Seu Coração é Realmente Forte? Faça o TESTE de 2 Minutos EM CASA e Descubra Sinais de Alerta!
Cardio DF — Cardiologia e saúde cardiovascular em Brasília (DF)
[{'start': '0.000', 'end': '1.920', 'text': 'Hello!\nHow do you know if your'}, {'start': '1.920', 'end': '9.080', 'text': 'heart — that fantastic machine that pumps more\nthan 5 liters of blood per minute — is really'}, {'start': '9.080', 'end': '13.640', 'text': 'working at full strength or perhaps\nneeds a little more attention?'}, {'start': '13.640', 'end': '19.120', 'text': "I'm Dr. André Wambier, cardiologist,\nand in this video you will discover the 5 signs"}, {'start': '19.120', 'end': '24.520', 'text': 'and symptoms that can reveal that there is something\nwrong with your heart and then, I will guide you'}, {'start': '24.520', 'end': '30.800', 'text': 'step by step through the 2-minute home test that\nreveals a lot about its strength.  Are you curious?'}, {'start': '30.800', 'end': '35.480', 'text': "But first, enjoy the video, subscribe to the\nchannel so you don't miss our health tips,"}, {'start': '35.480', 'end': '39.480', 'text': 'and activate the bell to receive notifications.\nAnd also spread this knowledge with your'}, {'start': '39.480', 'end': '44.600', 'text': 'friends and family.  By sharing, you will be\nhelping more people.  So share it!'}, {'start': '44.600', 'end': '50.360', 'text': 'And tell me: Is your heart strong or have you been experiencing\nany symptoms?  Have you ever had any specific'}, {'start': '50.360', 'end': '58.160', 'text': 'heart tests?  What part of Brazil\nor the world are you from?  Write it down below!'}, {'start': '58.160', 'end': '61.520', 'text': "Let's go.  What signs\nmight your body be sending you"}, {'start': '61.520', 'end': '64.560', 'text': 'that things are not going well?\nWarning Sign #5:'}, {'start': '64.560', 'end': '68.720', 'text': 'Chest Pain or Discomfort (Angina)\n[Straightforward Explanation:] This is a'}, {'start': '68.720', 'end': '75.800', 'text': 'classic sign!  That feeling of tightness, pressure, weight\nor burning in your chest that appears when you'}, {'start': '75.800', 'end': '81.120', 'text': 'exert yourself or are stressed, and quickly improves\nwith rest?  This is angina.  It is a warning that'}, {'start': '81.120', 'end': '87.600', 'text': 'blood flow to your heart muscle\nmay be reduced.  This pain can even "walk"'}, {'start': '87.600', 'end': '93.200', 'text': 'to the left arm, jaw, back...\nremember the case of the volleyball player Tande from the national team,'}, {'start': '93.200', 'end': '99.200', 'text': 'who felt the pain radiate to his ear?  Be\ncareful, this is one of the most common complaints I receive!'}, {'start': '99.200', 'end': '106.520', 'text': 'And be careful: basic tests do not always show\nthe real danger!  I treated a 50-year-old patient,'}, {'start': '106.520', 'end': '112.320', 'text': 'thin, a runner, who felt chest pain only on the\ntreadmill – it radiated to his jaw and back,'}, {'start': '112.320', 'end': '123.040', 'text': 'but disappeared when he stopped.  He had already undergone\nseveral "normal" tests: stress test, ultrasound,'}, {'start': '123.040', 'end': '129.680', 'text': 'even scintigraphy!  But his story kept me\nalert.  I insisted, we did a'}, {'start': '129.680', 'end': '137.800', 'text': 'coronary angiotomography (even though I was allergic to the contrast,\nwhich we overcame) and the result was a shock:'}, {'start': '137.800', 'end': '144.920', 'text': 'very serious obstructions!  Needed 4 stents.\nA serious problem that almost went unnoticed.'}, {'start': '144.920', 'end': '151.560', 'text': 'Moral of the story: Have you ever felt this kind of\nchest discomfort associated with exertion?'}, {'start': '151.560', 'end': '158.320', 'text': 'NEVER ignore!  Even if other tests appear\nnormal.  Investigate further with your cardiologist!'}, {'start': '158.320', 'end': '162.960', 'text': 'Warning Sign #4: Shortness of Breath (Dyspnea)\n[Direct Explanation:] Another common sign,'}, {'start': '162.960', 'end': '168.360', 'text': 'and one that many people blame on age or "being\nout of shape."  Getting out of breath doing activities'}, {'start': '168.360', 'end': '174.360', 'text': 'that were once a breeze, like climbing a flight of\nstairs?  Or, even worse, feeling short of breath while standing still,'}, {'start': '174.360', 'end': '180.840', 'text': 'or needing several pillows to be able to\nsleep without feeling suffocated?  This is dyspnea,'}, {'start': '180.840', 'end': '184.280', 'text': 'and it can be a clear sign that\nthe heart is not able to'}, {'start': '184.280', 'end': '189.280', 'text': 'pump blood efficiently,\ncausing fluid to build up in the lungs.'}, {'start': '189.280', 'end': '194.160', 'text': 'I had a patient who, for months, ignored her\nshortness of breath, thinking it was just tiredness'}, {'start': '194.160', 'end': '199.840', 'text': 'from her routine.  When she realized that even lying in\nbed at night caused her enormous discomfort and'}, {'start': '199.840', 'end': '205.360', 'text': 'climbing a few steps was a torture, she\nfinally sought help.  The diagnosis?'}, {'start': '205.360', 'end': '210.760', 'text': 'Heart failure.  Fortunately, with the\nappropriate treatment, she recovered much'}, {'start': '210.760', 'end': '213.760', 'text': 'of her quality of life and peace of mind.\nMoral of the story: Shortness of breath without an'}, {'start': '213.760', 'end': '217.160', 'text': 'obvious cause, especially if it is\ngetting worse or happens even'}, {'start': '217.160', 'end': '219.191', 'text': "at rest?  It's not 'normal', it's not just tiredness."}, {'start': '219.191', 'end': '222.840', 'text': 'WARNING SIGN #3:\nExtreme and Unexplained Fatigue'}, {'start': '222.840', 'end': '227.240', 'text': 'You know that tiredness that goes beyond what is\nnormal?  Persistent exhaustion'}, {'start': '227.240', 'end': '232.640', 'text': 'that doesn\'t improve even with a full night\'s sleep?\nIf you constantly feel like you have no "battery",'}, {'start': '232.640', 'end': '237.040', 'text': 'even without having made any great efforts, this\ncould be an important sign.  It indicates that your'}, {'start': '237.040', 'end': '242.520', 'text': 'heart may be having difficulty delivering\nthe energy needed for your body to function well.'}, {'start': '242.520', 'end': '247.680', 'text': 'I remember a patient from the countryside who\narrived at the office dragging himself along,'}, {'start': '247.680', 'end': '252.760', 'text': 'with an extreme tiredness that he didn\'t understand.\n"It must just be the hard life on the farm, doctor," he'}, {'start': '252.760', 'end': '259.440', 'text': "told me.  But the story didn't add up.  We investigated\nin depth and discovered the cause: Chagas Disease,"}, {'start': '259.440', 'end': '263.880', 'text': 'which was already seriously compromising\nhis heart muscle.  Fortunately, with the'}, {'start': '263.880', 'end': '267.640', 'text': 'correct treatment, he recovered\nmuch of his spirits and disposition.'}, {'start': '267.640', 'end': '271.920', 'text': "Feeling exhausted all the time, for no\napparent reason?  Don't accept this as"}, {'start': '271.920', 'end': '277.320', 'text': 'normal or just "tiredness".  It could be\nyour heart crying out for help.  Investigate!'}, {'start': '277.320', 'end': '282.320', 'text': 'WARNING SIGN #2: Swelling\n(Edema) in the Legs, Ankles or Feet Does'}, {'start': '282.320', 'end': '288.840', 'text': 'the swelling in your ankles, feet\nor legs get worse throughout the day and better in the'}, {'start': '288.840', 'end': '295.160', 'text': 'morning?  And what leaves a finger mark when you\npress it (the locker sign)?  This is edema, a sign'}, {'start': '295.160', 'end': '300.200', 'text': 'that can be crucial and that many people ignore!\nIt happens because the heart, having difficulty'}, {'start': '300.200', 'end': '305.480', 'text': 'pumping blood back, allows\nfluid to accumulate down there, in the extremities.'}, {'start': '305.480', 'end': '309.640', 'text': 'It\'s a classic complaint in the office:\n"Doctor, my shoes only fit in the morning!"'}, {'start': '309.640', 'end': '315.120', 'text': 'or "I come home with heavy,\nswollen legs."  Elevating your legs helps, of course, but'}, {'start': '315.120', 'end': '321.160', 'text': 'the root cause may be a "weak heart" or other\ncirculatory problem that needs to be investigated.'}, {'start': '321.160', 'end': '326.160', 'text': 'In other words: Persistent swelling that follows\nthis pattern (worse at the end of the day,'}, {'start': '326.160', 'end': '330.680', 'text': 'better when lying down/elevating the legs)?  Don\'t\nassume it\'s normal or just a "'}, {'start': '330.680', 'end': '334.868', 'text': 'circulation problem" without investigating.  It could be an\nimportant warning from your heart!  See your doctor!'}, {'start': '334.868', 'end': '339.200', 'text': 'WARNING SIGN #1: Dizziness or Fainting (Syncope)\nAnd sign number 1, perhaps the most alarming,'}, {'start': '339.880', 'end': '345.440', 'text': 'that can NEVER be ignored: very\nintense dizziness or sudden fainting (syncope).'}, {'start': '345.440', 'end': '350.360', 'text': 'Feeling like you are going to "black out" or actually lose\nconsciousness, even for a few seconds,'}, {'start': '350.360', 'end': '355.600', 'text': 'can indicate serious problems with the rhythm,\nstructure or electrical part of your heart.'}, {'start': '355.600', 'end': '359.120', 'text': 'One case that I always remember was that of a\nyoung patient.  She started having'}, {'start': '359.120', 'end': '363.240', 'text': 'frequent dizziness and even fainted a few times.\nNo one could find out the cause.  They even thought it'}, {'start': '363.240', 'end': '369.960', 'text': 'was a seizure and he started taking medication\nfor epilepsy.  After investigating in depth, we'}, {'start': '369.960', 'end': '374.120', 'text': 'identified an advanced atrioventricular block\n– a serious failure in the'}, {'start': '374.120', 'end': '380.200', 'text': 'electrical signals of her heart (in this case, caused\nby Lupus).  The solution was a pacemaker,'}, {'start': '380.200', 'end': '384.640', 'text': 'which regulated the rhythm and restored\nher safety and normal life.'}, {'start': '384.640', 'end': '391.480', 'text': "So: Very strong dizziness, feeling faint or\nfainting itself?  IT'S URGENT!  Don't wait for it"}, {'start': '391.480', 'end': '397.080', 'text': 'to pass.  It could be your heart that needs\nimmediate evaluation to prevent something more serious.'}, {'start': '397.080', 'end': '400.240', 'text': 'Many of these signs we talked about,\nsuch as shortness of breath, fatigue and swelling,'}, {'start': '400.240', 'end': '401.293', 'text': 'can be symptoms of\nHeart Failure, or as many call it, a'}, {'start': '401.293', 'end': '401.370', 'text': '"weak heart".  But it is important to know\nthat there are two main types:'}, {'start': '401.370', 'end': '401.443', 'text': 'Many of these signs we talk about,\nsuch as shortness of breath, tiredness and swelling,'}, {'start': '401.443', 'end': '405.600', 'text': "can be symptoms of Heart Failure, or\nas many call it, 'weak heart'.  Basically,"}, {'start': '405.600', 'end': '410.080', 'text': 'this means that the heart is not doing\nits job as it should.  Sometimes'}, {'start': '410.080', 'end': '415.960', 'text': 'it becomes dilated and weakened, without the strength\nto pump blood (think of a rubber band that has'}, {'start': '415.960', 'end': '422.920', 'text': "lost its strength).  Other times, the muscle becomes\nrigid, 'hard', and cannot relax to"}, {'start': '422.920', 'end': '427.960', 'text': 'fill with blood properly between beats\n(imagine a sponge that has hardened and no'}, {'start': '427.960', 'end': '434.720', 'text': 'longer absorbs water).  In both cases, the result is\nsimilar: the body suffers, and symptoms appear.'}, {'start': '434.720', 'end': '441.520', 'text': "But here's the great news: treatment for a\nweak heart has evolved dramatically!"}, {'start': '441.520', 'end': '448.160', 'text': 'When I graduated 23 years ago, the options for\nheart failure were very limited.'}, {'start': '448.160', 'end': '454.600', 'text': 'We focused a lot on controlling symptoms\nwith diuretics and some other medications.\xa0\xa0  It'}, {'start': '454.600', 'end': '457.960', 'text': 'was an uphill battle for the\npatients and for us doctors.'}, {'start': '457.960', 'end': '464.320', 'text': 'Today, the story is completely different!  We have\nmodern medicines, some truly'}, {'start': '464.320', 'end': '470.720', 'text': 'revolutionary, that have changed the game.  They not\nonly alleviate the symptoms of fatigue and swelling,'}, {'start': '470.720', 'end': '477.800', 'text': 'but they act on the disease, slowing its progression,\nreducing hospitalizations and, most importantly,'}, {'start': '477.800', 'end': '482.920', 'text': 'helping people live longer and with a much\nbetter quality of life.  These advances apply'}, {'start': '482.920', 'end': '487.520', 'text': 'to both the heart that has become weaker\nand the one that has become stiffer.'}, {'start': '487.520', 'end': '493.400', 'text': 'This shows how much medicine has evolved and reinforces:\nwith the correct diagnosis and current treatment, it'}, {'start': '493.400', 'end': '497.560', 'text': "is entirely possible to have a good and\nactive life!  And science doesn't stop!  For those who already"}, {'start': '497.560', 'end': '502.000', 'text': 'face heart failure, know that\nrecent and very promising research, such as'}, {'start': '502.000', 'end': '510.200', 'text': 'some from Baylor, seeks ways to help\nthe heart repair itself and even regenerate'}, {'start': '510.200', 'end': '515.400', 'text': "its cells, using new approaches to\nstimulate this natural process.  It's still research,"}, {'start': '515.400', 'end': '521.920', 'text': "of course, but it brings new hope and shows that\nwe're always moving forward.  Hope is real!"}, {'start': '521.920', 'end': '526.200', 'text': "Now let's talk about something you can\ndo at home to assess"}, {'start': '526.200', 'end': '530.240', 'text': "your heart's recovery capacity:\nthe 2-minute home test."}, {'start': '530.240', 'end': '533.760', 'text': 'This test, known as\nHeart Rate Recovery,'}, {'start': '533.760', 'end': '538.160', 'text': 'is a practical way to see how your\nheart recovers after exercise.'}, {'start': '538.160', 'end': '542.440', 'text': 'How to do it (Step by Step):\n1. Equipment: Ideally,'}, {'start': '542.440', 'end': '547.380', 'text': 'use a watch or heart rate monitor\n(watch, strap, etc.).'}, {'start': '547.380', 'end': '553.640', 'text': '2. Warm up (5 min): Take a\nlight walk or do gentle jumping jacks to warm up.'}, {'start': '553.640', 'end': '560.920', 'text': '3. Intense Exercise (1-2 min): Increase the\nintensity until you are very breathless (running in'}, {'start': '560.920', 'end': '568.520', 'text': 'place, climbing stairs, or vigorous jumping jacks).\n4. Record Peak (Maximum HR): As soon as you'}, {'start': '568.520', 'end': '576.608', 'text': 'stop exercising, check/record\nhow many beats per minute you reached.'}, {'start': '576.608', 'end': '577.640', 'text': '5. Stop Completely and Rest (1 min): Stop\nthe exercise completely and time 1 minute'}, {'start': '577.640', 'end': '581.440', 'text': 'of absolute rest.\n6. Record Your HR After 1 Minute:'}, {'start': '581.440', 'end': '586.280', 'text': 'At the end of this minute, check again how many\nbeats your heart is beating per minute.'}, {'start': '586.280', 'end': '592.920', 'text': '7. Calculate the HRR: HRR=Maximum HR−MinHR\nInterpreting the Result (What'}, {'start': '592.920', 'end': '597.320', 'text': 'This Number Tells You):\n* Low HRR (Drop less'}, {'start': '597.320', 'end': '599.729', 'text': 'than 12-15 beats): If your\nheart rate drops less than 12 to 15 beats'}, {'start': '599.729', 'end': '603.240', 'text': 'in the first minute of rest, this indicates a\nslow recovery.  It may be a sign that your'}, {'start': '603.240', 'end': '608.640', 'text': 'heart is having difficulty recovering\nand that there is a higher cardiovascular risk.  It is'}, {'start': '608.640', 'end': '614.880', 'text': 'important to talk to your doctor about this.\n* Moderate HRR (15-25 beat drop):'}, {'start': '614.880', 'end': '620.800', 'text': 'A drop in this range is considered reasonable.  Your\nheart is recovering moderately,'}, {'start': '620.800', 'end': '624.380', 'text': 'but there is still room for improvement in\nyour fitness.'}, {'start': '624.380', 'end': '629.080', 'text': '* Good to Excellent HRR (Drop\ngreater than 25-30 beats):'}, {'start': '630.000', 'end': '636.200', 'text': 'If your heart rate drops rapidly\nmore than 25 or 30 beats in the first minute,'}, {'start': '636.200', 'end': '641.600', 'text': 'that is a great sign.  Your heart has a good\nrecovery capacity and is in good shape.'}, {'start': '641.600', 'end': '645.480', 'text': 'I will leave a table template here\non the screen and also a link in the description'}, {'start': '645.480', 'end': '656.280', 'text': 'so you can download it and track your\nresults and monitor your progress.  This way,'}, {'start': '656.280', 'end': '659.280', 'text': 'you can become a true detective of your'}, {'start': '659.280', 'end': '664.400', 'text': 'heart health and act proactively\nto keep your heart strong and healthy.'}, {'start': '664.960', 'end': '669.000', 'text': 'Important reminder, okay: This\ntest is just an indication.'}, {'start': '669.000', 'end': '673.600', 'text': 'If the results are concerning or if\nyou experience any symptoms during the test,'}, {'start': '673.600', 'end': '677.200', 'text': 'see a doctor for\nfurther evaluation.'}, {'start': '677.200', 'end': '684.480', 'text': 'He may order an echocardiogram, which can see\nthe strength of the heart very well, an angiotomography,'}, {'start': '684.480', 'end': '688.160', 'text': 'which can see the inside of your arteries, or\neven a cardiac MRI,'}, {'start': '688.160', 'end': '693.520', 'text': 'which can see the muscle more\naccurately.  Each case is different!'}, {'start': '693.520', 'end': '702.600', 'text': 'I hope you enjoyed the video!  If you found the\ninformation useful, like and share it so that more'}, {'start': '702.600', 'end': '706.320', 'text': 'people have access to this knowledge.  And what\nwill be the next video you will watch?\xa0\xa0  I'}, {'start': '706.320', 'end': '715.520', 'text': "'ll leave you with a recommendation: my video about\ntesting if you're over 60."}, {'start': '716.120', 'end': '720.240', 'text': 'Remember: knowledge is power, especially\nwhen it comes to your heart health.'}, {'start': '720.240', 'end': '723.640', 'text': 'My name is André Wambier, cardiologist,\nand this is CardioDF.com.br.'}, {'start': '724.360', 'end': '725.800', 'text': 'Remember to subscribe.'}, {'start': '725.800', 'end': '727.956', 'text': 'And until the next video.\nThank you very much!'}]