Cardiac Surgeon Dr. David Deaton Shares Hearth Health Tips | Connecting Point | Mar. 12, 2019

Cardiac Surgeon Dr. David Deaton Shares Hearth Health Tips | Connecting Point | Mar. 12, 2019


>>>HEART DISEASE IS THE NUMBER
ONE CAUSE OF DEATH FOR BOTH MEN AND WOMEN, BUT WITH ADVANCES IN
MEDICINE AND SURGICAL TECHNIQUES, EDUCATION AND
PREVENTION, MORE PEOPLE WITH HEART DISEASE ARE SURVIVING. I SAT DOWN WITH DR. DAVID
DEATON, CARDIAC SURGEON AT BAYSTATE MEDICAL CENTER, AND HIS
PATIENT PETER ZIMMERMAN TO LEARN MORE ABOUT WHAT CAN BE DONE TO
PROTECT YOURSELF AND YOUR LOVED ONES.>>SO HEART DISEASE ENCOMPASSES
A LARGE NUMBER OF DIAGNOSES, VARIOUS DIAGNOSES, AND INCLUDES
ESCHEMIC HEART DISEASE, CORONARY ARTERY DISEASE, AND AORTA OR
STENOSIS OR LEAKING IN THE VALVES. THE THIRD CATEGORY IS
CARDIOMYOPOTHY WHERE THE HEART MUSCLE DOESN’T HAVE THE STRENGTH
TO SQUEEZE, TO PUSH THE BLOOD. TREATMENTS INCLUDE HEART
TRANSPLANTS.>>DO YOU THINK PEOPLE REALIZE
IT IS THE LEADING CAUSE OF DEATH FOR BOTH MEN AND WOMEN?>>IT HAS BEEN IN THE LAY PRESS
QUITE A BIT. I THINK PEOPLE DO REALIZE IT IS
A BIG KILLER. A LOT OF PEOPLE DON’T REALIZE
HOW IT MAY AFFECT THEM. A LOT OF PEOPLE THINK JUST
BECAUSE THEY EXERCISE, JUST BECAUSE I THINK I’M EATING RIGHT
THEY ARE GOING TO BE IMMUNE TO THESE THINGS. IT IS FAIRLY COMMON I WILL HAVE
A PATIENT THAT ASKS ME, DOCTOR, I DID EVERYTHING RIGHT. WHY ME? AND IT IS PARTLY WHAT WE DO, BUT
IT IS PARTLY OUR GENETIC COMPONENT. AND SO IT CAN AFFECT PEOPLE WHO
SEEMINGLY HAVE NO RISK FACTORS.>>LET’S TALK ABOUT YOU, PETER. TELL ME A LITTLE BIT ABOUT YOUR
STORY AND HOW YOU BOTH MET.>>I RETIRED IN 2014 AND SIX
MONTHS AFTER I RETIRED I WAS IN THE HOSPITAL WITH CONGESTIVE
HEART FAILURE. AT THAT POINT, I MET DR. STEPHEN
DEPILO, MY CARDIOLOGIST AND UP UNTIL THE TIME OF MY SURGERY IN
AUGUST WAS SEEING DR. DEPILO
REGULARLY. HAVING CARDIOVERSIONS, I
DEVELOPED AFIB. WE WERE DOING OKAY WITH IT, BUT
NOTHING WAS REALLY CHANGING. IT WASN’T UNTIL EARLY IN THE
SUMMER OF LAST YEAR THAT A COUPLE OF THINGS HAPPENED. I GUESS THE MOST SIGNIFICANT WAS
THAT I’M AN ACTIVE PERSON. I LIKE TO BIKE. I LIKE TO CANOE AND KAYAK AND
GARDEN AND DO A LOT OF THOSE THINGS. I WAS GETTING INCREDIBLY TIRED. I WOULD REBUILD A STONEWALL AND
EVERY 10 MINUTES I WAS SITTING DOWN TO REST. AND WE DID A STRESS TEST AND I
GUESS THAT WAS REALLY THE DETERMINING FACTOR. AND THEN AFTER THE RESULTS WERE
LOOKED AT, I ENDED UP GOING TO BAYSTATE AND I MET WITH DR. ISLAM, WHO DID A CARDIAC
CATHETERIZATION. AND THAT IS WHIN — WHEN I
THINK A LOT OF THE ISSUES STARTED TO SHOW UP. THAT IS WHEN I MET DR. DEATON.>>TELL ME ABOUT HIS SURGERY. AS HE WAS JUST DESCRIBING HIS
LIFESTYLE, VERY FIT, VERY ACTIVE, CERTAINLY NOT THE PERSON
YOU THINK WOULD RUN INTO TROUBLE. WHAT WAS THE SURGERY LIKE?>>WELL, HE ILLUSTRATES ONE OF
THE PROBLEMS THAT WE HAVE WITH CORONARY ARTERY DISEASE IN
PARTICULAR. IS THAT NOT EVERYBODY GETS THE
CLASSIC SYMPTOMS OF CHEST PAIN, PAIN DOWN THE ARM. BUT HE WAS EXPERIENCIE ING
SHORTNESS OF BREATH ON EXERTION. SOME PEOPLE DO NOT GET CHEST
PAIN AT ALL. IT WAS GOOD HIS CARDIOLOGIST
RECOGNIZED THAT HE HAD HAD SOME TREATMENTS BEFORE AND HADN’T HAD
THE ANTICIPATED EFFECTS. HE DID THE EXTRA STEP OF A
STRESS TEST. THAT SHOWED HE HAD EXTENSIVE
CORONARY DISEASE. WE KNEW HE HAD AN ENLARGED AORTA
BASED ON AN EK OCARDIOGRAM. WHEN WE TOOK HIM TO THE
OPERATING ROOM, WE WERE GOING TO ADDRESS THE ATRILFIBRILATION, A
RAPID IRREGULAR HEARTBEAT THAT OCCURS AND DO BYPASSES. WE PLANNED TO DO FIVE BECAUSE HE
HAD EXTENSIVE NARROWINGS. WE DISCOVERED IN THE OPERATING
ROOM HIS AORTA WAS ENLARGED TO THE POINT WE COULDN’T LEAVE IT
BEHIND WITHOUT ADDRESSING IT. HAD HE SHOWED UP IN MY OFFICE
WITH THE AORTA ISOLATED, WE PROBABLY WOULDN’T HAVE OPERATED
ON HIM AT THAT POINT IN TIME, BUT BECAUSE WE WERE THERE TO DO
THE OTHER STUFF, WE COULDN’T LEAVE IT BEHIND BECAUSE IT WOULD
CHANGE HIS RISKS IN THE FUTURE AND LIKELY BE THAT WE MIGHT HAVE
TO ADDRESS THE AORTA IN THE NEXT YEAR OR TWO YEARS, WHICH WOULD
HAVE BEEN AN ADDITIONAL RISK TO HIM IN THE FUTURE THAT WE COULD
ADDRESS AT THIS TIME. I FELT LIKE I COULD DO THE
ENTIRE OPERATION AND DO IT SAFELY. SO WE STEPPED OUT OF THE
OPERATING ROOM, HAD A DISCUSSION WITH HIS WIFE, IT WAS GOING TO
INCLUDE REPLACING HIS AORTIC VALVE. IT ENDED UP BEING A LENGTHY
OPERATION.>>WHAT IS LENGTHY?>>I REMEMBER 10, 11 HOURS.>>I WASN’T KEEPING TRACK.>>YOU WEREN’T AWAKE. IT WAS MUCH LONGER. SHOULD HAVE BEEN A FIVE OR
SIX-HOUR OPERATION BUT TO ADD EVERYTHING WE DID —
>>HOW HAS MEDICINE CHANGED IN THE LAST 20 YEARS OR SO AS FAR
AS THE ADVANCES THAT HAVE BEEN MADE, SURGICAL ADVANCES.>>THERE ARE A LOT OF THINGS WE
CAN DO NOW WE COULDN’T DO BEFORE. 20 YEARS AGO, WE DIDN’T THINK WE
COULD KEEP THE HEART ARRESTED FOR AS LONG AS WE CAN. WE HAVE A GREATER MARGIN OF
SAFETY FOR PATIENTS TO ACCOMPLISH COMPLICATIONS. THERE ARE A LOT OF THINGS WE CAN
DO WITHOUT OPERATING. THERE ARE ALTERNATIVE TREATMENTS
SUCH AS CERTAIN TYPES OF ANGIOS TH
THERE/ANGIOPLASTY IN CERTAIN PATIENT POPULATIONS. WE HAVE THE ABLE IN SOME
ANEURYSMS INSTEAD OF REPLACING THEM, WE EXCLUDE THEM BY PUTTING
STENT GRAPHS INTO THE DESCENDING AORTA OR ABDOMINAL AORTA. THERE IS A WIDE VARIETY OF
THINGS WE CAN DO. ONE OF THE ONES IN THIS
COMMUNITY THAT IS REALLY ON THE CUTTING EDGE, SOMETHING CALLED A
MIRKS ITROCLIP, TO FIX THE VALVE WITHOUT HAVING AN OPEN HEART
OPERATION. ONE OF THE OTHER TECHNOLOGIES
BEING BROUGHT ON BEFORE IS THE — DEVICE, WHICH IS AN
ARTIFICIAL HEART TYPE OF MECHANICAL BLOOD PUMP THAT IS
IMPLANTED. ALL OF THESE THINGS ARE THINGS
THAT WE HAVE HERE AT BAYSTATE THAT ARE NEW AND ARE NOT
AVAILABLE IN MANY PLACES OTHER THAN BIG, BIG PLACES.>BIG CITIES. WHAT IS YOUR ADVICE TO OTHER
PEOPLE WHO MIGHT BE WATCHING NOT JUST IN TAKING CARE OF YOURSELF,
BUT ABOUT SYMPTOMS AS WELL. TRUST WHAT YOU ARE FEELING?>>PAY ATTENTION. SEEK ADVICE. AND THEN FOLLOW UP ON IT. I HAD THE DISADVANTAGE OF NOT
KNOWING MY FAMILY ROOTS. SO THERE WASN’T SORT OF THAT RED
FLAG THAT, OH, YEAH, MY GRANDFATHER HAD THAT OR MY DAD
HAD THAT. BUT I WAS VERY PLEASED AND VERY
THANKFUL THAT WE WERE ABLE TO ADDRESS THESE ISSUES AND I HAD
GOOD DOCTORS BEFORE IT BECAME A REAL PROBLEM.

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