the time, they can't sleep well.

03:26Their food intake is low.

03:27Their body is lacking in nutrients because their intake is low.

03:34Others have chest pain.

03:37So, it is hard to differentiate the symptoms of heart failure from other types of heart disease.

03:43Because it is part of the continuum of heart disease.

03:47So, if there is a heart-related disease or heart valve disease,

03:51towards the end, they will present as heart failure.

03:55So, it is actually the same.

03:57So, the message that we want to convey to the countrymen is that there should be early detection.

04:05If you feel breathless and it is new to you,

04:08so, if you see your heart beating or palpitations,

04:12consult immediately.

04:14Don't be consistent.

04:15Because sometimes, it is because of fatigue or any other reason.

04:21But if you consistently feel in your heart that it is tightening,

04:26that is what you should bring to the doctor.

04:28Is that right?

04:29That is right, Audrey.

04:30We also need to observe ourselves.

04:32But if you have risk factors like diabetes, high blood pressure,

04:38or severe pancreatitis,

04:40then you should consult.

04:42But if you are in a situation where there is stress,

04:47like if you wake up early in the morning,

04:50sometimes, there is a little bit of fatigue.

04:53But if it goes back,

04:55if there is joint pain in the chest,

04:57if you feel breathless,

04:58I think you should consult a doctor.

05:00I think it is also related to the family history.

05:03Yes.

05:04It is like a genetic predisposition.

05:09When it comes to treatment,

05:11how is the treatment to control the symptoms of heart failure?

05:16Most patients are fluid overloaded.

05:20There is water in the body.

05:22As we said, there is water in the lungs because the pressure is increasing in the heart.

05:26The lungs are connected to the heart.

05:28Sometimes, there is a fever.

05:30So, what we give is to make the heart beat faster.

05:33And then, their heart rate increases faster.

05:35So, we control it.

05:37These medicines can relieve it.

05:39But of course, we have to emphasize,

05:41what is the cause of heart failure?

05:45So, you have to treat it.

05:47For example, if there is a bullet in the heart,

05:49fix the bullet.

05:50If there is a problem with the valve,

05:52it is limited.

05:53Fix the valve.

05:54It is a limited operation.

05:55It is connected.

05:56Yes, it is connected.

05:57So, overall,

05:59what we want to emphasize is that

06:01we should not reach that situation.

06:03We should address the risk factors of this disease,

06:07such as high blood pressure, diabetes, paninigerilio,

06:11all of them, so that we do not reach that situation.

06:13Prevention is better than cure.

06:15That's right, Noel.

06:16Well, Doc, since we are celebrating

06:18the Heart Failure Awareness Week,

06:20are there programs and activities

06:22being prepared by the Philippine Heart Association?

06:24Of course, this is February.

06:26This is Heart Month.

06:28So, in line with the celebration of Heart Month,

06:30one of our focuses

06:32at the Philippine Heart Association

06:34is heart failure.

06:37The prevalence rate is increasing.

06:39In the Philippines, it is about 1.6% years ago.

06:42Even in our neighboring countries,

06:44the prevalence rate is really low.

06:46So, one of the things we gave to the Philippine Heart Association

06:48is that we re-launched

06:50and gave life to

06:52what we call the National Heart Failure Network.

06:55This is brought together

06:57by different medical societies

06:59in partnership with,

07:01of course, the government,

07:03the private sector.

07:05This is brought together with the primary intention

07:07to spread,

07:09to explain to people

07:11what heart failure is

07:13and what are the medicines

07:15and treatment options for it.

07:17First and foremost,

07:19how to avoid it.

07:21I would also like to announce, Noel,

07:23that apart from the Heart Month celebration of the PHA,

07:25usually, we do this

07:27National Heart Month celebration

07:29and we are going to hold that

07:31in Bicol, Saligas, next week.

07:33Again, we emphasize

07:35the Heart Failure.

07:37Again, we are joined by

07:39Colonel Quico. Thank you very much

07:41for sharing with us information about heart failure.

07:43Again, thank you very much, Doctor.

07:47Thank you very much, Doc.

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