Full transcript of “How To Treat 80-90% Heart Blockage Ft. Dr. Susheel Sharma | Heart Attack Prevention | Himanshu Bhatt”. Click a timestamp to open the video at that moment. Need another video? Use the YouTube transcript generator.
0:06 very important to know that the blockage that you have created due to 40 years of wrong lifestyle will not go away due to 40 days of good lifestyle. So we say that whatever blockages you have, you can reverse these blockages and this is possible in 80% of the people. And these people who say that your heart is working only at 20, 30, what happens, if it is decreasing from 55 or 60 to 20, then can we bring that 20 back to 50 or 55, under what condition? Hello friends, I am Himanshu Bhatt. Whenever someone gets a heart attack or chest pain or blockage, doctors say to get a stent installed or get bypass surgery done. Angiography is even advised, but still we have seen that many people face the
0:53 problem of heart attack again even after angiography stent and bypass, but today we have with us cardiologist Dr. Sushil Sharma ji who is saying that We can reverse these blockages where we do not need stent bypass and angiography in 80% of cases and let me tell you about Sir that Sir has been a cardiologist in the USA for 40 years and now he is serving in India, so we will learn from Sir that how can you reverse all these things by adopting which lifestyle and detecting which things, so Sir my regards and welcome to you, so look, first let me make one thing very clear because when the reference is correct in that, then your knowledge will be correct, so
1:41 know these two words emergency and non emergency, that means if you suddenly have chest pain, you are having a heart attack, you are having continuous pain, then this is an emergency, in this situation there is no doubt that you should immediately get an angiogram done and get a stent inserted, your life can be saved, so this is about emergency or that you are having pain repeatedly, you are having pain in the morning and evening, the pain is increasing and you did an angiogram and many arteries are blocked, stent cannot be inserted in them, bypass is required, so in an emergency situation And in uncontrolled situations, angioplasty, stent and bypass have a role and we believe that, Sir, how many percent of people face this emergency situation, see, 10 to 20 percent of people face this
2:26 emergency situation, who need bypass or stent, so 10 percent of people who are facing emergency need stent, 10 percent of people who are having pain repeatedly and are having pain even after taking medicines and stent, they need bypass, yes 80 percent of people, what we call non-emergency, in our language it is called chronic stable angioplasty or chronic stable coronary artery disease, we mean that you are walking, you feel pain in the chest, you stop, it goes away, right? This kind of pain happens to many people, this breathing becomes difficult, there is pain, so they get a test done, angiogram done, blockage is found at 70-80 percent, blockage is found at 90 percent, it is said that it is not completely stable, science says that if you If
3:13 you are stable and it is not an emergency, then first control and prevent and reverse your symptoms with medicines and lifestyle and this is possible in 80 per cent of people. This is the statement of the American College of Cardiology American Heart Association's 2023 recommendation. See, in chronic stable angina, the first line of therapy has been described as medical therapy, guideline directed medical therapy and risk factor modification and lifestyle change. So it is very important to know this. So we say that whatever blockages you have, it is related to your lifestyle. It is related to your endothelial function. It is related to risk factors. So if you control all of them, then
3:59 you can reverse these blockages. So I did not tell you that now we will reverse it. So we have removed you from the category of angioplasty and bypass. It is not like that. First of all, do these three things - guideline directed medical therapy, medicines, risk factor modification, changing whatever risk factors cause blockage to you and changing the lifestyle. If you have If the symptoms are there and you are getting well, then this method will continue. If this does not work and it becomes an emergency, you can do bypass at 10, angioplasty at 10. So it is very important to do these three things. So look, the first thing is that the medicines that you need, now we talk about cholesterol, we talk again and again,
4:45 if you want to reverse it, then the total cholesterol has to be brought below 150, LDL has to be brought below 50, tri-g side has to be brought below 100, C-react protein has to be brought below one. So, to do this, the medicines that you will need, if you say that you want to reverse it but you will not take medicine, then yes, this is wrong, because for how many years you have deposited that cholesterol, now it will not go away with just lifestyle, you will have to take medicine along with it. It is very important to know this, but it is not such that you will have to take medicine for life, sir. Many people keep taking cholesterol medicines for three to four years until your cholesterol is reversed. You will have to take it for a year, even for two years. You will have to take it for four years as well. The blockage that you have created due to 40 years of
5:32 bad lifestyle will not go away with 40 days of good lifestyle. It is very important to know this. Secondly, the blockage that you have created in your arteries in 40 years will not go away by taking cholesterol medicines for two months, four months or six months. So, you have to take it for a long time. So, you have to take all these medicines in the right way, in the right dose and bring the parameters to where I have said. See, tests have been done in this, the DISCO trial was done. The Coldwell Asle Stein diet trial was done. The Dean Onish lifestyle trial was done. They have shown the reversal of blockage scientifically by combining lifestyle, stress management, yoga, meditation, etc. After that, many trials have been
6:20 done with cholesterol medicine Tut Roton. Whenever you bring down LDL below 50 and total cholesterol below 150, this blockage gets reversed. Now, new injectable medicines have come which reduce LDL further. This has been found in that too. So, it is very important to do these things. And in life style, as I always say DASH, your diet, activity, stress management, habit change DASH, so in diet I always say the same four things, yes, whole grain fruits, vegetables, legumes, kidney beans etc. and less oil, salt, sugar, less animal dairy products and processed food, this is in diet, in activity, if you walk 7500 steps daily, see, today it is
7:29 very important for everyone to reduce stress, how stress changes your behavior, changes your biology, creates blockages, so we will make a complete video about it separately and in habits, look at cigarette smoking and alcohol, the study done in India, the inter heart study, which was a national study, international, has found that any amount of alcohol is bad for Indians, so it is not that this is being falsely propagated that look brother, in France people drink a glass of wine, it is very good, they do not have heart attack, see, everyone's genes are different, in our genes, any amount of alcohol is bad, it means alcohol is not made for us Indians, Asians. In one way, we can say, yes, so sir, you have told us
8:15 how we can reverse the blockage, that is, how many percent of people need the stent you mentioned and how many percent of people should not need it. So, I would like to understand one more thing in this, sir, everybody talks about blockage, but what exactly is this blockage? Like someone said that there is a blockage in the heart. What is a blockage in the heart and how does it happen? So this is a very good question. To understand this, I will give you a very simple example. Okay, what is a simple example? Remember three things. Look, we are on the banks of the Ganges, so you know that there is a pump on the banks of the river Ganges. So, you know that there is a pump, a pipe and water. You should understand this after seeing all three. Similarly, in your body, there is a heart, blood vessels and blood. So, the blood vessels
9:03 and veins should be considered pipes, the heart should be considered a pump, and the water should be considered blood. So, now tell me, as your pump is, yes, as your pipes are, as your water is, the quality of the water affects the pump and the pipe. Yes, the quality of the pipe affects the water and the pump. The quality of blood affects the water and pipes. Similarly, in our body also, what is flowing in your blood, what has gone in your veins, affects the quality of the pipes, affects the blood vessels. So, if your blood is thick and sticky, then it will damage the veins. Similarly, the dirty water flowing in the drain pipes
9:50 blocks the drain pipes. So, if your blood is thick and sticky, it means that your blood has more cholesterol and more sugar. It means that if you are eating more fat or sugar or salt, then it gets damaged. Salt damages arteries in the same way, just like salt damages the pipes. Yes, sugar and oil, these three things, fat, sugar and salt, these three things spoil the quality of blood. So, reduce these three things, which weaken the blood vessels, what else are there that weaken the veins? The things that weaken your blood are cigarette smoking, cigarette smoking, too much stress, obesity, not exercising, these are all these. It
10:36 weakens the inner line of the vein, which we call endotherapy in our language. When the fat goes inside, the cholesterol goes inside, now your body says, "Brother, how did it come here? It shouldn't have been here like a foreign body." So it fights it, it causes inflammation, so inflammation increases, so gradually the fat that goes there causes inflammation, and due to inflammation, there is narrowing, so in the process the artery gets blocked. And sir, as you told us in other videos that only cholesterol is not responsible,
11:22 triglyceride and lipoprotein are also responsible for this. Yes, all the skin has to be controlled. Yes, you can control all the skin with your diet, but after that you also need some medicines. So, in this way, if you follow a lifestyle, medicines, and medicines taken properly, then you can control, prevent, and reverse these blockages. Next time if your symptoms are stable, you have chest pain, you got an angiogram done, blockage was found at 7080, you say no brother wait, if needed we will get a stent put in, if needed we will do a bypass, first we will improve our food habits, lifestyle,
12:09 then we will take guideline directed medical therapy, whatever our risk factors are, we will control them and see, for six months, one or two years if needed we will definitely get a stent done, we will definitely get a bypass done, but we should not jump into it immediately sir, I would like one more thing clarity in this, like you have told how the blockage is happening, there the quality of our blood, which matters a lot, if it is bad then the blockage will start happening automatically, but sir the doctor tells the patient that there is a blockage in your heart, so does having a blockage in the heart mean that it is only the blockage of the veins or is the blockage of the heart different, that blockage of the veins is good and what these people say that your heart is working only at 20, working at 30, what happens, yes when the blockages become too many now, heart attacks happen a lot, then
12:55 His heart gradually starts weakening, so normal heart functioning is at 55. 55 means 100%. If your heart ejection fraction which is measured at 55 is normal and it reduces to 20, then when it becomes very advanced and gets damaged, then it can happen again. But if it is reducing from 55 or 60 to 20, can we bring that 20 back to 50 or 55, under what conditions? Yes, in that we have to see what are the conditions which brought it to 20, whether it is reversible and what is not reversible. Some new medicines have come for heart failure which improve the heart function. There are four or five medicines which improve heart failure and then
13:41 you reverse the blockages, so after looking at all this, you have to work with your cardiologist and cure it in six months, one and a half years or two years. Many such heart functions can be cured by medicines and lifestyle like Sir if there is a patient whose heart has started working from 55 to 20 and by changing his lifestyle from 20 on his own, in some time it has come down to 40-45, then does that person need angiography or no, then he is cured, if he does not have any blockage and there is no cholesterol deposited in his artery, you did a non-invasive test and he is completely changing his lifestyle and taking medicines, then you have seen 100% improvement from 20 to 40, right? Yes, so if this has happened, then keep increasing it further, then
14:27 what, why any different method because when there is improvement, then there is no need for anything, so Sir, thank you very much that in your and our heart series which is going on with you, like other problems, you have also cleared the doubt of the people that what is the problem in the heart Who needs stent bypass and in what condition and who doesn't, and who can reverse naturally. So I hope that just like you all have benefited from other videos of Sir, similarly, you must have got such information from this video too, which can help you in keeping your heart healthy. If you still have any queries, you can tell us in the comment section. I will try to make videos with Sir from time to time on whatever queries you have related to heart, so that you
15:14 can prevent your heart attack, detect it in advance and keep your heart healthy. And you will find Sir's contact details in the description and pin comment below, from where you can also contact Sir. Thank you, thank you, Sir, Namaste.
