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Circulation Problems, Arterial or Venous?

https://www.modernheartandvascular.com Good morning, everyone, and welcome to "Great Day Houston Medical Monday." We're starting with the heart. Earlier this month former Houston Texan and picture of health, J.J. Watt, got a lot of people's attention with this tweet he wrote, "I went into AFib on Wednesday, had my heart shocked back into rhythm on Thursday, and I'm playing today." AFib affects millions of Americans and many don't even know they have it. Joining us to explain what that is and other conditions involving the heart and circulatory system is cardiologist Dr. Rajiv Agarwal with Modern Heart and Vascular Institute, good morning. Good morning, Deborah how are you? Good, a lot of us have heard that term AFib might not realize what it is, and the thing, of course, that got our attention is when somebody like J.J. Watt has it. But the fact the matter is, like I said, a lot of people do and don't even know. Right, AFib stands for atrial fibrillation. And basically, what that means is the top chamber of the heart, which are called the atria, is just fibrillating instead of squeezing nicely. So you have the synchrony, or the top and the bottom chambers of the heart are just out of sync and a lot of people, like you said, don't know it. But symptoms like just fatigue, and tiredness, and getting out of breath that we tend to say, "Well, I don't think I just slept right," or, "I have stress," or, this or that, can be your only symptoms of AFib. Yeah, and need to take it seriously because if it's untreated it could lead to heart failure and stroke, and can also cause poor blood flow. Another thing that can cause poor blood flow is vein disease, and like, we rely on them, obviously, of what 60,000 miles of basically veins that we have carrying oxygen to and from? Right, so arteries take the blood from the heart and take it to our tissues, and organs and veins bring it back. And there are thousands and thousands of miles of highways of veins and arteries, and a lot of people have symptoms, Deborah, and they just don't know it at all. And because some of those symptoms, for example, when we talk about the arteries and have poor circulation, tiredness in our legs, we think it's a muscular issue, right? Fatigue in the legs, burning in the legs, mainly in the calf muscles, and usually experience with walking or exertion. Right, that's the key distinction, is if your symptoms are with exertion. So if your legs bother you, they feel tired, burning, fatigue with exertion, it's more likely to be arterial disease. Whereas, if you have symptoms more at night or when you're sitting, like cramps or charley horses, or restless legs, swelling, so more stationary symptoms, those are more likely to be due to bad veins. With arterial disease what are some of the risk factors? So, the traditional risk factors, Deborah, like smoking, diabetes, high blood pressure, high cholesterol, stress, and might we throw in these days, COVID, which accelerates the blockages process. So that's for the arteries. For the veins, it's more stationary life, so gravity. People that are sitting or standing for prolonged periods of times, obesity, women on birth control medications, they're more likely to get blood clots and vein disease. Read the rest of the transcript in the comments. Modern Heart and Vascular Institute in Humble, TX, Katy, TX & Cleveland, TX is a state-of-the-art cardiovascular practice equipped with cutting-edge diagnostic tools used to assess heart health and diagnose cardiac conditions in the earliest of stages. We specialize in all aspects of cardiovascular and metabolic diseases. We diagnose and treats arrhythmias, congestive heart failure, coronary artery disease, peripheral arterial disease, vein disease, and high blood pressure. The practice also expertly manages cardiac conditions in people with diabetes, high blood pressure, kidney disease, obesity, family history of premature heart disease, etc. Modern Cardiovascular Care for Modern Patients using Modern Technology