♪ Bob and Brad ♪
♪ The two most famous ♪
♪ Physical therapists ♪
♪ On the internet ♪
- Hi folks, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- We're the most famous physical therapists on the internet.
- In our opinion, of course, Bob.
- Body warns one month before heart attack,
seven warning signs you must know.
- Yeah. - This sounds
pretty ominous, Brad.
- It is, you know, it's something as therapists,
we've been doing this for over 50 years combined
and these signs we're well aware of,
it just is part of our daily-
- Routine.
- Mindset. - Mindset, yeah.
- But for people who aren't aware of this,
we wanna let you know and we see this at work,
we're aware of it in regards to our own body,
I've had experience with it personally.
So we wanna set the-
- Yeah, I never discount these.
I mean, if I see even a lot of times one of these signs
in a patient-
- Right. - I look at it
very, very seriously.
- Right.
- And fortunately for us, quite often
we have nurses available that are nearby.
- Right.
- But I never discount it.
- Right.
- I never not believe the person.
- But wait, Bob.
- Oh, yes.
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- Well they pretend to like us now.
- Right, yes, exactly.
So anyways, Bob, we gotta get back to these warning signs
because it's a real important and serious thing
and you just need to be aware of these.
So should we get right into it?
- Yeah, let's go probably to the number one
is probably one of the more common ones, isn't it?
- Right, these aren't particularly in order of
most common to not. - Any order.
- And you may have one of these
or you may have a few of these,
there's seven of them here that we're gonna go through.
But one is pressure, squeezing,
often in the center of the chest
or the left side of the chest.
It doesn't always have to be on the left, but-
- It feels like an elephant sitting on your chest.
- Right. - Yeah, I've been there.
- Very common complaints from people.
But this whole, you know, the whole reason for
a heart attack is the heart is lacking blood supply
to the heart muscle because one of the arteries
is being occluded or you know-
- Right, blocked off.
- Blocked off.
So your heart is like, "Oh, I need some oxygen and blood."
So it's sending off pain.
And oftentimes, the pain is not here at the heart
but like on this, it's to the left side.
And then we got some other symptoms coming up
on referred pain.
- Yeah, the thing about this is,
don't always look for that chest pain though,
I mean the pressure.
- Right.
- Because I mean, again, I've had patients
that were literally having a heart attack
while we had them
in the department. - Sure.
- And most of them didn't have the chest pain,
I mean, or even the tightness or pressure on the chest.
- Sure.
- They had some of the other ones that I want to mention.
- Right, we'll get to them. - Yeah.
- Okay, and this goes on to the next number two
is referred pain, and that's where people will say
they either have pain maybe in their left arm
or in their jaw or their neck,
but the source of the pain is the heart, the heart attack.
A heart attack is technically, is a myocardial infarction,
if you ever see that or read that name,
that's the same as the heart attack.
But because the heart's being lacking of blood supply,
the pain refers.
And I don't know if that's clearly understood
but we know it happens.
- Yeah, it's strange that it refers
all the way down the left arm.
- Right. - I never understood
what the pathway is that allows that.
- Sure.
- But I've seen, a lot of times, people make the mistake
of mistaking it for heartburn.
And so that's not, you know,
especially if you have heartburn normally.
- Right. - It's kind of a tricky thing,
isn't it, right? - Right.
- Because do you go in when you're having that type?
And I think if it persists or if it doesn't get better
with what you normally do for heartburn.
- Right.
- Like, I mean, normally you maybe take
some antacid or something.
- Right, and if that doesn't help it.
Or this all falls together, but,
and then you can sometimes
even pain in the abdomen can be a referred pain.
- Sure.
- So this is not a straightforward thing
but there are all these signs that you need to think about.
So the next-
- Especially if you have a couple combined.
- Right.
- Then you're really starting to worry.
- Right.
The body just feels weak oftentimes.
People say they feel sluggish,
they don't have the energy they normally do.
And it's because the heart is not moving the blood
to the body with as much force as it normally can
because it's becoming weaker
as a result of the poor blood supply to the muscle.
- And since you brought that up, Brad,
I'm gonna throw one else in there, kind of an additional one
that kind of fits along with that.
- Okay.
- A lot of the patients that I saw
that were in the midst of having a heart attack,
they became very what they call ashen, or very gray looking.
- Okay, sure.
- They had that paler, that almost a white look.
- Like ash tray.
- Yeah, yeah.
It's just, their color does not look good.
And you've heard that before,
and this is something that I have...
And most of the ones I've seen, that was the case.
- Sure.
And then often the next number, dizziness, cold sweats.
- Yeah. That's-
- You start to- - I've had that one too.
- Beads of sweat coming off the forehead
and when it's not warm out, you know?
- No.
- It's not from temperature.
- I had a patient come in and he walked in
kind of a very short way and he was just sweating.
And I go, "Do you normally sweat like this?"
And he goes, "No, no."
And I'm like, "This is not good."
So I called Doc Peterson, old Doc Pete down in Rushford,
and I say, "Doc, you know, this is going on."
He goes, "Well, Bob, I think I should be seeing him
rather than you."
- You sent him over.
- So, well, I actually drove him down.
I probably shouldn't have,
I should have probably called an ambulance,
because they ended up airlifting him to the-
- Oh, really?
- Yeah, yeah, it was bad.
- Yeah.
- So that's another mistake, by the way,
is that when you're...
That's a good point to be brought up,
I was only a couple blocks away
but normally they do not want you to drive the person
because if that person starts having the heart attack,
what are you gonna do?
- Right.
- Maybe if you're trained in CPR
but you gotta call the ambulance and get them down there
so they can- - Right.
I hate to, I don't want to prolong these steps
but my father had a heart attack about five years ago.
And it was in the middle of the night
and he woke my mom up and he says, "Geez, I don't feel good,
I think I'm having a heart attack,"
because he had prior heart problems.
- Sure.
- So what does he do?
He goes in the car and he drives,
not to the hospital that's three miles away
because that hospital's no good,
he has to go to the miles,
where he normally goes 30 miles away.
- Oh my God.
- He literally drives himself to the ER to,
and he walks in there.
- Did your mom coming with?
- Yeah. - Oh.
- She wasn't driving at that time.
- Oh, she wasn't, oh my God.
- Yeah. So she's in there all nervous,
while he's driving- - Oh, I'm sure she is.
- With his arm and chest hurting.
- Oh.
- He made it there and everything turned out okay,
but don't do that,
call 911. - Yeah, right.
- Get the ambulance to go.
- Very good point.
- It was, you know,
I'm glad we heard about that after we knew he was well.
- Right, right, that's not a story you want to hear.
- Right.
Another one, shortness of breath.
And that's when you may be doing an activity
a little more active than normal
and you get short of breath
and it's like, "Why am I getting short of breath?
I didn't do that much."
- Right.
- And then, so you rest-
- Short of breath beyond normal, your normal.
- Right. - Is a of shortness of breath.
- Sometimes it'll happen without any activity.
Although, this is what I had when I went in,
I talked to the doctor, he says,
"Well, when you do an activity
that normally raises your heart rate
you normally get short breath,
but are you getting clearly more short of breath
than you should be?" - Right.
- And then oftentime, there's other symptoms.
So activity can create symptoms,
but then when you rest again, the symptoms can go away.
- I had a friend who I saw this past weekend
and he was at a factory where he works
and he became short of breath
and they ran him in immediately.
- Yeah. - That was his only symptom.
and it ended up being a panic attack.
- Oh.
- But that was his only symptom, was shortness of breath.
- Sure. - And so again,
they took it very serious, and they should.
- Right.
- So...
- So, and then I think we're kind of mixing this up
a little bit because they are related,
but the final one would be nausea.
- No, that's not...
Oh, you did to do the...
- Well, I went with number seven about with higher activity.
- Okay.
- Yeah. So, you know-
- Sure.
- We're gonna have some viewers who are gonna be
counting these and making sure we get seven
because seven is complete, Bob.
- Fortunate for us, we can't count above five.
So we have to rely on the numbers out here.
- Now, I do wanna finish this off
with some really good news.
- Well, you didn't say nausea though.
Did you say- - I said it briefly.
- Okay, yeah, nausea, another one.
- Nausea.
- Person just feels ill and feels sick.
- Yeah, right.
- I mean...
- So these can overlap, it's just not one, two, three.
They can get more than...
If you do get more than on of them, and any of these,
if you just don't feel right about it, get to the hospital.
Get there, find out what's going on.
They're going to check here, they're gonna draw some blood,
they're gonna check your troponin level,
which is something in the blood that happens
after you have a heart attack.
- Sure.
- I don't want to get into details with that
but I do want to give some good news
before we finish this video,
is I don't know the exact percentage
but I know it's over 30% of people with chest pain
that go in do not have a heart attack.
Other causes-
- Sure. - Such as costochondritis,
we've got a couple videos on that,
you might be getting it from a lung problem,
you may have pleurisy, pneumonia,
things like that can cause problems.
- Well, I've got, like I said, pleurisy one time.
- Sure, yeah.
- Acid reflux.
- Right.
- So there's a lot of other causes
but that still doesn't mean you discount it.
- No, you've gotta go in and make sure you know because...
- Yeah, if you don't, we're gonna come out and slap you.
I mean- - Right.
- That's the one time we get violent.
- Yeah, I mean, because your life
is literally at stake here.
- Yeah.
- So know for sure.
- And be around for your loved ones.
By the way, Brad, this probably fits with this one.
- It really does.
- Brad and I can fix just about anything-
- Except-
- For-
- The broken heart.
- Broken heart.
- But go on into the ER and they can fix you with that.
- See right there, that's a broken heart,
that's a heart attack right there.
- (laughs) Waiting to happen.
- All right.
Thanks everybody for watching.