>> funding for "heart stories"comes from the dr. donald j goodman and ruth weber goodmanphilanthropic fund of the cleveland foundation, providingmedical information programming for individuals and families onideastream's broadcast educational channels.
Jennie Garth Weight Loss, and by the margaret clark morganfoundation. the woodruff foundation. the mcgregor foundation. and the community foundation oflorain county.
>> next on "heart stories,"follow the drama of lives at risk. from the teacher to the retiree,the mom and the referee. >> never did i think it was aheart attack. >> see treatment in action andwitness prevention at work as medical science takes aim atheart disease. >> welcome to "heart stories,"the first in a series of help specials ideastream ispresenting on chronic killers. we bring you the stories oflocal people confronting the
nation's number one killer heartdisease. more of us will die fromcardiovascular problems than any other disease. in fact, about every 37 seconds,an american dies from heart trouble. roos was almost one of them. -- bruce was almost one of them. we have his story. >> even though it is earlyspring, 48-year-old bruce enjoys
getting a jumpstart onflyfishing. >> your contour lines cannotcross each other. >> he is also a sixth-gradescience teacher as well as a husband and father of a13-year-old and two grown daughters. >> i do find myself by thepeople around me, the things i enjoy doing, the things i enjoylearning about. those things really define me. >> a year ago, he learns themost important lesson of his
life. it began with missing four daysof school. >> all i was doing was sittingon the couch, still feeling rotten. the pain started in my chest. >> i saw him on the floor in hewas grabbing his chest. in my mind, i knew that he washaving a heart attack. >> 911 -->> my husband is having really bad chest pains.
>> 94 is in route. [dog barking]>> i remember saying, i do not believe we are doing this. i will be fine. this will pass. >> any allergies? we will put this oxygen on you. >> the whole situation was verysurreal. you almost step outside ofyourself.
it is the feeling of beingpetrified and being lonely at the same time. >> it was scary? >> it was very scary. looks nearly everyone knowssomeone who has not been -- >> nearly everyone knows someonewho has dropped dead from a heart attack. a coronary artery that carriesblood to the heart becomes blocked, cutting off this applyof oxygen to the heart muscle.
most heart attacks are caused bya process called hardening of the arteries that leads toplaque buildup, it injury of the vessel wall, and eventually theformation of a blood clot. symptoms of heart attack includepain in the chest, arms, neck or job -- jaw, sweating, nausea,shortness of breath. the pain is a cry for help fromthe heart muscle. it is start -- starved foroxygen. but the longer you wait, theless likely you are to be able to rescue that heart muscle andwe know that if you do it within
90 minutes, outcomes are thebest. >> one of the first thingsparamedics do in the field is soak up the patient to a 12 ekgmachine. >> we can think it's up to ourlaptop and facts that directly -- we can sync it up to thelaptop and fax it directly to the emergency room. we give the patients aspirin tokeep their blood from clotting. we give the patient nitro toopen up the blood vessels of the heart.
we give the patient morphine tohelp with the pain. >> it is so important to gethelp right away. i grabbed my keys and made surethe girls were ok and i was right behind the ambulance theentire time. >> time is muscle when you aretalking about the cardiac muscle. >> when they brought me in, isaw the code going on. >> it is like a racecar pit stopin that everybody works in a very coordinated fashion.
everybody has their job. this is similar to the goldenhour of trauma. >> is he going to die? the biggest fear, am i going tohave a husband? are my children going to havethe father? >> the goal of the emergencyroom staff is to get heart attack patients in here, thecatheterization lab as fast as possible. for the next few minutes, wewill take you inside the lab and
show you what happens. dr. charles o'shaughnessy beginsthis demonstration by showing how a thin hollow tube called acatheter is inserted into an artery, usually in the leg, thatleads directly to the heart. doctors inject x-ray dye intothe catheter, which allows moving images of the coronaryarteries to be projected on video monitors. the x-ray movies provide doctorswith a sort of roadmap. the point at which the dyestops is the point of blockage.
>> the heart is blocked 100%here. the balloons are in goodposition across the lesion. >> doctors feel a tiny ballooninto the artery and inflated at the site of blockage. >> it expands and the arterystretches. it smashes the blood clot totiny pieces. amongst the ones the artery iscleared, -- >> once the artery is cleared, many patients getstents. it feels like a little tube,pretty smooth to the touch.
this is a demonstration of howit expands when it is placed over a balloon tipped catheterand fed into the artery. it is deflated and removed alongwith the catheter. the stent stays behind to holdopen the artery, like scaffolding. >> the x-ray dye and the bloodis moving down the artery and now we have normal blood flowgetting to the heart muscle. >> at the time of his heartattack, bruce had three stents placed in his clogged arteries.
this is not the first time hewas treated for heart disease. seven years before his heartattack, doctors diagnosed him with hardening of the arteries. they put in three stents thenand warned him to change his lifestyle. >> i was a noncompliantcardiology patient. that was the moment where ishould have realized, it is time to change some things and how ieand how i treat -- how ie and how i treat i body.
>> he would say, i love myhamburgers. >> at his heaviest stage, hewait 290 pounds. oddly enough, eight monthsbefore his heart attack, he decided to get in shape. he lost 70 pounds and then had aheart attack. losing the weight likely savedhis life. those excess pounds could haveoverloaded his starving heart these days, she takes great careto follow -- he takes great care to follow his doctor's orders.
he has important advice. >> look, here's what happened tome and here is what i did to fix it. this does not have to happen toyou. my biggest regret in beingnoncompliant the first time around was i did not have tohave a heart attack. >> while he enjoys spending timewith his family, he also enjoys spending time alone. reflecting on the second chancehe has been given.
>> we would all like to avoidhis experience, but when you have clogged arteries, there areseveral things doctors can do. the most invasive treatment isbypass surgery. imagine having your chest cutwide open. jim myers did not have toimagine, he had open-heart ipass surgery and he let us follow --bypass surgery and he let us follow along before, during, andafter. some of what you're about to seegets kind of graphic. >> jim and barbara myers havebeen married for 49 years.
inside there comfortable lakecounty home, their family shares of fond memories of the couple'srecent trip to italy. >> that was so much fun. taking the gondola ride. >> between these smiles lamesanxiety -- looms anxiety. in less than 24 hours, jim myerswill undergo quadruple bypass. >> love you, babe. >> we will see you in recovery. >> very nervous about it.
>> i am not ready to move myleft -- lose my life partner. there is a lot more. for the two of us. we started out as best friendsand i think we will go out as best friends. he is definitely the love of mylife. time has flown this morning. >> yes, it has. >> they will be coming to getyou pretty soon.
ok, hyundai, see you later. >> love you -- ok, honeyed, seeyou later. >> love you. >> all set. >> my name is helen and i am oneof the nurses. we will see when we -- when youwake up. >> there is always a possibilitythat something could go wrong. you keep wondering, am i theone? not the lucky one.
>> we are going to open up thechest. from the sternum all the way tothe appendix. it gives us access to the heartand the vessels in the chest. >> surgeon start off by removinga leg vein and freeing up heart of the chest artery to serve asnew channels to go around or bypass the blockages. >> this is the part of thesurgery where we are harvesting all of our conduit for thebypass. >> she uses an endoscopecontaining a video camera that
allows the surgical team to viewthe inside of his leg on a big screen. the images allow hazelton tomanipulate tiny scissors and instruments to remove the veinthrough to tiny incisions as opposed to a big cut down thelake. -- down the leg. >> the patient will heal quickerand have a lot less pain. >> you are talking about a smallincision about the size. >> how long does it run?
>> this is probably at least twofeet long, i would think. this is an excellent vein forwhat we need. >> veins and arteries used tocreate bypass grafts come from the patient's upper chest, legs,or forearms. jim myers is having atraditional bypass operation. 1.5 hours into the procedure,doctors split open the chest bone and exposed his beatingheart. head surgeon now prepares tojoin his team. >> the first thing we will do iswe will -- we will stop his
are you guys all set? we have a clamp on the aortawhich stops the blood flow from reaching the heart. this cold solution with a highpotassium. the first thing you'll notice isthe heart has stopped beating. that is because of the potassiumsolution. this is the internal mammaryartery. >> he uses an artery from theupper chest to create the first new pathway and then completesthree more using the leg vein.
contrary to popular belief,bypass surgery does not involve cutting open the heart. the blocked arteries are on theoutside and doctors literally stitch the new vessels to thesurface. once and is sewn -- one end issewn above the blockage and the other is connected belowallowing surgeons to create a freeway overpass to reroute theblood. >> we will take the vein now,please. this is the vein we will so tothe artery -- sew to the artery.
>> asked surgeons continue tostitch and sew, his family continues to wait and worry. >> we are waiting patiently,hoping everything is ok. >> until i know for sure and ican see him with my own eyes, i am nervous. >> you never know what is goingon or anything. >> it has been an hour and 21minutes since surgeons stop his heart to make the repairs. in just a few moments comes thebig test.
will his heart started to beaton his own? >> the pump is off. >> at 12:43 p.m. in theafternoon, doctors disconnect him from the heart and lungmachine. his heart beats on its own. >> he is doing very well. he came off the machine justfine. >> when asked about the pain,the doctor is candid. >> surgery is painful.
we do our best to keep him ascomfortable as possible. >> 15 finishes up, the doctorgives -- while his team finishes up, the doctor gives myersfamily a long-awaited update. >> everything went very well. they will be getting him cleanedup and bandaged and taken up to intensive care very shortly. when you see him, he will lookdifferent. >> i prayed for you. but god kept -- that god keptyour head clear and your hands
guided. >> nice to see you. >> thank you so much. >> how grateful are you? >> immensely. that we were able to dosomething before he ever had a serious heart attack. >> it was a scary night. ♪>> 3.5 weeks after surgery, we
returned to jim myers house toget his reaction to the experience. while myers remembers theinitial pain, his wife remembers the swelling. >> he looked like a littlemarshmallow man. he had no neck. >> i did not realize you couldhave so much pain and still be alive. >> tubes coming out everywhere.
>> they inserted a tube in thethroat and that was nauseating. >> despite all of the trauma,the family remains thankful. >> this was a gift, find nowbefore something tragic happened. and it could have. >> now the couple looks forwardto making 49 years of marriage into 50 and beyond. >> in the months followingsurgery, bypass patients typically spend a lot of timehere in cardiac rehab.
with me now is a reporter. gretchen, in your research,anything surprise you? >> one thing are the risksinvolved with the heart lung machine. some patients report not feelinglike themselves for months, cognitively speaking. doctors are looking for ways tominimize some of these effects and. spurs are performingsurgeries without the heart lung machine -- and doctors areperforming surgeries without the
heart lung machine. >> what do they complain aboutpostop? >> it is the discomfort ofhaving the breathing tube removed. a few days later, it is thedrainage tubes. there are usually two or threethat have to be pulled from the side. it is painful and patients saythat they sometimes have to bite down on a towel, it hurts somuch.
>> there is excruciating painand serious risks associated with bypass surgery. >> every treatment has risks. bypass surgery is major surgery. going into the calf lap -- capwhich are lab also has pros and cons. things like making lifestylechanges and taking drugs before having things like stanceplaced. -- stents placed.
the best thing is to preventheart disease from happening in the first lace. >> for more information aboutheart health, visit us on the website. more and more people arebeginning to realize the face of heart disease is not justmasculine. a woman's heart is also at risk. cardiovascular disease is thenumber one killer of men and women.
as gretchen shows us in her nextreport, gender or gender bias can play a role in diagnosis andtreatment. >> 45-year-old carmella mcmullenlate division i basketball in college and now enjoysrefereeing. it is hard to believe this tramathletic woman had two heart attacks that went undiagnosed. >> i was always involved inathletics. i thought i ate well and ithought, not me. >> mcmullen first noticedsomething was wrong while
officiating again. ash a game. -- a game. she felt tightness and pressurein her chest. >> that was a pain i had neverfelt before. i kept drinking water i was justreally fatigued. never did i think it was a heartattack. >> a few days later, mcmullenwas eating dinner when she noticed that same strangefeeling.
she kept taking antacid tabletsthinking it was just indigestion . eventually, she did go to theemergency room, but says doctors never discussed the possibilityof a heart attack or did any diagnostic tests on her heart. surprised? experts say this kind of thingis not uncommon. unfortunately, too many peoplestill believe heart disease is just a man's disease.
part of the problem stems fromthe fact that women are more likely to have atypical symptoms, thinks that can be attributed to something else. these include unusual tiredness,trouble sleeping, anxious feeling, and indigestion. >> women have to realize thepresentation of a heart attack can look like almost anything. if you think that it couldpossibly be a heart related problem, you should ask.
>> physical appearance can beanother problem. >> a lot of doc is probablythought there is no way this woman could have heart diseasebecause she is in great shape. >> such cases make it importantfor women to be proactive. that means knowing risk factorsfor heart disease, like family history, blood pressure, andcholesterol levels. 48-year-old sally was surprisedto learn she has a high level of bad cholesterol and high bloodpressure. >> sally?
>> her doctor ordered and echostress test. >> i will do a restingultrasound of your heart. >> ultrasound technology is usedto visualize the beating heart and the blood flowing. >> it is like a doppler radar ofyour heart. it shows which way your blood isflowing. >> once technicians get baselinepictures and sounds from the heart, it is time for thetreadmill. exercise let's doctors see howthe heart he hates under stress.
-- exercise let's doctors seehow the heart behaves under stress. >> i prefer fast and flat. >> any discomfort in your chest? >> 12 minutes pass along with alittle sweat and then it is time to lie back down. >> this site is after exercise. the doctors will compare thetwo. >> the treadmill was tough, butworth it.
>> i have gone through everystep that i know i should have gone through to make sureeverything is going right. with my heart. >> a few days later, she isrelieved to learn the results of her heart tests are normal. meanwhile, doctors haveprescribed medicine to lower her blood pressure and instructedher to watch her diet. sally is determined to stopheart disease before it starts. carmella mcmullen was not thatlucky.
mcmullen lost to male familymembers to heart disease at young ages. plus had other risk factors. mcmullen saw several differentdoctors before she finally got the diagnosis and treatment sheneeded. at times, she still has chestpain. before every game, she takesnitroglycerin to relax and widen her arteries. despite the risks, mcmullenrefuses to be sidelined by
sickness. >> how does it feel to be backon the court again? >> to be honest with you, i feelalive again. i feel like a whole person. i love officiating because it isa good workout. i love being part of the team. i feel very fortunate to be here. >> mcmullen and her doc orcontinue to address her -- dr. continue to address hercondition and discuss her
options. >> i want the best for you. to be 90 years old and stillofficiate. >> mcmullen has learnedlistening to her body and being proactive give women the bestshot at survival. >> while bypass surgery andmedications are effective ways to treat heart disease, noneoffers a cure for what is going on inside the body that leads toclogged arteries. that is why researchers areconstantly looking for new and
better ways to prevent andmanage the disease. ♪>> when it comes to heart disease, the best offense is agood defense. that is the thinking behind thenew test called calcium scoring that helps predict a person'srisk for developing clogged arteries. a special cap scan of the heartidentifies calcium deposits that have started forming in thewalls of the arteries long before any symptoms are noticed.
>> it brings us to a new realm,gives us the opportunity to determine noninvasively exactlywho has the disease and then do something about it before itends up as a disaster. before it is a heart attack. before it is sudden death. >> new technology now make someoperations less painful and recovery much faster. instead of cutting open thechest, doctors access the heart with scope instruments insertedthrough small incisions.
robots give these procedures anew twist. allowing physicians to sit at aconsole and control robotic arms much like a videogame. stents and surgery can restoreblood flow to the heart, but they cannot replace dead ordamaged heart muscle. researchers are turning to stemcells. efforts focus on ways to coke'sstem transform themselves into cells -- coax stem cells totransform themselves. >> these are embryonic stemcells that have turned into
cells and the way we can tell -- >> some tests using adult stemcells are already underway. special mapping techniquesallowed. ears to inject -- allow doctors to inject the cellsdirectly into the damaged areas of the heart. >> death rates from heartdisease have decreased amazingly about 30% over the last decade. it is great news, butresearchers warn us that there are other trends that couldreverse all of that.
two out of three adults do notget enough regular exercise. overeating is on the rise andtoo many of us eat way too much unhealthy food. shedding some of those badhabits and knowing your own personal risk factors can go along way to making your heart story healthier. be sure to visit us atwviz.org/health. and check out some of the radioprogramming we have put together.
thank you for watching and stayhealthy. ♪♪
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