- ♪ Bob and Brad ♪
♪ the two most famous physical therapists on the internet. ♪
- Hi folks.
I'm Bob schrupp physical therapist
- Brad Heineck , physical therapist
- because we have the most
famous physical therapist on the internet,
- In our opinion, of course.
- Brad, these are the four things that happen right
before you have a heart attack.
Now this is very timely because just you, you heard
about a thick, the TV star just had a heart attack and died.
He was playing hockey with his sons.
And I think supposedly right, even right at when he had it
he was still conscious and he was talking to his boys and
and just a real tragedy, I think 69, you know, it's just
when you hear that, it's a good time to go
over what the signs and symptoms
of a heart attack are right before and
and kinda maybe give you some warnings.
- Right. Cause most people,
if they're having the symptoms, deny it.
- Right,
- Right. they're having, oh,
it's nothing it's gonna go away.
Blah blah.
And you know, you cannot do that.
You gotta make sure you're-
- Especially women.
I think because you know, it's been kind of put
in our society that women don't have heart attacks
as much as men do.
- Right.
- And the fact is they do.
- Sure.
- And so,
Alright
so the first one is the most common one
and this is the one you all know
and that's the chest pain tightness.
It feels like there's an elephant on your chest.
- Exactly. Kind of
- You feel you're feeling a full feeling
and a squeezing pressure they say.
- Right.
- Yeah so that, that one, we're not telling anybody
anything they don't know.
The second one though is
is just plain old sweating, you know
especially cold sweats, even when you're resting.
- Right.
- Or at night, that's even kind of a-
- My friend last year had one he's only like 44 years old.
And he said, just says, having this, the, the pain.
But he said just his forehead was just
sweating,
- Night sweats.
- Yep.
- To night sweats and, and clammy.
And, and same thing happened to me, Brad.
I had a patient, he came
in to see me and he was just sweating.
I go, do you normally sweat like this?
It wasn't a hot day.
And he goes, no, no.
And I go, are you short of breath?
He goes, yeah.
I had to sit down a couple times on the way over here.
And I go, I think I'm gonna call the doctor.
So I call the doctor
and the doctor says
this a good old doc, Pete.
He says to me, he goes, Bob
I think I should be seeing him instead of you.
So I drove him right down
to the doctor and they airlifted him to mail.
- Oh, no kidding.
- So it, it was that bad.
So all right.
The third one, and again is one sign that
especially if you already have indigestion
but indigestion can be a sign.
( stuttering)
And , and I'm and, and
and that's, you know, that's kind of bad
because if you already have it for, for other reasons.
Right. And, and it shows up as a heart attack.
Yeah. You know, it's, it's, it's an easy one to dismiss.
- Right? You, you think it's that instead
of your heart and the symptoms can mimic each other.
- Exactly. And nausea, vomiting.
I mean, it can get that far where you used to feel sick.
And, and that was another friend that had that.
He was, he goes, I just didn't.
- Yeah. Yeah.
He goes, I was sick.
So the fourth sign and, and this is a little
can be a little deceiving too
is you're gonna have pain in other parts of the body.
And sometimes this is the only thing you're
gonna have this one doctor that was talking about this.
He was having pain in his shoulder.
That's the only thing he had.
And he's like, well, I'm, I don't have any heart history.
And I, my, my, no, my parents were fine.
And yeah, he was ending up having a heart attack.
- Right. What are some other places Brad?
Yeah.
- In the jaw
- Jaw teeth
- Teeth
- Right. Throat.
- Good. Yeah.
- You can have it in your back.
- Yep. I've I've had a patient that described that back pain
and they went in and it was end up being a heart attack.
- Yeah.
- It's these unusual symptoms that are,
don't have an explanation
and it can, you know, be here the jaw of the arm sometimes
- Especially if it shows up and it wasn't there before
you know, and, and you know, it, it don't dismiss it.
I mean, you'd rather go in and, and, you know
feel a little bit foolish.
- Right.
- Than be dead.
- Right. You know
- Go ahead.
Those are the four main ones, Brad.
- Right. And I'll talk about my personal experience.
And on my 50th birthday, four years ago, I was out playing
with the kids, playing football, running around
at three o'clock in the morning I woke up
and I was feeling tightness and some pain in my chest.
And, and my breathing felt a little short and I'm
- And you do have a family history.
- Right? My father's had one
or two heart attacks, two, two heart attacks.
My uncle died from a, a heart attack.
So that male side that, you know
- Sure.
- It's definitely on your mind.
- Yeah. And it was definitely on my wife's mind.
- Sure.
- I'm thinking I'm okay.
Whatever. And she says, no, we're going in.
So we jumped in the car and we drove down to the hospital.
They hooked me up.
It ended up being, they had me over there night
and did all the checkup and the EKG monitored me.
They do the T troponin test, which is in your blood.
If you have troponin elevated troponin
that means you probably had some muscle deterioration
from a heart attack.
- Sure.
- Everything was perfect.
And they said it was musculoskeletal.
So that was good news.
- Right.
Exactly. But
- But you need to go in and know for
- Sure. And, and Brad's a healthy guy, right?
I mean, I mean, you
he works out all the time, so this is a, a good example
of someone that could have easily had dismissed it.
But, and, and the fact is Brad, if it happens again
you need to go in again.
- Well that it did happen again.
Yeah. And it did go
- In again.
So that's really a good sign that you you're
doing the right things.
- Right. And then I followed up with a visit
to the cardiologist.
He went over me again.
So I'm feeling pretty confident.
And what we think it is, is something called Condra
- Costochondritis
- Right which we do have a video.
We do a video.
- I'll link it up right now.
- Sure. You bet.
- So couple other things, Brad
let's just mention some other signs, shortness of breath
you know, obviously feeling unusually tired for no reason.
Right? This was my friend.
He, he was just, he goes, I just felt, I didn't feel good.
I felt really tired.
He said, and he ended
up having a heart attack, light headiness, or dizziness.
Right. You know
- I do wanna talk a little bit about
if you're a relatively active person and you know
your body, if you're gonna go out for a, a brisk walk
cause say you walk a lot or you run or whatever.
And you find out
that when you start to get your heart rate up, you're
you're into your exercise.
You start to feel different, maybe some pain
shortness of breath you haven't felt before.
And actually a lot of people will deny it.
And then you sit down and everything's back to normal.
And if that's consistent
but it was not before, it's something new.
- That's not a good thing.
- That's a big red flag.
Yeah. That's a big red flag.
- In fact, Brad and I were just talking, you know
cause I had a little, a regular heart rate years ago
and I would feel better with exercise.
I feel like it actually went away and
and he goes, well, then it's stress.
He goes and they didn't monitoring on me too and stuff.
So. Right.
- Right.
- People who have high blood, blood sugar
diabetes may have no symptoms of a heart attack at all.
And it may go on, did you know that?
Oh no.
Yeah. I just read that.
So it's, it's something to keep in mind.
All right.
What to do, Brad, if, if you have the symptoms
of a heart attack, well obviously number one
you don't wanna drive yourself in.
- Right.
- Cause you could have the heart attack
on the way there.
And that would not be good, obviously.
- So my, my father literally drove himself when
he was having a heart attack.
- Oh. Did he really?
- Cause he was so darn stubborn and my mother was sitting
next to him and he went to the hospital 30 miles away
cause it was
- And she was, she was with yeah, but he, he would let
wouldn't let her drive.
- Right.
- Cause it was a better hospital.
He could have went to the one, three miles away.
But he wasn't going to that one.
- That's a HEK that that's a German.
Yeah. Stubborn.
Those Germans are together.
- But anyways don't drive.
- Yeah. Don't drive call 9 1 1
because they have the equipment that
that can deal with this rapidly.
- Right.
- And, and
and really can make a difference in the outcome.
- Right.
People who have symptoms or have a heart problems
oftentimes they'll have the medication with them
- Nitroglycerin. Right.
Yeah. And then in that case
you're gonna wanna do and follow what the doctor
said when you're starting to have chest pain
you want to go ahead and take it.
- Typically. it's just something you put under your tongue
and you
- Know how, yeah.
You know how take, how I'll take it.
If you do not have nitroglycerin
what you should take is an aspirin.
And this is if you're not allergic to aspirin
or if you've been told not to take aspirin
then you can go ahead and take 325 milligrams.
But I don't want you to take water.
And, and I want you to actually
it's gonna taste CR you know, crummy
but you're gonna put it in your mouth.
You're actually gonna chew it and swallow it.
That's how you're supposed to take it.
- And what's the, is there a reasoning behind that, Bob?
- I, I don't know if they're afraid that you're gonna
- No. I mean, for the aspirin itself, I'm assuming
- Oh, it's gonna thin the blood
right? Yeah, absolutely.
Yeah. This is straight from Dr.
Oz, by the way.
- Okay. You can't go wrong with Dr. Oz
- All right. Number four.
If, if, if you beforehand, it's really not a bad thing to
know which hospitals in your area are kind of geared
towards heart or stroke.
Cause these are the people that can give you medicine, like
on a stroke, they can actually do a reverse thing
process where they give you
that TPM is it?
I can't remember the name of it.
- Right. We've got a video on that too.
- I'll link that.
- Okay.
- But that'll actually help reverse the, the consequences
of a stroke basically.
- Right.
- It opens up the blood vessels
- Again. Right.
Gets that blood flow through the
- So you really wanna know which ones provide that.
The last couple things you wanna do is if you know
somebody's no CPR, obviously you wanna have them around.
- Right. Right.
So, know where the, they have the, the devices
- The defibrillator,
- Right.
- The thing is, and you were talking about these Brad
these are so easy to use now that a child can use 'em.
- Right.
- And, and so if, if you're in a, like a
a public building, most public buildings have them now.
- Yep. They're clearly marked you take 'em out a lot of 'em.
They have, you know, their voice command
- Voice construction, construction.
- Right.
- So now, you know, in addition to all this
what ideally, what we'd like to see you do is that you
you actually would do the things that would avoid you
having a heart attack in the first place, you know
try to take care of yourself and right.
Eat right.
And exercise, exercise.
You know, we can't tell you how often that becomes a case.
- We should do a video
on why aerobic exercises reduces a heart attack risk.
- It's a deal, bro.
- We should, we should go into it.
Cause we don't have time.
Now that we're there, we're losing people left
and right already.
Yeah. All right.
But what about the broken
- Heart? Oh, that's right.
Perfect. That's right.
We can fix just about anything
- But, but this is a good video.
This is a good start too.
Bob, the broken heart heart.
- We're not able to fix the broken heart.
It's up there.
And you know, this is our start in trying to help dad.