10 SINAIS de CORAÇÃO FRACO e 3 SINTOMAS de PERIGO na INSUFICIÊNCIA CARDÍACA

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Dr. João Sório Endocrinologista
Coração fraco ou Insuficiência cardíaca, você sabe quais são os sinais e sintomas que acontecem quan...
Video Transcript:
10 Signs Your Heart May Be Weak. In this video I'll tell you signs and symptoms of heart failure: What are the warning signs, when should you be concerned, what can you do to avoid it, how to protect yourself from heart failure, what are the causes, why it happens. .
. So, I'm going to tell you everything about heart failure, which is a weak heart . Very easy and simple language for everyone to understand.
I'm going to start here with the symptoms. now when you walk one you already feel tired you go up four flights of stairs, now you are going up two you are already tired breath change this could be a sign of heart failure decreased physical fitness or physical preparation as some call it you saw that you are more difficult to carry out physical activities it doesn't have to be extreme you have shortness of breath and do the activities at home for example but a reduction in your physical preparation can already be a sign of heart failure it is important that you realize this so as not to reach the extreme of having shortness of breath at rest for example when you 're standing still so mark this is very important reduction is physical fitness decrease in physical preparation as you prefer number 2 swelling is also a very marked symptom because as the heart cannot pump blood properly this this swelling in the legs can cause swelling, or as we call it in medical language, edema of the lower limbs has a remarkable characteristic it gets worse as the hours go by it is better in the morning and worse at night due to the pressure of gravity the tendency is that the liquids accumulate more easily in the legs and feet and if you have heart failure this can be a marked sign even if you squeeze the ankle or foot area there can be a mark we call this mark a locker so that shoe is no longer fit it's getting tight it could also be a sign of swelling number three weight gain we've already seen that there can be accumulation of fluids I said in the legs but not only in the legs but there can also be accumulation of fluids in the belly the so-called city or even in the lung with pulmonary edema this can cause weight gain although some people report reduced appetite but I want you to mark here changes in weight due to fluid retention number 4 cough dry cough or cough with a bit of foam or with Pinkish liquid also a characteristic of heart failure whenever you have this type of cough you have to assess whether it is not from the heart your heart is not weak number 5 shortness of breath and here I will draw your attention to a characteristic of this shortness of breath which is shortness of air when you lie down there is a remarkable situation in heart failure that the patient starts to sleep with more pillows to be able to breathe better so shortness of breath when lying down is different from that tiredness that I mentioned when you do physical activities here you can have shortness of breath when you lie down number 6 you are waking up to urinate Because during the day you accumulate liquids in your legs for example and when you lie down your kidneys start to work more because they have to filter these liquids so if you are waking up to urinate and it wasn't like that it could also be a sign that your heart is weak There are several other causes such as diabetes for example and also changes in the kidneys that can cause this type of symptom but we must always investigate if it is not because the heart is weak so if you are waking up to urinate it could also be a sign of heart failure number 7 mental confusion and memory changes this sign will only happen when the heart function is already more compromised so it is a sign that indicates a slightly more advanced disease as well as sign number 8 which is lowering of blood pressure called low blood pressure and even fainting or other signs like kidney failure so the seventh AND Eighth as a rule they happen in a more advanced stage number 9 palpitation you are feeling it feels like the heart is in the mouth or it feels like the heart it's jumping out of the chest some people also say that but that feeling that the heart is beating many times even from irregular shape is a palpitation could also be a sign of heart failure number 10 swelling in the veins in your neck have you noticed that your veins are bulging can this also be a sign of heart failure and what are the warning signs what to look out for Attention What are the causes ? cardiac arrest and many who will have and need this information even to seek medical help at an earlier stage where the chances of you completely improving or controlling the disease are much better I am much bigger and what are the warning signs what I want you to make an appointment to seek help fatigue shortness of breath you can no longer do physical exercise in the same way you are having difficulty breathing during the night it is increasing right the number of pillows is sleeping it is more inclined it is also a warning sign and swelling i want you to mark these signs because swelling always have to investigate if it is not a weak heart if you are not accumulating fluids because the heart cannot pump properly and now What are the causes why heart failure happens what you should pay attention to first high blood pressure has to be very careful with your blood pressure because high blood pressure can cause heart failure in addition to several modifications it can be a risk factor for a heart attack which also increases the chance of you having heart failure but I want you to mark here high blood pressure and what is considered a good pressure a normal pressure as a rule 120 by 80 or 12 by 8 and when it is considered high pressure when this value reaches 140 or 14 in the first number or 90 or 9 in the second number and in some cases the doctor can tolerate a pressure a little higher, for example, the patient who has a high risk of falling, who has osteoporosis, who uses several medicines for blood pressure, for example.
So it's not an absolute truth. pressure control measure Mainly when you are at home or when you are outside the medical consultation or outside because there are people whose pressure is high only at the time of the consultation sometimes the person is even calm but the pressure ends up increasing at these times so it's important for you to have pressure control this happens to you this has the name this is called white coat pressure many people think this is a joke that this doesn't happen but it does stop the case don't forget to leave your report here number 2 diabetes you must watch your blood sugar because it is also a risk factor so if you have normal blood sugar levels of blood glucose it also helps you to protect your heart and you may be asking what are normal blood sugar levels blood if it is fasting Glycemia up to 99 for those who do not have diabetes and glycated hemoglobin for those who do not have diabetes it is up to 5. 6 5.
7 to 6. 4 is the pre-diabetes value and 6. 5 is a value of diabetes 6.
5 or more remembering that for the diagnosis of diabetes this test must be repeated at least twice or associated with another test such as fasting blood glucose Another risk factor number three changes in cholesterol and triglycerides and here I go draw attention because a high HDL cholesterol or good cholesterol ends up protecting your heart so as a rule we want this HDL higher than 40 and bad cholesterol should also be on the target, but the value of bad cholesterol or LDL is individualized so for some people this value will be a little higher and for others it will be a little lower for example a person aged 30 who is an athlete who does not have diabetes who does not have high blood pressure who has never had a heart attack has all the normal 130 LDL tests for that person will be a good value for another person who has already had a heart attack twice who has a change in pressure who has a high blood sugar level for this person who is considered to be at very high risk the goal of LDL cholesterol will be much lower so this will vary from person to person individualized but take care of your cholesterol and also the good cholesterol and you glycerides and as a rule we want values ​​lower than 150 this also helps to protect your heart do not smoke do not abuse alcohol at most up to one dose per day then there is a discussion if even one dose could harm or not by scientific studies for those who do not have any other disease such as fat in the liver caused by alcohol, right alcoholic hepatic steatosis up to one dose per day studies do not show that you have an increased risk on the contrary it can even protect the heart of some diseases but very careful here is saying up to a dose for those who don't have any Other risk factor in another factor that makes this zero alcohol consumption number 5 sedentary lifestyle So do physical exercise if you do physical exercise in a way proven will protect your heart will prevent several diseases Oh but how much at least 150 minutes divided into a week So five times a week 30 minutes or three times 50 minutes you shouldn't do this 150 minutes that I'm talking about here on a weekly basis in a single day so at least those 150 minutes of life in three days three or more days this will help protect your heart health Ah but what physical exercise can be walking can be walking on the treadmill many people have asked can be can be running, swimming without easy exercise that you like best that has reach because otherwise it will be very difficult for you to meet this goal there are some studies that put this value that I am talking about from 150 to 250 minutes a week if you succeed it can also have a benefit additional can protect but your heart number 6 another thing you should take care of thyroid changes that's right hormonal changes both for more which is the case of hyperthyroidism and for less in Hypothyroidism which only go Without treatment they are also a cause of heart failure they also lead to a weak heart number 7 Weight control it is very important that you control your weight because obesity is also related to an increase in the frequency of heart failure there are also other factors such as family history genetic structural changes in the heart such as alterations and heart valves I will not speak a lot of these factors here because you can't modify your genetics for example but the seven factors I mentioned are important that you pay attention and you can change them you can modify them and have a healthier life with much better health than yours heart decrease in the risk of heart failure the most used test for diagnosing and evaluating the function of the heart in heart failure is the echocardiogram or in some regions of the country this test is also called echocardiography but it is the same test from 0 to 10 what is the grade you give this video if it's 10 I make more videos like this one also write in the comments which city you are watching this video which part of the world you belong to I'm talking about Porto Alegre now I'm going to leave two suggestions for you you saw two factors of risk a diabetes So in this video here you will find 12 tips to improve blood sugar levels if you don't have diabetes if you have high blood pressure in this video here I said three important tips that help control high blood pressure it's very important that you see or else why don't you see the 2 is one after the other a hug see you next time!
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