Nangungunang cause of death ng mga Pinoy ang heart disease! Kaya naman the DOC IS IN sa Unang Hirit para pag-usapan kung paano maiiwasan ang pagkakaroon ng sakit sa puso. Panoorin ang video.
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00:00Heartbeat.
00:02What's that?
00:04Do you hear that, Kapuso?
00:06Kapuso!
00:08That's the sound of our heart.
00:10That's our heartbeat.
00:12Yes.
00:13As they say in a song,
00:15Doc,
00:17when your heart beats,
00:20you won't be able to do anything
00:22if you think about it.
00:24You think about it, huh?
00:26It's like you have a deep thought.
00:28But seriously, Kapuso,
00:30we should really listen to our heart.
00:33Not only in love,
00:35but also in our health.
00:37Of course.
00:38Did you know that heart disease
00:40is the leading cause of death in the Philippines
00:42according to the Philippine Statistics Authority,
00:44or PSA.
00:45That's why this morning, Kapuso,
00:47the doctor is in
00:49here at UH Clinic.
00:51Here's Doc.
00:53Let's talk about the heart
00:55with the Executive Director of the Philippine Heart Center,
00:57Dr. Avenilo Aventura, Jr.
00:59Dr. Aventura, welcome.
01:01Good morning, Doc.
01:03Thank you for joining us.
01:04Doc, I'll start with the question.
01:06Why is heart disease the leading cause of death
01:08in the Philippines?
01:09Does this have anything to do with our lifestyle,
01:11with our biological makeup?
01:13How is it?
01:14There are many reasons.
01:16But mostly because
01:18our lifestyle
01:20that we follow,
01:22eating bad food,
01:24salty food,
01:26Filipinos like salty food, right?
01:28It's tasty, right?
01:29Yes.
01:30It has an effect on the heart.
01:32Not just the fat, but also the saltiness?
01:34Well, fat, saltiness,
01:36and sweetness.
01:38All of those
01:40can cause problems.
01:42You mentioned lifestyle, Doc.
01:44What about our lifestyle
01:46that is possibly the leading cause
01:48of heart disease
01:50in the Philippines?
01:52Our lifestyle is
01:54a bit tense,
01:56we eat a lot,
02:00we drink a lot,
02:02we drink beer,
02:04we eat salty food.
02:06Who drinks beer there?
02:08Who likes to drink there?
02:10There are many reasons.
02:12But our lifestyle is really bad.
02:14Inactivity.
02:16Inactivity also.
02:18You eat a lot, but you're still inactive.
02:20What are the common
02:22causes of heart disease?
02:24Aside from eating,
02:26inactivity, are there other causes?
02:28Well, there are two.
02:30Acquired
02:32and congenital.
02:34There are congenital diseases.
02:36For example,
02:38when you're pregnant,
02:40there are problems in the heart.
02:42For example, there are holes.
02:44And there are acquired diseases
02:46that come from outside.
02:48For example, eating,
02:50smoking,
02:54drinking alcohol.
02:56Alcoholic drinks.
02:58So, all of those,
03:00those two
03:02can really affect the heart.
03:04Here, Doc,
03:06if the heart disease you're talking about
03:08is just old,
03:10are there any age groups that are more prone to it?
03:14Heart disease.
03:16Initially, when you're pregnant,
03:18you might already have it,
03:20but it doesn't show until you get older.
03:22But when you get older,
03:24that's the biggest problem.
03:26When you get older,
03:28because of all the things that happen,
03:30for example,
03:32Does the heart also have wear and tear?
03:34As it ages, of course,
03:36it becomes black non-stop.
03:38Does it have wear and tear?
03:40Yes, it always has wear and tear.
03:42For example,
03:44if you eat a lot of sweets,
03:48what happens is
03:50the endothelial layer of the blood vessels
03:52and the heart gets damaged.
03:54So, what happens is
03:56there are bruises,
03:58calcifications,
04:00and it can get worse.
04:02That's new to me, Mars.
04:04We thought it was just cholesterol.
04:06But even if it's sweet,
04:08it can possibly affect the heart.
04:10Cholesterol can also happen.
04:12Now, we can see that
04:14it's worse when it comes to sweets.
04:16Yes.
04:18Sugar is the main cause.
04:20Doc, we always hear
04:22that there are friends
04:24or family members
04:26who have a heart attack.
04:28When you say that you have a heart attack,
04:30what really happens?
04:32When you have a heart attack,
04:34it means that
04:36there's a blockage in the blood vessels.
04:38Doc, we have a demo here.
04:40Okay, Doc.
04:42Let's show it to them.
04:44The red ones are the blood vessels.
04:46So, it usually gets a blockage
04:48at the top,
04:50at the proximal,
04:52or closer to the origin.
04:54So, what happens is
04:56it can happen slowly.
04:58Most commonly,
05:00in a heart attack,
05:02there's a slip-off
05:04and it gets worse.
05:06So, that can happen.
05:08So, what we need is
05:10either medicine
05:12or we can put a stent
05:14to open it,
05:16and a bypass.
05:18Yes, an open-heart surgery.
05:20What are the costs
05:22of those blockages?
05:24Cholesterol.
05:26Injury to the artery.
05:28Cholesterol.
05:30Diabetes.
05:32All kinds of hypertension.
05:34And the worst-case scenario
05:36in a heart attack,
05:38the heart will stop beating.
05:40In a heart attack,
05:42there's usually a problem
05:44with the symptoms.
05:46Dizziness.
05:48It's hard to breathe.
05:50But if there's an attack,
05:52it's a cardiac arrest.
05:54A cardiac arrest is different
05:56from a heart attack.
05:58While we're on that point,
06:00are there red flags
06:02or signs
06:04that our patients
06:06are being attacked
06:08or are on their way there?
06:10Usually,
06:12there are subtle signs.
06:14For example, it's hard to breathe
06:16and it gets worse.
06:18Sometimes,
06:20the heart beats
06:22like there's an increase.
06:24Not always.
06:26Sometimes,
06:28it's hard to walk.
06:30It's hard.
06:32There are a lot of signs and symptoms.
06:34It's a problem in a relationship.
06:36It's called a heartache.
06:38It's literally a heartache.
06:40There are others who
06:42were taken to the hospital
06:44and the doctor asked
06:46what happened to them.
06:48They had a heartbreak.
06:50There are people like that.
06:52But we need to do some testing.
06:54We need to get an X-ray.
06:56When you go for a checkup,
06:58you listen to the patient's heart
07:00through your stethoscope.
07:02Do you really know
07:04if a person has a heart attack
07:06or if a person has a heart attack
07:08just by listening?
07:10Can you hear if there's a problem?
07:12You can get a lot
07:14from listening.
07:16Especially,
07:18from the valves.
07:20There are valves in the heart.
07:22For example,
07:24the valves inside will open and close.
07:26We will be able to hear
07:28how fast
07:30the beat is,
07:32how slow it is,
07:34if there's a problem.
07:36Usually, if it's an attack,
07:38the heart rate increases.
07:40It's like a machine in a car.
07:42There are valves too.
07:44Can you give an example?
07:46Can you listen to my heart?
07:52Inhale.
07:54Exhale.
08:00Oh my!
08:02It's good, Doc.
08:04It looks good.
08:06It looks good.
08:08It's okay, Doc.
08:10We're a bit active.
08:12There's no problem.
08:14What's your advice
08:16to avoid heart disease?
08:18Of course,
08:20we need to use our lifestyle.
08:22Eat,
08:24drink in moderation.
08:26Don't eat too much.
08:28Reduce your cholesterol.
08:30Don't eat too sweet.
08:32Don't eat too salty
08:34because this could cause hypertension.
08:36Hypertension
08:38is like a tridor.
08:40You think
08:42it's okay,
08:44but you don't feel anything.
08:46That's when your blood vessels get damaged.
08:48That's what happened to Egan.
08:50Arnold Ho.
08:52He thought he was okay.
08:54He felt okay.
08:56Then it just hit him.
08:58His blood pressure suddenly increased.
09:00That's when the problem occurred.
09:02Okay.
09:04Let's take care of our patient,
09:06Dr. Aventura.
09:08Thank you very much for joining us this morning.
09:10Thank you, Doc. Thank you so much.
09:12I hope you learned a lot
09:14about heart disease.
09:16Let's all be careful.
09:20Thank you.