The verbatim script follows below...
MOST DAYS I REPORT ON WHAT HAPPENS TO OTHER PEOPLE. TODAY, I'M SHARING SOMETHING ABOUT MYSELF IN HOPES OF HELPING PEOPLE BORN WITH FAIRLY COMMON HEART CONDITION THAT CAUSES SOMETHING CALLED SUPRA-VENTRICULAR-TACHYCARDIA... S-V-T FOR SHORT. WHILE THE CONDITION IS COMMON, IT DOESN'T GET MUCH ATTENTION. SO PATIENTS WITH IT ARE OFTEN UNDIAGNOSED, OR MISDIAGNOSED. OR, THEIR DOCTORS MAY BE UNAWARE A SIMPLE OUT-PATIENT PROCEDURE CAN CURE IT.S-V-T IS A CONDITION SUFFERED BY PEOPLE LIKE ME BORN WITH EXTRA ELECTRICAL CIRCUITS IN OUR HEARTS. DR. DAVID SANDLER OF THE OKLAHOMA HEART INSTITUTE SPECIALIZES IN TREATING PATIENTS WITH S-V-T. THINK OF HIM AS AN ELECTRICIAN FOR HEARTS. HE SAYS THREE TYPES OF EXTRA ELECTRICAL CIRCUITS CAUSE S-V-T.
Dr. David Sandler: "The most common ones are extra pathways within the normal circuitry. The second is an extra pathway completely separate from the normal circuitry. The third kind is called atrial tachycardia which is a little area that's firing on its own." THOSE EXTRA CIRCUITS SOMETIMES MAKE OUR HEARTS TO BEAT WAAAY TOO FAST. WHEN IT HAPPENS THE HEART CAN'T EFFECTIVELY PUMP BLOOD THROUGHOUT OUR BODIES SO WE SUFFER SYMPTOMS RANGING FROM A FLUTTERY SENSATION... TO A FLOPPY OR HARD POUNDING FEELING LIKE YOU HEART IS ABOUT TO FLY OUT OF YOUR CHEST... AND OCCASIONALLY WE GET DIZZY OR FAINT.
stills of skinny me & video of pouring coffee WHEN I WAS YOUNGER DOCTORS DISMISSED MY SYMPTOMS SAYING MY HEART RACED, OR I FAINTED, BECAUSE I WAS SKINNY AND DIDN'T EAT RIGHT. OR, THAT I MUST BE A LITTLE HIGH STRUNG, OR DRANK TOO MUCH COFFEE.
"There's been a study shown that 50% of primary care physicians will initially diagnose - usually a woman - with an anxiety disorder or panic attacks rather than with what they really have which is an arrhythmia causing their symptoms." I WASN'T DIAGNOSED WITH S-V-T UNTIL AFTER MORE THAN 20-YEARS OF TRIPS TO THE EMERGENCY ROOM WITH MY HEART RACING OUT OF CONTROL. AND I'M NOT THE ONLY ONE WHO HAS ENDED UP THERE.
Dr. David Sandler: "Supra ventricular tachycardia has been estimated to occur in two million people a year in the United States." MANY WITH THE CONDITION USE SIMPLE MANUVERS LIKE BEARING DOWN OR MEDICATION TO GET THEIR HEART RATE BACK BELOW 100 BEATS PER MINUTE... AND TO KEEP IT THERE. WHEN THOSE TREATMENTS DON'T DO THE JOB, THERE'S ANOTHER OPTION. A QUICK, SIMPLE, OUT-PATIENT PROCEDURE CALLED A CATHETER ABLATION. IN 99 PERCENT OF ALL CASES IT COMPLETELY CURES THE PROBLEM BY GETTING RID OF THE EXTRA ELECTRICAL PATHWAYS IN THE HEART. YOU'RE ABOUT TO SEE DR. SANDLER GET RID OF MINE.
Dr. David Sandler: "What I'm doing now is I'm going to be putting three catheters into the vein in her leg."
"You'll see how easily they go just straight to the heart and how easily we can manipulate our catheters from down here and move to any area of the heart we might need to."
"This one here is gonna measure the electrical circuits and this one here has a tip that can not just measure but can also burn so we're gonna be using radio frequency energy to burn, cauterize, sear the important area that we're gonna go after." DURING AN ABLATION THE DOCTOR USES RADIO WAVES TO BURN AWAY THOSE TINY SPOTS IN THE HEART WHERE THE EXTRA ELECTRIC CIRCUITS ARE LOCATED. BUT BEFORE HE CAN ZAP THE SPOT HE HAS TO DETERMINE WHICH KIND OF S-V-T I HAVE BY STIMULATING MY HEART.
"Measuring things within the heart so far has shown us that she seems to have normal conduction when she's not having her arrhythmia, but now here comes the fun part. " DR. SANDLER DELIBERATELY TRIES TO TRIGGER AN EPISODE OF S-V-T.
"So now we're pacing her heart at 100 beats a minute, faster, faster , faster, and let's see if we can get her to go into her arrhythmia. Beep beep beep"
"Now we're gonna do some more stimulation."
monitor jumps as high as 200 bpm
nats: "Lying flat completely sedated this is not a normal heart beat."
"She's going 174 beats a minute so by looking at the monitor I know what type of arrhythmia she has and what I need to do so she has the extra pathway near the normal circuitry of her own heart and this is by far the most common one making up about 70% of supra ventricular tachycardias. TO GET RID OF THE EXTRA PATHWAYS DR. SANDLER USES SHORT BLASTS OF RADIO WAVES.
Dr. David Sandler/nats: "We will apply as little energy and as few applications as needed to make it so we can't get her to go into the arryhthymia."
Dr. David Sandler: "We've been on for 104 seconds and we're gonna go for 120 seconds total."
Dr. David Sandler: "So after just that short application of radio frequency energy I now cannot get her to go into that arrhythmia." IN JUST TWO MINUTES FLAT I'M CURED. NO MORE RACING HEART. NO MORE FAINTING. AND BEST OF ALL, NO MORE TRIPS TO THE E-R.
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Indwelling Catheter Part Threeby apenas8936,505 views
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